VAERS ID: 26291

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

Description

CDC reports 4 mo infant received DTP/OPV on 8NOV89 and died 4 hrs later.

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Symptoms

Unevaluable event

Vaccines

VAX DATE: 11-08-1989| ONSET DATE: 11-08-1989| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
DTP (TRI-IMMUNOL) 0 DTP LEDERLE LABORATORIES 253980 Unknown Unknown
POLIO VIRUS, ORAL (ORIMUNE) 0 OPV PFIZER\WYETH 256928 Unknown Unknown

RECVDATE:10-19-1990
RPT_DATE:
CAGE_YR:0
CAGE_MO:0.3
DIED:Y
DATEDIED:11-08-1989
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Autopsy performed
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:9001631.01
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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