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This is VAERS ID 150249

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 150249
VAERS Form:
Age:0.0
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: SIDS, EDEMA LUNG, EDEMA BRAIN

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type':

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown". The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not availab


Changed on 12/8/2009

VAERS ID: 150249 Before After
VAERS Form:
Age:0.0
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-27 2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. - / 0 - / IM

Administered by: Other Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, SIDS, Sudden infant death syndrome, Brain oedema, EDEMA LUNG, EDEMA BRAIN

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': (blank) WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown". unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not availab available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 2/4/2011

VAERS ID: 150249 Before After
VAERS Form:
Age:0.0 (blank)
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 2/14/2017

VAERS ID: 150249 Before After
VAERS Form:
Age:(blank) 0.03
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 9/14/2017

VAERS ID: 150249 Before After
VAERS Form:(blank) 1
Age:0.03
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 2/14/2018

VAERS ID: 150249 Before After
VAERS Form:1
Age:0.03
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 6/14/2018

VAERS ID: 150249 Before After
VAERS Form:1
Age:0.03
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 8/14/2018

VAERS ID: 150249 Before After
VAERS Form:1
Age:0.03
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 9/14/2018

VAERS ID: 150249 Before After
VAERS Form:1
Age:0.03
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that


Changed on 10/14/2018

VAERS ID: 150249 Before After
VAERS Form:1
Age:0.03
Sex:Female
Location:New Jersey
Vaccinated:2000-02-28
Onset:2000-03-03
Submitted:2000-03-15
Entered:2000-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pulmonary oedema, Sudden infant death syndrome, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-03-03
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy revealed cerebral edema and pulmonary edema. Cause of death determined to be SIDS.
CDC 'Split Type': WAES00030691

Write-up: Information has been received from a health care professional concerning a 7 day old female pt, who on 2/28/2000, was vaccinated with the first dose of Hepatitis-B vaccine recombinant (yeast). On 3/3/2000, the child expired. The cause of death was unknown. The medical examiner did determine that no congenital anomaly was determined. Follow-up information received from a registered nurse indicated that the suspected cause was sudden infant death syndrome, although the final autopsy results were not available, there were no gross anatomical abnormalities. The nurse stated that

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