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This is VAERS ID 1420216

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1420216
VAERS Form:2
Age:14.0
Sex:Female
Location:New York
Vaccinated:2021-06-01
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Seizure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Clobazam, zonisamide
Current Illness: cold
Preexisting Conditions: epilepsy, XI-Gibbs
Allergies: no
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: she had a seizure, lasted 45 minutes

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1420216&WAYBACKHISTORY=ON


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