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This is VAERS ID 47174

Case Details

VAERS ID: 47174 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Massachusetts  
Vaccinated:1992-11-02
Onset:1992-11-02
   Days after vaccination:0
Submitted: 1992-11-04
   Days after onset:2
Entered: 1992-11-13
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HN / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0659M / UNK - / -

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


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