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This is VAERS ID 85412

Case Details

VAERS ID: 85412 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Foreign  
Vaccinated:1996-03-26
Onset:1996-03-29
   Days after vaccination:3
Submitted: 1996-04-26
   Days after onset:27
Entered: 1996-04-30
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asphyxia, Blood thromboplastin decreased, Lung disorder, Respiratory disorder, Unevaluable event
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Hostility/aggression (broad), Respiratory failure (broad)

Life Threatening? No
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: Phenobarbital
Current Illness:
Preexisting Conditions: convulsion;strabismus;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES96041707

Write-up: pt recv vax 26MAR96 & pt was found dead in a prone position in bed;the COD was unk;no further details were provided;


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