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This is VAERS ID 25629

Case Details

VAERS ID: 25629 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: Maryland  
Vaccinated:1990-05-09
Onset:1990-05-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, Vomiting
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Agranulocytosis (broad), Lack of efficacy/effect (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


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