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This is VAERS ID 27548

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

Case Details

VAERS ID: 27548 (history)  
Form: Version .0  
Age: 1.4  
Sex: Male  
Location: Virginia  
Vaccinated:1990-11-15
Onset:1990-11-25
   Days after vaccination:10
Submitted: 1991-01-08
   Days after onset:44
Entered: 1991-01-29
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 285965 / 3 LL / IM
HIBV: PROHIBIT / CONNAUGHT LABS 0A21133 / 0 RL / IM
MMR: MMR II / MSD 1487S / 0 LA / SC
OPV: ORIMUNE / LEDERLE 287939 / 2 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: FEVER, HYPOTONIA
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 w/DTP/OPV/MMR/HIB 10 days /p developed rash, fever 106.3, limp taken to ER hospitalized 3 days.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=27548


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