National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 30447

Case Details

VAERS ID: 30447 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Unknown  
Location: Illinois  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-04-12
Entered: 1991-05-13
   Days after submission:31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 184666 / UNK - / -

Administered by: Public       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: 910080301

Write-up: 4yo child died fr Haemophilus Meningitis 1991; Immunized 2 yrs ago in 1989;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=30447


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