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This is VAERS ID 47458

Case Details

VAERS ID: 47458 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Hawaii  
Vaccinated:1992-08-19
Onset:1992-08-19
   Days after vaccination:0
Submitted: 1992-08-19
   Days after onset:0
Entered: 1992-11-23
   Days after submission:96
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 324952 / UNK LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1328S / UNK RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M070HP / UNK RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0651B / UNK MO / PO

Administered by: Military       Purchased by: Unknown
Symptoms: Crying, Screaming
SMQs:, Hostility/aggression (broad), Depression (excl suicide and self injury) (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: unconsolable crying x 6 hrs, high pitched scream;


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