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This is VAERS ID 846014

Case Details

VAERS ID: 846014 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2019-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Adverse event, Death, Death neonatal
SMQs:, Acute central respiratory depression (broad), Neonatal disorders (narrow), Respiratory failure (broad)

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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: VN0095075131911VNM002082

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 1911VNM001950). 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 an unknown date, the patient exhibit unusual symptoms (adverse event). On the next day (reported as "a day later"), the patient died. At the time of reporting, the outcome of the adverse event was unknown. The cause of death was unknown. It was also 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-009507513-1911VNM001950:; Reported Cause(s) of Death: unknown cause of death


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