National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 161299

Case Details

VAERS ID: 161299 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2000-10-25
Onset:0000-00-00
Submitted: 2000-11-02
Entered: 2000-11-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0328BA / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 471875 / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 473809 / 1 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-11-02
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: born at 39 3/7 weeks gestation - twin
Allergies:
Diagnostic Lab Data: Autopsy - SIDS
CDC Split Type:

Write-up: The pt was in for a well child exam and immunizations on 10/25/00. Infant died on 10/27/00. Cause of Death SIDS


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=161299


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