National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 25635

Case Details

VAERS ID: 25635 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: New York  
Vaccinated:1990-06-18
Onset:1990-07-01
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0435S / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Anaemia, Antinuclear antibody, Asthenia, Leukocytosis, Malaise, Pharyngitis, Pyrexia, Rash maculo-papular, Red blood cell sedimentation rate increased, Syncope, White blood cell disorder
SMQs:, Torsade de pointes/QT prolongation (broad), Agranulocytosis (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC-4,800 6/18/90; Hematocrit-41 6/18/90; Hematocrit-40 7/90; WBC-21,000 7/90, Granulocytes-80 7/90 Lymphocytes-20 7/90; ESR-83 7/7/90; WBC-20,000 7/7/90; hematocrit-30; Monospot-negative 7/90
CDC Split Type: WAES90070297

Write-up: Pt vax w/MMRII on 4JUL90 dev T of 104 & sore throat, she fainted & dev a macular rash on both thighs; She exp weakness & pain.F/U 12MAR91: SXS INCLUDED T 104, SORE THROAT, MAC RASH, FAINTED, WBC 21,000 W/ LEFT SHIFT, ANA +, ESR 83, HCT 30.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25635


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166