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This is VAERS ID 47426

Case Details

VAERS ID: 47426 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Male  
Location: Tennessee  
Vaccinated:1992-11-16
Onset:1992-11-17
   Days after vaccination:1
Submitted: 1992-11-18
   Days after onset:1
Entered: 1992-11-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 3 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 3 - / IM

Administered by: Public       Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC Split Type:

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


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