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This is VAERS ID 114427

(NOTE: This result is from the 8/14/2018 version of the VAERS database)

Case Details

VAERS ID: 114427 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: New York  
Vaccinated:1998-09-15
Onset:1998-09-16
   Days after vaccination:1
Submitted: 1998-09-16
   Days after onset:0
Entered: 1998-09-28
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0984H / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-09-16
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy report pending
CDC Split Type:

Write-up: pt recv vax 15SEP98 pt died of presumptive sudden infant death synd following morning 16SEP98;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180814&IDNUMBER=114427


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