VAERS ID: 25020

AGE: 4| SEX: F|STATE: NY (United States)

Description

Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

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Symptoms

Asthma, Face oedema, Urticaria

Vaccines

VAX DATE: 06-14-1990| ONSET DATE: 06-14-1990| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
MEASLES + MUMPS + RUBELLA (MMR II) 0 MMR MERCK & CO. INC. 1227S SC Unknown

RECVDATE:07-09-1990
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:Subcut- Epinephrine, Bendryl & Solumedrol IV
CUR_ILL:
HISTORY:
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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