|
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts.org |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 2440039 |
VAERS Form: | 2 |
Age: | 17.0 |
Sex: | Male |
Location: | California |
Vaccinated: | 2022-09-10 |
Onset: | 2022-09-10 |
Submitted: | 0000-00-00 |
Entered: | 2022-09-10 |
Vaccination / Manufacturer (2 vaccines) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | FP7141 / 1 | LA / IM |
FLUC4: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) / SEQIRUS, INC. | 942378 / N/A | RA / IM |
Administered by: Pharmacy Purchased by: ??
Symptoms: Headache, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No know allergies
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Patient appeared to be having a seizure for a short time (estimated to be less than a minute) after receiving his vaccines. The adverse event happened about a minute after receiving the vaccines. Upon awakening the patient felt normal other than having a small headache and possibly some difficulty breathing. Paramedics arrived and the patient''s mother elected to have him taken to the ER for more evaluation.
Copyright © 2024 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166