VAERS ID: 26282

AGE: 0.3| SEX: M|STATE: NV (United States)

Description

CDC Reports that 3 mo old infant received 1st DTP/OPV on 1DEC89 & died 3DEC89.

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Unevaluable event

Vaccines

VAX DATE: 12-01-1989| ONSET DATE: 12-03-1989| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
DTP (TRI-IMMUNOL) 0 DTP LEDERLE LABORATORIES 256957
POLIO VIRUS, ORAL (ORIMUNE) 0 OPV PFIZER\WYETH 5794F PO MO

RECVDATE:10-19-1990
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:12-03-1989
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:9001626.01
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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