VAERS ID: 1166062

AGE: UNK| SEX: M|STATE: Unk

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.

Symptoms

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

Vaccines

VAX DATE: 16 March 2021 | ONSET DATE: 17 March 2021 | DAYS TO ONSET: 1
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        03 April 2021
        CAGE_YR:
        0
        CAGE_MO:
        .4
        RPT_DATE:
        DIED:
        Y
        DATEDIED:
        19 March 2021
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        Y
        HOSPDAYS:
        2
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        WRK
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        03 April 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        Y
        ALLERGIES:
        V_FUNDBY: