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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: Death, Vaccination complication
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': CO0095075131910COL001494
Write-up: Vaccination complication; This spontaneous report was received from a regulatory authority referring to a 2 year old male patient. Information regarding the patient''s concurrent conditions, past medical history and concomitant medications was not provided. On an unknown date, the patient was vaccinated with a dose of varicella virus vaccine live (oka/merck) (VARICELLA VIRUS VACCINE LIVE (OKA/MERCK)), reported as dose 3 (strength, route of administration, lot #, expiration date and indication were not reported). On an unknown date, the patient experienced vaccination complication and the patient died. The cause of death and if an autopsy was performed were unknown. The causality assessment was not reported by the agency.
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