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This is VAERS ID 462383

History of Changes from the VAERS Wayback Machine

First Appeared on 9/12/2012

VAERS ID: 462383
VAERS Form:
Age:0.2
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 0 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 1 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 0 RL / UN
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 0 - / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 5/13/2013

VAERS ID: 462383 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 0 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 1 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 0 RL / UN
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 0 - / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 2/14/2017

VAERS ID: 462383 Before After
VAERS Form:
Age:0.2 0.18
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 0 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 1 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 0 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 0 - / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 9/14/2017

VAERS ID: 462383 Before After
VAERS Form:(blank) 1
Age:0.18
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 0 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 1 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 0 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 0 1 - MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 2/14/2018

VAERS ID: 462383 Before After
VAERS Form:1
Age:0.18
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 6/14/2018

VAERS ID: 462383 Before After
VAERS Form:1
Age:0.18
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 8/14/2018

VAERS ID: 462383 Before After
VAERS Form:1
Age:0.18
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 9/14/2018

VAERS ID: 462383 Before After
VAERS Form:1
Age:0.18
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.


Changed on 10/14/2018

VAERS ID: 462383 Before After
VAERS Form:1
Age:0.18
Sex:Female
Location:Georgia
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2012-08-13
Entered:2012-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4156AB / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1481AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917245 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1540AA / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Death, Sudden infant death syndrome, Bed sharing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-05-27
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: We would like to report that this death occurred within one week of 2 month vaccines. Coroner reported cause of death undetermined - possible SIDS vs. co-sleeping.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=462383&WAYBACKHISTORY=ON


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