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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