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This is VAERS ID 44539

Case Details

VAERS ID: 44539 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Female  
Location: Texas  
Vaccinated:1992-07-27
Onset:1992-07-28
   Days after vaccination:1
Submitted: 1992-07-28
   Days after onset:0
Entered: 1992-08-25
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 2 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M525JB / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0653D / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC Split Type:

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


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