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This is VAERS ID 43601

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43601
VAERS Form:
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0238V / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M185HF / 0 LL / IM
IPV: POLIOVAX / CONNAUGHT LTD G0123 / 0 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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:
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 12/8/2009

VAERS ID: 43601 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-22 1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0238V / 0 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M185HF / 0 LL / IM
IPV: POLIOVAX POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD CONNAUGHT LTD. G0123 / 0 LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Unevaluable event, REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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:
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 5/14/2017

VAERS ID: 43601 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M185HF / 0 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 9/14/2017

VAERS ID: 43601 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 0 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 0 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 0 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 2/14/2018

VAERS ID: 43601 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 6/14/2018

VAERS ID: 43601 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 8/14/2018

VAERS ID: 43601 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 9/14/2018

VAERS ID: 43601 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;


Changed on 10/14/2018

VAERS ID: 43601 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1992-05-15
Onset:1992-06-14
Submitted:1992-07-05
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-14
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: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC 'Split Type':

Write-up: found dead in crib;

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