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From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 25696

Case Details

VAERS ID: 25696 (history)  
Form: Version .0  
Age: 1.8  
Sex: Female  
Location: Illinois  
Vaccinated:1990-05-14
Onset:1990-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS OB11061 / - L / IM
MMR: MMR II / MSD 0890S / - L / IM
OPV: ORIMUNE / LEDERLE - / - - / PO

Administered by: Private       Purchased by: Unknown
Symptoms: FEVER, INJECT SITE REACT, PAIN INJECT SITE
SMQs:

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:
Other Medications: Ceclor
Current Illness: Ear infection took Ceclor 5/7 -5/14
Preexisting Conditions: Infectious Mono in January 1990
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with DTP/MMR/OPV and developed a fever of 104.2; Temp decreased with tylenol and ice pack; Pain and swelling of leg site


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