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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: ??
Symptoms: Respiratory failure
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': CO0095075131910COL000726
Write-up: RESPIRATORY FAILURE; This spontaneous report was received from a regulatory authority and refers to a 2-year-old male patient. There was no information about the patient''s concurrent conditions, concomitant therapies or medical history provided. On an unknown date, the patient was vaccinated with dose of varicella virus vaccine live (oka/merck)(manufacturer unknown) product dose: 3 (units not provided)(dose number, route and site of administration, lot# and expiration date were not reported). On an unknown date, the patient experienced respiratory failure. Outcome of respiratory failure was reported as fatal. The causality assessment was not provided.
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