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This is VAERS ID 105905

Case Details

VAERS ID: 105905 (history)  
Form: Version 1.0  
Age: 1.8  
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1997-12-26
Entered: 1997-12-30
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Encephalitis, Infection
SMQs:, Noninfectious encephalitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: biopsy brain measles inclusion bodies;
CDC Split Type: WAES97127928

Write-up: pt recv vax 1997 & pt exp encephalitis & was hosp;COD encephalitis, viral & measles inclusions bodies were found @ the brain biopsy;investigation found type 1 virus;


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