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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1372600



Case Details

VAERS ID: 1372600 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-18
Onset:2021-06-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram head, Electroencephalogram, Generalised tonic-clonic seizure, Magnetic resonance imaging
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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirtazapine, Prozac, Daytrana
Current Illness: None
Preexisting Conditions: AD/HD, Anxiety/Depression
Allergies: None
Diagnostic Lab Data: CT of head - negative EEG and MRI pending
CDC Split Type:

Write-up: Tonic Clonic seizure


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1372600


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