VAERS ID: 2005494

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

Description

Febrile seizure x3, no medications given, patient admitted to PICU for observation

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Symptoms

Febrile convulsion, Computerised tomogram head

Vaccines

VAX DATE: 01-04-2022| ONSET DATE: 01-04-2022| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FL8095 IM LA

RECVDATE:01-05-2022
RPT_DATE:
CAGE_YR:5
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:Head CT (1/4/22)
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-05-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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