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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|MMR: MEASLES + MUMPS + RUBELLA (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': CO0095075131909COL013117
Write-up: death; Information has been received from the Health Agency (#2019PVCL1434) on 20-SEP-2019. This spontaneous report was received from a regulatory authority and refers to a 2-year-old male patient. Patient''s concurrent conditions, concomitant therapies, previous drug reactions, allergies, historical drugs or medical history were not reported. On an unknown date, the patient started therapy with with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) (formulation, strength, dose, frequency, route of administration, anatomical location, indication, lot #, and expiration date were not reported). On an unknown date, the patient die. The outcome of death was reported as fatal. The causal relationship between death and measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) was not reported.
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