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This is VAERS ID 29529

(NOTE: This result is from the 6/14/2018 version of the VAERS database)

Case Details

VAERS ID: 29529 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: New Jersey  
Vaccinated:1991-03-15
Onset:1991-03-15
   Days after vaccination:0
Submitted: 1991-03-22
   Days after onset:7
Entered: 1991-04-04
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 1 RL / IM

Administered by: Other       Purchased by: Other
Symptoms: Febrile convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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, ? days
   Extended hospital stay? Yes
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC Split Type:

Write-up: Fever-febrile seizure, seen in ER & admitted


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180614&IDNUMBER=29529


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