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This is VAERS ID 40391

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

Case Details

VAERS ID: 40391 (history)  
Form: Version .0  
Age: 0.6  
Sex: Male  
Location: Mississippi  
Vaccinated:1992-02-20
Onset:1992-02-20
   Days after vaccination:0
Submitted: 1992-03-10
   Days after onset:19
Entered: 1992-03-26
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 304924 / 1 RL / -
HEP: HEPTAVAX / MSD 1294T / 2 LL / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M155HJ / 1 LL / -
OPV: ORIMUNE / LEDERLE 304925 / 1 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: FEVER, RASH
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: NONE
Other Medications: NONE
Current Illness: well child imporved from ear infect
Preexisting Conditions: pt had cold, ear infect;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: pt had cold, ear infect;

Write-up: Mom states pt had fine red rash across face/trunk/inc temp x 2-3 days; Onset 24FEB-27FEB92 rash; Onset inc temp 20FEB - 24FEB92;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=40391


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