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This is VAERS ID 157956

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 157956
VAERS Form:
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: COMVAX / MSD 0554K / 0 LL / IM

Administered by: Other      Purchased by: Unknown
Symptoms: APNEA, HEART ARREST

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate.


Changed on 12/8/2009

VAERS ID: 157956 Before After
VAERS Form:
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-27 2000-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: COMVAX HIB + HEP B (COMVAX) / MSD MERCK & CO. INC. 0554K / 0 LL / IM

Administered by: Other      Purchased by: Unknown Public
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest, APNEA, HEART ARREST

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby''s chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner''s office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.


Changed on 9/14/2017

VAERS ID: 157956 Before After
VAERS Form:(blank) 1
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0554K / 0 1 LL / IM

Administered by: Other      Purchased by: Public
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby''s chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner''s office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.


Changed on 2/14/2018

VAERS ID: 157956 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0554K / 1 LL / IM

Administered by: Other      Purchased by: Public
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby''s chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner''s office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.


Changed on 6/14/2018

VAERS ID: 157956 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0554K / 1 LL / IM

Administered by: Other      Purchased by: Public
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby''s chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner''s office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.


Changed on 8/14/2018

VAERS ID: 157956 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0554K / 1 LL / IM

Administered by: Other      Purchased by: Public
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby''s chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner''s office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.


Changed on 9/14/2018

VAERS ID: 157956 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0554K / 1 LL / IM

Administered by: Other      Purchased by: Public
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby''s chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner''s office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.


Changed on 10/14/2018

VAERS ID: 157956 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:California
Vaccinated:2000-07-12
Onset:2000-07-14
Submitted:2000-07-14
Entered:2000-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0554K / 1 LL / IM

Administered by: Other      Purchased by: Public
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-14
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: albuterol
Current Illness: Cerebral Palsy, Broncho-pulmonary dysplasia
Preexisting Conditions: 27 week gestation, cerebral palsy
Allergies:
Diagnostic Lab Data: autopsy pending
CDC 'Split Type':

Write-up: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby''s chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner''s office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=157956&WAYBACKHISTORY=ON


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