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From the 9/14/2017 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 435007

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Case Details

VAERS ID: 435007 (history)  
Form: Version 1.0  
Age: 0.76  
Sex: Male  
Location: California  
Vaccinated:2011-08-02
Onset:2011-08-07
   Days after vaccination:5
Submitted: 2011-09-20
   Days after onset:44
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: Brain oedema, Computerised tomogram abnormal, Computerised tomogram head, Death, Hypotonia, Multi-organ failure, Pallor, Posturing
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-08
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   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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