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This is VAERS ID 25514

Case Details

VAERS ID: 25514 (history)  
Form: Version 1.0  
Age: 44.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted: 0000-00-00
Entered: 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / UNK - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


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