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From the 12/31/2003 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 29292

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Case Details

VAERS ID: 29292 (history)  
Form: Version .0  
Age: 0.2  
Sex: Male  
Location: Maryland  
Vaccinated:1991-02-25
Onset:1991-02-25
   Days after vaccination:0
Submitted: 1991-03-13
   Days after onset:16
Entered: 1991-03-28
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 0C21045 / 0 - / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M560FP / 0 - / IM
IPV: POLIOVAX / CONNAUGHT LTD 841024 / 0 - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: CRY ABNORMAL, SCREAMING SYND
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Pt had unconsolable crying episode lasting more than 3 hrs. Drs encouraged parents to keep pt on Tylenol q4h due to unusual & high pitched crying spells that wk (25Feb-29Feb)


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