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This is VAERS ID 27289

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

Case Details

VAERS ID: 27289 (history)  
Form: Version .0  
Age: 1.2  
Sex: Female  
Location: Ohio  
Vaccinated:1990-10-02
Onset:1990-10-13
   Days after vaccination:11
Submitted: 1990-11-21
   Days after onset:39
Entered: 1991-01-08
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M670FC / 0 LL / IM
MMR: MMR II / MSD 1488S / 0 LA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: FEBRILE SEIZURE
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, 3 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 HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=27289


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