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This is VAERS ID 25287

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

Case Details

VAERS ID: 25287 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: Ohio  
Vaccinated:1990-06-20
Onset:1990-06-28
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 279946 / - - / IM
MMR: MMR II / MSD 1227S / - - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: CONVULS
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: Past history of seizure /w fever
Allergies:
Diagnostic Lab Data: Normal electrolytes, CBC serum glucose & calcium
CDC Split Type:

Write-up: Tonic seizure activity involving the rt leg & arm. Head & eyes drawn to rt


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25287


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