VAERS ID: 1166062

AGE: 0.42| SEX: M|STATE: (United States)

Description

Patient received second dose of Pfizer vaccine on March 17, 2020 while at work. March 18, 2020 her 5 month old breastfed infant developed a rash and within 24 hours was inconsolable, refusing to eat, and developed a fever. Patient brought baby to local ER where assessments were performed, blood analysis revealed elevated liver enzymes. Infant was hospitalized but continued to decline and passed away. Diagnosis of TTP. No known allergies. No new exposures aside from the mother's vaccination the previous day.

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Symptoms

Death, Diet refusal, Emotional distress, Exposure via breast milk, Failure to thrive, Hepatic enzyme increased, Pyrexia, Rash, Thrombotic thrombocytopenic purpura

Vaccines

VAX DATE: 03-17-2021| ONSET DATE: 03-18-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH SYR LA

RECVDATE:04-04-2021
RPT_DATE:
CAGE_YR:0
CAGE_MO:0.4
DIED:Y
DATEDIED:03-20-2021
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:WRK
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:04-04-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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