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This is VAERS ID 34471

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 34471
VAERS Form:
Age:8.1
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1343S / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: CONVULS, ACIDOSIS, HEM, NECRO, MARROW HYPERPLASIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: few petechia on back, abd, legs
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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;


Changed on 12/8/2009

VAERS ID: 34471 Before After
VAERS Form:
Age:8.1
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-05 1991-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1343S / 1 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Acidosis, Convulsion, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage, CONVULS, ACIDOSIS, HEM, NECRO, MARROW HYPERPLASIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: few petechia on back, abd, legs
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 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;


Changed on 2/14/2017

VAERS ID: 34471 Before After
VAERS Form:
Age:8.1 8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1343S / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Acidosis, Convulsion, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NA
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;


Changed on 5/14/2017

VAERS ID: 34471 Before After
VAERS Form:
Age:8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1343S / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Acidosis, Convulsion, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NA 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;


Changed on 9/14/2017

VAERS ID: 34471 Before After
VAERS Form:(blank) 1
Age:8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1343S / 1 2 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Acidosis, Convulsion, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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;


Changed on 2/14/2018

VAERS ID: 34471 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
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, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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;


Changed on 6/14/2018

VAERS ID: 34471 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
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, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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;


Changed on 8/14/2018

VAERS ID: 34471 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
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, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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;


Changed on 9/14/2018

VAERS ID: 34471 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
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, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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;


Changed on 10/14/2018

VAERS ID: 34471 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Georgia
Vaccinated:1991-08-13
Onset:1991-08-14
Submitted:1991-08-23
Entered:1991-09-03
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, Marrow hyperplasia, Necrosis, Petechiae, Splenomegaly, Thrombotic thrombocytopenic purpura, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-08-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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