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This is VAERS ID 161720

Case Details

VAERS ID: 161720 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: New Jersey  
Vaccinated:2000-05-11
Onset:2000-05-13
   Days after vaccination:2
Submitted: 2000-11-02
   Days after onset:173
Entered: 2000-11-09
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 470525 / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 591313A / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0905 / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Dyspnoea, Influenza like illness, Irritability, Rhinorrhoea, Screaming, Sudden infant death syndrome
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-06-03
   Days after onset: 21
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 5/11/00, pt was given 3 shots; IPV, DTP, and HIB. Her problems started almost 2 days later. She was not the same little girl I know. She was very cranky and would cry for hours (non-stop) like she was in pain, then she started to get flu-like symptoms (runny nose and chest congestion) to where she couldn''t breathe. I called the pediatrician and he told me she was fine and it was because the weather was changing. She was like that for a while. I called again and he told me I was getting upset over nothing and that she was ok, because she had no fever. So I took his word for it and I even told him I think she is having a reaction to the shots and he said no, it''s the weather. That Friday night, I laid her down to sleep for the night and she never woke up. They told me it was SIDS and for some reason I just can''t believe that. She was fine until they gave her them shots.


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