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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0183 / 1||LA / IM|
Administered by: Other Purchased by: ??
Symptoms: Seizure, Vomiting
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Previous Vaccinations: Syncope episode
Diagnostic Lab Data: Pulse 106 to 94 to 86, patient drank fluids SPO2 97%(right arm) BP 104/62 Exam: Alert oriented to person, place and time HR normal sinus rhythm Vital Signs at 10:36am HR 81 regular rhythm BP 104/82 SPO2 99% (right arm)
CDC 'Split Type':
Write-up: An incomplete Vaers report was previously submitted for this patient. Please reference Report. Please disregard previous report. Adverse Event At 10:10am, patient was sitting with her mother when she started to convulse while sitting upright in a chair and vomited as well. This episode lasted for about 15seconds. Past medical Hx Patient reported one syncope episode after receiving a shot in the past, blood was drawn. No Hx of seizure disorder Treatment Patient was given crackers, juice, water EMS called at 10:31am for patient to have further evaluation. Patient was in stable condition prior to transport to ER A translator used, parent consent was provided.
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