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This is VAERS ID 92248

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

Case Details

VAERS ID: 92248 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Male  
Location: New Jersey  
Vaccinated:1996-11-07
Onset:1996-11-08
   Days after vaccination:1
Submitted: 1996-11-18
   Days after onset:10
Entered: 1996-11-21
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0469D / 1 - / SC A

Administered by: Private       Purchased by: Private
Symptoms: Salivary hypersecretion
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1996-11-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: found foaming @ the mouth;died suddenly-autopsy results not available;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180914&IDNUMBER=92248


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