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This is VAERS ID 158749

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 158749
VAERS Form:
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: COMVAX / MSD - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: INFECT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type':

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax.


Changed on 12/8/2009

VAERS ID: 158749 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-15 2000-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: COMVAX HIB + HEP B (COMVAX) / MSD MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Infection, INFECT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': (blank) WAES00072609

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax. A follow up report received 9/25/2000 adds: On 8/15/2000 called reporter - she has no further info except that vaccine was Hib titer, not Comvax, and that pt was in Tx. She will try to contact drug rep who passed info to her to get more info. Letter has been sent to MD concerning this report - As soon as she gets any feedback, she will pass it on to us. 9/25/2000: Pt did not die! Change to serious status.


Changed on 9/14/2017

VAERS ID: 158749 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': WAES00072609

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax. A follow up report received 9/25/2000 adds: On 8/15/2000 called reporter - she has no further info except that vaccine was Hib titer, not Comvax, and that pt was in Tx. She will try to contact drug rep who passed info to her to get more info. Letter has been sent to MD concerning this report - As soon as she gets any feedback, she will pass it on to us. 9/25/2000: Pt did not die! Change to serious status.


Changed on 2/14/2018

VAERS ID: 158749 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': WAES00072609

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax. A follow up report received 9/25/2000 adds: On 8/15/2000 called reporter - she has no further info except that vaccine was Hib titer, not Comvax, and that pt was in Tx. She will try to contact drug rep who passed info to her to get more info. Letter has been sent to MD concerning this report - As soon as she gets any feedback, she will pass it on to us. 9/25/2000: Pt did not die! Change to serious status.


Changed on 6/14/2018

VAERS ID: 158749 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': WAES00072609

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax. A follow up report received 9/25/2000 adds: On 8/15/2000 called reporter - she has no further info except that vaccine was Hib titer, not Comvax, and that pt was in Tx. She will try to contact drug rep who passed info to her to get more info. Letter has been sent to MD concerning this report - As soon as she gets any feedback, she will pass it on to us. 9/25/2000: Pt did not die! Change to serious status.


Changed on 8/14/2018

VAERS ID: 158749 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': WAES00072609

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax. A follow up report received 9/25/2000 adds: On 8/15/2000 called reporter - she has no further info except that vaccine was Hib titer, not Comvax, and that pt was in Tx. She will try to contact drug rep who passed info to her to get more info. Letter has been sent to MD concerning this report - As soon as she gets any feedback, she will pass it on to us. 9/25/2000: Pt did not die! Change to serious status.


Changed on 9/14/2018

VAERS ID: 158749 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': WAES00072609

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax. A follow up report received 9/25/2000 adds: On 8/15/2000 called reporter - she has no further info except that vaccine was Hib titer, not Comvax, and that pt was in Tx. She will try to contact drug rep who passed info to her to get more info. Letter has been sent to MD concerning this report - As soon as she gets any feedback, she will pass it on to us. 9/25/2000: Pt did not die! Change to serious status.


Changed on 10/14/2018

VAERS ID: 158749 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-07
Entered:2000-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': WAES00072609

Write-up: Subsequently post vax, the pt developed hib disease, sought unspecified medical attention and died. This was due to haemophilus b recombinant vax causing decreased antibody levels than haemophilus b conjugate vax. A follow up report received 9/25/2000 adds: On 8/15/2000 called reporter - she has no further info except that vaccine was Hib titer, not Comvax, and that pt was in Tx. She will try to contact drug rep who passed info to her to get more info. Letter has been sent to MD concerning this report - As soon as she gets any feedback, she will pass it on to us. 9/25/2000: Pt did not die! Change to serious status.

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