A report released Friday on the Centers for Disease Control and Prevention's (CDC) website outlined a 2017 case of tetanus in an unvaccinated child in Oregon.

It was the first pediatric case of tetanus in the state in more than 30 years.

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The report, authored by doctors at Oregon Health and Science University and the Oregon Health Authority, states the child, a 6-year-old boy, was playing outdoors at a farm when he sustained a forehead laceration.

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His wound was cleaned and sutured at home. Less than a week later, he had tetanus symptoms such as jaw clenching and involuntary muscle spasms.

Later that day, he had difficulty breathing which resulted in his parents requesting emergency medical services and the boy being airlifted to Oregon Health and Science University’s pediatric center.

The 6-year-old required 57 days of in-patient acute care, including 47 days in the intensive care unit, according to the report. That care included sedation, intubation, mechanical ventilation and later, rehabilitation. The boy eventually recovered.

The child was given an emergency dose of the tetanus vaccine, but his parents declined to give him a second dose, or any other vaccinations.

The report states the costs for the child’s inpatient care totaled more than $800,000.

According to the CDC, from 2009 through 2015, there were a total of 197 cases of tetanus and 16 tetanus-related deaths in the United States. Only 12 percent of those total cases were in persons younger than 20 years old. All of the tetanus-related deaths were in people over 55 years old.