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This is VAERS ID 67562

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 67562
VAERS Form:
Age:0.0
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0830A / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, VOMIT, COAGUL DIS, HEM CEREBR, HEM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 12/8/2009

VAERS ID: 67562 Before After
VAERS Form:
Age:0.0 1.3
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-28 1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0830A / 0 LA / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage, CONVULS, VOMIT, COAGUL DIS, HEM CEREBR, HEM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 2/14/2017

VAERS ID: 67562 Before After
VAERS Form:
Age:1.3 1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 5/14/2017

VAERS ID: 67562 Before After
VAERS Form:
Age:1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 0 LA / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 9/14/2017

VAERS ID: 67562 Before After
VAERS Form:(blank) 1
Age:1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 2/14/2018

VAERS ID: 67562 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 6/14/2018

VAERS ID: 67562 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 8/14/2018

VAERS ID: 67562 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 9/14/2018

VAERS ID: 67562 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;


Changed on 10/14/2018

VAERS ID: 67562 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:Iowa
Vaccinated:1994-09-30
Onset:1994-10-02
Submitted:1994-10-18
Entered:1994-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0830A / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Cerebral haemorrhage, Coagulopathy, Convulsion, Vomiting, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1994-10-06
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: none;
Allergies:
Diagnostic Lab Data: nl platelets ct; no purpura;
CDC 'Split Type':

Write-up: pt recvd vax at checkup; onset of vomiting 2 days after vax; v sporadic, then freq til onset of focal sz 2 days later; ct scan showed cerebral hemorrhage; analysis showed DIC-like picture; cont cns bleeding, eventual death; no post mortem;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=67562&WAYBACKHISTORY=ON


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