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This is VAERS ID 32589

Case Details

VAERS ID: 32589 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: South Dakota  
Vaccinated:1991-02-12
Onset:1991-02-15
   Days after vaccination:3
Submitted: 1991-06-30
   Days after onset:134
Entered: 1991-07-15
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC Split Type: SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


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