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From the 1/14/2022 release of VAERS data:

This is VAERS ID 337671

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Case Details

VAERS ID: 337671 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Arkansas  
Vaccinated:2009-01-13
Onset:0000-00-00
Submitted: 2009-01-16
Entered: 2009-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR SPC3230AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D0107S / 3 RL / IM

Administered by: Public       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-01-14
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was administered vaccines on 013109. Pt was found deceased on 011409. 10/28/09 Autopsy report received. DOD 11/14/09 Cause of Death: Sudden Unexplained Infant Death. Additional information extracted: Suddent Infant Death Syndrome.


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