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This is VAERS ID 25627

Case Details

VAERS ID: 25627 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Massachusetts  
Vaccinated:1990-05-11
Onset:1990-05-18
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / UNK - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


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