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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 25820

Case Details

VAERS ID: 25820 (history)  
Form: Version .0  
Age: 18.0  
Sex: Female  
Location: Florida  
Vaccinated:1990-07-16
Onset:1990-08-05
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: FEVER, HEADACHE, HEPATITIS, MALAISE, MYALGIA
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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC Split Type:

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25820


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