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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 25550



Case Details

VAERS ID: 25550 (history)  
Form: Version .0  
Age: 0.3  
Sex: Male  
Location: Colorado  
Vaccinated:1989-08-18
Onset:1989-08-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 0584E / - - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 3 min febrile convulsion in assoc./w fever to 105 F within 12 hrs of receving DTP. Was evaluated @ Hospital ER- full septic W/U; neg C.P.(/), all results neg. observed overnight- no sequele


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