VAERS ID: 1849514

AGE: 11| SEX: F|STATE: MA

Description

PATIENT COMPLAINED TO PARENT THAT SHE COULDN'T HEAR ANYTHING, THAT SHE COULDN'T "FEEL HER EARS" WITHIN 5 MIN AFTER BEING VACCINATED. PT SOON AFTER BECAME UNSCONSCIOUS AND FELL ON THE FLOOR. RPH WAS CALLED TO THE SITE AT THIS TIME. PT GAINED CONSCIOUSNESS ~2-5 MIN AFTER RPH WAS PRESENT. PT THEN HAD A SEIZURE THAT LASTED ABOUT 5 MIN; PT WAS SCREAMING, ASKING MOM "TO MAKE IT STOP." SHE LATER FELT BETTER BUT WAS FEELING TIRED.

Symptoms

Deafness, Fall, Fatigue, Hypoaesthesia, Loss of consciousness, Screaming, Seizure

Vaccines

VAX DATE: 11-06-2021| ONSET DATE: 11-06-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK5127 IM RA

RECVDATE:11-07-2021
RPT_DATE:
CAGE_YR:0
CAGE_MO:0.1
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:EMERGENCY SERVICE CALLED AND PT WAS HOSPITALIZED.
V_ADMINBY:PHM
OTHER_MEDS:UNKNOWN, NOT SPECIFIED BY PARENT
CUR_ILL:NONE REPORTED BY PARENT
HISTORY:NONE REPORTED BY PARENT
PRIOR_VAX:UNKOWN, PARENT DID NOT SPECIFY
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:11-07-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NONE REPORTED BY PARENT
V_FUNDBY:

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