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This is VAERS ID 51544

Case Details

VAERS ID: 51544 (history)  
Form: Version 1.0  
Age: 1.7  
Sex: Male  
Location: Florida  
Vaccinated:1993-03-12
Onset:1993-03-12
   Days after vaccination:0
Submitted: 1993-03-31
   Days after onset:19
Entered: 1993-04-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0985V / UNK - / SC

Administered by: Private       Purchased by: Other
Symptoms: Anorexia
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-03-13
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: premature infant
Allergies:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES93030817

Write-up: Pt recvd vax on 12MAR93 & exp loss of appetite & was presented back to MD office; MD felt child was fine; 13MAR92 the pt was found dead;


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