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This is VAERS ID 68886

Case Details

VAERS ID: 68886 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Illinois  
Vaccinated:1993-01-06
Onset:1993-01-07
   Days after vaccination:1
Submitted: 1994-11-07
   Days after onset:669
Entered: 1994-11-22
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER M150JC / 4 - / L
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1110V / 1 - / L

Administered by: Public       Purchased by: Other
Symptoms: Condition aggravated, Convulsion, Somnolence, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-06-01
   Days after onset: 144
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: pt exp szs w/all doses of DTP~ ()~~~In patient
Other Medications: TB Shot, PB, Tegretol, Depakote, Vit B6
Current Illness: NONE
Preexisting Conditions: febrile seizure dx 28DEC91
Allergies:
Diagnostic Lab Data: EEG- some abnormalities beginning to show, CAT Scan, MRI, Spinal tap
CDC Split Type: IL940125

Write-up: 6JAN93 w/4th vax pt had sz-no temp; awake on & off all noc long; 1105AM had 10 mins staring sz; very sleepy afterwards; p/experiencing approx 60 szs until age of 20 months, pt exp a 3 hrs sz, shock & died; autopsy was inconclusive;


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