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This is VAERS ID 152041

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 152041
VAERS Form:
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG3066A4 / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: CONVULS, STUPOR, EDEMA LUNG, LUNG DIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type':

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found"unresponsive, lungs congested with edema.


Changed on 12/8/2009

VAERS ID: 152041 Before After
VAERS Form:
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-19 2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM ENG3066A4 3066A4 / 0 LA / IM

Administered by: Public      Purchased by: Unknown Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema, CONVULS, STUPOR, EDEMA LUNG, LUNG DIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type': (blank) OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found"unresponsive, found unresponsive, lungs congested with edema.


Changed on 9/14/2017

VAERS ID: 152041 Before After
VAERS Form:(blank) 1
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3066A4 / 0 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type': OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found unresponsive, lungs congested with edema.


Changed on 2/14/2018

VAERS ID: 152041 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3066A4 / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type': OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found unresponsive, lungs congested with edema.


Changed on 6/14/2018

VAERS ID: 152041 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3066A4 / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type': OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found unresponsive, lungs congested with edema.


Changed on 8/14/2018

VAERS ID: 152041 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3066A4 / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type': OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found unresponsive, lungs congested with edema.


Changed on 9/14/2018

VAERS ID: 152041 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3066A4 / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type': OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found unresponsive, lungs congested with edema.


Changed on 10/14/2018

VAERS ID: 152041 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Oregon
Vaccinated:2000-04-25
Onset:2000-05-03
Submitted:2000-05-04
Entered:2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3066A4 / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-05-03
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:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC 'Split Type': OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found unresponsive, lungs congested with edema.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=152041&WAYBACKHISTORY=ON


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