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This is VAERS ID 1166062

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1166062
VAERS Form:2
Age:0.42
Sex:Male
Location:Unknown
Vaccinated:2021-03-17
Onset:2021-03-18
Submitted:0000-00-00
Entered:2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Death, Diet refusal, Failure to thrive, Pyrexia, Rash, Thrombotic thrombocytopenic purpura, Emotional distress, Hepatic enzyme increased, Exposure via breast milk

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received second dose of Pfizer vaccine on March 17, 2020 while at work. March 18, 2020 her 5 month old breastfed infant developed a rash and within 24 hours was inconsolable, refusing to eat, and developed a fever. Patient brought baby to local ER where assessments were performed, blood analysis revealed elevated liver enzymes. Infant was hospitalized but continued to decline and passed away. Diagnosis of TTP. No known allergies. No new exposures aside from the mother''s vaccination the previous day.


Changed on 5/7/2021

VAERS ID: 1166062 Before After
VAERS Form:2
Age:0.42
Sex:Male
Location:Unknown
Vaccinated:2021-03-17
Onset:2021-03-18
Submitted:0000-00-00
Entered:2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Death, Diet refusal, Failure to thrive, Pyrexia, Rash, Thrombotic thrombocytopenic purpura, Emotional distress, Hepatic enzyme increased, Exposure via breast milk

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received second dose of Pfizer vaccine on March 17, 2020 while at work. March 18, 2020 her 5 month old breastfed infant developed a rash and within 24 hours was inconsolable, refusing to eat, and developed a fever. Patient brought baby to local ER where assessments were performed, blood analysis revealed elevated liver enzymes. Infant was hospitalized but continued to decline and passed away. Diagnosis of TTP. No known allergies. No new exposures aside from the mother''s vaccination the previous day.


Changed on 5/14/2021

VAERS ID: 1166062 Before After
VAERS Form:2
Age:0.42
Sex:Male
Location:Unknown
Vaccinated:2021-03-17
Onset:2021-03-18
Submitted:0000-00-00
Entered:2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Death, Diet refusal, Failure to thrive, Pyrexia, Rash, Thrombotic thrombocytopenic purpura, Emotional distress, Hepatic enzyme increased, Exposure via breast milk

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-20
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received second dose of Pfizer vaccine on March 17, 2020 while at work. March 18, 2020 her 5 month old breastfed infant developed a rash and within 24 hours was inconsolable, refusing to eat, and developed a fever. Patient brought baby to local ER where assessments were performed, blood analysis revealed elevated liver enzymes. Infant was hospitalized but continued to decline and passed away. Diagnosis of TTP. No known allergies. No new exposures aside from the mother''s vaccination the previous day.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1166062&WAYBACKHISTORY=ON

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