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This is VAERS ID 161587

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 161587
VAERS Form:
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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: 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.


Changed on 12/8/2009

VAERS ID: 161587 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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) 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 not and would not provide further details.


Changed on 9/14/2017

VAERS ID: 161587 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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': 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.


Changed on 2/14/2018

VAERS ID: 161587 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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': 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.


Changed on 6/14/2018

VAERS ID: 161587 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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': 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.


Changed on 8/14/2018

VAERS ID: 161587 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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': 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.


Changed on 9/14/2018

VAERS ID: 161587 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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': 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.


Changed on 10/14/2018

VAERS ID: 161587 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-11-06
Entered:2000-11-08
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)? No
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': 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=161587&WAYBACKHISTORY=ON


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