National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 43332

Case Details

VAERS ID: 43332 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Female  
Location: Florida  
Vaccinated:1991-03-13
Onset:1991-03-27
   Days after vaccination:14
Submitted: 1992-05-22
   Days after onset:421
Entered: 1992-06-16
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285966 / 4 RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21092 / 1 LL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1341S / 1 LA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 281940 / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Gastroenteritis, Hypokinesia, Hyporeflexia, Infection, Myelitis, Neuropathy, Paraesthesia, Urinary incontinence
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 27MAR92 nerve conduction study suggested an intre-axial lesion but no demyelinating process; 3APR91 Somatosensory evoked potential exam no nerve activity; 11APR91 d/c dx tranverse myelitis unk etiology; neurogenic bladder;
CDC Split Type: FL91081

Write-up: 23MAR91 to ER w/diffuse rash, diarrhea & temp 39R; dx viral gastroenteritis, sent home; 27MAR91 woke up w/dry diaper, mom concerned about dehydration, took pt to ER; pt had no feeling or movement of lower extremities; dec sensation t8-t10;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=43332


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166