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This is VAERS ID 43166

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43166
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD K4709 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: INFECT, HEART FAIL, ENDOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type':

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 12/8/2009

VAERS ID: 43166 Before After
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. K4709 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection, INFECT, HEART FAIL, ENDOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': (blank) WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 5/14/2017

VAERS ID: 43166 Before After
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K4709 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 9/14/2017

VAERS ID: 43166 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K4709 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 2/14/2018

VAERS ID: 43166 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K4709 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 6/14/2018

VAERS ID: 43166 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K4709 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 8/14/2018

VAERS ID: 43166 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K4709 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 9/14/2018

VAERS ID: 43166 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K4709 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;


Changed on 10/14/2018

VAERS ID: 43166 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1992-05-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K4709 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cardiac failure, Endocarditis, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-06-13
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data: Autopsy planned;
CDC 'Split Type': WAES92060551

Write-up: Pt recvd MMR vax on 8MAY92 & devel bacterial endocarditis complicated by heart failure & was hospitalized; 13JUN92 pt died due to bacterial endocarditis complicated by heart failure; autopsy is planned;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=43166&WAYBACKHISTORY=ON


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