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This is VAERS ID 165792

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 165792
VAERS Form:
Age:1.1
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Aspiration, Dizziness, Gastritis, Hypotonia, Vomiting

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: 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.


Changed on 2/14/2017

VAERS ID: 165792 Before After
VAERS Form:
Age:1.1 1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Aspiration, Dizziness, Gastritis, Hypotonia, Vomiting

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: 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.


Changed on 5/14/2017

VAERS ID: 165792 Before After
VAERS Form:
Age:1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
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: Aspiration, Dizziness, Gastritis, Hypotonia, Vomiting

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: 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.


Changed on 9/14/2017

VAERS ID: 165792 Before After
VAERS Form:(blank) 1
Age:1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
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

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: 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.


Changed on 2/14/2018

VAERS ID: 165792 Before After
VAERS Form:1
Age:1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
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

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: 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.


Changed on 6/14/2018

VAERS ID: 165792 Before After
VAERS Form:1
Age:1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
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

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: 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.


Changed on 8/14/2018

VAERS ID: 165792 Before After
VAERS Form:1
Age:1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
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

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: 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.


Changed on 9/14/2018

VAERS ID: 165792 Before After
VAERS Form:1
Age:1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
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

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: 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.


Changed on 10/14/2018

VAERS ID: 165792 Before After
VAERS Form:1
Age:1.08
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2001-02-06
Entered:2001-02-13
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

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: 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=165792&WAYBACKHISTORY=ON


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