This is VAERS ID 1989874

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FL0007 / 2	LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR	UJ767AB / 1	RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Loss of consciousness, Muscle rigidity, Partial seizures

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No illness prior
Preexisting Conditions: No chronic health problems
Allergies: none
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: Approximately 5 minutes after receiving both vaccinations patient had what father, an MD, described as focal seizure. Patient went rigid and lost consciousness briefly.

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