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This is VAERS ID 25901

Case Details

VAERS ID: 25901 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted: 0000-00-00
Entered: 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / UNK - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG non specific changes
CDC Split Type:

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


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