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This is VAERS ID 463942

History of Changes from the VAERS Wayback Machine

First Appeared on 9/12/2012

VAERS ID: 463942
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 0 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 1 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH F65441 / 0 RL / UN
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 10/14/2012

VAERS ID: 463942 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 0 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 1 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH F65441 / 0 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 0 RL / UN
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 5/13/2013

VAERS ID: 463942 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 0 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 1 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 0 RL / UN
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 2/14/2017

VAERS ID: 463942 Before After
VAERS Form:
Age:0.2 0.17
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 0 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 1 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 0 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 9/14/2017

VAERS ID: 463942 Before After
VAERS Form:(blank) 1
Age:0.17
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 0 1 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 1 2 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 0 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 0 1 - MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 2/14/2018

VAERS ID: 463942 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 1 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 2 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 6/14/2018

VAERS ID: 463942 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 1 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 2 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 8/14/2018

VAERS ID: 463942 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 1 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 2 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 9/14/2018

VAERS ID: 463942 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 1 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 2 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.


Changed on 10/14/2018

VAERS ID: 463942 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2012-08-27
Onset:2012-08-28
Submitted:2012-08-29
Entered:2012-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4184AB / 1 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC109BB / 2 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65441 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0052AE / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-08-28
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: Baby was found dead in parents bed (she sleeps in parents bed). She was on the side with face down in the memory foam mattress. This happened on 8-28-12. Day after she received her 2 months vaccines on 8-27-12. Most probably a case of SIDS.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=463942&WAYBACKHISTORY=ON


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