National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 41617

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

Case Details

VAERS ID: 41617 (history)  
Form: Version .0  
Age: 0.1  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1992-04-21
Onset:1992-04-21
   Days after vaccination:0
Submitted: 1992-04-23
   Days after onset:2
Entered: 1992-05-06
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 1B31125 / 0 LL / IM
HEP: RECOMBIVAX HB / MSD 0230V / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M665HH / 0 RL / IM
OPV: ORIMUNE / LEDERLE 0649C12 / 0 - / PO

Administered by: Private       Purchased by: Unknown
Symptoms: CRY ABNORMAL, FEVER, 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: Acetaminophen
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=41617


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166