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From the 4/23/2021 release of VAERS data:

This is VAERS ID 26310



Case Details

VAERS ID: 26310 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Utah  
Vaccinated:1990-07-09
Onset:1990-07-10
   Days after vaccination:1
Submitted: 1990-10-18
   Days after onset:100
Entered: 1990-10-22
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 1 - / IM L

Administered by: Private       Purchased by: Other
Symptoms: Apnoea, Bradycardia, Cyanosis
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Vitamin Supplement
Current Illness: Prematurity, chronic lung dz
Preexisting Conditions: Hx of mult med problems, all resolved but chronic lung dz
Allergies:
Diagnostic Lab Data: CBG 1 hr /p event on 40% O2, PH 7.33, PO2 44, PCO2 52, Bicarb 26, Base excess 2.2
CDC Split Type:

Write-up: Pt vaccinated with DTP experienced Grade 4 apnea/bradycardia spell approx 23 hrs after immunication with significant cyanosis treated w/vigorous stimulation & increase in oxygen.


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