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From the 6/11/2021 release of VAERS data:

This is VAERS ID 192783



Case Details

VAERS ID: 192783 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:2002-07-29
Onset:2002-08-11
   Days after vaccination:13
Submitted: 2002-10-20
   Days after onset:70
Entered: 2002-11-06
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal premalignant disorders (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


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