Nash County EMS responded to a call on York Street around 2:00 p.m. about a child that had fallen, and was losing and regaining consciousness. The child died on October 23, police said.
An autopsy report that revealed that 15-month-old Aiden Silver died from internal injuries that were not accidental, police said.
Rocky Mount Police say, Isaiah Miller, 19, was arrested and charged with first degree murder and felony child abuse.
According to officials, Miller was in relationship with Aiden's mother at the time of the incident.
Miller is remanded without bond at the Nash County Detention Center.
Anyone with information to call the Rocky Mount Police Department at 252-972-1411, call Crimestoppers at 252-977-1111 for cash rewards, or Text-A-Tip (text RMPOL and your message to 274637).