| VAERS ID: |
25820 (history) |
| Form: |
Version 1.0 |
| Age: |
18.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 1990-07-16 |
| Onset: | 1990-08-05 |
| Days after vaccination: | 20 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-08-31 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Private Purchased by: Unknown
Symptoms: Alanine aminotransferase increased,
Aspartate aminotransferase increased,
Headache,
Hepatitis,
Malaise,
Myalgia,
Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Hepatitis, non-infectious (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC Split Type: WAES90080653
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. |
