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

This is VAERS ID 26480



Case Details

VAERS ID: 26480 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Washington  
Vaccinated:1990-10-17
Onset:1990-10-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC Split Type:

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26480


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