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This is VAERS ID 161719

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 161719
VAERS Form:
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: Unknown
Symptoms: VOMIT, INFECT, DIARRHEA, DEHYDRAT, GASTROENTERITIS

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vo"miting, diarrhea, viral gastroenteritis.


Changed on 12/8/2009

VAERS ID: 161719 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Other Unknown      Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Viral infection, Vomiting, VOMIT, INFECT, DIARRHEA, DEHYDRAT, GASTROENTERITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00 1999-03-26
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vo"miting, vomiting, diarrhea, viral gastroenteritis.


Changed on 9/14/2017

VAERS ID: 161719 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Viral infection, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-03-26
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vomiting, diarrhea, viral gastroenteritis.


Changed on 2/14/2018

VAERS ID: 161719 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Viral infection, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-03-26
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vomiting, diarrhea, viral gastroenteritis.


Changed on 6/14/2018

VAERS ID: 161719 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Viral infection, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-03-26
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vomiting, diarrhea, viral gastroenteritis.


Changed on 8/14/2018

VAERS ID: 161719 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Viral infection, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-03-26
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vomiting, diarrhea, viral gastroenteritis.


Changed on 9/14/2018

VAERS ID: 161719 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Viral infection, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-03-26
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vomiting, diarrhea, viral gastroenteritis.


Changed on 10/14/2018

VAERS ID: 161719 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:1999-03-26
Submitted:2000-11-03
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Viral infection, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1999-03-26
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The child was reported to be sick with a virus and diarrhea for a couple of weeks. The pt was taken to the ER by EMS after mother found the child unresponsive. The baby was pronounced dead on arrival at the Hospital. The cause of death was dehydration, vomiting, diarrhea, viral gastroenteritis.

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