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

This is VAERS ID 50554

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Case Details

VAERS ID: 50554 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Florida  
Vaccinated:1993-02-26
Onset:1993-03-03
   Days after vaccination:5
Submitted: 1993-03-04
   Days after onset:1
Entered: 1993-03-08
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 342970 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338934 / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Atelectasis, Haemorrhage, Lung disorder, Petechiae, Sudden infant death syndrome
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neonatal disorders (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-03-03
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: No illness
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: mom states put to bed aprox 8PM 2MAR93 & found lifeless @ around 6AM 3MAR93 EMS called;


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