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This is VAERS ID 590214

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 590214
VAERS Form:
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1508USA005868

Write-up: This spontaneous report was received from a physician via company representative regarding 100 unspecified patients. The physician reported an adverse event involving an unspecified measles vaccine. The physician stated that he had read an unspecified article in a locally published newsletter (name of the newsletter not provided). The article stated that there were hundred deaths caused by Measles, Mumps, and Rubella Virus Vaccine, (manufacturer unknown) (dose, strength, dose number, Lot no, vaccination site not specified). Concurrent conditions, medical history and concomitant medications were not provided. No further information was provided. The cause of death was not reported. Product quality complaint (PQC) was not reported. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 590214 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1508USA005868

Write-up: This spontaneous report was received from a physician via company representative regarding 100 unspecified patients. The physician reported an adverse event involving an unspecified measles vaccine. The physician stated that he had read an unspecified article in a locally published newsletter (name of the newsletter not provided). The article stated that there were hundred deaths caused by Measles, Mumps, and Rubella Virus Vaccine, (manufacturer unknown) (dose, strength, dose number, Lot no, vaccination site not specified). Concurrent conditions, medical history and concomitant medications were not provided. No further information was provided. The cause of death was not reported. Product quality complaint (PQC) was not reported. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 590214 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1508USA005868

Write-up: This spontaneous report was received from a physician via company representative regarding 100 unspecified patients. The physician reported an adverse event involving an unspecified measles vaccine. The physician stated that he had read an unspecified article in a locally published newsletter (name of the newsletter not provided). The article stated that there were hundred deaths caused by Measles, Mumps, and Rubella Virus Vaccine, (manufacturer unknown) (dose, strength, dose number, Lot no, vaccination site not specified). Concurrent conditions, medical history and concomitant medications were not provided. No further information was provided. The cause of death was not reported. Product quality complaint (PQC) was not reported. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 590214 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1508USA005868

Write-up: This spontaneous report was received from a physician via company representative regarding 100 unspecified patients. The physician reported an adverse event involving an unspecified measles vaccine. The physician stated that he had read an unspecified article in a locally published newsletter (name of the newsletter not provided). The article stated that there were hundred deaths caused by Measles, Mumps, and Rubella Virus Vaccine, (manufacturer unknown) (dose, strength, dose number, Lot no, vaccination site not specified). Concurrent conditions, medical history and concomitant medications were not provided. No further information was provided. The cause of death was not reported. Product quality complaint (PQC) was not reported. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 590214 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1508USA005868

Write-up: This spontaneous report was received from a physician via company representative regarding 100 unspecified patients. The physician reported an adverse event involving an unspecified measles vaccine. The physician stated that he had read an unspecified article in a locally published newsletter (name of the newsletter not provided). The article stated that there were hundred deaths caused by Measles, Mumps, and Rubella Virus Vaccine, (manufacturer unknown) (dose, strength, dose number, Lot no, vaccination site not specified). Concurrent conditions, medical history and concomitant medications were not provided. No further information was provided. The cause of death was not reported. Product quality complaint (PQC) was not reported. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 590214 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1508USA005868

Write-up: This spontaneous report was received from a physician via company representative regarding 100 unspecified patients. The physician reported an adverse event involving an unspecified measles vaccine. The physician stated that he had read an unspecified article in a locally published newsletter (name of the newsletter not provided). The article stated that there were hundred deaths caused by Measles, Mumps, and Rubella Virus Vaccine, (manufacturer unknown) (dose, strength, dose number, Lot no, vaccination site not specified). Concurrent conditions, medical history and concomitant medications were not provided. No further information was provided. The cause of death was not reported. Product quality complaint (PQC) was not reported. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 590214 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1508USA005868

Write-up: This spontaneous report was received from a physician via company representative regarding 100 unspecified patients. The physician reported an adverse event involving an unspecified measles vaccine. The physician stated that he had read an unspecified article in a locally published newsletter (name of the newsletter not provided). The article stated that there were hundred deaths caused by Measles, Mumps, and Rubella Virus Vaccine, (manufacturer unknown) (dose, strength, dose number, Lot no, vaccination site not specified). Concurrent conditions, medical history and concomitant medications were not provided. No further information was provided. The cause of death was not reported. Product quality complaint (PQC) was not reported. Additional information has been requested.

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