This is VAERS ID 25933

(NOTE: This result is from the 5/14/2017 version of the VAERS database)

Case Details

VAERS ID:	25933 (history)
Form:	Version .0
Age:	10.0
Sex:	Female
Location:	Illinois

Vaccinated:	1990-08-28
Onset:	1990-08-28
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	1990-09-13

Vaccination / Manufacturer	Lot / Dose	Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC.	1652R / 1	RA / SC

Administered by: Private Purchased by: Unknown
Symptoms: Cough, Face oedema, Hypertension, Lacrimal disorder, Pain, Pruritus, Rhinitis
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Hypertension (narrow), Lacrimal disorders (narrow), Hypersensitivity (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt also rec''d PPD (Parke-Davis; lot 00550P; rt. forearm) at same time as vac.
Current Illness:
Preexisting Conditions: Strong hx of personal and family ataxia; No known egg allerg.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Measles Monovalent/PPD developed itchy, teary eyes with swollen lids,Nasal Congestion; Painful nose; Dry cough; Increased Diastolic pressure & Increased PR.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170514&IDNUMBER=25933