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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||- / 3||- / -|
Administered by: Unknown Purchased by: ??
Symptoms: Septic shock
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': 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
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