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This is VAERS ID 26890

Case Details

VAERS ID: 26890 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Kansas  
Vaccinated:0000-00-00
Onset:1990-01-25
Submitted: 0000-00-00
Entered: 1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256960 / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 256930 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pneumonia, Sudden infant death syndrome
SMQs:, Eosinophilic pneumonia (broad), Neonatal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-01-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Post mortem - "slight pneumonia"
CDC Split Type:

Write-up: Pt vax with DTP/OPV was doing well on 25JAN90 taken to sitter. Found dead in crib in afternoon.


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