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This is VAERS ID 51544

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 51544
VAERS Form:
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) - / - - / -
MMR: MMR II / MSD 0985V / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: ANOREXIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: premature infant
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type':

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;


Changed on 12/8/2009

VAERS ID: 51544 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-08 1993-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS - / - - / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0985V / - - / SC

Administered by: Private      Purchased by: Unknown Other
Symptoms: Anorexia, ANOREXIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: premature infant
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': (blank) 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;


Changed on 5/14/2017

VAERS ID: 51544 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH - / - - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0985V / - - / SC

Administered by: Private      Purchased by: Other
Symptoms: Anorexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 9/14/2017

VAERS ID: 51544 Before After
VAERS Form:(blank) 1
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-05
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 2/14/2018

VAERS ID: 51544 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-05
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 6/14/2018

VAERS ID: 51544 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-05
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 8/14/2018

VAERS ID: 51544 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-05
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 9/14/2018

VAERS ID: 51544 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-05
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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;


Changed on 10/14/2018

VAERS ID: 51544 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Florida
Vaccinated:1993-03-12
Onset:1993-03-12
Submitted:1993-03-31
Entered:1993-04-05
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-03-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=51544&WAYBACKHISTORY=ON


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