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

This is VAERS ID 85376

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Case Details

VAERS ID: 85376 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Male  
Location: California  
Vaccinated:1996-04-18
Onset:1996-04-19
   Days after vaccination:1
Submitted: 1996-04-22
   Days after onset:3
Entered: 1996-04-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 5H61047 / 1 - / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1944A2 / 2 - / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 5H61156 / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. K1016 / 1 - / SC

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome, Unevaluable event
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1996-04-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt was found dead in crib on 19APR96;pt recv vax 18APR96;pt was laid on belly to sleep


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