National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 73024

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

Case Details

VAERS ID: 73024 (history)  
Form: Version .0  
Age: 1.0  
Sex: Male  
Location: Mississippi  
Vaccinated:1995-03-17
Onset:1995-03-24
   Days after vaccination:7
Submitted: 1995-03-28
   Days after onset:4
Entered: 1995-04-11
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP MICH. PHD. / MICHIGAN DPH TR1225ASB / 3 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M305LF / 3 LL / IM
MMR: MMR II / MSD 0885A / 0 RA / SC
OPV: ORIMUNE / LEDERLE 0715H / 2 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: GASTROENTERITIS, INFECT, LUNG DIS, PNEUMONIA
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-03-24
   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: asthma meds;(name unk)
Current Illness: cold
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax;pt died;autopsy performed;rpt indicated that pin point lesions were found on the large intestines,there was no stool(s) in the large intestines;?viral gastroenteritis,lungs were hard & firm, ?viral pneumonia,liver soft & firm;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=73024


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166