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This is VAERS ID 92248

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 92248
VAERS Form:
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0469D / 0 A / SC

Administered by: Private      Purchased by: Unknown
Symptoms: SALIVA INC

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': sickle cell trait

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 12/8/2009

VAERS ID: 92248 Before After
VAERS Form:
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-25 1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0469D / 0 A / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Salivary hypersecretion, SALIVA INC

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': sickle cell trait (blank)

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 5/14/2017

VAERS ID: 92248 Before After
VAERS Form:
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 0 A - / SC SC A

Administered by: Private      Purchased by: Private
Symptoms: Salivary hypersecretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 9/14/2017

VAERS ID: 92248 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 0 1 - / SC A

Administered by: Private      Purchased by: Private
Symptoms: Salivary hypersecretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 2/14/2018

VAERS ID: 92248 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 1 - / SC A

Administered by: Private      Purchased by: Private
Symptoms: Salivary hypersecretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 6/14/2018

VAERS ID: 92248 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 1 - / SC A

Administered by: Private      Purchased by: Private
Symptoms: Salivary hypersecretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 8/14/2018

VAERS ID: 92248 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 1 - / SC A

Administered by: Private      Purchased by: Private
Symptoms: Salivary hypersecretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 9/14/2018

VAERS ID: 92248 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 1 - / SC A

Administered by: Private      Purchased by: Private
Symptoms: Salivary hypersecretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


Changed on 10/14/2018

VAERS ID: 92248 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1996-11-07
Onset:1996-11-08
Submitted:1996-11-18
Entered:1996-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 1 - / SC A

Administered by: Private      Purchased by: Private
Symptoms: Salivary hypersecretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1996-11-08
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;

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