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This is VAERS ID 451373

History of Changes from the VAERS Wayback Machine

First Appeared on 3/12/2012

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

Administered by: Private      Purchased by: Private
Symptoms: Death, Sudden infant death syndrome, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-03-09
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:
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.


Changed on 9/14/2017

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

Administered by: Private      Purchased by: Private
Symptoms: Death, Sudden infant death syndrome, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-03-09
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:
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.


Changed on 2/14/2018

VAERS ID: 451373 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Connecticut
Vaccinated:2012-03-02
Onset:2012-03-09
Submitted:2012-03-09
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: Death, Sudden infant death syndrome, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-03-09
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:
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.


Changed on 6/14/2018

VAERS ID: 451373 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Connecticut
Vaccinated:2012-03-02
Onset:2012-03-09
Submitted:2012-03-09
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: Death, Sudden infant death syndrome, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-03-09
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:
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.


Changed on 8/14/2018

VAERS ID: 451373 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Connecticut
Vaccinated:2012-03-02
Onset:2012-03-09
Submitted:2012-03-09
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: Death, Sudden infant death syndrome, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-03-09
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:
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.


Changed on 9/14/2018

VAERS ID: 451373 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Connecticut
Vaccinated:2012-03-02
Onset:2012-03-09
Submitted:2012-03-09
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: Death, Sudden infant death syndrome, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-03-09
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:
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.


Changed on 10/14/2018

VAERS ID: 451373 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Connecticut
Vaccinated:2012-03-02
Onset:2012-03-09
Submitted:2012-03-09
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: Death, Sudden infant death syndrome, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-03-09
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:
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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