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This is VAERS ID 42453

Case Details

VAERS ID: 42453 (history)  
Form: Version 1.0  
Age: 1.7  
Sex: Male  
Location: Kansas  
Vaccinated:1992-04-06
Onset:0000-00-00
Submitted: 1992-05-18
Entered: 1992-06-04
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 314958 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1483T / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 312925 / 3 MO / PO

Administered by: Public       Purchased by: Unknown
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (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), 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: ~ ()~~~In patient
Other Medications:
Current Illness: eval for muscle-disease;
Preexisting Conditions: pt has carnitine deficiency; pt deaf from birth;
Allergies:
Diagnostic Lab Data:
CDC Split Type: KS92028

Write-up: Fever, sz;


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