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This is VAERS ID 26007

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

Case Details

VAERS ID: 26007 (history)  
Form: Version .0  
Age: 4.5  
Sex: Female  
Location: California  
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS OB11061 / - - / SC
MMR: MMR II / MSD 14995 / - - / IM
OPV: ORIMUNE / LEDERLE 0612H / - - / PO

Administered by: Private       Purchased by: Unknown
Symptoms: FEVER, NECK RIGID
SMQs:

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: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC Split Type:

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26007


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