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This is VAERS ID 161439

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 161439
VAERS Form:
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA / CONNAUGHT LABS U0173CA / 0 LL / IM
HEP: RECOMBIVAX HB / MSD 1738J / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) 582953A / 0 RL / IM
IPV: POLIOVAX / CONNAUGHT LTD R04442 / 0 RL / -

Administered by: Public      Purchased by: Unknown
Symptoms: SIDS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type':

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 12/8/2009

VAERS ID: 161439 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA DTAP (TRIPEDIA) / CONNAUGHT LABS CONNAUGHT LABORATORIES U0173CA / 0 LL / IM
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1738J / 0 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS 582953A / 0 RL / IM
IPV: POLIOVAX POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD CONNAUGHT LTD. R04442 / 0 RL / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: SIDS, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': (blank) OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 5/14/2017

VAERS ID: 161439 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 0 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH 582953A / 0 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 0 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 9/14/2017

VAERS ID: 161439 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 0 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 0 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 0 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 0 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 2/14/2018

VAERS ID: 161439 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 6/14/2018

VAERS ID: 161439 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 8/14/2018

VAERS ID: 161439 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 9/14/2018

VAERS ID: 161439 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


Changed on 10/14/2018

VAERS ID: 161439 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Oregon
Vaccinated:2000-07-26
Onset:2000-07-29
Submitted:2000-08-03
Entered:2000-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-29
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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC 'Split Type': OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=161439&WAYBACKHISTORY=ON


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