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This is VAERS ID 25850

Case Details

VAERS ID: 25850 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Male  
Location: California  
Vaccinated:1990-01-22
Onset:1990-01-28
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 1990-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 1051R / UNK - / SC

Administered by: Public       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with MR experienced rash and adenopathy for 7 days starting 10 days after MR vaccine inject


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