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From the 12/30/2006 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 25482

Case Details

VAERS ID: 25482 (history)  
Form: Version .0  
Age: 10.0  
Sex: Female  
Location: Florida  
Vaccinated:1990-05-30
Onset:1990-06-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: ENCEPHALITIS, FEVER, PNEUMONIA
SMQs:

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? No
Previous Vaccinations:
Other Medications: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''''s 200, RBC''''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''''s 60, RBC''''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC Split Type:

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


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