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This is VAERS ID 25561

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

Case Details

VAERS ID: 25561 (history)  
Form: Version .0  
Age: 1.3  
Sex: Male  
Location: New York  
Vaccinated:1990-06-26
Onset:1990-07-06
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 1990-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 12275 / - - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: CONVULS, CSF ABNORM, FEVER, LEUKOCYTOSIS
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC Split Type:

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25561


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