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This is VAERS ID 1289980

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1289980
VAERS Form:2
Age:17.0
Sex:Female
Location:Connecticut
Vaccinated:2021-04-29
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 5R8731 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Electroencephalogram, Seizure, Urine analysis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 3     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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