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This is VAERS ID 74801

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 74801
VAERS Form:
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;


Changed on 5/14/2017

VAERS ID: 74801 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;


Changed on 9/14/2017

VAERS ID: 74801 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;


Changed on 2/14/2018

VAERS ID: 74801 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;


Changed on 6/14/2018

VAERS ID: 74801 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;


Changed on 8/14/2018

VAERS ID: 74801 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;


Changed on 9/14/2018

VAERS ID: 74801 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;


Changed on 10/14/2018

VAERS ID: 74801 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Foreign
Vaccinated:1993-07-21
Onset:1993-08-05
Submitted:1995-06-08
Entered:1995-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Cyanosis, Infection, Meningitis, Pyrexia, Rhinitis, Sepsis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-08-05
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: unk
Current Illness:
Preexisting Conditions: gastroenteritis
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES95051125

Write-up: Pt recv vax 21JUL93 & was vax w/MMR; pt devel meningococcal sepsis on 5AUG93 & was hospitalized; 05AUG93 pt died; The COD was meningococcal septicemia; addtl details are being requested;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=74801&WAYBACKHISTORY=ON


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