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This is VAERS ID 25885

Case Details

VAERS ID: 25885 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Male  
Location: Maine  
Vaccinated:1990-08-02
Onset:1990-08-29
   Days after vaccination:27
Submitted: 1990-09-04
   Days after onset:6
Entered: 1990-09-11
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2365R / UNK - / SC

Administered by: Private       Purchased by: Public
Symptoms: Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), 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? 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 vaccinated with MMR developed fever of 102-103, rash covering entire body 5 days after vax. MD checked child prescribed Tylenol for fever and Benadryl elixer for rash.


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