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VAERS ID | 264479 | Vaccination Date: | 2006-07-11 | Age | 0.2 | Onset Date: | 2006-07-20 Days later: 9 | Sex | F | Submitted: | 2006-10-10 | State | | Entered: | 2006-10-13 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: Lansoprazole | Preexisting Conditions: The subject had a medical history of gastrointestinal reflux disease, which started on 6/29/06 and continued at the time of reporting. | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAPHE | GLAXOSMITHKLINE | | 0 | IM | UN | HIBV | AVENTIS PASTEUR, INC. | | 0 | IM | UN | PNC | LEDERLE LABORATORIES | | 0 | IM | UN | ROT | UNKNOWN MANUFACTURER | | 0 | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Pyrexia | Initial information received on 9/29/06 from another company regarding a subject who was enrolled in a clinical trial sponsored by the other company. A two month old female subject was enrolled in the prophylactic open study 10531. On 7/11/06, the subject received initial doses of the following vaccine, ActHib, Pediarix, and Prevnar. The vaccine were administered intra muscularly in the thigh. The subject also received a dose of Rotavirus vaccine, administered per OS on the same date. The lot numbers were n |
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VAERS ID | 265207 | Vaccination Date: | 2006-10-23 | Age | 0.2 | Onset Date: | 2006-10-23 Days later: 0 | Sex | F | Submitted: | 2006-10-23 | State | MI | Entered: | 2006-10-23 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: | Preexisting Conditions: | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAP | AVENTIS PASTEUR, INC. | c2489aa | 0 | IM | LL | HIBV | AVENTIS PASTEUR, INC. | uf026aa | 0 | IM | LL | IPV | AVENTIS PASTEUR, INC. | z0240 | 0 | IM | RL | PNC | LEDERLE LABORATORIES | b08646b | 0 | IM | RL | ROT | UNKNOWN MANUFACTURER | 0848f | | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Crying Erythema Oral intake reduced Swelling | Large amount of redness and edema lt leg crying non stop refusal to nurse. |
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VAERS ID | 265890 | Vaccination Date: | 2006-11-01 | Age | 0.2 | Onset Date: | 2006-11-01 Days later: 0 | Sex | M | Submitted: | 2006-11-02 | State | OH | Entered: | 2006-11-02 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: None | Diagnostic Lab Data: CBC negative, Cath U/A negative. CSF negative. Cultures pending as of 11-02-2006 12:45PM | Previous Vaccinations: | Other Medications: none | Preexisting Conditions: None | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAP | AVENTIS PASTEUR, INC. | U1965BA | 0 | IM | LL | HBHEPB | MERCK & CO. INC. | 0012F | 0 | IM | RL | IPV | AVENTIS PASTEUR, INC. | Y1032 | 0 | IM | LL | PNC | LEDERLE LABORATORIES | B08683C | 0 | IM | RL | ROT | UNKNOWN MANUFACTURER | 01457 | 0 | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Body temperature increased Condition aggravated Pallor | Recieved DaPT, IPV, Comvax, Prevnar and Rototeq at 11:30AM 11-01-2006. at 7:20PM had a episode of pallor. Parents called squad, arrived at 5 minutes into the episode. Was still pale. Transferred to hospital. Pallor had resolved by arrival, BP was 78/palp. Temp 38.1. Rule out sepsis work up initiated. CBC was negative, Cath U/A negative, CSF was clear(Cultures all pending). Patient admitted. Had another spell overnight (2 minutes per mother) |
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VAERS ID | 267380 | Vaccination Date: | 2006-11-15 | Age | 0.0 | Onset Date: | 2006-11-15 Days later: 0 | Sex | U | Submitted: | 2006-11-20 | State | | Entered: | 2006-11-20 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: I was not ill before having the Rototech sneezed inot my eyes, but became so within seconds afterwards. | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: | Preexisting Conditions: I do not have any allergies, other than an allergic reaction to CT scan dye once. | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | ROT | UNKNOWN MANUFACTURER | 0979F | | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Cough Dysphonia Malaise Medication error Pain Paraesthesia | At 3:30 pm, I (a registered nurse) was administering the Rototech vaccine to an infant. After delivering half of it slowly, I paused and the baby sneezed, thereby spraying much of it into both of my eyes, with slightly more into the right eye. I immediately rinsed my eyes in the sink, but started having a tingling sensation, which progressed within a minute or two into a ground glass like pain. Then I began to cough uncontrollably, which lasted for hours, until I lost my voice altogether.MY epes became very |
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VAERS ID | 269418 | Vaccination Date: | 2006-11-28 | Age | 0.1 | Onset Date: | 2006-12-05 Days later: 7 | Sex | F | Submitted: | 2006-12-19 | State | MI | Entered: | 2006-12-19 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: No | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: | Preexisting Conditions: | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | ROT | UNKNOWN MANUFACTURER | xxxxx | | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Haematochezia | 7days after rotavirus, had bloody, mucousy stools. |
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VAERS ID | 271452 | Vaccination Date: | 2006-07-11 | Age | 0.2 | Onset Date: | 2006-07-20 Days later: 9 | Sex | F | Submitted: | 2007-01-29 | State | | Entered: | 2007-01-29 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: GASTROINTESTINAL REFLUX DISEASE | Diagnostic Lab Data: Body temperature 102.0 F | Previous Vaccinations: | Other Medications: PREVACID | Preexisting Conditions: The subject had a history of gastrointestinal reflux disease which started on 29 June 2006 and continued at the time of reporting. From 29 June 2006 to 30 June 2006, she was treated with lansoprazole. | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAPHE | GLAXOSMITHKLINE | ACZIB071BA | | IM | LL | HIBV | AVENTIS PASTEUR | UE864AA | | IM | RL | PNC | LEDERLE LABORATORIES | AZ5969K | | IM | LL | ROT | UNKNOWN MANUFACTURER | AROTA033A | | PO | | |
Administered by: OTH Purchased by: OTH | Symptoms: Blood culture negative Body temperature increased Culture urine negative Lumbar puncture Pyrexia Viral infection | This female was enrolled in a prophylactic open study. On 11 July 2006, she received the 1st dose of rotavirus vaccine (HRV, po) (lot # AROTA033A), Pediarix, IM X thigh (lot # ACZIB071BA), ActHIB, IM X thigh (lot # UE864AA) and Prevnar, IM X thigh (lot # AZ5969K). The subject had a history of gastrointestinal reflux disease which started on 29 June 2006 and continued at the time of reporting. From 29 June 2006 to 30 June 2006, she was treated with Lansoprazole. On 20 July 2006, nine days after the 1st dose |
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VAERS ID | 271922 | Vaccination Date: | 2007-01-26 | Age | 0.2 | Onset Date: | 2007-02-04 Days later: 9 | Sex | F | Submitted: | 2007-02-07 | State | MO | Entered: | 2007-02-07 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: None | Diagnostic Lab Data: Blood in stool seen by physician | Previous Vaccinations: | Other Medications: none | Preexisting Conditions: None | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | HEP | UNKNOWN MANUFACTURER | unknown | 0 | IM | UN | IPV | UNKNOWN MANUFACTURER | unknown | 0 | IM | UN | PNC | LEDERLE LABORATORIES | unknown | 0 | ID | UN | ROT | UNKNOWN MANUFACTURER | unknown | 0 | PO | | |
Administered by: PVT Purchased by: UNK | Symptoms: Haematochezia | Blood in stool 8 days after first Rotavaccine |
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VAERS ID | 272141 | Vaccination Date: | 2007-01-18 | Age | 0.3 | Onset Date: | 2007-01-25 Days later: 7 | Sex | M | Submitted: | 2007-02-12 | State | NH | Entered: | 2007-02-12 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: None known | Diagnostic Lab Data: | Previous Vaccinations: None known~~NULL~~In Patient|None known~~NULL~~In Sibling1 | Other Medications: None known | Preexisting Conditions: Mild hydrocephalus | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAPHE | GLAXOSMITHKLINE | AC21B084BA | 1 | IM | LL | HIBV | GLAXOSMITHKLINE | UF025AA | 1 | IM | LL | PNC | LEDERLE LABORATORIES | B08691B | 1 | IM | RL | ROT | UNKNOWN MANUFACTURER | 0577F | 1 | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Sudden infant death syndrome Sudden infant death syndrome | Child found dead in crib 7 days after receiving vaccines. Parents report no symptom prior to death. |
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VAERS ID | 272461 | Vaccination Date: | 2007-02-02 | Age | 7.0 | Onset Date: | 2007-02-03 Days later: 1 | Sex | F | Submitted: | 2007-02-17 | State | CA | Entered: | 2007-02-17 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: NONE | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: NONE | Preexisting Conditions: NONE | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAPH | UNKNOWN MANUFACTURER | UNKNOWN | 0 | SC | UN | HEP | UNKNOWN MANUFACTURER | UNKNOWN | 0 | SC | UN | IPV | UNKNOWN MANUFACTURER | UNKNOWN | 0 | SC | UN | PPV | UNKNOWN MANUFACTURER | UNKNOWN | 0 | SC | UN | ROT | UNKNOWN MANUFACTURER | UNKNOWN | 0 | SC | UN | |
Administered by: PVT Purchased by: UNK | Symptoms: Somnolence | EMILY RECIVED THE DATP, IPV, PREVNAR, ROTATEG #1,AND HEPB AT 7 WEEKS OLD. AFTER THE VACCINA TION SHE WAS SLEEPY FOR 7 DAYS. HER APPOTITE WAS NOT CHANGED BUT I HAD TO WAKE HER UP FOR HER BOTTLE. AFTER EXACTLY 7 DAYS SHE CAME BACK TO NORMAL R0UTINE. I THINK SHE HADE A ABNORMAL REACTION THAT CALLED "MARKED INCREASE IN SLEEPING TIME" |
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VAERS ID | 273016 | Vaccination Date: | 2007-02-02 | Age | 0.2 | Onset Date: | 2007-02-16 Days later: 14 | Sex | U | Submitted: | 2007-02-26 | State | CA | Entered: | 2007-02-26 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: NONE | Diagnostic Lab Data: none | Previous Vaccinations: | Other Medications: NONE | Preexisting Conditions: NONE | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAPHE | GLAXOSMITHKLINE | AC21B089AA | 1 | IM | LL | HIBV | MERCK & CO. INC. | 1084F | 1 | IM | LL | PNC | LEDERLE LABORATORIES | 808670C | 1 | IM | RL | ROT | UNKNOWN MANUFACTURER | 0942F | 1 | SC | UN | |
Administered by: UNK Purchased by: UNK | Symptoms: Diarrhoea | 2wks after Rotavirus pt presented to clinic for diarrhea total of 5d. I called pt today to see how she is doing and per mom pt is fine and diarrhea has resolved. |
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VAERS ID | 270217 | Vaccination Date: | 2006-12-14 | Age | 0.2 | Onset Date: | 2006-12-14 Days later: 0 | Sex | M | Submitted: | 2007-01-08 | State | CA | Entered: | 2007-01-09 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: NONE | Diagnostic Lab Data: NONE | Previous Vaccinations: | Other Medications: NONE | Preexisting Conditions: NONE | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | ROT | UNKNOWN MANUFACTURER | | | | | |
Administered by: PUB Purchased by: PUB | Symptoms: Choking Cyanosis Depressed level of consciousness Respiratory rate decreased | 9 week old male given rotavirus IZ. 1st IZ (before any shots). Child immediately had decrease respiration and transient cyanosis and 5-10 mild decreased LOX. Looked stunned. No intervention NO O2, simple stimulation and holding, then fine other IZA given next day. Prof simple choking but did not have typical choking symptoms. |
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VAERS ID | 270956 | Vaccination Date: | 2007-01-18 | Age | 0.2 | Onset Date: | 2007-01-20 Days later: 2 | Sex | F | Submitted: | 2007-01-22 | State | PA | Entered: | 2007-01-22 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: no | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: zantac | Preexisting Conditions: gastroesophageal reflux, fussy baby | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | HIBV | MERCK & CO. INC. | 1015F | 0 | IM | LL | ROT | UNKNOWN MANUFACTURER | merck 1111F | | PO | | |
Administered by: PVT Purchased by: PVT | Symptoms: Dermatitis diaper Diarrhoea | severe diarrhea and diaper rash 2 days following administration of the vaccine |
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VAERS ID | 270977 | Vaccination Date: | 2007-01-16 | Age | 0.2 | Onset Date: | 2007-01-16 Days later: 0 | Sex | F | Submitted: | 2007-01-23 | State | VA | Entered: | 2007-01-23 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: None | Diagnostic Lab Data: CBC, chest w-ray, RSV, chem panel Echo:VSD, PFO Blood Cultures negative. RSV negative Abd X-ray-nonspecific gas pattern without free air seen. CXR:negative AP and lateral chest. | Previous Vaccinations: | Other Medications: None | Preexisting Conditions: None | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAPHE | GLAXOSMITHKLINE | AC01B073AA | 0 | IM | LL | HIBV | AVENTIS PASTEUR | UE952AA | 0 | IM | RL | PNC | LEDERLE LABORATORIES | B08671B | 0 | IM | RL | ROT | UNKNOWN MANUFACTURER | 0319F | 0 | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Abdominal X-ray Anorexia Blood culture negative Cardiac murmur Chest X-ray Chest X-ray normal Choking Crying Echocardiogram Full blood count Gastrooesophageal reflux disease Immunisation reaction Laboratory test Oedema peripheral Respiratory arrest Screaming Skin discolouration Swelling Ventricular septal defect Virus serology test | 3 hrs after immunization, child began screaming, difficult to console, refused to eat, choking, vomited, stopped breathing (10 sec), leg purple, swollen. No fever. Taken to ER: treated for reflux, heart murmur, had ECHO done, given Zantac, admitted for observation 01/24/07-records received and reviewed for DOS 01/16-01/18/07 DC DX:GE reflux Presented with unusual crying since vaccines, per parents both legs turned purple and were swollen for a period of a few hours. Child began to choke and stopped breat |
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VAERS ID | 273140 | Vaccination Date: | 2007-01-08 | Age | 0.5 | Onset Date: | 2007-02-24 Days later: 47 | Sex | M | Submitted: | 2007-02-27 | State | UT | Entered: | 2007-02-27 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: NONE | Diagnostic Lab Data: X RAY | Previous Vaccinations: | Other Medications: ZANTAC | Preexisting Conditions: | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAP | AVENTIS PASTEUR | C2521AA | 2 | IM | LL | FLU | AVENTIS PASTEUR | U2220BB | 0 | IM | LL | HEP | MERCK & CO. INC. | 0412F | 2 | IM | RL | IPV | AVENTIS PASTEUR | Y1031 | 2 | IM | LL | PNC | LEDERLE LABORATORIES | B58845D | 2 | IM | RL | ROT | UNKNOWN MANUFACTURER | 1111F | 1 | PO | | |
Administered by: UNK Purchased by: UNK | Symptoms: Abdominal distension Bowel sounds abnormal Dehydration Diarrhoea Gastroenteritis Intussusception Intussusception Vomiting X-ray | INTUSSUSCEPTION |
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VAERS ID | 273320 | Vaccination Date: | 2007-02-28 | Age | 0.5 | Onset Date: | 2007-02-28 Days later: 0 | Sex | M | Submitted: | 2007-03-02 | State | MI | Entered: | 2007-03-02 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? No |
Hospitalized? No | Current Illness: no | Diagnostic Lab Data: watching baby to see if better or not... | Previous Vaccinations: | Other Medications: | Preexisting Conditions: only acid reflux | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAP | UNKNOWN MANUFACTURER | not sure | 2 | IM | LL | HIBV | UNKNOWN MANUFACTURER | not sure | 2 | IM | RL | PPV | UNKNOWN MANUFACTURER | not sure | 2 | IM | RL | ROT | UNKNOWN MANUFACTURER | not sure | 0 | PO | | |
Administered by: PVT Purchased by: PVT | Symptoms: Abdominal pain upper Crying Discomfort Dyskinesia Erythema Grunting Infrequent bowel movements Pain Sleep phase rhythm disturbance Urine output decreased | Vaccine RotaTeq received oraally on 2/28/2007, baby seemed uncomfortable that night and would cry when layed back to feed...when falling asleep would twist and turn a jerk stomach as if in pain. Has not had a bowl movement since Vaccine and has limited urine in diaper. Symptoms started 2/28 evening and continued 3/1 all day. On 3/1 doctor wall called and assured us that the old vaccine caused side affects but not the new one. Baby is obviously in discomfort. Seems fine one minutes then started to get red fa |
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VAERS ID | 274641 | Vaccination Date: | 2007-03-21 | Age | 4.0 | Onset Date: | 2007-03-22 Days later: 1 | Sex | F | Submitted: | 2007-03-23 | State | TX | Entered: | 2007-03-23 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: | Preexisting Conditions: | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAP | UNKNOWN MANUFACTURER | | 4 | IM | UN | HEPA | UNKNOWN MANUFACTURER | | 1 | IM | UN | IPV | UNKNOWN MANUFACTURER | | 3 | IM | UN | MMR | UNKNOWN MANUFACTURER | | 1 | IM | UN | ROT | UNKNOWN MANUFACTURER | | 2 | IM | UN | VARCEL | UNKNOWN MANUFACTURER | | 1 | IM | UN | |
Administered by: PVT Purchased by: PUB | Symptoms: Bacterial infection Injection site cellulitis Injection site erythema Oedema peripheral Pyrexia | Five vaccinations given on 3/21/07, 2 in left thigh, no reaction. 3 given in right thigh causing severe swelling, redness at site, and fever, cellulitis at injection site. Required antibiotics for bacterial infection. |
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VAERS ID | 274757 | Vaccination Date: | 0000-00-00 | Age | | Onset Date: | 0000-00-00 Days later: | Sex | U | Submitted: | 2007-03-23 | State | | Entered: | 2007-03-26 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? No | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: | Diagnostic Lab Data: | Previous Vaccinations: | Other Medications: (therapy unspecified) | Preexisting Conditions: UNK | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | ROT | UNKNOWN MANUFACTURER | | | PO | | |
Administered by: OTH Purchased by: OTH | Symptoms: Hospitalisation Surgery | Information has been received from a registered nurse concerning an infant who was vaccinated orally with Rotateq (Lot not provided). Concomitant therapy included other vaccines concomitantly. Subsequently, the patient had unspecified intestinal surgery and was hospitalized. The reporter felt that intestinal surgery was not related to therapy with Rotateq. It was unspecified how long the infant was in the hospital. The outcome of the intestinal surgery was not provided. Additional has been requested. |
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VAERS ID | 275008 | Vaccination Date: | 0000-00-00 | Age | 0.2 | Onset Date: | 0000-00-00 Days later: | Sex | F | Submitted: | 2007-03-27 | State | TX | Entered: | 2007-03-27 | |
Life Threatening Illness? No |
Died? No |
Disability? No |
Recovered? Yes | ER or Doctor Visit? Yes |
Hospitalized? No | Current Illness: None | Diagnostic Lab Data: None | Previous Vaccinations: | Other Medications: None | Preexisting Conditions: None | |
Vaccination | Manufacturer | Lot | Dose | Route | Site | DTAPHE | GLAXOSMITHKLINE | AC21B097AB | 0 | IM | RL | HIBV | AVENTIS PASTEUR | UE953AA | 0 | IM | LL | PNC | LEDERLE LABORATORIES | B36258F | 0 | IM | LL | ROT | UNKNOWN MANUFACTURER | 0285F | 0 | PO | | |
Administered by: PUB Purchased by: PUB | Symptoms: Crying Injection site erythema | Received 2month vaccines on 3/26/2007 @ 1:30pm. Site where HIB was given got reddened 4 hours later and child was crying inconsolably. Was seen by pediatrician at 5:30pm on 3/26/2007 and was given Benadryl liquid. Was followed up today and Local reaction resolved. I was notified by MD's nurse as to what transpired.Made telephone call to mother who states child now fine. |
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