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Life Threatening? No
Write-up: Information has been received from a physician concerning a 34 month old girl who at 1:00 PM, 2/28/03 was vaccinated with MMR, 0.5 ml, IM. In the evening of 2/28/03, the girl experienced fever with 38.5 of body temperature. At 7:00 PM, 2/28/03, the girl developed a 0.5x0.5cm square of mass around her right ear. On 5/1/03, she was placed on fomentation therapy (detail unknown) for the treatment of the mass under doctor''s suggestion. On 3/25/03, the girl recovered from fever. On 4/29/03, the girl was hospitalized because the mass increased to 4x2cm square. The physical examination showed the mass was middle texture with clear borderline, coarse surface and limited mobility. At the time, the result of her blood examination revealed 7.7 of white blood cell count, 35.1 of blood lymphocyte count, 59.4 of blood neutrophil count, 2.7 of blood platelet count and 100 of blood hemoglobin. On the same day, her right ear ultrasound result showed there was a low echo area where an artery passes through. On 4/30/03, the girl was diagnosed with parvicellular malignant tumor in right parotid gland via diagnostic pathological examination. The physician estimated the parvicellular malignant tumor probably originated from granulocytic sarcoma in lymphatic and hematopoietic system. On 5/9/03, the result of her bone biopsy revealed her eosinophilic granulocyte and neutrophil alkaline phosphatase were increased. On 11/27/03, the girl died because of parvicellular malignant tumor in right parotid gland. The reporting physician felt the girl''s parvicellular malignant tumor in right glad region was definitely not related to the vaccination with MMR. Additional information is not expected.
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