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This is VAERS ID 837503

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2020

VAERS ID: 837503
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2019-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Vaccination complication

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO0095075131910COL001278

Write-up: vaccination complication; This spontaneous report was received from the Regulatory Authority, concerning a 2-year-old male patient. The patient''s pertinent medical history, concurrent conditions, concomitant medications, previous drug reactions or allergies were not reported. On an unknown date, the patient started therapy with hepatitis A vaccine, inactivated (manufacturer unknown) (dose, route of administration, frequency, indication, lot number and expiration date were not reported). Dose reported as 4. On an unknown date, the patient experienced vaccination complication and died. It was not reported if an autopsy was performed. The relatedness between hepatitis A vaccine, inactivated (manufacturer unknown) and the aforementioned event was not reported.; Reported Cause(s) of Death: vaccination complication

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