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From the 1/14/2022 release of VAERS data:

This is VAERS ID 118588

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Case Details

VAERS ID: 118588 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: South Carolina  
Vaccinated:1998-12-24
Onset:1999-01-05
   Days after vaccination:12
Submitted: 1999-01-22
   Days after onset:17
Entered: 1999-02-08
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 456818 / 1 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2726A2 / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 0953210 / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. NO492 / 1 LL / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988059 / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Asphyxia, Hypoxia, Injury
SMQs:, Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-01-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type:

Write-up: Pt recv vax on 12/24/98; on 1/5/99 pt expired


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