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This is VAERS ID 27526

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 27526 (history)  
Form: Version .0  
Age: 0.5  
Sex: Female  
Location: Michigan  
Vaccinated:1990-12-22
Onset:1990-12-31
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Bronchitis, Cardiac failure, Coagulopathy, Convulsion, Infection, Pharyngitis, Pneumonia, Pyrexia, Rash, Renal failure, Sepsis, Shock
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Cardiac failure (narrow), Anaphylactic reaction (narrow), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Convulsions (narrow), Oropharyngeal infections (narrow), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES91010158

Write-up: On 31DEC90 experienced shock, renal failure, fever, convuls & pneumonia. Hospitalized & lab testing revealed a positive assay for toxic shock synd, septic shock, & disseminated intravascular coagulation. MD stated pt''s sxs not d/t vaccinatn


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=27526


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