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This is VAERS ID 1285671

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1285671
VAERS Form:2
Age:16.0
Sex:Male
Location:West Virginia
Vaccinated:2021-04-16
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Life support, Seizure, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: unknown
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient was given dose #1 at a vaccine community clinic on Friday. There were no reports of him being ill. Parents were present at the time of the vaccine. He went to school on Monday and had a seizure and was transported to hospital. He was placed on life support and was unresponsive. He began improving and was taken of life support on Wednesday and was discharged after a few days.

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