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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 2362981 |
VAERS Form: | 2 |
Age: | 0.5 |
Sex: | Male |
Location: | Maryland |
Vaccinated: | 2022-06-29 |
Onset: | 2022-06-30 |
Submitted: | 0000-00-00 |
Entered: | 2022-07-08 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | A5141413 / 1 | LL / - |
Administered by: Private Purchased by: ??
Symptoms: Electrocardiogram normal, Unresponsive to stimuli, Cardiac monitoring normal, Brief resolved unexplained event
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin d
Current Illness: 2-3 weeks prior he had a slight runny nose. Negative rapid tests (took tests over the course of three days - the entire family). Dad took a negative PCR.
Preexisting Conditions: None.
Allergies: None
Diagnostic Lab Data: EKG 6/30 - Normal O2 sat and HR monitor overnight with admission 6/30-7/1. Normal overnight.
CDC 'Split Type':
Write-up: 24 hours post-vaccine baby had a BRUE. While changing his diaper he went unresponsive and I questioned if he was breathing. I startled him back with shouting his name. He then became unresponsive again. This occurred 4-5 times over 1-2 minutes. I attempted startling and tryingg go to get a reaction and he became alert again. I took him to the ER where he was diagnosed as having a BRUE and was kept on monitors overnight.
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