National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 112660

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 112660
VAERS Form:
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 7G81489 / 1 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) 7L91652 / 1 LL / IM
IPV: POLIOVAX / CONNAUGHT LTD M1070 / 1 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: SIDS, GASTROENTERITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type': NONE

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 12/8/2009

VAERS ID: 112660 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-17 1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 7G81489 / 1 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS 7L91652 / 1 LL / IM
IPV: POLIOVAX POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD CONNAUGHT LTD. M1070 / 1 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type': NONE (blank)

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 5/14/2017

VAERS ID: 112660 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 1 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH 7L91652 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 1 LL / IM

Administered by: Private      Purchased by: Public
Symptoms: Gastroenteritis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type':

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 9/14/2017

VAERS ID: 112660 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 1 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 7L91652 / 1 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 1 2 LL / IM

Administered by: Private      Purchased by: Public
Symptoms: Gastroenteritis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type':

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 2/14/2018

VAERS ID: 112660 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 7L91652 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 2 LL / IM

Administered by: Private      Purchased by: Public
Symptoms: Gastroenteritis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type':

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 6/14/2018

VAERS ID: 112660 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 7L91652 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 2 LL / IM

Administered by: Private      Purchased by: Public
Symptoms: Gastroenteritis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type':

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 8/14/2018

VAERS ID: 112660 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 7L91652 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 2 LL / IM

Administered by: Private      Purchased by: Public
Symptoms: Gastroenteritis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type':

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 9/14/2018

VAERS ID: 112660 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 7L91652 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 2 LL / IM

Administered by: Private      Purchased by: Public
Symptoms: Gastroenteritis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type':

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


Changed on 10/14/2018

VAERS ID: 112660 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Washington
Vaccinated:1998-06-01
Onset:1998-06-04
Submitted:1998-07-13
Entered:1998-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 7L91652 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 2 LL / IM

Administered by: Private      Purchased by: Public
Symptoms: Gastroenteritis, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-06-20
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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC 'Split Type':

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=112660&WAYBACKHISTORY=ON


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