National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/19/2021 release of VAERS data:

This is VAERS ID 311463

Government Disclaimer on use of this data



Case Details

VAERS ID: 311463 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Idaho  
Vaccinated:2008-03-31
Onset:2008-04-24
   Days after vaccination:24
Submitted: 2008-04-29
   Days after onset:5
Entered: 2008-05-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B138BA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08702C / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0509U / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-04-24
   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:
CDC Split Type:

Write-up: This child had his last set of immunizations on 3-31-08. He did not have any reactions. He died of SIDS on 4-24-08. 6/13 Autopsy report states COD as sudden unexplained death in infancy. Report also states patient had petechiae of thymus & visceral surfaces of lungs; no evidence of injury; normal growth parameters; neg metabolic screen; no evidence of aspiration. Had been placed in crib on back w/propped bottle. Found unresponsive.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=311463


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166