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This is VAERS ID 27530

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 27530 (history)  
Form: Version .0  
Age: 16.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:1990-11-13
Onset:1990-11-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -
OPV: ORIMUNE / LEDERLE - / - - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: ANAPHYL, ASTHMA, SALIVA INC
SMQs:

Life Threatening? Yes
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:
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=27530


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