Report #2846593

Received Jun 19, 2025

ER / ED visitOffice visit

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Overview

Sex: Male
Age: 5 yrs
State: NY
Recovered: Recovered
Vaccinated: Jun 17, 2025
Onset: Jun 18, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	5	YNZX2	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z006Z78	SC / LA

Symptoms (1)

Febrile convulsion

Symptom narrative

febrile seizure lasting about 1-2 minutes

Current illness

none

Medical history

none

Other medications

multi vit

Allergies

NKA

Lab data

none