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This is VAERS ID 50678

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 50678 (history)  
Form: Version .0  
Age: 1.3  
Sex: Male  
Location: Oklahoma  
Vaccinated:1993-02-11
Onset:1993-02-18
   Days after vaccination:7
Submitted: 1993-03-04
   Days after onset:14
Entered: 1993-03-15
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2E41060 / 3 LL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M150JA / 3 RL / IM
MMR: MMR II / MSD 0804V / 0 LA / SC
OPV: ORIMUNE / LEDERLE 0665F / 2 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: DEHYDRAT, DIARRHEA, DYSPNEA, EDEMA LUNG, FEVER
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-02-18
   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: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC Split Type:

Write-up: collapsed on 18FEB93-no prior sx;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=50678


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