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This is VAERS ID 150249

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

Case Details

VAERS ID: 150249 (history)  
Form: Version .0  
Age: 0.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2000-02-28
Onset:2000-03-03
   Days after vaccination:4
Submitted: 2000-03-15
   Days after onset:12
Entered: 2000-03-27
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD - / 0 - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: EDEMA BRAIN, EDEMA LUNG, SIDS
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-03-03
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC Split Type:

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown". The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not availab


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