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VAERS Report 2115968

Case Report Section

Détails du rapport Vaer

Âge: 5 ans

Genre: Female

Région : Floride

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fl0007


Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fl0007


Date de réception du rapport
2022-02-16
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-24
Date d’apparition
20
Nombre de jours (date d’apparition – date de vaccination)
20
Description de l’événement indésirable

patient received second dose of pfizer 02/13/22. on 02/15/22 while shopping with her father, the patient was found," drooling, gradually losing tone becoming weak before she began to have jerking motions" per her father that lasted for 20 minutes. ems was called to the scene and administered 4mg of versed im which lead to improvement of involuntary movement. patient was admitted to hospital were she is currently being seen by neurology for new onset of seizures. all possible attributing factors for new onset of seizures are being ruled out

Données de laboratoire
patient is currently an in-patient. eeg have been ordered
Liste des symptômes
dyskinesia asthenia drooling seizure
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Private
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na