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This is VAERS ID 181875

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

Case Details

VAERS ID: 181875 (history)  
Form: Version .0  
Age: 1.5  
Sex: Female  
Location: Foreign  
Vaccinated:2002-01-22
Onset:2002-01-28
   Days after vaccination:6
Submitted: 2002-12-12
   Days after onset:318
Entered: 2002-03-04
   Days after submission:283
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1321K / - - / SC

Administered by: Other       Purchased by: Other
Symptoms: Nasopharyngitis, Pyrexia, Rhinitis, Sudden infant death syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-01-29
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ;Measles + Mumps + Rubella (MMR II);;2;In Sibling
Other Medications: UNK
Current Illness:
Preexisting Conditions: Twin birth; premature birth; protrusion tongue; respiratory tract infection NOS; starbismus
Allergies:
Diagnostic Lab Data: Diagnostic lab test-Rhinovirus in nasopharynx, Haemophilus influenzae in nasopharynx; serum C-reactive protein-18; cerebrospinal fluid culture-normal; Body weight measurement, 7/25/00, 2350 grams, temp measurement, 1/28/02, 39 C; Blood cult
CDC Split Type: WAES0202USA01616

Write-up: Information has been received from a consumer concerning his *18* month old twin daughter who on 1/22/02 was vaccinated with 1 dose of MMRII. After vaccination, the pt developed a common cold with fever. *It was reported that in the afternoon of 1/28/02, the PT had a fever of 39 C and was treated w/paracetamol, whereafter the fever decreased. Seven days, post vax, on 1/29/01, the pt died. The cause of death was unknown. Additional information has been requested. Follow-up info noted that Rhinovirus and Haemophilus influenzae were found in the pt''s nasopharynx, CRP 18, spinal fluid and blood culture normal. Both her adrenal glands were smaller than normal than expected for her age. The cause of death was assessed as SIDS. No further info is available. Follow up info received from a health authority indicated that the pt was not a monozygotic twin, that she had been born four weeks before term and weighed 2150 grams at birth. The pt was reportedly "somewhat behind her sister in motoric development during her first year." It was noted that eye contact could not be easily established by the doctor and strabismus was observed at 8 months of age. She also had a tendency to stick out her tongue. She was sick more often than her sister during her first year, with fever and respiratory tract infections. Following an examination on 12/12/00 it was extablished that her development was within normal limits. From one year of age the pt had no problems and was not seen by a doctor until the vaccination at 18 months of age. The pt had a good appetite and "normal growth," and when she was examined in connection with the vaccination visit she was found to be trustful with "normal development." It was noted that the pt''s twin sister was vaccinated on the same day, with the same batch, and had developed a "high fever" the day after the pt died. The pt''s mother was noted to be a non-smoker and does not drink alcohol. An autopsy report has been requested. *F/UP report on 12/19/02: F-UP info indicated that an autopsy has been done an


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