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This is VAERS ID 25002

Case Details

VAERS ID: 25002 (history)  
Form: Version 1.0  
Age: 82.0  
Gender: Male  
Location: Foreign  
Vaccinated:1989-11-20
Onset:1989-11-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M0870 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chills, Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Thioridazine, Triazolam,
Current Illness:
Preexisting Conditions: Senile dementia, Diabetes mellitus, seizures
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90040535

Write-up: 23 hrs post vaccination, developed seizures followed by rigor. Vaccine was given as a prophylaxis.


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