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This is VAERS ID 25230

Case Details

VAERS ID: 25230 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Iowa  
Vaccinated:1990-06-18
Onset:1990-06-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253952 / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


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