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From the 12/8/2009 release of VAERS data (an older release, current is 4/30/2021):

This is VAERS ID 25527



Case Details

VAERS ID: 25527 (history)  
Form: Version .0  
Age: 5.2  
Sex: Female  
Location: Florida  
Vaccinated:1990-03-01
Onset:1990-03-25
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0J01114 / 4 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0596E / 3 - / -

Administered by: Private       Purchased by: Private
Symptoms: Encephalitis, Optic neuritis
SMQs:, Noninfectious encephalitis (narrow), Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)

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 family hx of seizure.Normal growth & development.NK drug allergies,milk allergy
Allergies:
Diagnostic Lab Data: Brain Scan & Biopsy, Lumbar Puncture
CDC Split Type: CO3525

Write-up: Pt admit to hosp w/encephalitis & optic neuritis on 25-MAR-90. Brain biopsy consistent w/post viral or post immunization. Viral titers pending 5th DTP no prior problems. No known drug allergies. Pt has milk allergy.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=25527


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