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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 25819

Case Details

VAERS ID: 25819 (history)  
Form: Version .0  
Age: 17.0  
Sex: Female  
Location: New York  
Vaccinated:1990-06-15
Onset:1990-06-26
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1227S / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: ARTHRITIS, FEVER, MALAISE, PAIN BACK, PHARYNGITIS
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: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25819


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