National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 176520



Case Details

VAERS ID: 176520 (history)  
Form: Version 1.0  
Age: 2.2  
Sex: Male  
Location: Arizona  
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted: 2001-10-09
Entered: 2001-10-22
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private       Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Eye movement disorder, Laboratory test abnormal, Musculoskeletal stiffness, Opisthotonus, Pyrexia, Staring, Viral infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (narrow), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Ocular motility disorders (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC Split Type:

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=176520


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166