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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1289980

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Case Details

VAERS ID: 1289980 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Connecticut  
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Electroencephalogram, Seizure, Urine analysis
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Flexeril 10 MG as needed Melatonin 5 mg as needed
Current Illness:
Preexisting Conditions: hyperflexibility disorder, muscle spasms from an injury
Allergies: sulphur, latex
Diagnostic Lab Data: EEG, bloodwork, urinalysis
CDC Split Type:

Write-up: non-epileptic seizures onset 3 days after 2nd dose. 5-6 hours in the ER, trying to figure out if it was epilepsy, then 48 hours of observation once valium was given to calm the muscle spasms down. 5-5-2021 patient still has seizures less frequently, but they still occur. patient did not have these prior to 2nd dose of vaccine.

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