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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1410431



Case Details

VAERS ID: 1410431 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-25
Onset:2021-06-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / UNK RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Alopecia, Stress
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Today her doctor ordered ANA test
CDC Split Type:

Write-up: 10 days after the first shot of Pfizer Covid-19 vaccine, around June 4th 2021, patient started to notice accelerated hair loss. A few days later, she noted a bald patch on the right side of her head, behind her ear. Today (June 18) hair loss continues and hair seems to be thinning out. She is stressed out. Not sure what to do and would like some guidance before we get the second shot. Multiple people on VAERS have reported accelerated hair loss post second shot. Patient had developed Pneumonia last year when she had been diagnosed with covid-19 (around April-May 2020)


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