Information has been received from a consumer concerning her approximately 24 month old daughter who was vaccinated with MMR II. The mother reported that her daughter was given the first dose of MMR II at 18 months and a second dose at 2 years (approximately August 2002). The mother reported that since the second dose, her daughter seems to have developed a learning disability. She reported that she has been losing things and needs to see a speech therapist. She also reported that starting in September her daughter will need to start a special education class for preschol children with speech problems. Learning disability and speech problems were considered to be disabling. Additional info has been requested. The follow up received on 8/5/03 from the physiican. The physician reported that he did not know what the child's birth was like as she was under the care of another pediatrician from birth to 15 mnths. He reported that her first visit to the practice was a well visit at 15 months. He reported that the child's mother was concerned about autism so the MMR II was not given at that time. The child, who wsa well at the time, received the MMR II (640792/1381L) at her 18 month visit on 1/28/02. On 8/7/02, the child received her second dose of MMR II (641342/1545L). In August 2002, the child was seen because the mother was concerned about her speech. At that time, the child was 2 years old and would only say 2 words. The physician reported that the child's hearing was checked and it was reported that the child could hear well. Also, at that visit the mother reported that her child had not been eating well for the past week. It was discovered that the child's hematocrit was low so she started on iron therapy for 30 days, to which she responded. The chil was referred to a program for speech and occupational therapy. The physician reported that the child did not receive the varicella virus vaccine live at her August 2002 visit but did receive varicella virus vaccine live (641985/0293M) on 1/27/03. The physician reported that he received from the speech and occupational therapy program dated 6/3/03, the child has made a littie progress and will transition to school. He reported that the child has not been formally diagnosed with autism or anything else that he is aware of. He stated that there are six physicians in the practice and that he has only seen her once and that the last time was 1 year ago. No additional info is expected. Additional info has been received from the physician. The physician reported that on 2/10/03 the child was in for an office visit and at that time the child's mother was concerned about speech delay. The child has been enrolled in "Birth to 3" and a speech pathologist told the child's mother that she had concerns about a delay. The child was diagnosed with a speech delay and was referred to a dental center. The physician reported that he "doubts if mom brought her." The child's last physical exam was on 8/15/03 and she was still in the "Birth to 3" program receiving speech and occupational therapy. He reported that the child was starting to talk more. He reported that the child's mother was concerned about the measles vaccine effects even prior to the first vaccination. He stated that the first vaccination was delayed upon mom's request and that she even wanted him to draw up the vaccinations in front of her. No additional info is expected.