This is VAERS ID 25131

Case Details

VAERS ID:	25131 (history)
Form:	Version 1.0
Age:	18.0
Gender:	Female
Location:	Connecticut

Vaccinated:	1990-06-25
Onset:	1990-06-28
Days after vaccination:	3
Submitted:	0000-00-00
Entered:	1990-07-09

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	2130R / UNK	- / -

Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Arthritis (broad), 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: Fever of 102 F, achy joints, fatigue

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