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This is VAERS ID 155408

Case Details

VAERS ID: 155408 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: California  
Vaccinated:2000-05-24
Onset:2000-05-24
   Days after vaccination:0
Submitted: 2000-06-21
   Days after onset:28
Entered: 2000-06-26
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 922A2 / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1736J / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 440146 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P1380 / 1 LA / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471213 / 1 LL / IM

Administered by: Other       Purchased by: Private
Symptoms: Ascites, Blood bilirubin increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Acute pancreatitis (narrow), Biliary system related investigations, signs and symptoms (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-06-08
   Days after onset: 15
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Neonatal hepatitis
Preexisting Conditions: Biliary atresia, neonatal hepatitis
Allergies:
Diagnostic Lab Data: Routine labs done on 5/24/2000, bilirubin was elevated to 34.1mg/dl.
CDC Split Type: 7513419

Write-up: A 4 month old female received her 1st vaccines and was seen in the clinic on 5/24/2000. That evening, she was hospitalized. On 5/25/2000, inpatient laboratory tests were performed and the pt underwent a Kasai procedure. Post surgery, she developed massive ascites. The pt was transferred to a tertiary care facility on 5/27/2000 and a liver transplant was performed. She developed post surgical complications and expired on 6/8/2000. The reporter indicated that the pt''s death was "clearly unrelated to vaccination". Cause of death was not provided.


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