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From the 1/7/2022 release of VAERS data:

Found 265 cases where Age is under-19 and Vaccine is COVID19 and Manufacturer is PFIZER/BIONTECH and Patient Did Not Die and Hospitalized and Vaccination Date from '2021-07-01' to '2021-07-31'

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Case Details

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VAERS ID: 1776821 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-17
Onset:2021-07-27
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Anaemia, Arthralgia, Aspartate aminotransferase increased, Haemoglobin decreased, Pyrexia, Rash macular, Rash pruritic, White blood cell count decreased
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: ~10 days after 2nd Pfizer dose, she developed nightly fevers for 2+ weeks, joint pain, macular itchy rash. WBC 2.0, ALT 78, AST 226, Hgb 6.9. After lab results treated with prednisone 40mg, admitted for 3 days, symptoms completely resolved, now on ferrous sulfate for anemia


VAERS ID: 1797267 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-12
Onset:2021-08-16
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Type 1 diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101310886

Write-up: T1D; This is a spontaneous report from a contactable consumer. A 15-year-old female patient received bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 12Jul2021 10:00 (Batch/Lot Number: EW0178) at the age of 15 years old as dose 2, single for COVID-19 immunisation. The patient''s medical history was not reported. The patient has no known allergies. There were no concomitant medications (other medications in two weeks none). Historical vaccine included bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE) received by the patient on 21Jun2021 10:00 (Batch/Lot Number: EW0167) administered in left arm as dose 1, single (at the age of 15 years old) for COVID-19 immunization. No other vaccine received in four weeks. The patient experienced T1D (Type 1 Diabetes Mellitus) on 16Aug2021 12:00. The patient was hospitalized for T1D for 3 days. Therapeutic measures were taken as a result of T1D which included insulin. The event resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Disability or permanent damage. The patient has no history of COVID-19 prior to vaccination. The patient has not been tested for COVID-19 post vaccination. Outcome of the event was recovered/resolved with sequelae (recovered with lasting effects).


VAERS ID: 1855566 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-07-24
Onset:2021-07-27
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac imaging procedure abnormal, Chest pain, Ejection fraction decreased, Left ventricular dysfunction, Myocardial oedema, Myocarditis, Troponin abnormal
SMQs:, Cardiac failure (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: MRI 8/3: LV function is normal (EF= 54%), LV size is normal (EDV = 94 ml/m2). There is a focal area of T2 edema and delayed enhancement involving the inferolateral wall of LV, consistent with myocarditis. MRI 11/1: LV function is mildly decreased (EF= 51%, previously 54%), LV size is mildly decreased (EDV = 81 ml/m2). There has been an interval resolution of T2 edema, however minimal residual delayed enhancement involving the inferolateral wall of LV is again seen, significantly improved since the previous examination.
CDC Split Type:

Write-up: Myocarditis, presenting with chest pain and positive troponin and cardiac MRI meeting diagnostic criteria with LGE and T2 edema


VAERS ID: 1855572 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-07-16
Onset:2021-07-19
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Headache, Magnetic resonance imaging heart, Myocarditis, Pyrexia, Troponin increased
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: Low grade fever after 1st COVID vaccine
Other Medications: none
Current Illness: none
Preexisting Conditions: ADHD
Allergies: none
Diagnostic Lab Data: Cardiac MRI 7/22: Moderate hyperintense myocardial T2 signal in the inferolateral basal-mid myocardial segments. Corresponding patchy epicardial-mid myocardial delayed enhancement is appreciated in these same regions, as well as in the inferior septum. These findings are consistent with myocarditis.
CDC Split Type:

Write-up: Myocarditis - started with fever and headaches followed by chest pain on day #3 with elevated troponin and positive CMR as below


VAERS ID: 1890117 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-19
Onset:2021-08-01
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Blood test abnormal, Dizziness, Fall, Fatigue, Hypoaesthesia, Hypotension, Laboratory test, Muscular weakness, Neuropathy peripheral, Paraesthesia, Peroneal nerve palsy, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None, perfectly healthy 15 year old daughter .
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Many- I have a whole PDF file . She was admitted to the hospital for three days . Tests ongoing as we try to heal her .
CDC Split Type:

Write-up: 15 year old daughter developed, numb , tingling, weakness then full ? drop foot? on right leg . Dizzy, falling , for months . Low blood pressure, Drop foot for 7 weeks until they have her Prednisone. Now she has numbness, low blood pressure, tingling, pain behind knee, peripheral neuropathy. Slowing resolving . Tired, dizzy , weak , low blood pressure still ongoing. She has been hospitalized, fainting, treated by EMT , ambulance for vasovegular fainting out of the blue. Blood tests , coming back with irregularities.


VAERS ID: 1901174 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-13
Onset:2021-07-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Endoscopy, Endoscopy upper gastrointestinal tract, Haemorrhage, Headache, Pain, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: VITAMINS NOS
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Blood pressure; Food allergy; Juvenile rheumatoid arthritis; Migraine
Allergies:
Diagnostic Lab Data: Test Name: upper and lower endoscopy; Result Unstructured Data: Test Result:normal; Test Name: upper and lower endoscopy; Result Unstructured Data: Test Result:normal; Test Date: 20210802; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC202101566341

Write-up: Headache; body aches; Trouble breathing; Had bleeding from her bottom; This is a spontaneous report from a contactable consumer (patient''s parent). A 14-year-old female non-pregnant patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration, administered in left arm on 13Jul2021 10:00 (14-year-old at time of vaccination) as single dose for COVID-19 immunisation. Medical history included asthma, JRA, migraines, blood pressure, and allergy to corn, beef, coconut, egg, coffee. The patient had no COVID-19 prior vaccination. Concomitant medication (other medications in two weeks) included vitamins nos (VITAMINS NOS) and unspecified medications for asthma, blood pressure, and migraine. The patient previously took amoxicillin and experienced allergy. There was no other vaccine in four weeks. Adverse event: The patient had headaches and body aches for 3 months. Trouble breathing, she has had ongoing medical issues since getting the vaccine. All her tests have came back normal so there is no reason for all the new medical issues. Only common factor is the Pfizer vaccine. She has been sick non stop since 13Jul2021. Including being hospitalized on 8/2- 8/5. She has not caught a break she is constantly sick and new medical issues popping up every other week. She had bleeding from her bottom while hospitalized. Adverse events started from 13Jul2021 10:30. Adverse events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, and hospitalization (from 02Aug2021 to 05Aug2021, while number of days hospitalization was reported as 5). The patient had to get an upper and lower endoscopy. COVID-19 was tested post vaccination: Nasal Swab on 02Aug2021 with result negative. Therapeutic measures were taken as a result of the events. The outcome of the events was not recovered. Information on the lot/batch number has been requested.


VAERS ID: 1905605 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-31
Onset:2021-10-12
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 2021-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Drug screen negative, Dyskinesia
SMQs:, Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Urine drug screen: negative
CDC Split Type:

Write-up: Abnormal involuntary movements in right arm and hip


VAERS ID: 1924599 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-07-26
Onset:2021-12-04
   Days after vaccination:131
Submitted: 0000-00-00
Entered: 2021-12-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
SMQs:, Medication errors (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Pfizer on 4/13 and 7/26. Positive on 11/29


VAERS ID: 1997639 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH E100177 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Autonomic nervous system imbalance, Blood pressure orthostatic abnormal, Chest pain, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram ambulatory, Laboratory test, Palpitations, Presyncope, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 25 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Pcn, tree nuts
Diagnostic Lab Data: 9-17- EKG, echo normal, Orthostatic VS abnl, event monitor wore with one event of tachycardia, 10-27 clinic e-visit 11-5 ER visit with labs, 11-6 ER visit with labs, and 11-11 ER visit with labs, Hospitalization from 11-11 to 11-19 with multiple tests and labs Multiple e visits with syncope/heart clinic
CDC Split Type:

Write-up: Patient received his 1st Covid 19 vaccine on 7-30-21, he had dizziness that started a few hours after vaccine. The dizziness got worse over the following days and weeks with developing CP and palpitations with near syncope episodes. Saw Primary on 8-30 and referred to cardiologist. Patient continued to have symptoms and saw Cardio on 9-17. Diagnosis with dysautonomia after EKG, Echo in office was normal. Orthostatic VS were abnormal. Dr. started pt. on a treatment plan and patient wore event monitor. (sent back early d/t increasing symptoms). One episode of tachycardia noted. Multiple ER visits d/t near syncope, CP/ Palpitations. Continued symptoms with increased medications prescribed by cardiologist at a syncope clinic.


VAERS ID: 1497835 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-07-01
Onset:2021-07-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood creatine phosphokinase, Body temperature, Chest pain, Electrocardiogram, Headache, Magnetic resonance imaging, Nausea, Palpitations, Pyrexia, Troponin, Ultrasound scan, Visual impairment, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: CK; Result Unstructured Data: Test Result:see comments below; Comments: CK was 438 on admission and 118 upon discharge; Test Name: temperature; Result Unstructured Data: Test Result:37.9; Test Name: ECG; Result Unstructured Data: Test Result:see comment below; Comments: ECG changes were noted; Test Name: MRI; Result Unstructured Data: Test Result:see comments below; Comments: Not yet reported; Test Name: Troponin; Result Unstructured Data: Test Result:see comments below; Comments: Troponin fluctuates between 4.98 and 13.95.; Test Name: ECHO; Result Unstructured Data: Test Result:normal; Comments: normal
CDC Split Type: BHPFIZER INC2021884368

Write-up: Nausea; Vomiting; Palpitation; Headache; Change of vision; Fever; Central chest pain for 2 days. The pain was radiating to his throat.; This is a spontaneous report received from a contactable pharmacist at regulatory authority. This is a report received via email from a regulatory authority. The Regulatory Authority number was unknown. A 15-years-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: Unknown), via an unspecified route of administration on 01Jul2021 as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced, vomiting, palpitation, headache, change of vision, fever, central chest pain for 2 days. the pain was radiating to his throat. on 02Jul2021. The events assessed as serious (hospitalization). The patient was hospitalized for events from 04Jul2021 to 07Jul2021. The patient underwent lab tests and procedures which included troponin: Troponin fluctuates between 4.98 and 13.95, body temperature: 37.9, blood creatine phosphokinase: CK was 438 on admission and 118 upon discharge, electrocardiogram: ECG changes were noted, ultrasound scan: normal, magnetic resonance imaging: not yet reported on unspecified date. The reporter described the severity of the adverse events as Severe. Interval to symptoms was reported to be 2days. The outcome of the events was reported as unknown. Follow-up activities closed: local HA confirmed not to be contacted to provide more information.


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