VAERS ID: 25009

AGE: 3| SEX: M|STATE: FL (United States)

Description

15mon. male w/ hx of recurrent ear infections & measles in Feb. 89'. 5Apr89 was given MMR. Within 24 hrs /p vaccine, parents noted hearing deficit, confirmed by physician exam.

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Symptoms

Deafness

Vaccines

VAX DATE: 04-05-1990| ONSET DATE: 04-06-1990| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
MEASLES + MUMPS + RUBELLA (MMR II) 0 MMR MERCK & CO. INC. 0333P Unknown Unknown

RECVDATE:07-02-1990
RPT_DATE:
CAGE_YR:3
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:Y
RECOVD:N
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:recurrent otitis media, measles
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:WAES90030661
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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