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From the 10/8/2021 release of VAERS data:

This is VAERS ID 308774



Case Details

VAERS ID: 308774 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: New York  
Vaccinated:2008-03-20
Onset:2008-03-25
   Days after vaccination:5
Submitted: 2008-04-02
   Days after onset:8
Entered: 2008-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF241AC / 2 LL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cyanosis, Death
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-03-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Renal dysplasia with concentration defect
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient found cyanotic in crib and dead on 3/25/08 7/10/08-autopsy report received-COD: positional asphyxia. Accident, prone face down positiong on soft bedding in crib.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=308774

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