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This is VAERS ID 47199

Case Details

VAERS ID: 47199 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Arkansas  
Vaccinated:1992-11-05
Onset:1992-11-05
   Days after vaccination:0
Submitted: 1992-11-06
   Days after onset:1
Entered: 1992-11-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 2 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324949 / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: t103 & irritability extreme;


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