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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1182232



Case Details

VAERS ID: 1182232 (history)  
Form: Version 2.0  
Age: 0.5  
Sex: Female  
Location: Alaska  
Vaccinated:2021-04-03
Onset:2021-04-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Crying, Discomfort, Pain, Pyrexia, Rash erythematous, Skin discolouration
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Jarrow Formulas Baby''s Jarro-Dophilus Probiotic Drops, Enfamil D-Vi-Sol Liquid Vitamin D Supplement
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Infant was NOT immunized directly, but her mother was via injection in the left shoulder. Infant eats primarily breastmilk. About 24 hours after the vaccine was administered, infant began to exhibit signs of discomfort, fussiness, and low fever (100.5 F). Infant woke up 3 times at night crying and apparently experiencing pain. Infant exhibited reduced symptoms following administration of oral liquid Tylenol. Red rash comprised of small bumps and skin discoloration was observed 4 days after vaccine was administered, though infant does not appear to scratch or react to the rash.


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