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This is VAERS ID 57599

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 57599
VAERS Form:
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0425W / 0 - / SC

Administered by: Public      Purchased by: Unknown
Symptoms: INFECT, ANOREXIA, EDEMA LUNG, EDEMA BRAIN, ATR SEPT DEF

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? No
Previous Vaccinations:
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':

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


Changed on 12/8/2009

VAERS ID: 57599 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-12-01 1993-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0425W / 0 - / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Anorexia, Atrial septal defect, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema, INFECT, ANOREXIA, EDEMA LUNG, EDEMA BRAIN, ATR SEPT DEF

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? No
Previous Vaccinations:
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': (blank) NYS93072

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


Changed on 5/14/2017

VAERS ID: 57599 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0425W / 0 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Atrial septal defect, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? 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;


Changed on 9/14/2017

VAERS ID: 57599 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0425W / 0 1 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Atrial septal defect, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? 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;


Changed on 2/14/2018

VAERS ID: 57599 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-11-22
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, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? 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;


Changed on 6/14/2018

VAERS ID: 57599 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-11-22
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, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? 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;


Changed on 8/14/2018

VAERS ID: 57599 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-11-22
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, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? 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;


Changed on 9/14/2018

VAERS ID: 57599 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-11-22
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, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? 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;


Changed on 10/14/2018

VAERS ID: 57599 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New York
Vaccinated:1993-10-06
Onset:1993-10-12
Submitted:1993-10-13
Entered:1993-11-22
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, Hepatocellular damage, Infection, Neuropathy, Pulmonary oedema, Somnolence, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-12
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? 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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