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This is VAERS ID 28334

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

Case Details

VAERS ID: 28334 (history)  
Form: Version .0  
Age: 1.4  
Sex: Male  
Location: Missouri  
Vaccinated:1991-01-18
Onset:1991-01-24
   Days after vaccination:6
Submitted: 1991-02-05
   Days after onset:12
Entered: 1991-02-21
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 285920 / 3 LL / IM
MMR: MMR II / MSD 1481S / 0 RL / SC
OPV: ORIMUNE / LEDERLE 287951 / 2 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: ANEMIA, CONVULS, FEVER, INFECT, MARROW DEPRESS
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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC Split Type:

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


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