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Report #2876438

Received Dec 5, 2025

ER / ED visitOffice visit
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Overview

Sex
Male
Age
0.8 yrs
State
OR
Recovered
Recovered
Vaccinated
Feb 9, 2004
Onset
Nov 1, 2004
Days to onset
266
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (DAPTACEL)SANOFI PASTEUR1—UN / UN

Symptoms (5)

Developmental delayElectroencephalogramFebrile convulsionGeneralised tonic-clonic seizureScreaming

Symptom narrative

Febrile Convulsion, grand mal convulsions lasting from November 2004-November 2006, screaming, extreme delayed potty training

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

EEG: Date Unknown