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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1483487



Case Details

VAERS ID: 1483487 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-28
Onset:2021-07-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mobility decreased, Muscle spasms, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITIN ALLERGIC; SERTRALINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Kidney absent (other medical_history: 1 working kidney); Sulfonamide allergy (known allergies: Sulfa Drugs)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021832091

Write-up: What looked like a Seizure 4 days after vaccine.; Intense muscle spasms, couldn''t move fingers or hands for about 15 minutes.; Intense muscle spasms, couldn''t move fingers or hands for about 15 minutes.; This is a spontaneous report from a contactable consumer. This 23-year-old male consumer (patient) reported for himself that: the patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection) via an unspecified route of administration on 28Jun2021 10:00 (Batch/Lot Number: Ew0202) as a single dose for COVID-19 immunization. Medical history included Single functional kidney, Drug hypersensitivity from an unknown date and unknown if ongoing known allergies: Sulfa Drugs and historical vaccine included the first dose of BNT162B2 for COVID-19 Immunization as First dose with Lot number Ew0187 administered on 07Jun2021, 11:15 AM in Left arm. Concomitant medication(s) included Oxymetazoline Hydrochloride (CLARITIN ALLERGIC); Sertraline (SERTRALINE) taken for an unspecified indication, start and stop date were not reported. The patient experienced What looked like a seizure 4 days after vaccine, Intense muscle spasms, couldnt move fingers or hands for about 15 minutes on 01Jul2021 at 20:45. the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and also Since the vaccination, the patient has not been tested for COVID-19. The patient did not receive any treatment for any of the events. The outcome of event was recovering for all the events. Information on Lot/Batch number was available. Additional information has been requested. Follow-Up (06Jul2021): Follow-up attempts are completed. No further information is expected.


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