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This is VAERS ID 943307

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/8/2021

VAERS ID: 943307
VAERS Form:2
Age:17.0
Sex:Female
Location:Kentucky
Vaccinated:2021-01-04
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Seizure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies: penicillin, bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Seizure-Severe


Changed on 5/7/2021

VAERS ID: 943307 Before After
VAERS Form:2
Age:17.0
Sex:Female
Location:Kentucky
Vaccinated:2021-01-04
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Seizure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies: penicillin, bactrim bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Seizure-Severe


Changed on 5/14/2021

VAERS ID: 943307 Before After
VAERS Form:2
Age:17.0
Sex:Female
Location:Kentucky
Vaccinated:2021-01-04
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Seizure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies: penicillin, bactrim bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Seizure-Severe

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=943307&WAYBACKHISTORY=ON


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