This is VAERS ID 2436380

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/16/2022

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH	GJ2524 / 4	RA / IM
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS	5CY4T / N/A	LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Muscle twitching, Nausea, Pallor, Seizure, Unresponsive to stimuli

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: NO
Preexisting Conditions: NONE
Allergies: NO
Diagnostic Lab Data: NOT APPLICABLE- WAS RECOMMENDED TO FOLLOW UP RIGHT AWAY WITH PEDIATRICS URGENT CARE
CDC 'Split Type':

Write-up: RECEIVED FLUARIX FIRST IN LEFT ARM THEN RECEIVED PFIZER BIVALENT - START SEIZING- TWITCHING HAED BACK- NON RESPONSIVE FOR 5 SECONDS - NAUSEOUS AND LOSS OF ALL HIS COLORS-

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