return to results page

VAERS ID: 1975356

AGE: 7| SEX: F|State: MN

Description

Patient developed fever on 12/9/2021, with mild cough and congestion. Was treated at home with acetaminophen at approximately 12:30 pm, ibuprofen at 7:30 pm. Entire family was sick with similar symptoms. 2 siblings were positive for influenza and strep, Patient was not tested for either of those. 12/9 had a COVID pcr test done - negative. On 12/10/21 mom went to check on her in the morning at 9:15, found patient n bed, not breathing, unresponsive. Attempted CPR with no response. Final autopsy report pending. Parents report they received a call from medical examiner notifying ten that patient was tested + for influenza on post-mortem.

Symptoms

Autopsy, Respiratory arrest, Cough, Respiratory tract congestion, Exposure to communicable disease, Resuscitation, Influenza virus test positive, SARS-CoV-2 test negative, Pyrexia, Unresponsive to stimuli

Vaccines

VAX DATE: 28 November 2021 | ONSET DATE: 09 December 2021 | DAYS TO ONSET: 11
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • SYR
  • LA
  • FK51227

RECVDATE:22 December 2021
CAGE_YR:7
CAGE_MO:
RPT_DATE:
DIED:Y
DATEDIED:09 December 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:COVID pcr negative 12/9/2021
V_ADMINBY:OTH
OTHER_MEDS:None
CUR_ILL:Fever, vomiting on 11/25 - lasted 24-48 hours Other family members had similar symptoms
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:22 December 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:None known
V_FUNDBY:
return to results page

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.