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This is VAERS ID 63044

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

Case Details

VAERS ID: 63044 (history)  
Form: Version .0  
Age: 6.3  
Sex: Male  
Location: New York  
Vaccinated:1994-05-03
Onset:1994-05-06
   Days after vaccination:3
Submitted: 1994-05-16
   Days after onset:10
Entered: 1994-05-26
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0178A / - GM / -

Administered by: Private       Purchased by: Unknown
Symptoms: CONJUNCTIVITIS, DEHYDRAT, EDEMA BRAIN, ENCEPHALOPATHY, FEVER
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-05-07
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pvt
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-brain specimens sent for viral studies;
CDC Split Type:

Write-up: 2 days following inject pt devel OM & conjunctivitis w/fever; treated w/Augmentin; devel vomiting & dehydration 3 days p/vax; unexputed death autopsy showed brain edema;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=63044


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