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This is VAERS ID 25656

Case Details

VAERS ID: 25656 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Male  
Location: New York  
Vaccinated:1990-07-17
Onset:1990-07-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


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