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This is VAERS ID 188549

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 188549 (history)  
Form: Version .0  
Age: 1.1  
Gender: Female  
Location: North Carolina  
Vaccinated:2002-03-13
Onset:2002-03-20
   Days after vaccination:7
Submitted: 2002-03-22
   Days after onset:2
Entered: 2002-08-07
   Days after submission:137
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECH 5272A2 / 2 - / IM
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR, T1310 / 2 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0901L / 0 - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: ANOREXIA, DEHYDRAT, ECCHYMOSIS, EDEMA PERIPH, FEVER
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Seven days after immunization onset of edema and erythema of hands and feet that also turned into some ecchymosis, accompanied by fever, anorexia, decreased fluid intake, malaise, slight dehydration, mild skin rash.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=188549


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