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This is VAERS ID 56638

Case Details

VAERS ID: 56638 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Male  
Location: Washington  
Vaccinated:1993-08-20
Onset:1993-08-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1993-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0425W / 1 - / -

Administered by: Private       Purchased by: Other
Symptoms: Brain oedema, Coma, Condition aggravated, Delirium, Encephalitis, Infection, Intracranial pressure increased, Stupor
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-08-23
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp fever @ 18 mos w/MMR #1 dose;~ ()~~~In patient
Other Medications: Depakens, Diamox
Current Illness:
Preexisting Conditions: severe retardation (encephalopathy) w/Lennox-Gastaut sz disorder;
Allergies:
Diagnostic Lab Data: death certificate COD cerebral edema due to or as a consequence of probable infection (encephalitis);
CDC Split Type:

Write-up: deep sleep/unconcious, t102.8, adm to hosp cerebral edema, papilledema/infarctions, brain death/cardio resp failure;


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