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This is VAERS ID 27509

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27509
VAERS Form:
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PEDVAXHIB / MSD 1726S / 0 LL / IM

Administered by: Public      Purchased by: Unknown
Symptoms: APNEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 12/8/2009

VAERS ID: 27509 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-02-01 1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PEDVAXHIB HIB (PEDVAXHIB) / MSD MERCK & CO. INC. 1726S / 0 LL / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Apnoea, APNEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 5/14/2017

VAERS ID: 27509 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1726S / 0 LL / IM

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 9/14/2017

VAERS ID: 27509 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1726S / 0 1 LL / IM

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 2/14/2018

VAERS ID: 27509 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1726S / 1 LL / IM

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 6/14/2018

VAERS ID: 27509 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1726S / 1 LL / IM

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 8/14/2018

VAERS ID: 27509 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1726S / 1 LL / IM

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 9/14/2018

VAERS ID: 27509 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1726S / 1 LL / IM

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.


Changed on 10/14/2018

VAERS ID: 27509 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Alaska
Vaccinated:1991-01-14
Onset:1991-01-15
Submitted:1991-01-17
Entered:1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1726S / 1 LL / IM

Administered by: Public      Purchased by: Public
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-01-15
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: Received BPIG (IND drug) by Mass Biologic Labs, Lot #8, IM, RL, 1 prev dose at same time as HIB.
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: Received PRP-OMP & BPIG (IND drug) after being evaluated & found afeb. & in good health. Infant was found apneic in his bed the next AM.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=27509&WAYBACKHISTORY=ON


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