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

This is VAERS ID 454679

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Case Details

VAERS ID: 454679 (history)  
Form: Version 1.0  
Age: 0.34  
Sex: Female  
Location: Louisiana  
Vaccinated:2012-03-20
Onset:2012-03-23
   Days after vaccination:3
Submitted: 2012-04-30
   Days after onset:38
Entered: 2012-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B329BA / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1476AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F75398 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1693AA / 3 MO / PO

Administered by: Unknown       Purchased by: Private
Symptoms: Brain death, Brain oedema, Cerebrovascular accident, Convulsion, Laboratory test normal, Muscle twitching, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-28
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: She had diahhrea for 6 days! Ran fever on and off the day I took her to the doctor.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Started having twitches wasn''t responsive at daycare. Pooped all over herself. Father picked her up and took her to the pediatrician. They called the hospital ambulance came and picked her up. They said it looked like she was having seizures gave her Adavant. Thought she had an infection but everything came back negative. She was having seizures and brain swelling. They couldn''t control them. She then suffered a massive stroke and was brain dead. Didn''t start acting like this until two days after her shots.


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