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This is VAERS ID 25539

Case Details

VAERS ID: 25539 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: New York  
Vaccinated:1990-07-02
Onset:1990-07-10
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK RA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Injection site mass, Injection site oedema, Injection site pain, Injection site reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: allergy pollen
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: T 100 F, swelling, redness, induration of 10 cm, tenderness, beginning 10 days after immunization, at rt deltoid at injection site


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