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This is VAERS ID 82736

Case Details

VAERS ID: 82736 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Male  
Location: Maryland  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1995-02-15
Entered: 1996-02-20
   Days after submission:370
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Clostridium colitis, Infection, Thrombocytopenic purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES96020134

Write-up: pt recvd vax;devel thrombocytopenic purpura;exp also an acute onset of escherichia coli 0157:H7 infection complicated by pseudomembranous colitis;died 7 days following vax;


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