This is VAERS ID 96398

Administered by: Public       Purchased by: Public
Symptoms: Asthma
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-02-26
   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: ?
Current Illness: unk
Preexisting Conditions: premie-7wk early followed @ hosp
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN97018

Write-up: death-asthma attack in MD office 26FEB97 & expired;had gone to hosp 25FEB97 to MD;