National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 12/8/2009 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 29292

Government Disclaimer on use of this data



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: 1991-03-22
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 0 - / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M560FP / 0 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841024 / 0 - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Crying, Screaming
SMQs:, Hostility/aggression (broad), Depression (excl suicide and self injury) (broad)

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: MD91028

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)


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=29292


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166