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This is VAERS ID 25994

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 25994 (history)  
Form: Version .0  
Age: 1.3  
Sex: Male  
Location: Wyoming  
Vaccinated:1989-12-05
Onset:1989-12-29
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 1990-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 256957 / 3 L / -
MMR: MMR II / MSD 2068P / 0 L / -
OPV: ORIMUNE / LEDERLE 298B1 / 2 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: ASPHYXIA, EDEMA BRAIN, EDEMA LUNG, HEM LUNG, IMMUNE SYSTEM DIS
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pedizole, Tassi Organdin
Current Illness: Otitis, Bronchitis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy was contradictory /w no conclusions & many signs of Pertussis reactions.
CDC Split Type:

Write-up: Casey was given DPT/MMR/OPV while still on anitbiotic Pedizole and tassii organdin for otitis & bronchitis. He appeared happy & well until he died in his sleep. Shots were given on 5DEC89.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25994


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