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This is VAERS ID 26221

Case Details

VAERS ID: 26221 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:1990-04-26
Onset:1990-04-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Hypotension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
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: B/P @ ofc. 60/40
CDC Split Type:

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


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