National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 25137

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

Case Details

VAERS ID: 25137 (history)  
Form: Version .0  
Age: 5.0  
Sex: Female  
Location: Virginia  
Vaccinated:1990-05-28
Onset:1990-05-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 262913 / - - / IM
MMR: MMR II / MSD 05595/2414R / - - / -
OPV: ORIMUNE / LEDERLE 277943 / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: BRADYCARDIA, HYPOTENS, STUPOR
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT HAD INTERMITTENT BRADYCARDIA, LOW BP AND ALTERED CONSCIOUSNESS.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25137


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166