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Complications of mumps

Most children recover from mumps. Unimmunised teenagers and adults who get mumps are more likely to experience severe disease and complications. Complications in people with mumps include:

  • pain and swelling of a testicle (orchitis) in about 1 in 5 teenage or adult males - infertility is rare
  • viral meningitis in up to 15 in 100 people - most make a full recovery
  • pain and swelling of an ovary (oophoritis) in 1 in 20 teenage or adult females - infertility is rare
  • temporary deafness 
  • serious and permanent deafness - this is rare, usually on one side
  • brain inflammation (encephalitis) in about 1 in 6,000 people
  • inflammation of other organs, such as pancreas, nerves, joints, breast, kidney, thyroid and heart
  • death - this is rare

There is an increased risk of miscarriage in pregnant women who get mumps during the first 3 months of pregnancy. There is no evidence that mumps causes damage to unborn babies.

Possible side effects of MMR

After MMR immunisation, a fever of 39.4°C or more happens in 5 to 15 in 100 children. This usually develops 6 to 12 days after immunisation and lasts 1 to 2 days. 5 in 100 children get a rash at the same time.

Side effects of the different components of the MMR vaccine can also include:

  • mild swelling of the glands around the jaw 10 to 14 days after immunisation
  • generalised swollen glands 2 to 4 weeks after immunisation
  • joint pain 2 to 4 weeks after immunisation - this is more common in adult women than children

Rare side effects of MMR

  • inflammation of the brain (encephalitis)
  • idiopathic thrombocytopenia purpura (low platelets)
  • aseptic meningitis 
  • anaphylaxis
  • febrile seizures
References

Immunisation Handbook 2020 (mumps chapter). Wellington: Ministry of Health. [Accessed 04/07/2022]

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