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This is VAERS ID 159871

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 159871
VAERS Form:
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.


Changed on 5/14/2017

VAERS ID: 159871 Before After
VAERS Form:
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
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: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.


Changed on 9/14/2017

VAERS ID: 159871 Before After
VAERS Form:(blank) 1
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.


Changed on 2/14/2018

VAERS ID: 159871 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.


Changed on 6/14/2018

VAERS ID: 159871 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.


Changed on 8/14/2018

VAERS ID: 159871 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.


Changed on 9/14/2018

VAERS ID: 159871 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.


Changed on 10/14/2018

VAERS ID: 159871 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Foreign
Vaccinated:2000-03-27
Onset:2000-04-27
Submitted:2000-09-13
Entered:2000-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-04-27
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: UNK
CDC 'Split Type': WAES00082984

Write-up: On 4/27/00, the pt collapsed and died from an unknown cause. No post-mortem was performed. The pt took no other drug within the past three months. The reaction text stated "Probably first fit but no clear evidence. Question was raised as the whether MMR is relevant to seizure. No further information is available.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=159871&WAYBACKHISTORY=ON


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