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This is VAERS ID 34471

Case Details

VAERS ID: 34471 (history)  
Form: Version 1.0  
Age: 8.0  
Sex: Female  
Location: Georgia  
Vaccinated:1991-08-13
Onset:1991-08-14
   Days after vaccination:1
Submitted: 1991-08-23
   Days after onset:9
Entered: 1991-09-03
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1343S / 2 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Acidosis, Convulsion, Haemorrhage, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura
SMQs:, Lactic acidosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Embolic and thrombotic events, arterial (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Renovascular disorders (broad), Generalised convulsive seizures following immunisation (narrow), Myelodysplastic syndrome (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-08-20
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications:
Current Illness: few petechia on back, abd, legs
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: GA91239

Write-up: Mom called 19AUG91 reporting pt started w/diarrhea, fever? (no thermometer), sleeping a lot on 14AUG91; rash on 18AUG91 & was advised to seek med eval that day; Did not go for care until pt collapsed @ home p/MN; Taken to ER, where pt died;


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