VAERS ID: 2115968

AGE: 5| SEX: F|STATE: FL (United States)

Description

Patient received second dose of Pfizer 02/13/22. On 02/15/22 while shopping with her father, the patient was found," drooling, gradually losing tone becoming weak before she began to have jerking motions" per her father that lasted for 20 minutes. EMS was called to the scene and administered 4mg of Versed IM which lead to improvement of involuntary movement. Patient was admitted to Hospital were she is currently being seen by Neurology for new onset of seizures. All possible attributing factors for new onset of seizures are being ruled out.

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Symptoms

Asthenia, Dyskinesia, Drooling, Seizure

Vaccines

VAX DATE: 01-24-2022| ONSET DATE: 02-13-2022| DAYS TO ONSET: 20
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FL0007 IM LA
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FL0007 IM LA

RECVDATE:02-16-2022
RPT_DATE:
CAGE_YR:5
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Patient is currently an in-patient. EEG have been ordered
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-16-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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