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This is VAERS ID 212888

Case Details

VAERS ID: 212888 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2003-11-17
Entered: 2003-11-25
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Encephalitis
SMQs:, Noninfectious encephalitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0311USA01281

Write-up: Information has been received from a newspaper article. A male pt, with no reported relevant history, was vaccinated on an unspecified date with a dose of MMR II. The article reported that over the eighteen months following vaccination the p developed subacute sclerosing panencephaltiis and lost the ability to do everything. It was reported that the pt died at 18 years of age from subacute sclerosing panencephalitis. The exact date of death was not specified. No further info is available. Case is closed.


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