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This is VAERS ID 44688

Case Details

VAERS ID: 44688 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: South Carolina  
Vaccinated:1992-08-11
Onset:1992-08-11
   Days after vaccination:0
Submitted: 1992-08-24
   Days after onset:13
Entered: 1992-09-04
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 314934 / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


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