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This is VAERS ID 846013

Case Details

VAERS ID: 846013 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
Submitted: 0000-00-00
Entered: 2019-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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:
Diagnostic Lab Data:
CDC Split Type: VN0095075131911VNM001950

Write-up: died; exhibit unusual symptoms; This spontaneous report was received from a an unspecified reporter via a social media post, and refers to a 3 day old female patient (twin sister case captured under MARRS 1911VNM002082). Information about the patient''s medical history, concurrent conditions, concomitant medications and drug reactions or allergies was not provided. On an unknown date, the patient was vaccinated with a dose of hepatitis b vaccine (recombinant)(manufacturer unknown), for prophylaxis (strength, dose, route, frequency, lot number and expiration date were not provided). On the same date, the patient exhibit unusual symptoms (adverse event) and subsequently died. At the time of reporting, the outcome of the adverse event was unknown. The cause of death was unknown. It was unknown if an autopsy was performed to the patient. The causal relationship between hepatitis b vaccine (recombinant)(manufacturer unknown) and the reported events was not provided. This is one of two reports received from the same reporter regarding different patients.; Sender''s Comments: VN-009507513-1911VNM002082:; Reported Cause(s) of Death: unknown cause of death

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