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This is VAERS ID 845547

Case Details

VAERS ID: 845547 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:0000-00-00
Onset:2019-10-07
Submitted: 0000-00-00
Entered: 2019-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abscess, Anxiety, Deafness, Death, Decreased immune responsiveness, Delirium, Dysstasia, Eye movement disorder, Feeding disorder, Gait inability, Infection transmission via personal contact, Malaise, Mumps, Pain, Respiratory arrest, Swelling face, Tonsillitis, Vaccination failure, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Agranulocytosis (broad), Angioedema (narrow), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2019-10-01
   Days after onset: 6
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: GB0095075131910GBR015893

Write-up: Unable to walk; Decreased immune responsiveness; Infection transmission via personal contact; eyes had rolled into the back of her head; stopped breathing; worried; suspected vaccination failure; Unable to stand; tonsillitis; Could not eat; becoming delirious; Aching all over body; Could not hear; sick; her face felt swollen; vomiting; Abscess; Mumps; Information has been downloaded from Regulatory Authority (GB-GLAXOSMITHKLINE-GB2019EME186634). This spontaneous report was received from a consumer and refers to a patient of unknown age and gender. Patient''s concurrent conditions, medical history and concomitant therapies were not reported. On an unknown date, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(MEASLES, MUMPS, AND RUBELLA (WISTAR RA 27-3) VIRUS VACC, LIVE) (strength, dose and route not reported) (lot and expiry date were unknown) for prophylaxis. On 07-OCT-2019, the patient experienced abscess, mumps, vomiting and her face felt swollen (swelling face). On 08-OCT-2019, the patient was sick (malaise). On 10-OCT-2019, the patient could not hear(deafness), aching all over body(pain), becoming delirious(delirium) and could not eat (feeling disorder). On an unknown date, the patient was unable to walk (gait inability), decreased immune responsiveness, infection transmission via personal contact, eyes had rolled into the back of her head (eye movement disorder), stopped breathing (respiratory arrest), worried (anxiety), suspected vaccination failure, unable to stand (dysstasia) and tonsillitis. On an unknown date in October 2019, the patient died due to mumps. It was unknown whether the autopsy was performed. The outcome of the events abscess, vomiting, swelling face, sick, deafness, pain, delirium, feeling disorder, gait inability, decreased immune responsiveness, infection transmission via personal contact, eye movement disorder, respiratory arrest, anxiety, suspected vaccination failure, dysstasia and tonsillitis were unknown. The relatedness between the events and the suspect therapy was not provided. The Agency considered all the events to be medically significant.; Sender''s Comments: GB-GLAXOSMITHKLINE-GB2019EME190281:; Reported Cause(s) of Death: Mumps


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