VAERS ID: |
25152 (history) |
Form: |
Version 1.0 |
Age: |
0.5 |
Gender: |
Female |
Location: |
Texas |
Vaccinated: | 1989-10-25 |
Onset: | 1989-10-25 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-09 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256963 / UNK |
- / IM |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Private Purchased by: Private Symptoms: Agitation,
Cyanosis,
Platelet disorder,
Pyrexia,
Stupor,
Thrombocythaemia,
White blood cell disorder SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: ACETAMINOPHEN Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES. CDC Split Type: 8902659.01
Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS |