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This is VAERS ID 435007

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/11/2011

VAERS ID: 435007
VAERS Form:
Age:0.8
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 1 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 2/14/2017

VAERS ID: 435007 Before After
VAERS Form:
Age:0.8 0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 1 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 9/14/2017

VAERS ID: 435007 Before After
VAERS Form:(blank) 1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 1 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 2/14/2018

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 6/14/2018

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 8/14/2018

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 9/14/2018

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 10/14/2018

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 12/24/2020

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 12/30/2020

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 5/7/2021

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


Changed on 5/14/2021

VAERS ID: 435007 Before After
VAERS Form:1
Age:0.76
Sex:Male
Location:California
Vaccinated:2011-08-02
Onset:2011-08-07
Submitted:2011-09-20
Entered:2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Computerised tomogram abnormal, Death, Hypotonia, Multi-organ failure, Pallor, Posturing, Brain oedema, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-08
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=435007&WAYBACKHISTORY=ON


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