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This is VAERS ID 27533

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

Case Details

VAERS ID: 27533 (history)  
Form: Version .0  
Age: 1.7  
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:1990-07-16
Onset:1990-08-16
   Days after vaccination:31
Submitted: 1991-01-22
   Days after onset:159
Entered: 1991-01-25
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 0J11036 / - LA / IM
MMR: MMR II / MSD 0897F / 0 RA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: ANEMIA APLAST
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=27533


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