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From the 1/14/2022 release of VAERS data:

Found 5,276 cases where Age is 5-or-more-and-under-12 and Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Vaccination Date from '2021-11-01' to '2021-12-31'

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Case Details

This is page 4 out of 528

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VAERS ID: 1846355 (history)  
Form: Version 2.0  
Age: 7.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-11-05
Onset:2021-11-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5137 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

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

Write-up: Pt described feeling of dizziness post vaccination symptoms resolved on their own


VAERS ID: 1846361 (history)  
Form: Version 2.0  
Age: 7.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-11-03
Onset:2021-11-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30135BA / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: My daughter was incorrectly given a reformulated adult pfizer (purple cap) vs the pediatric (orange cap)


VAERS ID: 1846498 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-11-05
Onset:2021-11-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Presyncope, Seizure, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: She went vesovagel and is fine now. She fainted and convulsed almost immediately


VAERS ID: 1846684 (history)  
Form: Version 2.0  
Age: 7.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-11-05
Onset:2021-11-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5127 / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad)

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

Write-up: Patient received dose 1 of the Pfizer COVID vaccine (lot FK5127) at approximately 1115. At 1124, RN approached the patient and mother to inquire about how he felt. The patient reported feeling nauseous. RN transferred patient to zero-gravity chair. PHN and Paramedic approached to assess. At 1125, vital signs: blood pressure 98/72, respirations 12, O2 100%, pulse 96. Patient placed supine. Patient reported improvement in symptoms, no longer nauseous. Patient appeared pale; denied diaphoresis, blurry vision, pain, dizziness. Patient''s mother reported he had eaten breakfast and was well hydrated. Patient has no allergies, no medical conditions, and takes gummy vitamins. No history of fainting. Patient reported anxiety to needles. At 1133, PHN offered Benadryl, mother declined. PHN educated patient''s mother on remaining for 30min monitoring since report of symptoms, on following up with provider, and ER precautions. Patient sat up and drank water provided by Paramedic. At 1137, vital signs: blood pressure 96/68, pulse 84, O2 100%, respirations 22. Patient reported symptoms had resolved. PHN noted improved skin tone color. At 1140, patient stood up unassisted, continued to report no symptoms. At 1142, patient left with mother, against medical advice of remaining for 30min monitoring from time of reporting symptoms.


VAERS ID: 1846716 (history)  
Form: Version 2.0  
Age: 8.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-11-04
Onset:2021-11-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 320308D / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Enlarged tonsils.
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient was given an adult dose of the vaccine instead of the pediatric dose.


VAERS ID: 1846825 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-11-05
Onset:2021-11-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FJ8027 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Extra dose administered, Wrong product administered
SMQs:, Medication errors (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Administered 0.2mL of Adult Pfizer COVID-19 formulation instead of 0.2mL of Pediatric. Pfizer COVID-19 formulation.


VAERS ID: 1846828 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-11-05
Onset:2021-11-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FH8027 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Patient was inadvertently administered COVID-19 Pfizer Adult 0.2mL formulation instead of COVID-19 Pfizer Pediatric 0.2mL formulation resulting in larger dose.


VAERS ID: 1846954 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Male  
Location: California  
Vaccinated:2021-11-05
Onset:2021-11-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8839 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (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? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/A
Preexisting Conditions: n/A
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: A 10-year-old patient was administered an adult dose of the COVID-19 Pfizer vaccine.


VAERS ID: 1846975 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-11-05
Onset:2021-11-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5127 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Unevaluable event
SMQs:

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

Write-up: None


VAERS ID: 1847022 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-11-04
Onset:2021-11-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Incorrect dose administered, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad), Medication errors (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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: The patients Father brought his daughter in for a Covid vaccination on 11/04/2021. She was given 0.3 ml of the Pfizer Covid Vaccine in the right deltoid, IM. The Father was in the Clinic the next day when he brought his other daughter in to get vaccinated. It was realized at that time that (the daughter that recieved the vaccine) was 9 yrs old, and was given an incorrect dose. He stated that she woke this am with a headache and sore arm. He gave her Tylenol and she went to school. He also stated that she was doing fine at this time, and would continue to monitor her. This was discussed with RN and the Father. The Father was instructed to contact their local provider of any abnormal signs or symptoms.


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