National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1372600

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1372600
VAERS Form:2
Age:16.0
Sex:Male
Location:California
Vaccinated:2021-05-18
Onset:2021-06-01
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: Electroencephalogram, Generalised tonic-clonic seizure, Computerised tomogram head, Magnetic resonance imaging

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

New Search

Link To This Search Result:

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


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166