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This is VAERS ID 25532

Case Details

VAERS ID: 25532 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Male  
Location: Florida  
Vaccinated:1990-05-04
Onset:1990-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 2 - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder
SMQs:, Anaphylactic reaction (broad), Drug abuse and dependence (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (narrow), Medication errors (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC Split Type: WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


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