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This is VAERS ID 131605

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 131605
VAERS Form:
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;


Changed on 5/14/2017

VAERS ID: 131605 Before After
VAERS Form:
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;


Changed on 9/14/2017

VAERS ID: 131605 Before After
VAERS Form:(blank) 1
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;


Changed on 2/14/2018

VAERS ID: 131605 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;


Changed on 6/14/2018

VAERS ID: 131605 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;


Changed on 8/14/2018

VAERS ID: 131605 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;


Changed on 9/14/2018

VAERS ID: 131605 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;


Changed on 10/14/2018

VAERS ID: 131605 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:Foreign
Vaccinated:1999-10-21
Onset:1999-10-24
Submitted:1999-11-22
Entered:1999-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type': WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=131605&WAYBACKHISTORY=ON


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