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This is VAERS ID 25006

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 25006 (history)  
Form: Version .0  
Age: 16.7  
Sex: Female  
Location: Ohio  
Vaccinated:1989-11-17
Onset:1989-11-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: UNK. MEASLES, MUMPS & RUBELLA VIRUS LIVE / UNCLASSIFIED - / - - / -
TD: TD ADSORBED, ADULTS / LEDERLE 247953 / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: CONVULS, DIZZINESS
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25006


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