VAERS ID: 26250

AGE: 0.2| SEX: U|STATE: CA (United States)

Description

Pt vaccinated with DTP/OPV found shortly after being put down for nap unresponsibe, apnea, blue & resuscitation unsuccessful. Verbal autopsey Dr SIDS.

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Symptoms

Hypokinesia, Cyanosis, Apnoea, Sudden infant death syndrome

Vaccines

VAX DATE: 08-29-1990| ONSET DATE: 08-31-1990| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
DTP (TRI-IMMUNOL) 1 DTP LEDERLE LABORATORIES 283913 IM LL
POLIO VIRUS, ORAL (ORIMUNE) 1 OPV PFIZER\WYETH 265925 PO MO

RECVDATE:10-15-1990
RPT_DATE:
CAGE_YR:0
CAGE_MO:0.2
DIED:Y
DATEDIED:08-31-1990
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Autopsey - SFC&C coroner
V_ADMINBY:PUB
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:PUB

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