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This is VAERS ID 25286

Case Details

VAERS ID: 25286 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted: 0000-00-00
Entered: 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC Split Type:

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


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