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This is VAERS ID 308774

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 308774
VAERS Form:
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
Entered:2008-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF241AC / 1 LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asphyxia, Cyanosis, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 4/14/2017

VAERS ID: 308774 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
Entered:2008-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF241AC / 1 LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asphyxia, Cyanosis, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 9/14/2017

VAERS ID: 308774 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
Entered:2008-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF241AC / 1 2 LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 2/14/2018

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 6/14/2018

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 8/14/2018

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 9/14/2018

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 10/14/2018

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 12/24/2020

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 12/30/2020

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 5/7/2021

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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.


Changed on 5/14/2021

VAERS ID: 308774 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:New York
Vaccinated:2008-03-20
Onset:2008-03-25
Submitted:2008-04-02
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-25
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: 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=308774&WAYBACKHISTORY=ON

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