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This is VAERS ID 42626

Case Details

VAERS ID: 42626 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Texas  
Vaccinated:1992-05-14
Onset:1992-05-26
   Days after vaccination:12
Submitted: 1992-06-01
   Days after onset:6
Entered: 1992-06-09
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: High fever-febrile seizure; severe measles-like rash;


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