National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 248538

Case Details

VAERS ID: 248538 (history)  
Form: Version 1.0  
Age: 1.07  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2005-11-22
Onset:2005-11-23
   Days after vaccination:1
Submitted: 2005-11-25
   Days after onset:2
Entered: 2005-12-02
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1787DA / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1072P / 1 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0418R / 1 - / -

Administered by: Unknown       Purchased by: Public
Symptoms: Apnoea, Malaise, Upper respiratory tract infection
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2005-11-24
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient became ill within 24 hours of vaccine administration with URI symptoms, He was then discovered by parents to have stopped breathing.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=248538


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