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This is VAERS ID 451373

Case Details

VAERS ID: 451373 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Connecticut  
Vaccinated:2012-03-02
Onset:2012-03-09
   Days after vaccination:7
Submitted: 2012-03-09
   Days after onset:0
Entered: 2012-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0599AA / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0814AA / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Autopsy, Death, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-09
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Otitis - conjunctivitis syndrome dx''ed that day
Preexisting Conditions: Mild dev. delay
Allergies:
Diagnostic Lab Data: Autopsy pending
CDC Split Type:

Write-up: Unexplained crib death 7d after MMR + VARIVAX.


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