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Report #2826014

Received Feb 12, 2025

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A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
Age unknown
State
TX
Recovered
Not recovered
Vaccinated
Nov 4, 2004
Onset
Nov 4, 2004
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNK——

Symptoms (11)

AmblyopiaAutism spectrum disorderBehaviour disorderBlood bilirubin increasedDelayed dark adaptationDyspnoeaEye disorderEye operationIntensive careLearning disorderSleep disorder

Symptom narrative

I don't remember which shots. But the nurse took patient from me - after he had latched on perfectly and fed, and the nurse said how cute he was - to ‘give him his shots'. They were the newborn shots required on 11/04/04. About 20 - 30 minutes later she ran into my room breathless, said he had trouble breathing, had bilirubin and had been moved to the ICU, and was there until 11/09/2004. He had eye issues & surgeries ages 18 months & 5 years, sleeping issues, darkness issues, behavioral issues, learning issues, and was finally diagnosed at age 5 1/2 with moderate/severe autism by Dr Health Clinic.

Current illness

Newborn - none

Medical history

Newborn - none

Other medications

Newborn - none

Allergies

Newborn - none

Lab data

Clinic will have his 2004 newborn vaccination records; Surgeries for Amblyopea Scripps Opthalmolgy; Autism Diagnosis by Dr Health Center 2010