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This is VAERS ID 43666

Case Details

VAERS ID: 43666 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Female  
Location: Virginia  
Vaccinated:1992-02-18
Onset:1992-02-28
   Days after vaccination:10
Submitted: 1992-07-14
   Days after onset:136
Entered: 1992-07-22
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M125HF / 4 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1591T / 1 LL / -

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: ?viral illness
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LPneg;
CDC Split Type:

Write-up: Pt presented because of vomiting & diarrhea, afebrile, no rash, not dehydrated by exam or labs; had generalized sz x 2 adm to peds ICU complete work up neg including LP;


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