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From the 9/14/2017 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 182013

Case Details

VAERS ID: 182013 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Foreign  
   Days after vaccination:7
Submitted: 2002-03-14
   Days after onset:4540
Entered: 2002-03-06
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Convulsion, Injury, Laboratory test abnormal, Sepsis
SMQs:, Agranulocytosis (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1989-10-13
   Days after onset: 5
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
Diagnostic Lab Data: Head computed axial tomography-general edema; blood culture-growth of staph aureaus in one of 4 samples; serum c-reactive protein-increase max 115 mg/L
CDC Split Type: WAES0202USA02475

Write-up: Information has been received regarding a report from a journalist concerning an 18 month old male who on 10/01/1989 was vaccinated with a dose of MMRII. Subsequently, the pt developed sepsis and on 10/13/89, the pt died. The reporter felt that sepsis was not related to therapy with MMRII. No further information is available. Follow-up info from the physician indicated that on 10/08/1989 the pt experienced a mild head trauma and he did not faint or seem affected. That night he experienced convulsions and was hospitalized at 3am on 10/11/1989 iwth a temp of 40 deg. C., had periphery blood circulation, superficial breathing, his heart rate was approx. 180/min and his BP could not be measured. Hypotoneness of his extremities was noted. HIs pupils showed no abnormalities and his "glucosis was 0.6." Intensive care treatment was reported, "liquor" showed no abnormalities. Growth of Staphylococcul aureus was noted in one of 4 samples. On 10/12/1989 the pt''s right pupil did not react to light and his left pupil was miotic. Emergency Ct scan of the brain showed general edema. he was transferred to another hospital facility for treatment. On the morning of 10/13/1989 the pt was brain dead and respirator treatment was stopped. The cause of death was unclear. metabolic diseases were excluded. "Antibody determination of liuor and serum for herpes, morbilli, petotitis, rubella negative." Virus isolation was negative. CRP increased to max 115mg/L and 1 positive blood test was noted. Otherwise, no basis of bacterial infection. ASA and paracetamol in serum were negative. The reported physicians "assess that it is possible that the child has some kind of sepsis that has lead to severe edema of the brain." No results were reported from the autopsy. The possibility of encephalitis caused by the vaccines will be examined. Further info received reported that the investigation pointed at sepsis.The forensic scientist assessed "that there is not causal relationshi to the vaccine." No further info is available.

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