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This is VAERS ID 26836

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 26836 (history)  
Form: Version .0  
Age: 0.2  
Sex: Male  
Location: Alaska  
Vaccinated:1990-10-24
Onset:1990-10-24
   Days after vaccination:0
Submitted: 1990-11-06
   Days after onset:13
Entered: 1990-12-04
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 283913 / 0 RL / IM
HEP: RECOMBIVAX HB / MSD 1880R / 1 LL / IM
OPV: ORIMUNE / LEDERLE 277941 / 0 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: CONVULS, FEVER, TREMOR
SMQs:

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lumbar puncture - results normal
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/Recomb developed fever of 103, convulsions, fine tremor.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26836


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