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From the 5/7/2021 release of VAERS data:

This is VAERS ID 890008



Case Details

VAERS ID: 890008 (history)  
Form: Version 2.0  
Age: 1.08  
Sex: Male  
Location: Texas  
Vaccinated:2020-10-14
Onset:2020-10-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7081JA / 1 LL / IM

Administered by: Private       Purchased by: ?
Symptoms: Death, Influenza virus test negative, SARS-CoV-2 test negative
SMQs:, COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-10-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: febrile seizure at 8mo after Pentacel, RotaTeq, Engerix-B, and Prevnar. Event self-resolved, never occurred again
Other Medications: Acetaminophen taken after vaccination
Current Illness: history of single febrile seizure 5/8/2020
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: COVID and flu negative
CDC Split Type:

Write-up: Child found deceased in bed.


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