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This is VAERS ID 108976

Case Details

VAERS ID: 108976 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: New Hampshire  
Vaccinated:1996-09-23
Onset:1996-10-27
   Days after vaccination:34
Submitted: 1998-03-29
   Days after onset:518
Entered: 1998-03-31
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 01650 / 1 LL / -

Administered by: Public       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1996-10-27
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH9635

Write-up: SIDS


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