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| History of Changes from the VAERS Wayback Machine |
| 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
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.
| 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
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.
| 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
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.
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1166062&WAYBACKHISTORY=ON
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