National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 108976

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 108976
VAERS Form:
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 01650 / 0 LL / -

Administered by: Public      Purchased by: Unknown
Symptoms: SIDS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE

Write-up: SIDS


Changed on 12/8/2009

VAERS ID: 108976 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 01650 / 0 LL / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: SIDS, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE NH9635

Write-up: SIDS


Changed on 5/14/2017

VAERS ID: 108976 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 01650 / 0 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9635

Write-up: SIDS


Changed on 9/14/2017

VAERS ID: 108976 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 01650 / 0 1 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9635

Write-up: SIDS


Changed on 2/14/2018

VAERS ID: 108976 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9635

Write-up: SIDS


Changed on 6/14/2018

VAERS ID: 108976 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9635

Write-up: SIDS


Changed on 8/14/2018

VAERS ID: 108976 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9635

Write-up: SIDS


Changed on 9/14/2018

VAERS ID: 108976 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9635

Write-up: SIDS


Changed on 10/14/2018

VAERS ID: 108976 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:New Hampshire
Vaccinated:1996-09-23
Onset:1996-10-27
Submitted:1998-03-29
Entered:1998-03-31
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-10-27
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NH9635

Write-up: SIDS

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=108976&WAYBACKHISTORY=ON


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