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This is VAERS ID 25484

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

Case Details

VAERS ID: 25484 (history)  
Form: Version .0  
Age: 1.5  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 40967/2130R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: FEVER, RASH MAC PAP, VASCULITIS
SMQs:

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

Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25484


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