1 1/2 Year Old Baby Dies One Day after Multiple Vaccinations ...

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VAERS ID 291678 Vaccination Date: 2007-09-24
Age 1.5 Onset Date: 2007-09-25 Days later: 1
Sex M Submitted: 2007-10-01
State CT Entered: 2007-10-01

Life Threatening Illness? No
Died? Yes (date died: 2007-09-25)
Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Current Illness: None
Diagnostic Lab Data:
Previous Vaccinations: mild febrile rxn~Vaccine not specified (no
brand name)~UN~0~In Patient
Other Medications: None
Preexisting Conditions: Febrile seizure 3/07 - nl EEG 5/07
Vaccination

Manufacturer

Lot

Dose

Route

Site
DTAP GLAXOSMITHKLINE BIOLOGICALS AC14B056CA 3 IM LA
FLU SANOFI PASTEUR UT2456BA 0 IM RA
MMR MERCK & CO. INC. 0700F 0 SC LA
VARCEL MERCK & CO. INC. 0823U 0 SC RA
Administered by: PVT Purchased by: PVT
Symptoms: Death Pulmonary congestion Pulmonary oedema Unresponsive to
stimuli
Healthy 18 mo male with history of febrile seizure in 3/07 given MMR
II, VZV, DTaP & Flu vaccine on 9/24/07. Child discovered by mother
deceased in bed approx 9/25/07