Pt was given painful tetanus vaccine (TD) and waiting in waiting room when began to feel lightheaded and passed out and reportedly had convulsions briefly. Seen by mother and office manager. I immediately ran to seconds of symptoms. I was no convulsions but pt slow to respond. Placed in ?-vitals stabalized. Mother decided to take to ER.  Follow up on 05/23/2003: "Information has been received from a foreign legal firm regarding a case in litigation concerning a 12 month old male patient who on 01/26/1993 was vaccinated with a first dose of MMRII (Lot # 604763/1226V: Batch # B1226V).  On 11/19/1996, the patient was vaccinated with a booster dose of MMRII (Lot # 616876/0984B: Batch # HB40070).  Subsequently, it is alleged that the patient developed autism and global developmental delay.  Follow up information was received on 05/12/2003 that indicated the patient developed a slight swelling around the injection site immediately post vaccination.  He suffered from a temperature the night after receiving the vaccination, which his mother gave him acetaminophen for as precautionary measure.  Within 4 weeks of the vaccination, his parents noticed that his development appeared to regress.  He lost skills, which he had previously acquired.  This included being able to crawl and his eye contact appeared to deteriorate.  He also failed to respond when spoken to by family members or other adults.  He no longer pointed at objects when asked to and he would no longer point to an object to obtain an adult's attention.  He no longer engaged in pretend play in the manner that he had previously done.  Within 6 months of receiving the vaccination, the patient started throwing terrible temper and screaming tantrums.  At this time, the patient developed an obsession with electrical and gas switches.  He developed a specific interest in toys that made a noise or had a mechanism for cause and effect.  His play lacked imagination and he no longer engated in constructive or pretend play.  He only started to point at 33 months and he did not start to walk until he was 35 months old.  As the patient became more mobile, it was found more difficult, to control his behavior.  A pediatrician assessed the patient in February 1994 at the age of 35 months old and indicated that the patient was developing slowly compared to his sister, who was 7 months old at the time and that he might be slightly globally delayed.  At the age of 35 months old, an attempt to potty train him was unsuccessful.  His bowel movements failed to regularize.  He suffered from pain in his stomach, which his parents considered were caused from constipation.  His parents were advised that he might have suffered from coeliac disease.  A child development center assessed the patient at 35 months and they noted that the patient's temper tanrums involed him screaming, head-butting the floor, and biting his siter, others and items of furniture.  The patient was observed to accord appropriate eye contact, however, he hid eyes with his arm when in the presence of strangers.  They also noted that the patient did not display any understanding of what words meant.  They noted that the patient would look towards to attract attention and would baby babble.  He was not able to intimate movements such as waving bye bye.  The child development center considered that the patient was severely delayed in all areas of development, other than his motor skills, which had developed well.  The patient's speech never really developed after receiving the vaccination.  In October 1994, a physician noted that the patient's mother considered that he had a vocabulary of 6 words and his father though that he had a vocabulary of 20 words.  The patient had an extremely limited vocabulary at this stage and required speech and language therapy.  Further to receiving the vaccination, the patient had a number of ear infections and very frequent colds.  His mother did not recall when he started having these ear infections and suffering from frequent colds.  There is reference to these ear infections in the patient's medical records in February 1995.  He has had a number of hearing tests and his parents did not believe that he had any hearing problems.  A child development center assessed the patient again at the age of 4 years old.  They noted that the patient accorded appropriate eye contact and smiled when greeting familiar people.  However, he became anxious when in unfamiliar surroundings and raised his arm to cover his eyes, or cried clinging to his mother.  They noted that in some situations he became over excited, flapping his arms, and jiggling about on the spot.  Two physchologists assessed the patient at the development center in February 1996 at the age of 4 years old.  They concluded that his performance on the scales formally tested showed that his development in loco-motor skills were continuing to develop well, although these were not formally tested, as he was not able to follow instructions or intimate accurately.  A speech and language therapist assessed the patient also in February 1996.  She noted that the patient had rarely uttered a word before Christomas 1995, but he had started vocalizing when asked if he wanted more and was even heard to say "bubbles".  However, his understanding of language was still at a single word stage but he could follow complex commands if additional clues were provided.  by the age of 4 years old, the patient's mother considered that he had a vocabulary of around 10 words including rabbit, bath, door, pop (drink), and bubbles.  At the age of 9 years old, the patient was dry by day but failed to make any bowel movements during the daytime.  The patient tended to make bowel movements at nighttime and if he was not wearing a diaper, he would hold on for days on end.  He therefore became constipated resulting in pain.  Information was received on 05/12/2003 which pertained to events that occurred following the adminstration of MMRII on 01/26/1993.  This information contained the following adverse experiences: ear infection (approximately February 1995) and very frequent colds (post vaccine, unknown date).  Upon internal review, autism and global developmental delay were considered to be other important medical events (OMIC).  It has also been alleged that the patient's brother developed epilepsy and global developmental delay post vaccination (see WAES # 0305USA01466).  No further information is available.