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This is VAERS ID 212888

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

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

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis

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: 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.


Changed on 9/14/2017

VAERS ID: 212888 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2003-11-17
Entered:2003-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis

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: 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.


Changed on 2/14/2018

VAERS ID: 212888 Before After
VAERS Form:1
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2003-11-17
Entered:2003-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis

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: 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.


Changed on 6/14/2018

VAERS ID: 212888 Before After
VAERS Form:1
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2003-11-17
Entered:2003-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis

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: 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.


Changed on 8/14/2018

VAERS ID: 212888 Before After
VAERS Form:1
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2003-11-17
Entered:2003-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis

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: 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.


Changed on 9/14/2018

VAERS ID: 212888 Before After
VAERS Form:1
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2003-11-17
Entered:2003-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis

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: 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.


Changed on 10/14/2018

VAERS ID: 212888 Before After
VAERS Form:1
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2003-11-17
Entered:2003-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis

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: 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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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=212888&WAYBACKHISTORY=ON


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