VAERS ID: 1888653

AGE: 5| SEX: M|STATE: NC (United States)

Description

new onset seizure 11/14/21 of unknown etiology (DDx include: febrile sz d/t parainfluenza, post vaccine fever/seizure/encephalitis, IPH vs cavernoma) 2 seizures (first in home ~1230, second in ED ~1450)

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Symptoms

Pyrexia, Encephalitis, Febrile convulsion, Computerised tomogram, Haemangioma, Angiogram, Parainfluenzae virus infection, Seizure, Magnetic resonance imaging, Intrapartum haemorrhage

Vaccines

VAX DATE: 11-10-2021| ONSET DATE: 11-14-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK5127 IM LL

RECVDATE:11-21-2021
RPT_DATE:
CAGE_YR:5
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:CT 11/14/21 CTA 11/14/21 MRI 11/15/21 will have repeat MRI 12/21/21
V_ADMINBY:PVT
OTHER_MEDS:probiotics, claritin
CUR_ILL:conditions that were unknown at time of vaccination and found during hospitalization 11/14-11/15/21: New onset seizure Parainfluenza L frontal IPH vs cavernoma
HISTORY:severe food allergy
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-21-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:anaphylaxis with eggs and egg derivatives
V_FUNDBY:

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