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This is VAERS ID 154205

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 154205
VAERS Form:
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 154205 Before After
VAERS Form:
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Other Unknown      Purchased by: Other Unknown
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 154205 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 154205 Before After
VAERS Form:1
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 154205 Before After
VAERS Form:1
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 154205 Before After
VAERS Form:1
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 154205 Before After
VAERS Form:1
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 154205 Before After
VAERS Form:1
Age:1.5
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-08
Entered:2000-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphocytosis, Pneumonitis

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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC 'Split Type': WAES00060390

Write-up: Information has been received concerning a pt who at approximately 13 months old was vaccinated with MMR. Subsequently at 18 months old the pt died with a diagnosis of erythrophagocytic lymphohistiocytosis. Autopsy revealed a "giant cell pneumonitis". It was also noted that "measles RNA (presumably) was detected in lung tissue". Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=154205&WAYBACKHISTORY=ON


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