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This is VAERS ID 25620

Case Details

VAERS ID: 25620 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Female  
Location: California  
Vaccinated:1990-05-04
Onset:1990-05-07
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC Split Type: ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


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