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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1815920

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Case Details

VAERS ID: 1815920 (history)  
Form: Version 2.0  
Age: 0.33  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-05
Onset:2021-08-06
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR 0 / UNK LG / SYR
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS 0 / UNK LG / SYR
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 0 / UNK LG / SYR
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 0 / UNK LG / SYR
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS 0 / UNK UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Brain injury, Fatigue, Hypoxic-ischaemic encephalopathy, Magnetic resonance imaging head abnormal, Pyrexia, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 22 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: MRI
CDC Split Type:

Write-up: Early next morning feverish and fatigued. Then massive seizures began which lead to hypoxia-ischemic encephalopathy and permanent brain damage.


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