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VAERS ID: | 2365977 |
VAERS Form: | 2 |
Age: | 1.42 |
Sex: | Male |
Location: | New York |
Vaccinated: | 2022-07-11 |
Onset: | 2022-07-11 |
Submitted: | 0000-00-00 |
Entered: | 2022-07-12 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | FT9142 / 1 | LL / SYR |
Administered by: Private Purchased by: ??
Symptoms: Body temperature increased, Febrile convulsion, Feeling abnormal, Lethargy, Loss of consciousness, Seizure, Skin warm, Unresponsive to stimuli, Viral test negative
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Virology panel was all negative.
CDC 'Split Type':
Write-up: After receiving vaccination, patient was out of it for approximately ~15 mins, after that period seemed lethargic but otherwise normal. Patient showed no other adverse reaction until time for his nap at 12:40p, when he felt warm to the touch but underarm temperature reading was 98.7. He woke up atypically early at 2:50p, but laid in crib seemingly playing quietly. At 3:56p, mother heard whimpering sound and went to check on patient who was convulsing and unconscious until EMS arrived at 4:03p, he was very hot but EMS was unable to get an accurate temperature reading. Convulsions stopped when paramedics arrived at approx. 4:03p and patient was unresponsive for an additional approx. 10 mins. Patient was placed under ice by EMS and had a temperature reading of 102.4 when he arrived Hospital in approx 20-30 mins later.
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