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This is VAERS ID 167085

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 167085
VAERS Form:
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / - - / SC

Administered by: ??      Purchased by: ??
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed c
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 8/31/2010

VAERS ID: 167085 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / - - / SC

Administered by: ??      Purchased by: ??
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed c
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 4/13/2011

VAERS ID: 167085 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / - - / SC

Administered by: ??      Purchased by: ??
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed c
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 5/13/2011

VAERS ID: 167085 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / - - / SC

Administered by: ??      Purchased by: ??
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed c
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 6/11/2011

VAERS ID: 167085 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / - - / SC

Administered by: ??      Purchased by: ??
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed c
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 2/14/2017

VAERS ID: 167085 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / - - / SC

Administered by: (blank) Unknown      Purchased by: (blank) Unknown
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypotension, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed c coagulase neg staphylococci indentified as being skin contaminants; post mortem was being conducted on 2/25/01.
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 9/14/2017

VAERS ID: 167085 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / - UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypotension, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed coagulase neg staphylococci indentified as being skin contaminants; post mortem was being conducted on 2/25/01.
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 2/14/2018

VAERS ID: 167085 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypotension, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed coagulase neg staphylococci indentified as being skin contaminants; post mortem was being conducted on 2/25/01.
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 6/14/2018

VAERS ID: 167085 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypotension, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed coagulase neg staphylococci indentified as being skin contaminants; post mortem was being conducted on 2/25/01.
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 8/14/2018

VAERS ID: 167085 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypotension, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed coagulase neg staphylococci indentified as being skin contaminants; post mortem was being conducted on 2/25/01.
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 9/14/2018

VAERS ID: 167085 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypotension, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed coagulase neg staphylococci indentified as being skin contaminants; post mortem was being conducted on 2/25/01.
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.


Changed on 10/14/2018

VAERS ID: 167085 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Foreign
Vaccinated:2001-02-21
Onset:2001-02-23
Submitted:2001-03-08
Entered:2001-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0615J / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Agitation, Blood pressure decreased, Disseminated intravascular coagulation, Hepatomegaly, Hypotension, Hypoxia, Leukocytosis, Liver function test abnormal, Pyrexia, Sepsis, Brain oedema, Bacterial infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-02-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: BP-50/30; temp-35C; pertinent blood results from this hospital were: WBC-33,000,000/liter (leukocytosis); lymphocytes-56%; neutrophils 34%; monocytes 9%; basophils 1%; "deranged" liver function tests; Nml ammonia and blood cultures showed coagulase neg staphylococci indentified as being skin contaminants; post mortem was being conducted on 2/25/01.
CDC 'Split Type': WAES01030189

Write-up: Information was received from a health professional concerning an 18 month old male who on 02/21/01, in the afternoon, was vaccinated with the MMRII. On 02/23/01, at 3 AM he was found in his bed "having a fit" with a temp of 40 degrees C. He was admitted to the hospital where he deteriorated rapidly. At 7:20 AM he was transferred to the pediatric ICU at another hospital. During his transfer, the child deteriorated and was described as "flat" and essentially brain dead on arrival. The anaesthetist suspected the patient may have "coned" (coning: axial displacement of the cerebellar tonsils through the foramen magnum) at that point. He was resuscitated by treatment with inotropes, antibiotics and ventilation. He had overwhelming sepsis with DIC. He was ventilated from 02/24/01 in the AM. On 02/25/01 the ventilator was switched off and the patient died. The cause of death was bacterial sepsis and disseminated intravascular coagulopathy. A post mortem was being conducted on 02/26/01. This information was received by Aventis Pasteur MSD manufacturer # UK011318. On F/U, the post mortem conducted on 2/26/01 revealed large swollen liver, clear meninges and a swollen brain. The cause of death was established as sepsis and a microscopic exam of the lung showed a 2 day old bronchopneumonic condition. No organism has yet been identified. It was reported that the family history is significant for a similar episode in sibling (did not report if related to a certain vaccination). The mother had 5 pregnancies, of which only 2 children remain. One was a stillbirth at term. One was a 4.5 year old child who died during a "fit" of a very rare degenerative brain condition (Otoharan syndrome). This is an amended report. The batch number HK45610 has been added to the narrative.

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