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This is VAERS ID 33160

Case Details

VAERS ID: 33160 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-05-31
Onset:1990-06-09
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular
SMQs:, Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


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