VAERS ID: 1856935

AGE: 11| SEX: F|STATE: CA (United States)

Description

New Onset Seizure

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Urine analysis normal, Full blood count normal, Electrocardiogram normal, Metabolic function test normal, Ultrasound scan normal, Toxicologic test normal, Blood ethanol normal, Computerised tomogram head normal, Human chorionic gonadotropin normal, Seizure

Vaccines

VAX DATE: 11-07-2021| ONSET DATE: 11-09-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK5127 IM RA

RECVDATE:11-10-2021
RPT_DATE:
CAGE_YR:11
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:CBC, CMP. EKG, US, Urine drug tox, ETOH, hcg, Head CT. All normal
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-10-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:

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