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This is VAERS ID 26668

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26668
VAERS Form:
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 0C21132 / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, PHARYNGITIS, OTITIS MED, BRONCHITIS, LARYNGITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 12/8/2009

VAERS ID: 26668 Before After
VAERS Form:
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-21 1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0C21132 / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia, FEVER, PHARYNGITIS, OTITIS MED, BRONCHITIS, LARYNGITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 5/14/2017

VAERS ID: 26668 Before After
VAERS Form:
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0C21132 / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 9/14/2017

VAERS ID: 26668 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0C21132 / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 2/14/2018

VAERS ID: 26668 Before After
VAERS Form:1
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0C21132 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 6/14/2018

VAERS ID: 26668 Before After
VAERS Form:1
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0C21132 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 8/14/2018

VAERS ID: 26668 Before After
VAERS Form:1
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0C21132 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 9/14/2018

VAERS ID: 26668 Before After
VAERS Form:1
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0C21132 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child


Changed on 10/14/2018

VAERS ID: 26668 Before After
VAERS Form:1
Age:1.4
Sex:Unknown
Location:New York
Vaccinated:1990-11-08
Onset:1990-11-11
Submitted:1990-11-13
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0C21132 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Bronchitis, Laryngitis, Otitis media, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-11
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Mild cold
Preexisting Conditions: normal child
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3705

Write-up: Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child

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