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This is VAERS ID 33336

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 33336 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: New Jersey  
Vaccinated:1990-06-18
Onset:1990-06-28
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC Split Type: WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170914&IDNUMBER=33336


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