This is VAERS ID 182012

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID:	182012 (history)
Form:	Version 1.0
Age:	1.0
Sex:	Female
Location:	Foreign

Vaccinated:	1983-08-31
Onset:	1983-09-04
Days after vaccination:	4
Submitted:	2002-03-06
Days after onset:	6758
Entered:	2002-03-06

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

Administered by: Other Purchased by: Other
Symptoms: Sepsis
SMQs:, Agranulocytosis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 1983-09-04
Days after onset: 0
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:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0202USA02476

Write-up: Information has been received from a journalist concerning a 1 year old female who on 8/31/83 was vaccinated with MMRII. On 9/4/83, the pt died. The dx was reported as sepsis. The pt''s death was not reported to be related to the vaccination with MMRII. No further information is available.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170914&IDNUMBER=182012