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

This is VAERS ID 177594



Case Details

VAERS ID: 177594 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: California  
Vaccinated:1997-07-23
Onset:1997-08-13
   Days after vaccination:21
Submitted: 2001-10-26
   Days after onset:1535
Entered: 2001-11-12
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0104E / 1 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0345E / 1 LL / SC

Administered by: Private       Purchased by: Other
Symptoms: Autism, Bone development abnormal, Hypotonia, Increased appetite, Muscular weakness, Speech disorder, Staring
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Rash all over body~Hep B (no brand name)~3~0.00~In Patient
Other Medications: Hydrocortisone 1% for eczema as needed
Current Illness: NONE
Preexisting Conditions: Mild atopic dermatitis
Allergies:
Diagnostic Lab Data: Heavy metal lab test, etc.
CDC Split Type:

Write-up: 8/13/97, pt''s legs and feet gave way. He was bow-legged in lower legs and his feet turned in. Pt noted to have poor eye contact at 18 mos of age at which time milk addiction also started. 02/12/1999 pt had hypotonia throughout extremities and trunk. 7/1/99 pt was intoeing and had poor eye contact. 8/11/99 pt diagnosed as having autism with significant delay in speech.


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