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

This is VAERS ID 26492



Case Details

VAERS ID: 26492 (history)  
Form: Version 1.0  
Age: 0.7  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1990-10-18
Onset:1990-10-18
   Days after vaccination:0
Submitted: 1990-10-30
   Days after onset:12
Entered: 1990-11-05
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0L11101 / 3 LL / -

Administered by: Private       Purchased by: Unknown
Symptoms: Agitation, Influenza, Pyrexia, Rash maculo-papular, Screaming
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Amoxicillin
Current Illness:
Preexisting Conditions: Diarrhea, poss Bronchitis URI
Allergies:
Diagnostic Lab Data: CBC, Blood cultures, Chest x-ray, lumbar puncture & culture spinal fluid.
CDC Split Type:

Write-up: Pt vax /w DTP developed T105.6, crying, irritable, less than 24 hrs /p DTP, IV fluids & Rocephin IV & Decadron, cultures all neg; CBC consisant /w viral synd also had maculopapular rash. pt improved & decreased fever, D/C /w no restrctions.


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