VAERS ID: 2154649

AGE: 16| SEX: M|STATE: CT

Description

Three weeks after his second shot (mid-June 2021) he experienced hair loss; in one spot at first. A dermatologist saw him and diagnosed Alopecia Areata and treated him with Kenalog dermal injections, topical clobetasol solution, and topical minoxidil solution. Between July and November, he saw Doctor monthly, and each month more spots appeared and were treated. Between Christmas and New Years of that year he lost 95% of the hair on his head. He is bald now and losing his eyebrows and eyelashes.

Symptoms

Alopecia, Alopecia areata, Blood test, Hormone level abnormal, Hypovitaminosis

Vaccines

VAX DATE: 04-28-2021| ONSET DATE: 05-22-2021| DAYS TO ONSET: 24
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ew0173 IM AR
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ev0185 IM AR

RECVDATE:03-03-2022
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Blood work was done in January 2022 to rule out thyroid issues, vitamin deficiency, hormone abnormalities.
V_ADMINBY:PUB
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:03-03-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:pollen
V_FUNDBY:

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