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This is VAERS ID 133837

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 133837
VAERS Form:
Age:0.4
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: INFANRIX / SMITHKLINE DTPA914AZ / 1 RL / IM
HIBV: PEDVAXHIB / MSD 0359J / 1 LL / IM
IPV: POLIOVAX / CONNAUGHT LTD P0H23 / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: CYANOSIS, EYE DIS, RESPIRAT DIS, SALIVA INC

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation.


Changed on 12/8/2009

VAERS ID: 133837 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-11 2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: INFANRIX DTAP (INFANRIX) / SMITHKLINE SMITHKLINE BEECHAM DTPA914AZ 914AZ / 1 RL / IM
HIBV: PEDVAXHIB HIB (PEDVAXHIB) / MSD MERCK & CO. INC. 0359J / 1 LL / IM
IPV: POLIOVAX POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD CONNAUGHT LTD. P0H23 / 1 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal, CYANOSIS, EYE DIS, RESPIRAT DIS, SALIVA INC

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 6/14/2014

VAERS ID: 133837 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 2/14/2017

VAERS ID: 133837 Before After
VAERS Form:
Age:0.4 0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 5/14/2017

VAERS ID: 133837 Before After
VAERS Form:
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 9/14/2017

VAERS ID: 133837 Before After
VAERS Form:(blank) 1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 1 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 1 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 1 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 2/14/2018

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 6/14/2018

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 8/14/2018

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 9/14/2018

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 10/14/2018

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 12/24/2020

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 12/30/2020

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.


Changed on 5/7/2021

VAERS ID: 133837 Before After
VAERS Form:1
Age:0.37
Sex:Female
Location:Tennessee
Vaccinated:2000-02-08
Onset:2000-02-08
Submitted:2000-02-08
Entered:2000-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 914AZ / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0359J / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0H23 / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Crying, Cyanosis, Exophthalmos, Respiratory disorder, Salivary hypersecretion, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis of Mouth
Current Illness: NONE
Preexisting Conditions: 29 wk premie
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 5 min post vax, pt turned blue, eyes buldging, making gurgling breath sounds, milky secretions from mouth. She had been crying very hard during immunizations. Pt (mucus milk) suctioned, gave O2. Admitted to hosp for observation. Follow-up: 2/9/00 no answer - no machine. Will try again 2/10. 2/14 - per mom via phone. - Was in hosp. $g 24 hrs. - Had some dgx study done. - Thinks dgx was: "crying too hard". - Will send her release form and get D/C summary from hospital.

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