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

This is VAERS ID 26502



Case Details

VAERS ID: 26502 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Arizona  
Vaccinated:1989-06-01
Onset:1990-10-14
   Days after vaccination:500
Submitted: 0000-00-00
Entered: 1990-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / 4 LL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8E01081 / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 241945 / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Infection, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: blood culture positive for H inf. b
CDC Split Type: CO3674

Write-up: Pt vaccinated with PROHIBIT developed infection Epiglottitis, hospitalized.


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