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This is VAERS ID 26229

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26229
VAERS Form:
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 9B11033 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: SIDS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 12/8/2009

VAERS ID: 26229 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-16 1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 9B11033 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: SIDS, Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 5/14/2017

VAERS ID: 26229 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11033 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 9/14/2017

VAERS ID: 26229 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11033 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 2/14/2018

VAERS ID: 26229 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11033 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 6/14/2018

VAERS ID: 26229 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11033 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 8/14/2018

VAERS ID: 26229 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11033 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 9/14/2018

VAERS ID: 26229 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11033 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx


Changed on 10/14/2018

VAERS ID: 26229 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Illinois
Vaccinated:1990-09-06
Onset:1990-09-07
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9B11033 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden infant death syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-07
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: ~ ()~~~In patient
Other Medications: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures at time of death grew E. Coli, TEXT: death resulted
CDC 'Split Type':

Write-up: Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx

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