VAERS ID: 2211280

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

Description

Patient had his first COVID vaccine 3/10/22. He had no history of seizures prior that, then had 3 seizures on 3/25/22. He was hospitalized on 3/25/22 at Hospital for observation after first time seizures. He was released with PRN diastat and no daily medication. He received his second COVID vaccine 3/31/22 and had a seizure later that night.

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Symptoms

Condition aggravated, Computerised tomogram normal, Seizure

Vaccines

VAX DATE: 03-31-2022| ONSET DATE: 03-31-2022| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FK5618 IM UN

RECVDATE:04-01-2022
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:CT scan 3/26/22. No mass or bleeding.
V_ADMINBY:SCH
OTHER_MEDS:none
CUR_ILL:First time seizure 3/25/22 First vaccine dose was 3/10/22
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:04-01-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:

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