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This is VAERS ID 1815920

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/29/2021

VAERS ID: 1815920
VAERS Form:2
Age:0.33
Sex:Female
Location:Texas
Vaccinated:2021-08-05
Onset:2021-08-06
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: Fatigue, Pyrexia, Seizure, Brain injury, Hypoxic-ischaemic encephalopathy, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 22     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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