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This is VAERS ID 31520

Case Details

VAERS ID: 31520 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Female  
Location: New York  
Vaccinated:1990-11-05
Onset:1990-11-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? Yes
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: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC Split Type: WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


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