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This is VAERS ID 25799

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

Case Details

VAERS ID: 25799 (history)  
Form: Version .0  
Age: 2.0  
Sex: Female  
Location: California  
Vaccinated:1988-09-28
Onset:1988-10-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 1990-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: COAGUL DIS, CONVULS, EDEMA BRAIN, HEM CEREBR, MENINGITIS
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of croup once in 08/87; Congenital hip dysplasia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Haemophilus influenzae, type B meningitis & sepsis. Complications; seizures, cerebral edema, intracerebral bleed, DIC & ARDS.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25799


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