From the 12/8/2009 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 (NO BRAND NAME) / CONNAUGHT LABORATORIES	OB11061 / -	L / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	0890S / -	L / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES	- / -	- / PO

Administered by: Private Purchased by: Unknown
Symptoms: Injection site pain, Injection site reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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:
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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