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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 43601 |
VAERS Form: | |
Age: | 0.3 |
Sex: | Female |
Location: | Pennsylvania |
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-22 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: RECOMBIVAX HB / MSD | 0238V / 0 | RL / IM |
HIBV: HIBTITER / LEDERLE(PRAXIS) | M185HF / 0 | LL / IM |
IPV: POLIOVAX / CONNAUGHT LTD | G0123 / 0 | LA / SC |
Administered by: Private Purchased by: Unknown
Symptoms: REACT UNEVAL
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-22 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. | 0238V / 0 | RL / IM |
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS | M185HF / 0 | LL / IM |
IPV: POLIOVAX POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD CONNAUGHT LTD. | G0123 / 0 | LA / SC |
Administered by: Private Purchased by: Unknown Private
Symptoms: Unevaluable event, REACT UNEVAL
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 0 | RL / IM |
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH | M185HF / 0 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 0 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 0 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 0 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 0 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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;
Vaccinated: | 1992-05-15 |
Onset: | 1992-06-14 |
Submitted: | 1992-07-05 |
Entered: | 1992-07-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0238V / 1 | RL / IM |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M185HF / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. | G0123 / 1 | LA / SC |
Administered by: Private Purchased by: Private
Symptoms: Unevaluable event
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:1992-06-14
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: 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=43601&WAYBACKHISTORY=ON
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