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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 25817

Case Details

VAERS ID: 25817 (history)  
Form: Version .0  
Age: 2.6  
Sex: Female  
Location: Maryland  
Vaccinated:1990-06-22
Onset:1990-06-30
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1990-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 265938 / 3 - / -
M: UNK. MEASLES VIRUS LIVE / UNCLASSIFIED - / - - / -
OPV: ORIMUNE / LEDERLE - / - - / PO

Administered by: Private       Purchased by: Unknown
Symptoms: ASTHENIA, CONVULS, FEVER, RASH
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:
Current Illness:
Preexisting Conditions: No hx of seizures in siblings/parents. 1 cousin had convulsions /w high fever.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approx. 8 days /p DTP/OPV/MMR immun., child experienced a fever 101T, rash on face & chest, seizure (1 episode) & fatigue for 24 hrs.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25817


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