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This is VAERS ID 25136

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 25136 (history)  
Form: Version .0  
Age: 1.5  
Sex: Female  
Location: California  
Vaccinated:1989-11-03
Onset:1989-11-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED PEDIATRIC / LEDERLE 246797 / - - / IM
MMR: MMR II / MSD 0146R / - - / IM
OPV: ORIMUNE / LEDERLE - / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: CONVULS, FEVER
SMQs:

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT HAD HIGH FEVER (105 F). BRIEF GENERALIZED SIEZURE


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25136


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