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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER||- / UNK||- / -|
Administered by: Unknown Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': CO0095075131909COL011156
Write-up: death; This spontaneous report has been received from regulatory authority, concerning to a 2 year old male patient. The patient''s concurrent conditions, historical conditions, previous drug reactions, or allergies and concomitant medication were not reported. On an unknown date, the patient was vaccinated with varicella virus vaccine live (oka/merck)(manufacturer unknown) frequency, dose, lot number, anatomical location and expiration date were not reported) for prophylaxis. After the vacciantion the patient died. It was not reported the cause of death, and if an autopsy was performed. The reporter considered the death to be related to varicella virus vaccine live (oka/merck)(manufacturer unknown).
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