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This is VAERS ID 57599

Case Details

VAERS ID: 57599 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: New York  
Vaccinated:1993-10-06
Onset:1993-10-12
   Days after vaccination:6
Submitted: 1993-10-13
   Days after onset:1
Entered: 1993-11-22
   Days after submission:40
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0425W / 1 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Anorexia, Atrial septal defect, Brain oedema, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence
SMQs:, Cardiac failure (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Congenital, familial and genetic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-10-12
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pediacare
Current Illness: nasal congestion
Preexisting Conditions: questionable failure to thrive dec gray matter & mylinization;
Allergies:
Diagnostic Lab Data: preliminary autopsy results cerebral edema & lung congested;
CDC Split Type: NYS93072

Write-up: pt seen by ER on 11OCT93 for inc lethargy & sl temp 101; dec & appetite;


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