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This is VAERS ID 31053

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

Case Details

VAERS ID: 31053 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: Kansas  
Vaccinated:1991-02-27
Onset:1991-03-08
   Days after vaccination:9
Submitted: 1991-03-21
   Days after onset:13
Entered: 1991-06-10
   Days after submission:80
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 0J11070 / 0 - / IM
MMR: MMR II / MSD 0555S / 0 - / SC

Administered by: Public       Purchased by: Unknown
Symptoms: CONVULS, FEVER, RASH PETECH
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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ?pt hospitalized
CDC Split Type: NONE

Write-up: Elevated fever, sz-2x; 103R dx OM point red rash ontorso started 8MAR91-hosp 8MAR91PM 11MAR91AM;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=31053


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