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This is VAERS ID 25844

Case Details

VAERS ID: 25844 (history)  
Form: Version 1.0  
Age: 10.0  
Sex: Female  
Location: Illinois  
Vaccinated:1990-08-07
Onset:1990-08-07
   Days after vaccination:0
Submitted: 1990-09-04
   Days after onset:28
Entered: 1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 had instant headache & lied down for 15 minutes until felt well enough to walk


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