National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 45433

Case Details

VAERS ID: 45433 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1992-08-28
Onset:1992-08-28
   Days after vaccination:0
Submitted: 1992-09-18
   Days after onset:21
Entered: 1992-09-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 2G31010 / 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J21073 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0666V / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655E / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Somnolence, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBX 13.1 w/ 57% Polys; 34% lymphs; EEG-neg;
CDC Split Type:

Write-up: approx 2 days p/revd pt was noted to be unresponsive to verbal & tactile stimuli; then started to have t/c sz activity x 2-3 mins w/5 mins of postictal lethargy;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=45433


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