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This is VAERS ID 25789

Case Details

VAERS ID: 25789 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Female  
Location: Indiana  
Vaccinated:1990-07-27
Onset:1990-08-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1990-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14795 / UNK - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Anorexia, Pyrexia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with MMR on 27JUL90 on 4AUG90 developed fever 101-104, very red & pronounced macular rash over trunk, abdomen & upper extremities, decreased appetite, refusing to eat per mom. Lasted til 10AUG90 when temp decreased & rash fad


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