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This is VAERS ID 108796

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 108796
VAERS Form:
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0165D / 0 LL / -

Administered by: Private      Purchased by: Unknown
Symptoms: SIDS, CYANOSIS, JAUNDICE, EOSINOPHILIA, SLEEP PAR BED

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': newborn

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 12/8/2009

VAERS ID: 108796 Before After
VAERS Form:
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0165D / 0 LL / -

Administered by: Private      Purchased by: Unknown Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, SIDS, Sudden infant death syndrome, Unevaluable event, CYANOSIS, JAUNDICE, EOSINOPHILIA, SLEEP PAR BED

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': newborn NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 5/14/2017

VAERS ID: 108796 Before After
VAERS Form:
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 0 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 9/14/2017

VAERS ID: 108796 Before After
VAERS Form:(blank) 1
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 0 1 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 2/14/2018

VAERS ID: 108796 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 1 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 6/14/2018

VAERS ID: 108796 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 1 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 8/14/2018

VAERS ID: 108796 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 1 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 9/14/2018

VAERS ID: 108796 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 1 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 10/14/2018

VAERS ID: 108796 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 1 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;


Changed on 7/14/2019

VAERS ID: 108796 Before After
VAERS Form:1
Age:0.0 (blank)
Sex:Male
Location:New Hampshire
Vaccinated:1997-01-02
Onset:1997-01-20
Submitted:1998-03-19
Entered:1998-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0165D / 1 LL / -

Administered by: Private      Purchased by: Public
Symptoms: Cyanosis, Eosinophilia, Jaundice, Sudden infant death syndrome, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1997-01-20
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: newborn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9731

Write-up: SIDS;newborn jaundice tx w/phototherapy @ home;

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