| VAERS ID: |
25920 (history) |
| Form: |
Version 1.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1990-08-16 |
| Onset: | 1990-08-23 |
| Days after vaccination: | 7 |
| Submitted: |
1990-09-11 |
| Days after onset: | 19 |
| Entered: |
1990-09-14 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (NO BRAND NAME) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Private Purchased by: Other
Symptoms: Dizziness,
Dysphagia,
Lymphadenopathy,
Nausea,
Pruritus,
Pyrexia,
Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No sig PMA
Allergies:
Diagnostic Lab Data: CBC diff showed 14% mono; Mono screen - neg; CBC Mono Spot Serum
CDC Split Type:
Write-up: Pt vaccinated with measles vaccine developed red rash, itchy 7 days after receiving vaccine, low grade temp 99.4 po, nausea, occ dizziness, swollen glands, hard to swallow. |
