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This is VAERS ID 165792

Case Details

VAERS ID: 165792 (history)  
Form: Version 1.0  
Age: 1.08  
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2001-02-06
Entered: 2001-02-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Aspiration, Dizziness, Gastritis, Hypotonia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: sibling hx of flaccid attacks unrelated to vaccinations.
Allergies:
Diagnostic Lab Data: autopsy - aspiration of vomit caused by acute gastritis
CDC Split Type: WAES01012076

Write-up: 8 days post vax the parents noted flaccidity and faintness a few hours preceding the death, but the symptoms subsided immediately and the pt seemed entirely healthy when put to bed. Forensic autopsy disclosed the cause of death as aspiration of vomit caused by acute gastritis. No further information is available. No date of death available.


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