National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26003

Case Details

VAERS ID: 26003 (history)  
Form: Version 1.0  
Age: 10.0  
Sex: Female  
Location: California  
Vaccinated:1990-09-10
Onset:1990-09-10
   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. 1705S / UNK - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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 MMR DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26003


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166