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From the 7/16/2021 release of VAERS data:

This is VAERS ID 176993

Case Details

VAERS ID: 176993 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Male  
Location: New York  
   Days after vaccination:40
Submitted: 2001-10-25
   Days after onset:151
Entered: 2001-11-01
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Neurodevelopmental disorder, Pyrexia
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 23 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.

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