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This is VAERS ID 70595

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 70595
VAERS Form:
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;


Changed on 5/14/2017

VAERS ID: 70595 Before After
VAERS Form:
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;


Changed on 9/14/2017

VAERS ID: 70595 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;


Changed on 2/14/2018

VAERS ID: 70595 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;


Changed on 6/14/2018

VAERS ID: 70595 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;


Changed on 8/14/2018

VAERS ID: 70595 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;


Changed on 9/14/2018

VAERS ID: 70595 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;


Changed on 10/14/2018

VAERS ID: 70595 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:Foreign
Vaccinated:1994-10-25
Onset:1994-11-05
Submitted:1995-01-10
Entered:1995-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Adrenal haemorrhage, Adrenal insufficiency, Dyspnoea, Infection, Petechiae, Sepsis, Shock, Tachycardia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1994-11-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94120828

Write-up: pt recvd vax;5nov94 suddenly devel fever 39.8C,tachycardia,v,petechial hemorrhages;pt adm to hosp;on 6nov94 died;COD was septic multiorgan failure;there was a suspiscion of meningococcal toxemia w/ picture of Waterhouse-Friedr synd;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=70595&WAYBACKHISTORY=ON


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