| VAERS ID: | 33180 | Vaccination Date: | 1990-03-08 | | Age: | 19.0 | Onset Date: | 1990-05-20 Days later: 73 | | Gender: | Female | Submitted: | 0000-00-00 | | State: | California | Entered: | 1991-05-31 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: No relevant data | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: No relevant hx | | CDC 'Split Type': WAES90060098 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | MMR | MERCK & CO. INC. | 0064S | | | | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Arthralgia, Lymphadenopathy, Osteoarthritis, Rash | | Write-up: 08Mar90 pt recvd booster vax; 20May90 devel swollen glands base of skull size of pea & sore. Devel sore knees & wrists & by 27May90 joints were swollen & rash on hands, legs, feet. Fingers swollen to the point that could not write. |
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