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This is VAERS ID 26122

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 26122 (history)  
Form: Version .0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:1990-07-20
Onset:1990-08-29
   Days after vaccination:40
Submitted: 1990-09-06
   Days after onset:8
Entered: 1990-09-27
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Orchitis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC Split Type:

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=26122


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