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This is VAERS ID 188549

(NOTE: This result is from the 12/8/2009 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 BEECHAM 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: Public
Symptoms: Anorexia, Dehydration, Ecchymosis, Erythema, Malaise, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=188549


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