National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 30232

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30232
VAERS Form:
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M655FB / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: BRAIN SYND ACUTE, APNEA, HEART FAIL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type': NONE

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 12/8/2009

VAERS ID: 30232 Before After
VAERS Form:
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-05-08 1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M655FB / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium, BRAIN SYND ACUTE, APNEA, HEART FAIL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type': NONE (blank)

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 5/14/2017

VAERS ID: 30232 Before After
VAERS Form:
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M655FB / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type':

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 9/14/2017

VAERS ID: 30232 Before After
VAERS Form:(blank) 1
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M655FB / 2 3 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type':

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 2/14/2018

VAERS ID: 30232 Before After
VAERS Form:1
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M655FB / 3 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type':

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 6/14/2018

VAERS ID: 30232 Before After
VAERS Form:1
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M655FB / 3 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type':

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 8/14/2018

VAERS ID: 30232 Before After
VAERS Form:1
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M655FB / 3 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type':

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 9/14/2018

VAERS ID: 30232 Before After
VAERS Form:1
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M655FB / 3 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type':

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;


Changed on 10/14/2018

VAERS ID: 30232 Before After
VAERS Form:1
Age:0.7
Sex:Male
Location:Montana
Vaccinated:1991-02-21
Onset:1991-02-24
Submitted:1991-04-25
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M655FB / 3 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Apnoea, Cardiac failure, Delirium

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-02-24
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Ammonia 711
CDC 'Split Type':

Write-up: Death from Reyes synd on 24FEB91 & presented to ER in full arrest & was not resuscitative;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=30232&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166