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This is VAERS ID 44738

Case Details

VAERS ID: 44738 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Maine  
Vaccinated:1992-08-25
Onset:1992-08-25
   Days after vaccination:0
Submitted: 1992-08-28
   Days after onset:3
Entered: 1992-09-08
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 328933 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0942V / 3 RA / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 0449V / 3 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Crying, Screaming
SMQs:, Hostility/aggression (broad), Depression (excl suicide and self injury) (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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: ME92017

Write-up: crying w/in 8 hrs of vax; crying lasted for 3 days shrill crying;


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