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This is VAERS ID 47663

Case Details

VAERS ID: 47663 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Female  
Location: Mississippi  
Vaccinated:1992-08-20
Onset:1992-08-31
   Days after vaccination:11
Submitted: 1992-09-30
   Days after onset:30
Entered: 1992-12-03
   Days after submission:64
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330910 / 5 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0011V / 2 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 329960 / 4 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Coma, Convulsion, Headache, Neck pain, Pyrexia
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap, blood culture, EEG, x-rays, Brain scan;
CDC Split Type: MS9251

Write-up: 31AUG92 pt spiked t103 & c/o h/a & sore neck; was taken to hosp & treated w/PCN & phenergan & sent home; 1SEP92 pt had seizure & was taken to hosp adm to hosp 1SEP92; pt has been in coma since 1SEP92;


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