This is VAERS ID 131605

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID:	131605 (history)
Form:	Version .0
Age:	10.0
Sex:	Male
Location:	Foreign

Vaccinated:	1999-10-21
Onset:	1999-10-24
Days after vaccination:	3
Submitted:	1999-11-22
Days after onset:	29
Entered:	1999-12-01
Days after submission:	9

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	- / -	- / -

Administered by: Other Purchased by: Other
Symptoms: Encephalitis, Infection
SMQs:, Noninfectious encephalitis (narrow)

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:
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC Split Type: WAES99111359

Write-up: p/vax pt exp meningoencephalitis;11/4/99 pt died;COD was infectious meningoencephalitis;

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=131605