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From the 4/30/2021 release of VAERS data:

This is VAERS ID 26339



Case Details

VAERS ID: 26339 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Virginia  
Vaccinated:1990-03-19
Onset:1990-03-20
   Days after vaccination:1
Submitted: 1990-10-22
   Days after onset:215
Entered: 1990-10-25
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11013 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Hypotonia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: Convulsion in sister with DTP~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood Culture - No growth; EEG - Normal; CBC-WBC - 20.7 CSF - no growth; Platelets - 455,000
CDC Split Type:

Write-up: Pt vacc. /w DTP/OPV began /w fever shortly /p shot treated w/Tylenol q4h. generalized tonic/clonic seizure last about l hr child taken to hosp & admitted temp of 102.6 discharges after 2 days.


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