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From the 7/16/2021 release of VAERS data:

This is VAERS ID 177716



Case Details

VAERS ID: 177716 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Female  
Location: Oklahoma  
Vaccinated:2001-08-31
Onset:2001-09-04
   Days after vaccination:4
Submitted: 2001-11-02
   Days after onset:59
Entered: 2001-11-16
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Hemiparesis
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC Split Type:

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=177716


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