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This is VAERS ID 33486

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

Case Details

VAERS ID: 33486 (history)  
Form: Version .0  
Age: 1.3  
Sex: Male  
Location: Wisconsin  
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1991-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Unknown       Purchased by: Unknown

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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type:

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.

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