National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 30244

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30244
VAERS Form:
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS - / 1 - / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M205FD / 0 - / IM
OPV: ORIMUNE / LEDERLE - / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: SIDS, CYANOSIS, APNEA, HEART ARREST

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': No chronic illnesses

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 12/8/2009

VAERS ID: 30244 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-05-08 1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES - / 1 - / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M205FD / 0 - / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES - / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, SIDS, Sudden infant death syndrome, CYANOSIS, APNEA, HEART ARREST

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': No chronic illnesses 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 5/14/2017

VAERS ID: 30244 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 1 - / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M205FD / 0 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 9/14/2017

VAERS ID: 30244 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 1 2 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205FD / 0 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 2 - MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 2/14/2018

VAERS ID: 30244 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 2 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205FD / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 2 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 6/14/2018

VAERS ID: 30244 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 2 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205FD / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 2 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 8/14/2018

VAERS ID: 30244 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 2 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205FD / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 2 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 9/14/2018

VAERS ID: 30244 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 2 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205FD / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 2 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


Changed on 10/14/2018

VAERS ID: 30244 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:1990-11-28
Onset:1990-11-29
Submitted:0000-00-00
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 2 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205FD / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 2 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-11-29
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: no problems with 1st DTP & OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC 'Split Type': 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=30244&WAYBACKHISTORY=ON


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