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This is VAERS ID 37422

Case Details

VAERS ID: 37422 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Male  
Location: California  
Vaccinated:1990-04-23
Onset:1991-05-20
   Days after vaccination:392
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (narrow), Lack of efficacy/effect (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC Split Type: WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


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