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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1771484

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Case Details

VAERS ID: 1771484 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-09-28
Onset:2021-09-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Generalised tonic-clonic seizure, Pain in extremity, Partial seizures, Pyrexia, Road traffic accident
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Generalised convulsive seizures following immunisation (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Keppra 2000 mg 2 x day
Current Illness:
Preexisting Conditions: Epilepsy
Allergies: Clindamycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Later at night following the vaccine experienced fever-like symptoms and chills and pain in arm. 2 days later experienced a grand mal seizure while driving and had multi-vehicle car accident and was taken to hospital. Have never blacked out while driving before and it had been several months since I had experienced a partial seizure.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1771484


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