From the 4/26/2024 release of VAERS data:

This is VAERS ID 902811

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Case Details

VAERS ID:	902811 (history)
Form:	Version 2.0
Age:	39.0
Sex:	Female
Location:	Kansas

Vaccinated:	2020-12-16
Onset:	2020-12-16
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-16

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH9899 / UNK	LA / IM

Administered by: Private Purchased by: ?
Symptoms: Fall, Seizure like phenomena
SMQs:, Convulsions (narrow), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Associate received vaccine at 12:15 pm and was monitored for 15 minutes. After 15 minutes, associate went to check out table. While at check out table, associate fell to ground and was experiencing seizure like activity. Supportive treatment was administerd and associate was transferred to ED.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902811