|
VAERS ID: |
26286 (history) |
Form: |
Version 1.0 |
Age: |
0.2 |
Sex: |
Male |
Location: |
New Hampshire |
Vaccinated: | 1989-10-12 |
Onset: | 1989-11-08 |
Days after vaccination: | 27 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256957 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0589H / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-11-08
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 9001629.01
Write-up: CDC Reports: 2 mo infant received DTP/OPV on 12OCT89 and died 8NOV89. |
|
VAERS ID: |
26287 (history) |
Form: |
Version 1.0 |
Age: |
0.2 |
Sex: |
Male |
Location: |
New Hampshire |
Vaccinated: | 1989-12-15 |
Onset: | 1989-12-15 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256957 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0589H / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-12-15
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 9001629.02
Write-up: CDC Reports: 2 mo infant received DTP/OPV on 11DEC89 and died 15DEC89. |
|
VAERS ID: |
26288 (history) |
Form: |
Version 1.0 |
Age: |
0.2 |
Sex: |
Male |
Location: |
New Hampshire |
Vaccinated: | 1989-11-21 |
Onset: | 1989-11-21 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256957 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0599C / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-11-21
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 9001629.03
Write-up: CDC Reports: 2 mo infant received DTP/OPV on 8NOV89 and 21NOV89. |
|
VAERS ID: |
26289 (history) |
Form: |
Version 1.0 |
Age: |
0.2 |
Sex: |
Male |
Location: |
New Hampshire |
Vaccinated: | 1989-10-11 |
Onset: | 1989-10-13 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256957 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
247439 / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-10-13
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Known balanced translocation, chromosome 245 cause of death unknown, post WNL, Tox pending. CDC Split Type: 9001629.04
Write-up: CDC reports: 3 mo infant received DTP/OPV on 11OCT89 and died 13OCT89. |
|
VAERS ID: |
26290 (history) |
Form: |
Version 1.0 |
Age: |
0.4 |
Sex: |
Male |
Location: |
Louisiana |
Vaccinated: | 1990-01-25 |
Onset: | 1990-02-03 |
Days after vaccination: | 9 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256965 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0592B / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1990-02-03
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 9001630.01
Write-up: CDC reports: 5 mo infant received DTP/OPV on 25JAN90 and died 3FEB90. |
|
VAERS ID: |
26291 (history) |
Form: |
Version 1.0 |
Age: |
0.3 |
Sex: |
Male |
Location: |
Connecticut |
Vaccinated: | 1989-11-08 |
Onset: | 1989-11-08 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
253980 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
256928 / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-11-08
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Autopsy performed CDC Split Type: 9001631.01
Write-up: CDC reports 4 mo infant received DTP/OPV on 8NOV89 and died 4 hrs later. |
|
VAERS ID: |
26292 (history) |
Form: |
Version 1.0 |
Age: |
0.3 |
Sex: |
Male |
Location: |
Connecticut |
Vaccinated: | 1989-10-31 |
Onset: | 1989-11-07 |
Days after vaccination: | 7 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
253980 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
250939 / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-11-07
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Gross post mortem negative; Autopsy performed. CDC Split Type: 9001631.02
Write-up: CDC Reports: 3 mo infant received DTP/OPV on 31OCT89 and died 7NOV89. |
|
VAERS ID: |
26293 (history) |
Form: |
Version 1.0 |
Age: |
0.2 |
Sex: |
Male |
Location: |
Tennessee |
Vaccinated: | 1989-09-27 |
Onset: | 1989-09-29 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256959 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0594F / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Sudden infant death syndrome SMQs:, Neonatal disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-09-29
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No Autopsy. SIDS on death certificate, also natural CDC Split Type: 9001633.01
Write-up: CDC Reports: 2mo infant received DTP/OPV on 27SEP89 and died 29SEP89. |
|
VAERS ID: |
26294 (history) |
Form: |
Version 1.0 |
Age: |
0.4 |
Sex: |
Female |
Location: |
Tennessee |
Vaccinated: | 1990-01-23 |
Onset: | 1990-01-24 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256959 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0594F / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1990-01-24
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: No illness following previous immunization. Allergies: Diagnostic Lab Data: CDC Split Type: 9001633.02
Write-up: CDC Reports: 5 mo infant receivd DTP/OPV on 23JAN90 and died 24JAN90. |
|
VAERS ID: |
26295 (history) |
Form: |
Version 1.0 |
Age: |
0.2 |
Sex: |
Male |
Location: |
Tennessee |
Vaccinated: | 1989-11-14 |
Onset: | 1989-11-17 |
Days after vaccination: | 3 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
256959 / UNK |
- / - |
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0593D / UNK |
MO / PO |
Administered by: Unknown Purchased by: Unknown Symptoms: Unevaluable event SMQs:
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1989-11-17
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 9001633.03
Write-up: CDC Reports: 2 mo infant received DTP/OPV on 14NOV89 and died 17NOV89. |
|
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=10&VAX[]=DPIPV&VAX[]=DPP&VAX[]=DTAP&VAX[]=DTAPH&VAX[]=DTAPHEPBIP&VAX[]=DTAPIPV&VAX[]=DTAPIPVHIB&VAX[]=DTP&VAX[]=DTPHEP&VAX[]=DTPHIB&VAX[]=DTPIHI&VAX[]=DTPIPV&VAX[]=DTPPHIB&VAX[]=PER&VAX[]=TDAP&SERIOUS=ON&SUB_YEAR_HIGH=2015&SUB_MONTH_HIGH=09