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This is VAERS ID 25659

Case Details

VAERS ID: 25659 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:1990-07-17
Onset:1990-07-29
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0695S / UNK - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: terazol-7 vaginal cream 7/17 - 7/24/90
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received MMR and developed rash, swollen galnds in neck.


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