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From the 11/26/2021 release of VAERS data:

This is VAERS ID 65748

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Case Details

VAERS ID: 65748 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Maryland  
Vaccinated:1994-06-06
Onset:1994-06-07
   Days after vaccination:1
Submitted: 1994-07-29
   Days after onset:52
Entered: 1994-08-03
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 4H51058 / 2 - / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1693W / 3 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0690 / 2 - / SC

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Cyanosis
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-06-07
   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: Bactrim
Current Illness:
Preexisting Conditions: surgery, aorta; defect, heart, congenital; Digeorge''s synd
Allergies:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES94070425

Write-up: Pt recvd vax 7JUN94 & 7JUN94 had an acute onset of apnea, cyanosis & resp arrest & died; @ the time of the report the results of blood & organ cultures were pending; addtl info has been requested;


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