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

This is VAERS ID 454298

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Case Details

VAERS ID: 454298 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2012-04-13
Onset:2012-04-14
   Days after vaccination:1
Submitted: 2012-04-25
   Days after onset:11
Entered: 2012-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB550AA / 1 LA / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH157AA / 2 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1251AA / 1 RA / SC
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F22722 / 2 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1210AA / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Autopsy, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-04-14
   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: asthma, overweight
Allergies:
Diagnostic Lab Data: An autopsy is being performed.
CDC Split Type: AR1207

Write-up: Child was found dead on the morning of 04/14/2012.


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