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From the 7/16/2021 release of VAERS data:

This is VAERS ID 175835



Case Details

VAERS ID: 175835 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Minnesota  
Vaccinated:1998-09-02
Onset:1998-09-03
   Days after vaccination:1
Submitted: 2001-09-13
   Days after onset:1106
Entered: 2001-10-01
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES U0932710 / 4 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES U0950670 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0787H / 1 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 793E2 / 2 MO / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0610H / 1 RL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Diarrhoea, Eye disorder, Fungal infection, Gait disturbance, Hypoacusis, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~Measles + Mumps + Rubella (no brand name)~2~5.00~In Sibling
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The pt experienced chronic permanent diarrhea, chronic "yeast infection" type rashes, change in hearing, loss of eye contact, started to walk on tip toes and spin allot.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=175835


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