From the 1/14/2022 release of VAERS data:

This is VAERS ID 25483

Government Disclaimer on use of this data

Case Details

VAERS ID:	25483 (history)
Form:	Version 1.0
Age:	12.0
Sex:	Male
Location:	New York

Vaccinated:	1990-06-08
Onset:	1990-06-09
Days after vaccination:	1
Submitted:	0000-00-00
Entered:	1990-07-11

Vaccination / Manufacturer	Lot / Dose	Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC.	- / UNK	- / -

Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC Split Type: WAES90060411

Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25483