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This is VAERS ID 76587

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

Case Details

VAERS ID: 76587 (history)  
Form: Version .0  
Age: 11.6  
Sex: Female  
Location: Florida  
Vaccinated:1995-03-08
Onset:1995-04-05
   Days after vaccination:28
Submitted: 1995-08-08
   Days after onset:125
Entered: 1995-08-15
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0455W / 0 LA / -
MMR: MMR II / MSD 0735P / 1 LA / -

Administered by: Private       Purchased by: Unknown
Symptoms: CARCINOMA, FEVER, HEPATOMEGALY, PAIN, SGOT INC
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1995-06-19
   Days after onset: 75
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC Split Type: none

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=76587


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