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

This is VAERS ID 1272428



Case Details

VAERS ID: 1272428 (history)  
Form: Version 2.0  
Age: 0.58  
Sex: Male  
Location: New York  
Vaccinated:2021-03-29
Onset:2021-03-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Crying, Decreased appetite, Diarrhoea, Exposure via breast milk, Fatigue, Headache, Lactation disorder, Livedo reticularis, Maternal exposure during breast feeding, Pain, Poor feeding infant
SMQs:, Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Functional lactation disorders (narrow), Neonatal exposures via breast milk (narrow), Neonatal disorders (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Severe swelling and pain of leg after Pentacel
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient is the breastfeeding infant to a mother that received the Moderna vaccine. The infant had symptoms of decreased appetite, elevated temperature 99.8 degrees, mottled skin, inconsolable crying, and diarrhea all that occurred within 48 hours after the mother received the vaccine and started within a few hours after vaccine administration in the mother. The mother also had symptoms of fatigue, headache, and body aches during the 48 hours after vaccine administration.


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