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This is VAERS ID 32813

Case Details

VAERS ID: 32813 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1991-04-25
Onset:1991-04-26
   Days after vaccination:1
Submitted: 1991-04-30
   Days after onset:4
Entered: 1991-07-29
   Days after submission:90
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205EP / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, ? days
   Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC Split Type: PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


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