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This is VAERS ID 25997

Case Details

VAERS ID: 25997 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Female  
Location: Florida  
Vaccinated:1990-09-05
Onset:1990-09-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0492S / UNK - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Paraesthesia, Pharyngitis, Vasodilatation
SMQs:, Agranulocytosis (broad), Peripheral neuropathy (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), 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 MMR DEVELOPED IMMEDIATE SWELLING OF THROAT NUMBNESS OF LIPS & HANDS. SCARLET COLOR OF FACE & CHEST. HOARSNESS


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