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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER||- / 4||- / -|
Administered by: Unknown Purchased by: ??
Symptoms: Death, Septic shock
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': CO0095075131910COL002350
Write-up: Septic shock; Information has been received a from Health Authority (agency number was not provided) on 20-SEP-2019. This spontaneous report was received from a Health Authority, concerning to a 2-year-old, male patient. Information about medical history, concurrent conditions and concomitant medications was not provided. On an unknown date, the patient was vaccinated with the fourth dose of hepatitis a vaccine, inactivated (manufacturer unknown) (reported as hepatitis A purified antigen) (strength, formulation, dose, anatomical location of vaccination, route of administration, indication, lot number and expiration date were not reported). On an unknown date, the patient experienced septic shock and and consequently the patient died. The causality assessment between therapy with hepatitis a vaccine, inactivated (manufacturer unknown) and the aforementioned event was not reported.
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