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This is VAERS ID 1771484

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1771484
VAERS Form:2
Age:54.0
Sex:Female
Location:North Carolina
Vaccinated:2021-09-28
Onset:2021-09-30
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, Pyrexia, Road traffic accident, Partial seizures

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: 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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