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This is VAERS ID 25814

Case Details

VAERS ID: 25814 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Male  
Location: Washington  
Vaccinated:1990-08-08
Onset:1990-08-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15255 / UNK - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthma
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (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: BP 118/40
CDC Split Type:

Write-up: Received MMR from MSD - developed wheezing within 5 minutes.


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