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This is VAERS ID 312543

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 312543
VAERS Form:
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 1 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Death, Respiratory arrest, Unresponsive to stimuli, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/n"umerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 12/8/2009

VAERS ID: 312543 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 1 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Death, Respiratory arrest, Unresponsive to stimuli, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''''t wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/n"umerous w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 4/14/2017

VAERS ID: 312543 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 1 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Death, Respiratory arrest, Unresponsive to stimuli, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 9/14/2017

VAERS ID: 312543 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 1 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 2/14/2018

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 6/14/2018

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 8/14/2018

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 9/14/2018

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 10/14/2018

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 12/24/2020

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 12/30/2020

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 5/7/2021

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


Changed on 5/14/2021

VAERS ID: 312543 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Oklahoma
Vaccinated:2008-04-25
Onset:2008-04-27
Submitted:2008-05-15
Entered:2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Cyanosis, Respiratory arrest, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-04-27
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: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC 'Split Type':

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.

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