National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 52135

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 52135
VAERS Form:
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2E41073 / 0 LL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M105JJ / 0 RL / IM
OPV: ORIMUNE / LEDERLE 338925 / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: SIDS, HEM LUNG, HEM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 12/8/2009

VAERS ID: 52135 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-28 1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2E41073 / 0 LL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M105JJ / 0 RL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 338925 / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pulmonary haemorrhage, SIDS, Sudden infant death syndrome, Haemorrhage, HEM LUNG, HEM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 5/14/2017

VAERS ID: 52135 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 0 LL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M105JJ / 0 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 338925 / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 9/14/2017

VAERS ID: 52135 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 0 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 0 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 2/14/2018

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 6/14/2018

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 8/14/2018

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 9/14/2018

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 10/14/2018

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 12/24/2020

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 12/30/2020

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 5/7/2021

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;


Changed on 5/21/2021

VAERS ID: 52135 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Oregon
Vaccinated:1993-03-02
Onset:1993-03-23
Submitted:0000-00-00
Entered:1993-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41073 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M105JJ / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 338925 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Pulmonary haemorrhage, Sudden infant death syndrome, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-23
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy;
CDC 'Split Type':

Write-up: SIDS; thymus gland petechial hemorrhages; cardiovascular system petechial hemorrhages resp system lungs mottled white & purple & w/petechial hemorrhages;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=52135&WAYBACKHISTORY=ON


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