VAERS ID: 25039

AGE: 0.2| SEX: F|STATE: IN (United States)

Description

Hypotonia, Hyporesponsive reaction.

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Symptoms

Hypotonia, Stupor

Vaccines

VAX DATE: 06-14-1990| ONSET DATE: 06-15-1990| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
DTP (NO BRAND NAME) 0 DTP CONNAUGHT LABORATORIES 9B11033

RECVDATE:07-09-1990
RPT_DATE:
CAGE_YR:0
CAGE_MO:0.2
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:HCT stable; Blood, Urine, CSF Cultures Neg
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:Prematurity 27w on monitor for Hx apnea/bradycardia
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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