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This is VAERS ID 26275

Case Details

VAERS ID: 26275 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Florida  
Vaccinated:1990-09-27
Onset:1990-10-07
   Days after vaccination:10
Submitted: 1990-10-14
   Days after onset:7
Entered: 1990-10-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gingival disorders (narrow)

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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC Split Type:

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


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