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This is VAERS ID 896168

History of Changes from the VAERS Wayback Machine

First Appeared on 12/10/2020

VAERS ID: 896168
VAERS Form:2
Age:2.0
Sex:Female
Location:Arizona
Vaccinated:2020-10-05
Onset:2020-10-11
Submitted:0000-00-00
Entered:2020-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7035LA / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal distension, Abdominal pain, Constipation, Death, Gastric dilatation, Urinary system X-ray, Vomiting, Faecal volume increased, Ultrasound abdomen abnormal, Intra-abdominal fluid collection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nasal saline drops, multivitamin
Current Illness:
Preexisting Conditions: systolic heart murmur
Allergies: no known allergies
Diagnostic Lab Data: 10/11/20 KUB x-ray and abdominal ultrasound. Markedly enlarged fluid distended stomach. This limits evaluation for direct findings of volvulus. Markedly distended presumed stomach in the abdomen. Moderate to large colonic stool volume suggesting constipation. Numerous punctate calcific densities in the left lateral abdomen likely related to stool contents.
CDC 'Split Type':

Write-up: Pt was seen in ED with abdominal pain, distention, and vomiting. Was flown to another Hospital. Unknown until notification of death. No other information known.


Changed on 12/24/2020

VAERS ID: 896168 Before After
VAERS Form:2
Age:2.0
Sex:Female
Location:Arizona
Vaccinated:2020-10-05
Onset:2020-10-11
Submitted:0000-00-00
Entered:2020-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7035LA / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal distension, Abdominal pain, Constipation, Death, Gastric dilatation, Urinary system X-ray, Vomiting, Faecal volume increased, Ultrasound abdomen abnormal, Intra-abdominal fluid collection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nasal saline drops, multivitamin
Current Illness:
Preexisting Conditions: systolic heart murmur
Allergies: no known allergies allergies
Diagnostic Lab Data: 10/11/20 KUB x-ray and abdominal ultrasound. Markedly enlarged fluid distended stomach. This limits evaluation for direct findings of volvulus. Markedly distended presumed stomach in the abdomen. Moderate to large colonic stool volume suggesting constipation. Numerous punctate calcific densities in the left lateral abdomen likely related to stool contents.
CDC 'Split Type':

Write-up: Pt was seen in ED with abdominal pain, distention, and vomiting. Was flown to another Hospital. Unknown until notification of death. No other information known.


Changed on 12/30/2020

VAERS ID: 896168 Before After
VAERS Form:2
Age:2.0
Sex:Female
Location:Arizona
Vaccinated:2020-10-05
Onset:2020-10-11
Submitted:0000-00-00
Entered:2020-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7035LA / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal distension, Abdominal pain, Constipation, Death, Gastric dilatation, Urinary system X-ray, Vomiting, Faecal volume increased, Ultrasound abdomen abnormal, Intra-abdominal fluid collection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nasal saline drops, multivitamin
Current Illness:
Preexisting Conditions: systolic heart murmur
Allergies: no known allergies allergies
Diagnostic Lab Data: 10/11/20 KUB x-ray and abdominal ultrasound. Markedly enlarged fluid distended stomach. This limits evaluation for direct findings of volvulus. Markedly distended presumed stomach in the abdomen. Moderate to large colonic stool volume suggesting constipation. Numerous punctate calcific densities in the left lateral abdomen likely related to stool contents.
CDC 'Split Type':

Write-up: Pt was seen in ED with abdominal pain, distention, and vomiting. Was flown to another Hospital. Unknown until notification of death. No other information known.


Changed on 5/7/2021

VAERS ID: 896168 Before After
VAERS Form:2
Age:2.0
Sex:Female
Location:Arizona
Vaccinated:2020-10-05
Onset:2020-10-11
Submitted:0000-00-00
Entered:2020-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7035LA / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal distension, Abdominal pain, Constipation, Death, Gastric dilatation, Urinary system X-ray, Vomiting, Faecal volume increased, Ultrasound abdomen abnormal, Intra-abdominal fluid collection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nasal saline drops, multivitamin
Current Illness:
Preexisting Conditions: systolic heart murmur
Allergies: no known allergies allergies
Diagnostic Lab Data: 10/11/20 KUB x-ray and abdominal ultrasound. Markedly enlarged fluid distended stomach. This limits evaluation for direct findings of volvulus. Markedly distended presumed stomach in the abdomen. Moderate to large colonic stool volume suggesting constipation. Numerous punctate calcific densities in the left lateral abdomen likely related to stool contents.
CDC 'Split Type':

Write-up: Pt was seen in ED with abdominal pain, distention, and vomiting. Was flown to another Hospital. Unknown until notification of death. No other information known.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=896168&WAYBACKHISTORY=ON


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