This is VAERS ID 25174

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 8902565.01

Write-up: PT WITH POS DIRECT FLUORESCENT ANTIBODY& HAD RECEIVED 3 DTP''S.HOSP AS A PRECAUTION. PT ATTENDS DAYCARE WHERE INDEX CASE HAD PERTUSSIS.(INDEX NEVER RECEIVED DTP); PROBABLY 4-5 MORE CASES OF PERTUSSIS AT CENTER.