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This is VAERS ID 1765488

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1765488
VAERS Form:2
Age:19.0
Sex:Male
Location:Unknown
Vaccinated:2021-09-25
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301258A / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Gait disturbance, Seizure, Tremor, X-ray normal, Postictal state, Musculoskeletal stiffness, Computerised tomogram head, Vaccine positive rechallenge

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Autism Spectrum Disorder Essential Tremor Intermittent Asthma Obesity NEC
Allergies: No known
Diagnostic Lab Data: Normal CT head, Normal lower extremity X-rays
CDC 'Split Type':

Write-up: Patient had episode concerning for seizure. Was found on floor with stiffened body, arms extended and upper and lower extremity shaking. Episode lasted 8-10 minutes. Patient then experienced likely post-ictal period for several hours in which he was more tired than usual and was dragging his Left leg when he walked. Similar event also occurred after first vaccine dose.

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