This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Epidemiology, Subject name: Social & Preventive Medicine
Toxix shock syndrome occures after one of the following vaccinations 
Select and explain. 
A. DPT, B. Recombinant DNA vaccine against hepatitis B, C. Oral polio vaccine, D. Measles vaccine
D: Measles vaccine
Answer: D: Measles vaccine 
Explanation: toxic shock syndrome occurs when measles vaccine is contaminated or the same vaccine l is for more than one session on the same day or next day.the vaccine should be used within 4 hours after opening.TSS reflects poor quality of immunisation.other adverse effects include diarrhea,fever,and vomiting. ref:park&;s textbook,22 nd ed,pg 140