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This is VAERS ID 29991

Case Details

VAERS ID: 29991 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: California  
Vaccinated:1991-02-07
Onset:1991-02-08
   Days after vaccination:1
Submitted: 1991-04-02
   Days after onset:53
Entered: 1991-04-19
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: CSF test abnormal, Infection, Mental retardation severity unspecified, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


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