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This is VAERS ID 25985

Case Details

VAERS ID: 25985 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: California  
Vaccinated:1990-08-30
Onset:1990-09-07
   Days after vaccination:8
Submitted: 1990-09-17
   Days after onset:10
Entered: 1990-09-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FB / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 05605 / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
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: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90


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