VAERS ID: 26286

AGE: 0.2| SEX: M|STATE: NH (United States)

Description

CDC Reports: 2 mo infant received DTP/OPV on 12OCT89 and died 8NOV89.

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Symptoms

Unevaluable event

Vaccines

VAX DATE: 10-12-1989| ONSET DATE: 11-08-1989| DAYS TO ONSET: 27
NameDose #TypeManufacturerLotRouteSite
DTP (TRI-IMMUNOL) 0 DTP LEDERLE LABORATORIES 256957 Unknown Unknown
POLIO VIRUS, ORAL (ORIMUNE) 0 OPV PFIZER\WYETH 0589H PO MO

RECVDATE:10-19-1990
RPT_DATE:
CAGE_YR:0
CAGE_MO:0.2
DIED:Y
DATEDIED:11-08-1989
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:9001629.01
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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