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This is VAERS ID 25873

Case Details

VAERS ID: 25873 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Male  
Location: Maryland  
Vaccinated:1990-07-06
Onset:1990-08-16
   Days after vaccination:41
Submitted: 1990-09-06
   Days after onset:21
Entered: 1990-09-11
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


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