This is VAERS ID 112467

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID:	112467 (history)
Form:	Version .0
Age:	0.4
Sex:	Female
Location:	California

Vaccinated:	1998-04-22
Onset:	1998-04-23
Days after vaccination:	1
Submitted:	1998-07-09
Days after onset:	77
Entered:	1998-07-14
Days after submission:	5

Vaccination / Manufacturer	Lot / Dose	Site / Route
DTP: UNK. DTP / UNCLASSIFIED	- / 0	- / -
HEP: UNK. HEPATITIS B / UNCLASSIFIED	- / 1	- / -
HIBV: UNK. HAEMOPHILUS B / UNCLASSIFIED	- / 0	- / -
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT / UNCLASSIFIED	- / 0	- / -

Administered by: Public Purchased by: Unknown
Symptoms: AGITATION, CHILLS, CONSTIP, CRY ABNORMAL, DIARRHEA
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1998-04-26
Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: w/in 7hr site of inj was swollen & reddish for next 12hr pt alternately screamed inconsolably & fell into a deep sleep, next day had diarrhea & tool longer to finish bottles, as day went by skin felt cold to touch;pt later died;constipation

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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=112467