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

Found 5,173 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 5 out of 518

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VAERS ID: 1847180 (history)  
Form: Version 2.0  
Age: 7.0  
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 FK1527 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Immunisation, Needle issue, Underdose
SMQs:, Medication errors (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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: At approximately 0430, RN attempted to vaccinate client on the L deltoid with the Pfizer COVID Vaccine (Lot#FK5127). The client was crying and pulled his arm away abruptly as RN attempted to administer the vaccine. As a result, none of the vaccine dose was administered to the client but the needle broke the skin. The Pfizer COVID vaccine was wasted as the vanishing point needle could not be replaced with a new needle. The client''s mother demonstrated an understanding of stabilizing the client''s arm to safely vaccinate. Lead RN vaccinated with a new dose of Pfizer COVID vaccine (lot# FK1527) on the R deltoid at approximately 0435.


VAERS ID: 1847365 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
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 - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), 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: None
Current Illness: No
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient felt woozy and fainted 5 minutes after administration of the vaccine. It was around 12:55 pm. We lay down the patient giving some air while the paramedic was called. She was responding to all the questions she was asked. After her vital signs were checked, which turned out to be normal, the patient declared of feeling good and even left the premises by walking on her own.


VAERS ID: 1847375 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Female  
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 - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Anxiety, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), 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: None
Current Illness: None
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: After 20 mins of being vaccinated, patient complained of little tightness in the throat and she looked anxious. She was seated and given water to sip on. After 15 mins of being monitored and from responding to the questions asked; she declared feeling better. No paramedic called.


VAERS ID: 1847382 (history)  
Form: Version 2.0  
Age: 7.0  
Sex: Male  
Location: Arizona  
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 FD0810 / 1 RA / 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: The patient was given an adult dose of the Pfizer vaccine. This was discovered within minutes of the patient leaving the pharmacy. I called the parent and reported it to him.


VAERS ID: 1847383 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Female  
Location: Nebraska  
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 FF2587 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Pain in extremity
SMQs:, Tendinopathies and ligament 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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: On 11/04/2021 the patient was brought to the clinic by her Father to receive a Covid Vaccine. She was checked in and the vaccine information form was filled out, this was reviewed by myself with the father and daughter. We reviewed possible side effects at this time. She was then given 0.3 ml of the Pfizer covid vaccination in the right deltoid IM. They stayed for 15 minutes following the injection. The following day the Father returned with his other daughter to get a covid vaccine. It was at this time that it was realized that there had been an error in vaccinating the patient the previous day. It was at that time that RN discussed with the Father that an error had occurred when vaccinating the patient due to her age. He stated that she had woke this morning with a headache and a sore arm, and he gave her Tylenol at that time, and she went to school.. He also stated that at this time she was doing fine, and would continue to monitor her. He was advised by RN to contact their local provider of abnormal signs or symptoms.


VAERS ID: 1847384 (history)  
Form: Version 2.0  
Age: 7.0  
Sex: Female  
Location: Texas  
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 FK5127 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
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: About six hours after injection she began vomiting. She vomited 14 times over the next 4 hours. No one else in the household has gotten sick so I do not think it?s a contagious agent


VAERS ID: 1848763 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-11-05
Onset:2021-11-06
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5127 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Decreased appetite, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: Eggs
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt woke up at 3 am with vomiting and diarrhea for about an hour. Woke up and is now experiencing loss of appetite.


VAERS ID: 1848811 (history)  
Form: Version 2.0  
Age: 8.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-11-06
Onset:2021-11-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5127 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Syncope, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), 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: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Patient was exiting vaccination area when became faint. Mom attempted to place in chair, I assisted Mom in placing patient safely on the floor. Patient never lost consciousness, able to articulate in complete sentences with no difficulty. Patient remained in recumbant position x 5 minutes, then sitting on bottom on floor x5 minutes, then standing to immediately sitting in chair x 5 minutes. Upon standing, felt he had some fuzzy vision. Mom relayed that the patient had not eaten breakfast this am. Mom gave some peanut butter crackers and the patient felt much better. PCO2 99%. Pulse 86. Patient waited x 30 minutes post vaccination and left without further event.


VAERS ID: 1848831 (history)  
Form: Version 2.0  
Age: 8.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-11-06
Onset:2021-11-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5127 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness postural, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), 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: Vitamin D supplement
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: The client received her IM vaccine without incident. Shortly after standing, she felt dizzy and immediately fainted. She regained consciousness within 10 seconds. Vital signs stable. Alert and oriented x3.


VAERS ID: 1848851 (history)  
Form: Version 2.0  
Age: 8.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-11-06
Onset:2021-11-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5618 / 1 RA / IM
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7336NA / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), 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: Multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data: Vital signs only.
CDC Split Type:

Write-up: Syncopal episode with subsequent emesis


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