National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 182012

(NOTE: This result is from the 2/14/2018 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=20180214&IDNUMBER=182012


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166