|
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts.org |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 2028700 |
VAERS Form: | 2 |
Age: | 17.0 |
Sex: | Female |
Location: | Texas |
Vaccinated: | 2022-01-11 |
Onset: | 2022-01-11 |
Submitted: | 0000-00-00 |
Entered: | 2022-01-12 |
Vaccination / Manufacturer (2 vaccines) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | FL3198 / 3 | LA / IM |
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. | P100386147 / 1 | LA / IM |
Administered by: Pharmacy Purchased by: ??
Symptoms: Dizziness, Loss of consciousness, Seizure
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient briefly lost consciousness and had two convulsions after which she woke back up and acted normally once again. Patient did feel light headed afterward
Copyright © 2024 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166