National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 837418

Case Details

VAERS ID: 837418 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2019-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Septic shock
SMQs:, Toxic-septic shock conditions (narrow), Sepsis (narrow), Opportunistic infections (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO0095075131910COL000531

Write-up: SEPTIC SHOCK; Information has been received from a regulatory authority and refers to a 2-year-old male patient. His medical history, concurrent conditions and concomitant medications were not provided. On an unknown date, the patient was vaccinated with the third dose of varicella virus vaccine live (oka/merck) (manufacturer unknown) (exact dose, route of administration, lot# and expiration date were not reported). On an unknown date, the patient developed septic shock. The outcome of septic shock was reported as fatal. Causality assessment was not provided.; Reported Cause(s) of Death: Septic shock


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=837418


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166