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This is VAERS ID 25504

Case Details

VAERS ID: 25504 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Male  
Location: West Virginia  
Vaccinated:1990-05-30
Onset:1990-06-08
   Days after vaccination:9
Submitted: 1990-06-11
   Days after onset:3
Entered: 1990-07-11
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / UNK - / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: FEVER & RASH


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