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This is VAERS ID 1470416

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470416
VAERS Form:2
Age:23.0
Sex:Male
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 - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Condition aggravated, Electrocardiogram, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Benedryl. Zoloft
Current Illness:
Preexisting Conditions: Epilepsy. Last seizure was 14 years ago
Allergies: Sulfa
Diagnostic Lab Data: Ekg. We have neurology appt soon
CDC 'Split Type':

Write-up: Seizure within 5 minutes

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470416&WAYBACKHISTORY=ON


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