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This is VAERS ID 161720

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 161720
VAERS Form:
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: ACEL-IMUNE / LEDERLE 470525 / 0 - / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) 591313A / 0 - / IM
IPV: POLIOVAX / CONNAUGHT LTD P0905 / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, SCREAMING SYND, RHINITIS, DYSPNEA, FLU SYND

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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 nothi


Changed on 12/30/2006

VAERS ID: 161720 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: ACEL-IMUNE / LEDERLE 470525 / 0 - / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) 591313A / 0 - / IM
IPV: POLIOVAX / CONNAUGHT LTD P0905 / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, SCREAMING SYND, RHINITIS, DYSPNEA, FLU SYND

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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 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 nothi noth


Changed on 12/8/2009

VAERS ID: 161720 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: ACEL-IMUNE DTAP (ACEL-IMUNE) / LEDERLE LEDERLE LABORATORIES 470525 / 0 - / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS 591313A / 0 - / IM
IPV: POLIOVAX POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD CONNAUGHT LTD. P0905 / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dyspnoea, Influenza like illness, Irritability, Rhinorrhoea, Screaming, Sudden infant death syndrome, AGITATION, SCREAMING SYND, RHINITIS, DYSPNEA, FLU SYND

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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 symptoms (runny nose and chest congestion) to where she couldn''''t 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 noth 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.


Changed on 5/14/2017

VAERS ID: 161720 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 470525 / 0 - / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH 591313A / 0 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0905 / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Dyspnoea, Influenza like illness, Irritability, Rhinorrhoea, Screaming, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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.


Changed on 9/14/2017

VAERS ID: 161720 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 470525 / 0 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 591313A / 0 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0905 / 0 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Dyspnoea, Influenza like illness, Irritability, Rhinorrhoea, Screaming, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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.


Changed on 2/14/2018

VAERS ID: 161720 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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.


Changed on 6/14/2018

VAERS ID: 161720 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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.


Changed on 8/14/2018

VAERS ID: 161720 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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.


Changed on 9/14/2018

VAERS ID: 161720 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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.


Changed on 10/14/2018

VAERS ID: 161720 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New Jersey
Vaccinated:2000-05-11
Onset:2000-05-13
Submitted:2000-11-02
Entered:2000-11-09
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-06-03
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: 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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