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This is VAERS ID 159082

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 159082
VAERS Form:
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX / MSD - / - - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: FEVER, INFECT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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 fo


Changed on 12/30/2006

VAERS ID: 159082 Before After
VAERS Form:
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX / MSD - / - - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: FEVER, INFECT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Information has been received from a consumer concerning ""someone /"someone in her neighborhood"" 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 consumer''''s MD office, reported that"she tha"t 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 fo


Changed on 12/8/2009

VAERS ID: 159082 Before After
VAERS Form:
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-24 2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX VARICELLA (VARIVAX) / MSD MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown Other
Symptoms: Infection, Pyrexia, FEVER, INFECT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES00081242

Write-up: Information has been received from a consumer concerning /"someone "someone in her neighborhood/" 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 consumer''s MD office, reported tha"t 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.


Changed on 5/14/2017

VAERS ID: 159082 Before After
VAERS Form:
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Infection, Pyrexia, Viral infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
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.


Changed on 9/14/2017

VAERS ID: 159082 Before After
VAERS Form:(blank) 1
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Viral infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
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.


Changed on 2/14/2018

VAERS ID: 159082 Before After
VAERS Form:1
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Viral infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
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.


Changed on 6/14/2018

VAERS ID: 159082 Before After
VAERS Form:1
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Viral infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
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.


Changed on 8/14/2018

VAERS ID: 159082 Before After
VAERS Form:1
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Viral infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
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.


Changed on 9/14/2018

VAERS ID: 159082 Before After
VAERS Form:1
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Viral infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
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.


Changed on 10/14/2018

VAERS ID: 159082 Before After
VAERS Form:1
Age:5.0
Sex:Unknown
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-08-17
Entered:2000-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Viral infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=159082&WAYBACKHISTORY=ON


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