National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26998

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

Case Details

VAERS ID: 26998 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-11-02
Onset:1990-11-04
   Days after vaccination:2
Submitted: 1990-11-06
   Days after onset:2
Entered: 1990-12-18
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 285919 / 3 LL / IM
HIBV: PROHIBIT / CONNAUGHT LABS 0A21092 / 0 LA / IM
MMR: MMR II / MSD 0696S / 0 RA / SC
OPV: ORIMUNE / LEDERLE 0613K / 2 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: AGITATION, ASTHMA, BRONCHIOLITIS, FEVER
SMQs:

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB became irritable, crying, wheezing, fever 101, Taken to ER; breathing was stabilized transferred to another hosp dx bronchiolitis not believed to be vaccine related.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26998


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166