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This is VAERS ID 50554

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 50554
VAERS Form:
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 342970 / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M105JJ / 0 LL / IM
OPV: ORIMUNE / LEDERLE 338934 / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: SIDS, LUNG DIS, PETECHIA, ATELECTASIS, HEM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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;


Changed on 12/8/2009

VAERS ID: 50554 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-10 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 342970 / 0 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M105JJ / 0 LL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 338934 / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Atelectasis, Lung disorder, Petechiae, SIDS, Sudden infant death syndrome, Haemorrhage, LUNG DIS, PETECHIA, ATELECTASIS, HEM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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;


Changed on 5/14/2017

VAERS ID: 50554 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 342970 / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M105JJ / 0 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 338934 / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Atelectasis, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 9/14/2017

VAERS ID: 50554 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 342970 / 0 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 0 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338934 / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Atelectasis, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 2/14/2018

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 6/14/2018

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 8/14/2018

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 9/14/2018

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 10/14/2018

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 12/24/2020

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 12/30/2020

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 5/7/2021

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 5/21/2021

VAERS ID: 50554 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Florida
Vaccinated:1993-02-26
Onset:1993-03-03
Submitted:1993-03-04
Entered:1993-03-08
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, Lung disorder, Petechiae, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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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