VAERS ID: 1814771

AGE: 14| SEX: F|STATE: WI (United States)

Description

Increased liver enzyme levels, hair loss within 2 weeks of 2nd dose. No previous familial history of autoimmune disorders Both autoimmune Hepatitis and Alopecia have been diagnosed in my daughter since her vaccinations

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Symptoms

Alopecia, Blood test, Ultrasound scan, Hepatic enzyme increased, Biopsy liver, Autoimmune hepatitis

Vaccines

VAX DATE: 06-08-2021| ONSET DATE: 06-24-2021| DAYS TO ONSET: 16
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0217 SYR UN

RECVDATE:10-25-2021
RPT_DATE:
CAGE_YR:14
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:Y
RECOVD:N
LAB_DATA:Comprehensive Blood and LIver testing including Ultrasounds and Liver Biopsy due to hair loss and increased liver functions. Testing and Procedure dates - all 2021: July 27 July 30 Aug 13 Aug 24 Sept 7th, Oct 12 Oct 21
V_ADMINBY:PVT
OTHER_MEDS:Daily Multivitamin
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-25-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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