This is VAERS ID 73024

(NOTE: This result is from the 9/14/2018 version of the VAERS database)

Case Details

VAERS ID:	73024 (history)
Form:	Version 1.0
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:	1995-04-07
Days after submission:	9

Vaccination / Manufacturer	Lot / Dose	Site / Route
DTP: DTP (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH	TR1225ASB / 4	RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH	M305LF / 4	LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	0885A / 1	RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH	0715H / 3	MO / PO

Administered by: Public Purchased by: Public
Symptoms: Gastroenteritis, Infection, Lung disorder, Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

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: ~ ()~~~In patient
Other Medications: asthma meds;(name unk)
Current Illness: cold
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type: MS95013

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;

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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180914&IDNUMBER=73024