National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 27530

Case Details

VAERS ID: 27530 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:1990-11-13
Onset:1990-11-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=27530


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166