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| History of Changes from the VAERS Wayback Machine |
| VAERS ID: | 2742477 |
| VAERS Form: | 2 |
| Age: | 0.08 |
| Sex: | Female |
| Location: | Texas |
| Vaccinated: | 2024-01-08 |
| Onset: | 2024-01-08 |
| Submitted: | 0000-00-00 |
| Entered: | 2024-01-31 |
| Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
| UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER | AZ230080 / 1 | RL / IM |
Administered by: Private Purchased by: ??
Symptoms: Death, Respiratory arrest, Resuscitation, Autopsy
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:2024-01-09
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: None
Current Illness: Preterm Newborn (35 Weeks), First twin.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: According to the mother, the patient departed the clinic at 1 pm after the vaccine was administered. Subsequently, the patient took a nap and at approximately 8 pm, the father observed that the patient was not breathing. The parents attempted CPR but it was unsuccessful. Shortly thereafter, the parents called both ambulance and police assistance. Upon the paramedics'' arrival, the patient had already deceased; The causes of death are unknown, An autopsy is presently in the process of being investigated. The mother has not yet reported the exact cause of death, information was given via a telephone call.
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