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From the 12/31/2003 release of VAERS data (an older release, current is 6/11/2021):

This is VAERS ID 26593

Case Details

VAERS ID: 26593 (history)  
Form: Version .0  
Age: 0.2  
Sex: Male  
Location: California  
   Days after vaccination:2
Submitted: 1990-11-02
   Days after onset:2
Entered: 1990-11-13
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 0G11097 / - L / -

Administered by: Private       Purchased by: Unknown
Symptoms: APNEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-10-31
   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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.

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