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This is VAERS ID 808139

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2019

VAERS ID: 808139
VAERS Form:2
Age:1.33
Sex:Male
Location:Ohio
Vaccinated:2018-12-11
Onset:2019-01-03
Submitted:0000-00-00
Entered:2019-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS T79X3 / 4 LL / IM
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS F4T2K / 1 RL / IM
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS 4337E / 4 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH W33489 / 4 RL / IM

Administered by: Private      Purchased by: ??
Symptoms: Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-01-03
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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My Son went to the doctor for shots on December 11 2018. He got DTP/DTap /HIB/PCV/and Influenza (flu shot). This was his first time getting the flu shot. Research says it takes 2 weeks for the flu shot to start to take effect. Approx 3 weeks later we found our Son unresponsive on 1/3/2019.


Changed on 12/24/2020

VAERS ID: 808139 Before After
VAERS Form:2
Age:1.33
Sex:Male
Location:Ohio
Vaccinated:2018-12-11
Onset:2019-01-03
Submitted:0000-00-00
Entered:2019-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS T79X3 / 4 LL / IM
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS F4T2K / 1 RL / IM
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS 4337E / 4 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH W33489 / 4 RL / IM

Administered by: Private      Purchased by: ??
Symptoms: Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-01-03
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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My Son went to the doctor for shots on December 11 2018. He got DTP/DTap /HIB/PCV/and Influenza (flu shot). This was his first time getting the flu shot. Research says it takes 2 weeks for the flu shot to start to take effect. Approx 3 weeks later we found our Son unresponsive on 1/3/2019.


Changed on 12/30/2020

VAERS ID: 808139 Before After
VAERS Form:2
Age:1.33
Sex:Male
Location:Ohio
Vaccinated:2018-12-11
Onset:2019-01-03
Submitted:0000-00-00
Entered:2019-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS T79X3 / 4 LL / IM
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS F4T2K / 1 RL / IM
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS 4337E / 4 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH W33489 / 4 RL / IM

Administered by: Private      Purchased by: ??
Symptoms: Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-01-03
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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My Son went to the doctor for shots on December 11 2018. He got DTP/DTap /HIB/PCV/and Influenza (flu shot). This was his first time getting the flu shot. Research says it takes 2 weeks for the flu shot to start to take effect. Approx 3 weeks later we found our Son unresponsive on 1/3/2019.

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