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This is VAERS ID 161587

Case Details

VAERS ID: 161587 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Missouri  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2000-11-06
Entered: 2000-11-08
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Infection
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES00082987

Write-up: Post vax, the pt died from Hib disease. Additional information from the reporting physician confirmed that a representative from another company told him that she had heard of a Hib disease death in a child after receiving Hib vax. The physician could not and would not provide further details.


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