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This is VAERS ID 62484

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 62484
VAERS Form:
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;


Changed on 5/14/2017

VAERS ID: 62484 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;


Changed on 9/14/2017

VAERS ID: 62484 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;


Changed on 2/14/2018

VAERS ID: 62484 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;


Changed on 6/14/2018

VAERS ID: 62484 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;


Changed on 8/14/2018

VAERS ID: 62484 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;


Changed on 9/14/2018

VAERS ID: 62484 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;


Changed on 10/14/2018

VAERS ID: 62484 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-04-07
Onset:1994-04-15
Submitted:1994-05-06
Entered:1994-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582W / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Infection, Lung disorder, Lymphadenopathy, Malaise, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: unk
Current Illness:
Preexisting Conditions: no relevant history;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94045034

Write-up: Pt recvd vax 7APR94 & 15APR94 the pt died suddenly; An autopsy is to be carried out to determine COD; Addtl info has been requested;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=62484&WAYBACKHISTORY=ON


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