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This is VAERS ID 67195

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 67195
VAERS Form:
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;


Changed on 5/14/2017

VAERS ID: 67195 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - A - / IM IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;


Changed on 9/14/2017

VAERS ID: 67195 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;


Changed on 2/14/2018

VAERS ID: 67195 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;


Changed on 6/14/2018

VAERS ID: 67195 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;


Changed on 8/14/2018

VAERS ID: 67195 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;


Changed on 9/14/2018

VAERS ID: 67195 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;


Changed on 10/14/2018

VAERS ID: 67195 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1994-08-11
Onset:1994-08-11
Submitted:1994-10-03
Entered:1994-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Sudden infant death syndrome

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: none;
Current Illness: none;
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': WAES94090729

Write-up: pt recvd vax & in the eve exp 1 episode of wheezing; dx as respiratory distress; pt found dead at 3am morning of 12aug94; cause of death determined to be sids;

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=67195&WAYBACKHISTORY=ON


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