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This is VAERS ID 187688

Case Details

VAERS ID: 187688 (history)  
Form: Version 1.0  
Age: 1.25  
Sex: Unknown  
Location: Foreign  
Vaccinated:2001-11-22
Onset:2001-11-27
   Days after vaccination:5
Submitted: 2002-10-10
   Days after onset:316
Entered: 2002-07-17
   Days after submission:85
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cystitis, Pyelonephritis
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-11-27
   Days after onset: 0
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: NKA
Allergies:
Diagnostic Lab Data: Autopsy - subacute cystitis with a focus of acute pyelonephritis in the left kidney; Diagnostic lab test - haemoculture sterile; Spinal Tap - sterile (All done on 11/27/01.
CDC Split Type: WAES0206USA02446

Write-up: Information has been received from a health authority concerning a 15 month old patient who on 11/22/2001 was vaccinated with the first dose of MMRII vaccine. On 11/27/01, the patient died. An autopsy revealed a subacute cystitis with a focus of acute pyelonephritis in the left kidney. The physician who reported the case to the health authority concluded that this disorder was not the cause of death. Lab results included: sterile Haemoculture and spinal fluid. No further information is available. dollow up information indicated that the patient was being treated with Priorix not MMRII (MSD) as previously reported. Therefore WAES#0206USA02446 is being deleted from our files for MMRII


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