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This is VAERS ID 806371

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2019

VAERS ID: 806371
VAERS Form:2
Age:0.92
Sex:Female
Location:Arkansas
Vaccinated:2019-02-07
Onset:2019-02-07
Submitted:0000-00-00
Entered:2019-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LL / SYR
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. - / UNK RL / SYR
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK LL / SYR
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LL / SYR

Administered by: Private      Purchased by: ??
Symptoms: Death, Febrile convulsion, Pyrexia, Urine analysis, Eyelid function disorder, Blood test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-03-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol for pain.
Current Illness: None
Preexisting Conditions: None.
Allergies: Latex
Diagnostic Lab Data: Blood and urine testing.
CDC 'Split Type':

Write-up: 4 hours after my daughter got her shots her fever wouldn''t go down. At 11pm that night she begain to have complex febrial seizures. She had 3 that night. After coming home she wasn''t the same. One of her eyes didn''t open as much as it should have and she was slower. Almost a month later she died in her sleep because of another febrial seizure.


Changed on 12/24/2020

VAERS ID: 806371 Before After
VAERS Form:2
Age:0.92
Sex:Female
Location:Arkansas
Vaccinated:2019-02-07
Onset:2019-02-07
Submitted:0000-00-00
Entered:2019-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LL / SYR
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. - / UNK RL / SYR
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK LL / SYR
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LL / SYR

Administered by: Private      Purchased by: ??
Symptoms: Death, Febrile convulsion, Pyrexia, Urine analysis, Eyelid function disorder, Blood test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-03-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol for pain.
Current Illness: None
Preexisting Conditions: None.
Allergies: Latex Latex
Diagnostic Lab Data: Blood and urine testing.
CDC 'Split Type':

Write-up: 4 hours after my daughter got her shots her fever wouldn''t go down. At 11pm that night she begain to have complex febrial seizures. She had 3 that night. After coming home she wasn''t the same. One of her eyes didn''t open as much as it should have and she was slower. Almost a month later she died in her sleep because of another febrial seizure.


Changed on 12/30/2020

VAERS ID: 806371 Before After
VAERS Form:2
Age:0.92
Sex:Female
Location:Arkansas
Vaccinated:2019-02-07
Onset:2019-02-07
Submitted:0000-00-00
Entered:2019-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LL / SYR
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. - / UNK RL / SYR
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK LL / SYR
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LL / SYR

Administered by: Private      Purchased by: ??
Symptoms: Death, Febrile convulsion, Pyrexia, Urine analysis, Eyelid function disorder, Blood test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-03-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol for pain.
Current Illness: None
Preexisting Conditions: None.
Allergies: Latex Latex
Diagnostic Lab Data: Blood and urine testing.
CDC 'Split Type':

Write-up: 4 hours after my daughter got her shots her fever wouldn''t go down. At 11pm that night she begain to have complex febrial seizures. She had 3 that night. After coming home she wasn''t the same. One of her eyes didn''t open as much as it should have and she was slower. Almost a month later she died in her sleep because of another febrial seizure.


Changed on 5/7/2021

VAERS ID: 806371 Before After
VAERS Form:2
Age:0.92
Sex:Female
Location:Arkansas
Vaccinated:2019-02-07
Onset:2019-02-07
Submitted:0000-00-00
Entered:2019-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LL / SYR
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. - / UNK RL / SYR
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK LL / SYR
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LL / SYR

Administered by: Private      Purchased by: ??
Symptoms: Death, Febrile convulsion, Pyrexia, Urine analysis, Eyelid function disorder, Blood test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-03-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol for pain.
Current Illness: None
Preexisting Conditions: None.
Allergies: Latex Latex
Diagnostic Lab Data: Blood and urine testing.
CDC 'Split Type':

Write-up: 4 hours after my daughter got her shots her fever wouldn''t go down. At 11pm that night she begain to have complex febrial seizures. She had 3 that night. After coming home she wasn''t the same. One of her eyes didn''t open as much as it should have and she was slower. Almost a month later she died in her sleep because of another febrial seizure.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=806371&WAYBACKHISTORY=ON


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