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This is VAERS ID 159082

Case Details

VAERS ID: 159082 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Unknown  
Location: New Jersey  
Submitted: 2000-08-17
Entered: 2000-08-23
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Pyrexia, Viral infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: UNK
Diagnostic Lab Data:
CDC Split Type: WAES00081242

Write-up: Information has been received from a consumer concerning "someone in her neighborhood" who was vaccinated with varicella vaccine, and died the day of the vaccine. Follow up information from a registered nurse from the consumer''s MD office, reported that she had heard that a child of approximately 5 years of age had died in town after a live virus vaccine, but the child also had a viral illness with a high fever. The cause of death was not reported. It was reported that another child had adverse events following exposure to varicella virus vaccine. Additional information has been requested.

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