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This is VAERS ID 25799

(NOTE: This result is from the 10/14/2018 version of the VAERS database)

Case Details

VAERS ID: 25799 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: California  
Vaccinated:1988-09-28
Onset:1988-10-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 1990-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Brain oedema, Cerebral haemorrhage, Coagulopathy, Convulsion, Meningitis, Respiratory disorder, Sepsis
SMQs:, Agranulocytosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of croup once in 08/87; Congenital hip dysplasia
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO3592

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


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20181014&IDNUMBER=25799


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