From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 25826

Case Details

VAERS ID:	25826 (history)
Form:	Version .0
Age:	5.7
Sex:	Female
Location:	Pennsylvania

Vaccinated:	1990-08-26
Onset:	1990-08-28
Days after vaccination:	2
Submitted:	1990-08-30
Days after onset:	2
Entered:	1990-09-05
Days after submission:	6

Vaccination / Manufacturer	Lot / Dose	Site / Route
DTP: TRI-IMMUNOL / LEDERLE	271915 / -	RA / IM
MMR: MMR II / MSD	06962 / 1	LA / SC
OPV: ORIMUNE / LEDERLE	00052004 / 4	- / PO

Administered by: Private Purchased by: Unknown
Symptoms: COUGH INC, FEVER, INJECT SITE REACT, MASS INJECT SITE, RHINITIS
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25826