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This is VAERS ID 425334

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/12/2011

VAERS ID: 425334
VAERS Form:
Age:1.7
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER A98669 / 3 UN / UN
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER 0813Z / 0 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 3/14/2014

VAERS ID: 425334 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 3 UN / UN
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER A98669 / 3 UN / UN
VARCEL: VARICELLA (NO BRAND NAME) VARICELLA (VARIVAX) / UNKNOWN MANUFACTURER MERCK & CO. INC. 0813Z / 0 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 6/14/2014

VAERS ID: 425334 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 3 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 0 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 3/14/2015

VAERS ID: 425334 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 3 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 0 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 2/14/2017

VAERS ID: 425334 Before After
VAERS Form:
Age:1.7 1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 3 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 0 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 9/14/2017

VAERS ID: 425334 Before After
VAERS Form:(blank) 1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 3 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 0 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 2/14/2018

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 6/14/2018

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 8/14/2018

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 9/14/2018

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 10/14/2018

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 12/24/2020

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 12/30/2020

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 5/7/2021

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.


Changed on 5/14/2021

VAERS ID: 425334 Before After
VAERS Form:1
Age:1.66
Sex:Male
Location:New Jersey
Vaccinated:2011-05-05
Onset:2011-05-07
Submitted:2011-06-14
Entered:2011-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98669 / 4 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0813Z / 1 UN / SC

Administered by: Private      Purchased by: Other
Symptoms: Cerebral haemorrhage, Child maltreatment syndrome, Computerised tomogram abnormal, Cough, Death, Dyskinesia, Nasopharyngitis, Vomiting, VIIth nerve paralysis, Autopsy, Respiratory tract congestion, Computerised tomogram head, Mechanical ventilation, Neurosurgery

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-05-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None, just got over a cold prior to vaccine
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Baby had cold symptoms, cough, congestion, a little vomiting. My son came home at 7:20 p.m. On 5/10 to babysitter advising baby was napping from 6 p.m. Patient was face down on bed. My son laid next to him and put his hand on his back and he noticed he wasn''t breathing right. He lifted him and turned him over and his one side of face and mouth was drooping and his right arm and leg kept jolting. No left side movement at all. 911 was immeidately called. CT scan showed bleeding on brain. Three hours later transferred by ambulance to Hospital (not airlifted) was put on respirator at Medical Center. Got to another hospital had another CT scan, bleed was worse underwent neurosurgery and brains was hemorrhaging too bad. Neurosurgeons said bleed was too bad and injuries were consistent with shaken baby syndrome. Patient had no brain activity or breathing capacity at all. Passed away on 5/13 at 10:30 a.m. Initial Autopsy was inconclusive. Undergoing more tests. Patient on 5/5 had PVC (Pneumococcal Vaccine and Varicella Vaccine). It is being treated as a homicide by Prosecutor''s office. A local chiropractor told us about a link with vaccines and brain injuries similar to shaken baby. We wanted to report this since he did get these two recent injections. Awaiting second autopsy. They said brain and eyes were sent to specialist around the country.

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