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This is VAERS ID 27507

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

Case Details

VAERS ID: 27507 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: Virginia  
Vaccinated:1991-01-05
Onset:1991-01-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 293947 / 2 LL / IM
MMR: MMR II / MSD 1492S / 0 RL / SC
OPV: ORIMUNE / LEDERLE 287949 / 2 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: FEVER, RASH, URTICARIA
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood Cultures; CBC WBC 20,000 Spinal tap - negative
CDC Split Type:

Write-up: Day of vac developed fever 103-104(F) lt leg at inj site red w/rash. Admitted to hosp. Tx w/IV & IM antibiotics. D/c''d on oral antibiotics 6JAN91. Rash fine red (like a hive) at inj site spread to lt buttock. 8Jan91, temp to 106.5


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