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This is VAERS ID 126221

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 126221
VAERS Form:
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: ACEL-IMUNE / LEDERLE 458588 / 0 LL / IM
HBHEPB: COMVAX / MSD 1616H / 0 RL / IM
IPV: POLIOVAX / CONNAUGHT LTD W08252 / 0 LA / SC
RV: ROTASHIELD / WYETH 4988055 / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: INFECT, APNEA, HEART ARREST, GASTROENTERITIS, HEM GI

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 12/8/2009

VAERS ID: 126221 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-23 1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: ACEL-IMUNE DTAP (ACEL-IMUNE) / LEDERLE LEDERLE LABORATORIES 458588 / 0 LL / IM
HBHEPB: COMVAX HIB + HEP B (COMVAX) / MSD MERCK & CO. INC. 1616H / 0 RL / IM
IPV: POLIOVAX POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD CONNAUGHT LTD. W08252 / 0 LA / SC
RV: ROTASHIELD ROTAVIRUS (ROTASHIELD) / WYETH WYETH PHARMACEUTICALS, INC 4988055 / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Intussusception, Pharyngitis, Sepsis, Shock, INFECT, APNEA, HEART ARREST, GASTROENTERITIS, HEM GI

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 8/31/2010

VAERS ID: 126221 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / LEDERLE LABORATORIES 458588 / 0 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 0 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 0 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4988055 / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Intussusception, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 5/14/2017

VAERS ID: 126221 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 458588 / 0 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 0 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 0 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Intussusception, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 9/14/2017

VAERS ID: 126221 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 0 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 0 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 0 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 2/14/2018

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 6/14/2018

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 8/14/2018

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 9/14/2018

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 10/14/2018

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 12/24/2020

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 12/30/2020

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 5/7/2021

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


Changed on 5/21/2021

VAERS ID: 126221 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Minnesota
Vaccinated:1999-02-18
Onset:1999-02-23
Submitted:1999-07-16
Entered:1999-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-02-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC 'Split Type':

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU

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