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From the 12/8/2009 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 25485

Case Details

VAERS ID: 25485 (history)  
Form: Version .0  
Age: 1.3  
Sex: Male  
Location: New York  
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 409672130R / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Hepatic function abnormal, Pyrexia, Rash maculo-papular, Vasculitis
SMQs:, Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vasculitis (narrow)

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? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: WBC- 37,700, platlets- 379,000, LDH- 1,000, SGOT- 50, sepsis work-up was neg. Additional lab data on WORM
CDC Split Type: WAES90031176

Write-up: 12 days/p vaccination, developed maculopapular rash on face, arms & legs. Became jumpy fussy, had fever 104 F- hospitalized, sysmtoms persisted for approx. 4 wks, subsequently rash became pigmented, DX as vasculitis

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