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

This is VAERS ID 1395088



Case Details

VAERS ID: 1395088 (history)  
Form: Version 2.0  
Age: 0.17  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-03-28
Onset:2021-04-07
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, Colitis, Inflammatory bowel disease, Maternal exposure during breast feeding, Stool analysis normal
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific inflammation (narrow), Ischaemic colitis (broad), Neonatal exposures via breast milk (narrow), Noninfectious diarrhoea (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Upper respiratory infection
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Stool sample May 28 showed negative for parasites and infection markers. Blood work done June 11 showed elevated inflammation markers.
CDC Split Type:

Write-up: Patient received vaccine while breastfeeding 2 month old infant. Patient had no adverse reactions. Infant one week after first injection began showing blood in stool. Initially blood was believed to be an allergen received in breastmilk but infant later tested for elevated CRP with symptoms of colitis and possible early onset IBD. Further diagnoses and treatment plan still being evaluated.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1395088


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