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This is VAERS ID 25955

Case Details

VAERS ID: 25955 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Wisconsin  
Vaccinated:1990-07-23
Onset:1990-08-01
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Unknown
Symptoms: Ecchymosis, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Platelet count down to 2,000
CDC Split Type:

Write-up: ITP- /w clinical signs evident by approx. 1 mon. /p vaccination. Bruises, petechiae, No frank bleeding


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