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

This is VAERS ID 1434532



Case Details

VAERS ID: 1434532 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-18
Onset:2021-06-26
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 1827289-04136 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bacterial test negative, Coma, Headache, Lumbar puncture normal, Muscular weakness, Protein total, SARS-CoV-2 antibody test positive, Vomiting, White blood cell count
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None at the time of vaccination. He did have fever and cough 4 weeks ago.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: SARS-Cov2 Antibody- reactive on 6/27/2021. Lumbar puncture showed 89 WBC and 115 protein, negative for bacteria.
CDC Split Type:

Write-up: He had vomiting, headache on 6/26/2021 and became comatose that night and got better after steroids. He is still weak in the right arm.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1434532


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