This is VAERS ID 111499

Administered by: Other       Purchased by: Other
Symptoms: Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-05-24
   Days after onset: 365
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp pain & swelling in leg w/dose 2 hep b;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 19980147961A

Write-up: pt recv vax 13MAY97 & MAY97 exp pain in lt arm;pt unspecified problems grew worse over the next few days & ultimately resulted in pt death on 24MAY98;