National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 108668

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 108668
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: UNK. DTP / UNCLASSIFIED - / - - / -
HEP: UNK. HEPATITIS B / UNCLASSIFIED - / - - / -
HIBV: UNK. HAEMOPHILUS B / UNCLASSIFIED - / - - / -
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT / UNCLASSIFIED - / - - / -

Administered by: Military      Purchased by: Unknown
Symptoms: SIDS, AGITATION, DYSPNEA, OPISTHOTONOS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type': NONE

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 12/8/2009

VAERS ID: 108668 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-19 1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: UNK. DTP DTP (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
HEP: UNK. HEPATITIS B HEP B (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
HIBV: UNK. HAEMOPHILUS B HIB (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT POLIO VIRUS, ORAL (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Unknown Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, SIDS, Sudden infant death syndrome, AGITATION, DYSPNEA, OPISTHOTONOS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type': NONE (blank)

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 5/14/2017

VAERS ID: 108668 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 9/14/2017

VAERS ID: 108668 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Military      Purchased by: Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 2/14/2018

VAERS ID: 108668 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 6/14/2018

VAERS ID: 108668 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 8/14/2018

VAERS ID: 108668 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 9/14/2018

VAERS ID: 108668 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;


Changed on 10/14/2018

VAERS ID: 108668 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1998-02-09
Onset:1998-02-10
Submitted:1998-03-13
Entered:1998-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Other
Symptoms: Agitation, Dyspnoea, Opisthotonus, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-02-11
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: probable SIDS, died 11FEB98 approx 38hr p/vax;pt cried for a short time;APAP given & went to sleep;opistohonic w/resp distress;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=108668&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166