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This is VAERS ID 43601

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 43601 (history)  
Form: Version .0  
Age: 0.3  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1992-05-15
Onset:1992-06-14
   Days after vaccination:30
Submitted: 1992-07-05
   Days after onset:21
Entered: 1992-07-20
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M185HF / 0 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 0 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-06-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC Split Type:

Write-up: found dead in crib;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=43601


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