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VAERS ID: 1514467

AGE: 14| SEX: F|State: CA

Description

experienced cognitive disruption for approximately 4 hours.; Disruption included inability to read; difficulty with speech/context/numbers.; This is a spontaneous report from a contactable consumer (patient). A 14-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0202 and Expiration Date: unknown), via an unknown route of administration, administered in left arm on 27Jun2021 at 13:00 (at the age of 14-years-old) as dose 2, single for covid-19 immunisation. The patient has no other medical history. The patient's concomitant medications were not reported. Patient has no known allergies. The patient previously took first dose of bnt162b2 (Lot number: EW0178) administered in left arm on 04Jun2021 at 12:00 PM (at the age of 14-years-old) as dose 1, single for covid-19 immunisation. Patient did not receive any other vaccine in four weeks. On 08Jul2021 at 10:00, 11 days after second dose, the patient experienced cognitive disruption for approximately 4 hours. Disruption included inability to read and difficulty with speech/context/numbers. The events resulted in emergency room/department or urgent care. Prior to vaccination, the patient was not diagnosed with covid-19 and not tested for covid-19 post vaccination. No treatment was received for the events. Outcome of events was recovered on an unknown date in Jul2021.

Symptoms

Cognitive disorder, Reading disorder, Speech disorder

Vaccines

VAX DATE: 26 June 2021 | ONSET DATE: 07 July 2021 | DAYS TO ONSET: 11
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • LA
  • EW0202

RECVDATE:29 July 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202100909829
FORM_VERS:2
TODAYS_DATE:28 July 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:
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