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This is VAERS ID 47442

Case Details

VAERS ID: 47442 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Delaware  
Vaccinated:1992-08-25
Onset:1992-08-25
   Days after vaccination:0
Submitted: 1992-11-16
   Days after onset:83
Entered: 1992-11-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M600JA / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655D / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Crying
SMQs:, 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), 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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


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