| Days after vaccination:||1
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.
||11495 / UNK
||- / IM
Administered by: Unknown Purchased by: Unknown
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Amoxil for poss sinus infection & local skin infection.
Preexisting Conditions: Hx of allergy to Phenobarbital - unknown reaction
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt vaccinated with MMR developed joint stiffness & soreness, slight bruising at inject site, rash which was described as itchy, no redness or swelling.