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This is VAERS ID 46212

Case Details

VAERS ID: 46212 (history)  
Form: Version 1.0  
Age: 1.7  
Sex: Male  
Location: Virginia  
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted: 1992-01-30
Entered: 1992-06-23
   Days after submission:144
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Nuchal rigidity, Pharyngitis, Rhinitis
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (narrow), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC Split Type: CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


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