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This is VAERS ID 27300

Case Details

VAERS ID: 27300 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Female  
Location: Louisiana  
Vaccinated:1990-12-13
Onset:1990-12-18
   Days after vaccination:5
Submitted: 1990-12-20
   Days after onset:2
Entered: 1991-01-04
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613D / 3 MO / PO

Administered by: Public       Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC Split Type: LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


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