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From the 12/31/2003 release of VAERS data (an older release, current is 4/30/2021):

This is VAERS ID 25490



Case Details

VAERS ID: 25490 (history)  
Form: Version .0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:1990-06-06
Onset:1990-06-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: UNK. DTP / UNCLASSIFIED - / - - / IM
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT / UNCLASSIFIED - / - - / -

Administered by: Unknown       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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Generalized seizure within 48 hrs


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25490


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