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This is VAERS ID 25994

(NOTE: This result is from the 8/14/2018 version of the VAERS database)

Case Details

VAERS ID: 25994 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Wyoming  
Vaccinated:1989-12-05
Onset:1989-12-29
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256957 / 4 - / L
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2068P / 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 298B1 / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asphyxia, Brain oedema, Immune system disorder, Infection, Necrosis, Pulmonary haemorrhage, Pulmonary oedema, Splenomegaly
SMQs:, Cardiac failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Acute central respiratory depression (broad), Hyponatraemia/SIADH (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: ~ ()~~~In patient
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=20180814&IDNUMBER=25994


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