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This is VAERS ID 1420580

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1420580
VAERS Form:2
Age:12.0
Sex:Female
Location:Illinois
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 EW0217 / 2 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Dizziness, Headache, Seizure

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient woke up and complained of a stomach ache and went to the bathroom Patient felt dizzy and complained of a headache. Had then started having a seizure. Patient does not have seizures.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1420580&WAYBACKHISTORY=ON


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