VAERS ID: 25066

AGE: 1| SEX: F|STATE: (Unknown)

Description

Pt vaccinated w/ MMVAX, developed fever, weight loss, vomiting, apena, tachycardia, bradycardia & subsequently died.

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Symptoms

Pyrexia, Bradycardia, Vomiting, Apnoea, Tachycardia, Weight decreased

Vaccines

VAX DATE: | ONSET DATE: 07-13-1988| DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
MEASLES + MUMPS (MM-VAX) Unknown MM MERCK & CO. INC. Unknown Unknown

RECVDATE:07-09-1990
RPT_DATE:10-26-1988
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:CSF 973 mg/dl comment protein
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:no relevant history
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:ARR47.344
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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