National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 159963

Case Details

VAERS ID: 159963 (history)  
Form: Version 1.0  
Age: 0.8  
Sex: Female  
Location: Massachusetts  
Vaccinated:2000-09-13
Onset:2000-09-20
   Days after vaccination:7
Submitted: 2000-09-20
   Days after onset:0
Entered: 2000-09-21
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0429K / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 473334 / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Cardiac arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-09-20
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness:
Preexisting Conditions: Initial low blood sugar
Allergies:
Diagnostic Lab Data: Autopsy pending; blood cultures-neg
CDC Split Type:

Write-up: The pt was found pulseless and apneic in crib at 08:00 on 9/20/00.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=159963


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166