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This is VAERS ID 31148

(NOTE: This result is from the 2/14/2018 version of the VAERS database)

Case Details

VAERS ID: 31148 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Unknown  
Location: New York  
Vaccinated:0000-00-00
Onset:1991-06-06
Submitted: 1991-06-06
   Days after onset:0
Entered: 1991-06-10
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthritis
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES91051728

Write-up: Pt developed severe monoarticular knee arthritis 10 months p/vax w/MMR;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180214&IDNUMBER=31148


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