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This is VAERS ID 47424

Case Details

VAERS ID: 47424 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: Massachusetts  
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted: 1992-11-13
Entered: 1992-11-23
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M9600A / UNK LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0695H / UNK MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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, ? days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC Split Type:

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


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