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The following is all the information available on report# VAERS_ID: 745663
Vaccine(s) were received on 01/12/2016
Vaccine(s) were received in the state: NC
At the time of vaccination, patient was : 1 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N

The following Lab Data for this case is available: Mental, social, emotional, fine motor evaluation

The following Data for this patients HISTORY is available: None

The following Data for this patients ALLERGIES is available: [Penicillin ]

Description of adverse reaction: Fever of 104, stopped walking for 6 days, stopped talking (babbling) for a year and 4mos, stopped socializing (eye contact, interactions of any kind).


Vaccine(s) associated with report# 745663

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
MMRMEASLES + MUMPS + RUBELLA (MMR II) MERCK & CO. INC.1SYRLL

Symptoms(s) associated with report# 745663

Decreased eye contact
Gait inability
Investigation
Pyrexia
Social avoidant behaviour
Speech disorder