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This is VAERS ID 116344

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 116344
VAERS Form:
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA / CONNAUGHT LABS 0936780 / 0 RL / IM
HEP: ENGERIX-B / SMITHKLINE 1370E / 2 RL / IM
HIBV: PROHIBIT / CONNAUGHT LABS 0935770 / 0 RL / IM
MMR: MMR II / MSD 0514H / 0 LL / SC
OPV: ORIMUNE / LEDERLE 455656 / 0 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: APNEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': NONE

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 12/8/2009

VAERS ID: 116344 Before After
VAERS Form:
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-17 1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA DTAP (TRIPEDIA) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0936780 / 0 RL / IM
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 1370E / 2 RL / IM
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0935770 / 0 RL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0514H / 0 LL / SC
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 455656 / 0 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Apnoea, APNEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': NONE MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 5/14/2017

VAERS ID: 116344 Before After
VAERS Form:
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0936780 / 0 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1370E / 2 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0935770 / 0 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0514H / 0 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 455656 / 0 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 9/14/2017

VAERS ID: 116344 Before After
VAERS Form:(blank) 1
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0936780 / 0 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1370E / 2 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0935770 / 0 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0514H / 0 1 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 455656 / 0 1 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 2/14/2018

VAERS ID: 116344 Before After
VAERS Form:1
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0936780 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1370E / 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0935770 / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0514H / 1 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 455656 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 6/14/2018

VAERS ID: 116344 Before After
VAERS Form:1
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0936780 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1370E / 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0935770 / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0514H / 1 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 455656 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 8/14/2018

VAERS ID: 116344 Before After
VAERS Form:1
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0936780 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1370E / 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0935770 / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0514H / 1 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 455656 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 9/14/2018

VAERS ID: 116344 Before After
VAERS Form:1
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0936780 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1370E / 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0935770 / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0514H / 1 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 455656 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;


Changed on 10/14/2018

VAERS ID: 116344 Before After
VAERS Form:1
Age:1.0
Sex:Female
Location:Mississippi
Vaccinated:1998-11-02
Onset:1998-11-07
Submitted:1998-11-09
Entered:1998-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0936780 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1370E / 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0935770 / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0514H / 1 LL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 455656 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-11-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type': MS98026

Write-up: 7NOV98 respiratory arrest taken to hosp;no prior problems noted-child was nl & appeared healthy day of vax;no prev events noted;

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