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This is VAERS ID 161439

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

Case Details

VAERS ID: 161439 (history)  
Form: Version .0  
Age: 0.2  
Sex: Male  
Location: Oregon  
Vaccinated:2000-07-26
Onset:2000-07-29
   Days after vaccination:3
Submitted: 2000-08-03
   Days after onset:5
Entered: 2000-11-07
   Days after submission:96
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA / CONNAUGHT LABS U0173CA / 0 LL / IM
HEP: RECOMBIVAX HB / MSD 1738J / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) 582953A / 0 RL / IM
IPV: POLIOVAX / CONNAUGHT LTD R04442 / 0 RL / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-07-29
   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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC Split Type:

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=161439


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