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This is VAERS ID 162990

Case Details

VAERS ID: 162990 (history)  
Form: Version 1.0  
Age: 0.08  
Sex: Female  
Location: North Carolina  
Vaccinated:2000-09-29
Onset:2000-10-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2000-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5151A2 / 2 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Sudden infant death syndrome, Unevaluable event, Upper respiratory tract infection
SMQs:, Acute central respiratory depression (narrow), Neonatal disorders (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-10-01
   Days after onset: 0
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: NONE
CDC Split Type: NC00092

Write-up: NONE Autopsy shows infant had upper respiratory infection week before death, found not breathing. Cause of death given as sudden infant death syndrome.


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