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This is VAERS ID 41735

Case Details

VAERS ID: 41735 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: New Jersey  
Vaccinated:1992-04-10
Onset:1992-04-10
   Days after vaccination:0
Submitted: 1992-05-01
   Days after onset:21
Entered: 1992-05-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 1 RL / -

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (broad), Respiratory failure (narrow)

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, 1 days
   Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC Split Type:

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


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