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This is VAERS ID 420242

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/13/2011

VAERS ID: 420242
VAERS Form:
Age:1.0
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 0 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 3 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 2/14/2017

VAERS ID: 420242 Before After
VAERS Form:
Age:1.0 1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 0 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 3 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 9/14/2017

VAERS ID: 420242 Before After
VAERS Form:(blank) 1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 0 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 3 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 0 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 2/14/2018

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 6/14/2018

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 8/14/2018

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 9/14/2018

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 10/14/2018

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 12/24/2020

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 12/30/2020

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 5/7/2021

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.


Changed on 5/14/2021

VAERS ID: 420242 Before After
VAERS Form:1
Age:1.01
Sex:Female
Location:New Jersey
Vaccinated:2011-02-25
Onset:2011-03-05
Submitted:0000-00-00
Entered:2011-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1510Z / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 91497Z / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1321Z / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-05
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.

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