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This is VAERS ID 25572

Case Details

VAERS ID: 25572 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:1990-01-26
Onset:1990-02-07
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2358R / UNK - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Arthralgia, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (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:
Current Illness:
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately /p developed a facial rash, also developed joint pain in the 4th PIP dorsal & mid wrist of rt hand on week post shot.


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