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This is VAERS ID 94918

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

Case Details

VAERS ID: 94918 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Foreign  
Vaccinated:1996-07-10
Onset:1996-07-19
   Days after vaccination:9
Submitted: 1997-02-10
   Days after onset:206
Entered: 1997-02-13
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injury
SMQs:, Accidents and injuries (narrow), Hostility/aggression (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: reflux, gastroesophageal
Allergies:
Diagnostic Lab Data: 1996 viral serology negative;blood cult negative;
CDC Split Type: WAES97020157

Write-up: pt recv vax 10JUL96 & 19JUL96 pt suddenly died;lab eval by viral serology revealed a neg result CMV, influenza, rickettsias mycoplasma, HIV, RSV, ECHO virus, coxsackie virus, EBV;blood cult neg;COD cranial trauma;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180914&IDNUMBER=94918


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