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From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 25985

Case Details

VAERS ID: 25985 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: California  
Vaccinated:1990-08-30
Onset:1990-09-07
   Days after vaccination:8
Submitted: 1990-09-17
   Days after onset:10
Entered: 1990-09-25
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M670FB / - - / -
MMR: MMR II / MSD 05605 / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: AGITATION, SOMNOLENCE
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90


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