National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/7/2022 release of VAERS data:

This is VAERS ID 50420

Government Disclaimer on use of this data



Case Details

VAERS ID: 50420 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Kansas  
Vaccinated:1993-02-02
Onset:1993-02-04
   Days after vaccination:2
Submitted: 1993-02-09
   Days after onset:5
Entered: 1993-03-01
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 331913 / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0670B / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Haemorrhage, Nervousness, Petechiae, Pulmonary oedema, Sudden infant death syndrome
SMQs:, Cardiac failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-02-04
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Rondec drops
Current Illness: 2FEB93 pt mom siad pt had cold & take AP
Preexisting Conditions: last seen by MD 12JAN93; potential apneic condition; prev suspicious apneic episode described by mom to MD;
Allergies:
Diagnostic Lab Data: MD said a pneumogram had been ordered but not done adequately because the apnea monitor was not on long enough;
CDC Split Type: KS93003

Write-up: pt MD said pt discovered dead by parents on 4FEB93 & that apparently is a SIDS death; MD said that the parents had an apnea monitor @ home but it was not used;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=50420


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166