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This is VAERS ID 85412

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 85412
VAERS Form:
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asphyxia, Blood thromboplastin decreased, Lung disorder, Respiratory disorder, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 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;


Changed on 5/14/2017

VAERS ID: 85412 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asphyxia, Blood thromboplastin decreased, Lung disorder, Respiratory disorder, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~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;


Changed on 9/14/2017

VAERS ID: 85412 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~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;


Changed on 2/14/2018

VAERS ID: 85412 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~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;


Changed on 6/14/2018

VAERS ID: 85412 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~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;


Changed on 8/14/2018

VAERS ID: 85412 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~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;


Changed on 9/14/2018

VAERS ID: 85412 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~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;


Changed on 10/14/2018

VAERS ID: 85412 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Foreign
Vaccinated:1996-03-26
Onset:1996-03-29
Submitted:1996-04-26
Entered:1996-04-30
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=85412&WAYBACKHISTORY=ON


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