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: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / - |
- / SC |
Administered by: Unknown Purchased by: Unknown Symptoms: Encephalitis,
Pneumonia,
Pyrexia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
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: ~ ()~~~In patient 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. |