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This is VAERS ID 27133

Case Details

VAERS ID: 27133 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Female  
Location: Montana  
Vaccinated:1990-07-23
Onset:1990-07-27
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 2 - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Ocular infections (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


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