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This is VAERS ID 27289

Case Details

VAERS ID: 27289 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Female  
Location: Ohio  
Vaccinated:1990-10-02
Onset:1990-10-13
   Days after vaccination:11
Submitted: 1990-11-21
   Days after onset:39
Entered: 1991-01-04
   Days after submission:44
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FC / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Febrile convulsion
SMQs:, Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


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