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This is VAERS ID 27394

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

Case Details

VAERS ID: 27394 (history)  
Form: Version .0  
Age: 1.6  
Sex: Female  
Location: Missouri  
Vaccinated:1990-11-29
Onset:1990-12-04
   Days after vaccination:5
Submitted: 1990-12-18
   Days after onset:14
Entered: 1991-01-16
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED, PEDIATRIC / WYETH 4908019 / - LA / IM
HIBV: PROHIBIT / CONNAUGHT LABS 01920168 / 0 RA / IM
MMR: MMR II / MSD 1414S / 0 RA / SC
OPV: ORIMUNE / LEDERLE 281925 / 2 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: FEBRILE SEIZURE, OTITIS MED
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: In pt; 7mo; DTP;3
Other Medications:
Current Illness:
Preexisting Conditions: Febrile seizure after 3 DTP on 6NOV89.
Allergies:
Diagnostic Lab Data:
CDC Split Type: Febrile seizure after 3 DTP on 6NOV89.

Write-up: 5 days after vaccination, dev temp 103+ for 48 hrs - 2 seizures related to temp elevation. Treated for otitis media at Hospital 2 days later


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=27394


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