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This is VAERS ID 41617

Case Details

VAERS ID: 41617 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1992-04-21
Onset:1992-04-21
   Days after vaccination:0
Submitted: 1992-04-23
   Days after onset:2
Entered: 1992-04-29
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0649C12 / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


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