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

This is VAERS ID 26498



Case Details

VAERS ID: 26498 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Connecticut  
Vaccinated:1988-03-28
Onset:1988-03-28
   Days after vaccination:0
Submitted: 1990-10-30
   Days after onset:946
Entered: 1990-11-05
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26498


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