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This is VAERS ID 1470188

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470188
VAERS Form:2
Age:47.0
Sex:Female
Location:California
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Malaise

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: dtap
Other Medications: Alprazolam 0.5 mg, Desvenlafaxine Er 50 mg, Divalproex ER 250 and 500 mg , Quetiapine 100 mg , Trazodone 50 mg
Current Illness: Seizure disorder
Preexisting Conditions: seizure
Allergies: allergic reaction to Dtap vaccine as child
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient heard troubling news right before immunization so already anxious and worried . While getting immunization , Rph tried to calm her down so immunization went well . She was instructed to wait 30 minutes for observation. After 15 minutes , she approached pharmacist that she is not feeling well and about to seize . She was taken to immunization room where she sat on the floor shaking for few seconds. She was coherent and alert responding to pharmacist questions . Pharmacist asked if she had taken her Depakote for that day and she responded No ,and if she could take a dose . Rph brought her Depakote ER 750 mg (3 tabs of 250 ) along with water . she took medication and was observed for 20 minutes . Her son came to take her home . She was ok while leaving the pharmacy

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