National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 114918

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

Case Details

VAERS ID: 114918 (history)  
Form: Version .0  
Age: 0.4  
Sex: Female  
Location: Connecticut  
Vaccinated:1998-09-11
Onset:1998-09-30
   Days after vaccination:19
Submitted: 1998-10-07
   Days after onset:7
Entered: 1998-10-15
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPH: TETRAMUNE / LEDERLE 447788 / 1 RL / -
OPV: ORIMUNE / LEDERLE - / 1 - / PO

Administered by: Private       Purchased by: Unknown
Symptoms: SIDS
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-09-30
   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
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: NONE

Write-up: apparent SIDS 30SEP98 final autopsy pending;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=114918


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166