VAERS ID: 25045

AGE: 0.5| SEX: F|STATE: TX (United States)

Description

4 hrs /p injection DPT .25 cc child woke up crying, parents noted child pale & blue around mouth, extremities were twitching, in route to MD ofc. childs head went limp.

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Symptoms

Hypotonia, Cyanosis, Muscle twitching, Pallor

Vaccines

VAX DATE: 06-18-1990| ONSET DATE: 06-18-1990| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
DTP (NO BRAND NAME) 5 DTP CONNAUGHT LABORATORIES 9B11033 IM Unknown

RECVDATE:07-09-1990
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:9Apr90 2nd dose DPT limp & blue around mouth, 13Jan90 1st dose lethargic~ ()~~~In patient
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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