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This is VAERS ID 485434

Case Details

VAERS ID: 485434 (history)  
Form: Version 1.0  
Age: 0.01  
Sex: Male  
Location: New Hampshire  
Vaccinated:2013-01-02
Onset:2013-02-10
   Days after vaccination:39
Submitted: 2013-02-25
   Days after onset:15
Entered: 2013-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC188CA / 1 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2013-02-10
   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:
Current Illness:
Preexisting Conditions: None noted
Allergies:
Diagnostic Lab Data: None noted
CDC Split Type: NH02112013

Write-up: Born at 39 weeks gestation. Newborn screenings WNL. May have been a twin.


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