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This is VAERS ID 45434

Case Details

VAERS ID: 45434 (history)  
Form: Version 1.0  
Age: 1.1  
Sex: Female  
Location: New York  
Vaccinated:1992-08-18
Onset:1992-08-27
   Days after vaccination:9
Submitted: 1992-09-18
   Days after onset:22
Entered: 1992-09-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0263V / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Anaemia, Leukocytosis, Pyrexia, Rash, Red blood cell sedimentation rate increased
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mild vaginitis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC21.7, G84%, L/M16%; HCT 27.8%, plt311,000; ESR90;
CDC Split Type:

Write-up: fever & rash beginning 9 days p/MMR; as of 18SEP92 rash has become typical of JRA, ESR-90, fevers persist, on Ibuprofen;


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