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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 6 out of 528

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VAERS ID: 1848873 (history)  
Form: Version 2.0  
Age: 6.0  
Sex: Female  
Location: Ohio  
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: Eye movement disorder, Hyperhidrosis, Loss of consciousness, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZyrTEC Childrens Allergy(Cetirizine HCl)
Current Illness: None
Preexisting Conditions: Small kidney, Dilation of kidney
Allergies: Amoxicillin: vomiting
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortly after patient received vaccine (<5 min) mom reports patient looked pale, eyes rolled back and brief LOC. Mom called out for help. Pt was pale and diaphoretic. We attempted to lay her down and she had some trouble following directions. EMS was called. She sat up and was able to answer questions. She continued to look pale. Water was given. EMS arrived and transported patient to hospital for further evaluation.


VAERS ID: 1848892 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Female  
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: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular 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: Taking pro-biotic supplement, Vitamin D, B12, Fish Oil
Current Illness: No
Preexisting Conditions: Suspect client had COVID early on March 2020, severe GI symptoms with crippling pain
Allergies: NKFA Biaxin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt reports dizziness and nausea, guardian elected to recover at home post 30 minutue observation.


VAERS ID: 1848950 (history)  
Form: Version 2.0  
Age: 8.0  
Sex: Male  
Location: Arizona  
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 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Methylphenidate
Current Illness: None
Preexisting Conditions: Adhd
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Hives on neck, back, R arm approx 25 minutes after shot given. No difficult breathing or facial swelling. Hives stabilized after about 30 minutes and still present at time of reporting at 90 minutes post injection.


VAERS ID: 1848967 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Male  
Location: New York  
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 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Anxiety
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Vitals are normal
CDC Split Type:

Write-up: Patient received 1st dose of a two dose series of pediatric covid pfizer vaccine. Patient felt anxious and upset stomach 5 minutes receiving the vaccine. Patient felt better after sitting down for a few minutes and was followed up later at the emergency room


VAERS ID: 1848983 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: California  
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: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: unk
Current Illness: Unk
Preexisting Conditions: Unk
Allergies: NKA
Diagnostic Lab Data: Vital signs and pulse oximeter
CDC Split Type:

Write-up: Child was sitting on mother''s lap and lost consciousness, child was laid down and mask removed. Vital signs were stable. Child regained consciousness immediately. Client drank some water and was able to sit up and stand up without feeling dizzy. Client discharged home with mother.


VAERS ID: 1848995 (history)  
Form: Version 2.0  
Age: 7.0  
Sex: Male  
Location: California  
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 FK1527 / 1 LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS 3NA4M / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Fall, Loss of consciousness, Pallor, Skin warm
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Client received the Pfizer COVID vaccine (lot#FK1527) in the L deltoid and the Fluarix Quadrivalent Influenza Vaccine (Lot#3NA4M) in the R deltoid at approximately 1050 from vaccinator RN. After the client received both vaccines, he stood up to wait next to his mother who was receiving her COVID vaccine from the same vaccinator. Due to a limited supply of chairs at the mobile event there was not an available chair to allow the client to sit down while waiting with his mother. At approximately 1055, as the client was standing next to his mother, he began to slouch over the vaccination table and vaccinator RN''s assisted client to the ground. Client lost consciousness for approximately 2 seconds. RN assessed non obstructed airway, no respiratory distress, and raised the client''s legs while he was laying on the floor. RN assessed client who presented with mild pallor of the face, no diaphoresis, and pupils equal and reactive. RN took client vitals at 1103 with BP 100/60 in the L arm laying down, 70 HR, and 16 RR. Lead RN assessed client at 1103 presented A&O x4 and talking in full sentences, grip strong and equal, cap refill < 3 seconds, and skin pink and warm to touch. Client''s mother reported that the client ate breakfast at 0830 and had a muffin. Client denied dizziness, SOB, headache, numbness, or tingling. Client was assisted to zero-gravity chair and Lead RN advised that the client be observed for 30 minutes. Client''s father reported that he has a history of fainting but reported that the client has never fainted in the past. Lead RN provided client with water, juice, and graham crackers. Client took sips of the water and juice and ate his snacks. Client reported to Lead RN that he was "feeling good now" and denied any dizziness, SOB, headache, numbness, or tingling. RN reviewed when to f/u with PCP. At 1140 the client left the vaccine site with his parents. Client walked out of the vaccine site with a steady and symmetrical gait.


VAERS ID: 1848998 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Female  
Location: Unknown  
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: Unknown       Purchased by: ?
Symptoms: Cold sweat, Hypoaesthesia, Immediate post-injection reaction, Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Sexual dysfunction (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: Client received injection and immediately stated she felt numb, and wanted to vomit. Client was pale and clammy, and kept feeling as though she wanted to vomit. After client was placed in anti-gravity chair she began to feel better.


VAERS ID: 1849006 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Male  
Location: Florida  
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: Unknown       Purchased by: ?
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient passed out, happened minutes after vaccination


VAERS ID: 1849012 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Male  
Location: Unknown  
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 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Hyperhidrosis, Pallor, Somnolence, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: denied
Allergies: ibuprofen, bandage adhesive
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient received dose 1 of the Pfizer COVID vaccine (lot FK5127) at 1212. At 1220, the patient''s body went limp and his head slumped forwards while sitting in his father''s arms. The patient''s father called for help. Patient''s mother reported the patient was not responding to verbal stimuli. PHN and PHN approached to assess patient. Patient appeared pale and diaphoretic. Patient started responding to verbal stimuli asking "what''s going on?" PHN and father assisted patient to the ground. Vital signs: blood pressure 90/58, O2 99%, pulse 84, respirations 24. At 1225, patient reported he saw black and felt sleepy but currently symptoms improved. Patient''s mother reported patient had allergies to ibuprofen and bandage adhesive, no medical conditions, and takes no medication. PHN offered Benadryl but patient''s mother declined. PHN educated on remaining for 30min monitoring from time symptoms started, to follow up with provider, and ER precautions. Patient''s mother reported that patient had no prior history of syncope. PHN offered patient water and applesauce but patient declined. At 1228, patient reported symptoms had resolved. Vital signs: blood pressure 94/62, O2 99%, pulse 78, respirations 20. At 1245, patient sat up, continued reporting no symptoms. Vital signs: blood pressure 92/60, O2 99%, pulse 80, respirations 18. At 1248, patient stood up, continued reporting no symptoms. Patient left walking with steady gait at 1250 accompanied by parents and sibling.


VAERS ID: 1849015 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Male  
Location: Florida  
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 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Fall, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received vaccine, a few moments later he stood up to walk out of vaccine area and became unsteady. He briefly lost consciousness but awakened with his eyes opened within a few seconds. The patient did fall to the floor, however his mother had placed an infant carrier seat in the doorway which broke his fall. He was able to communicate with mother and pharmacist right away and said he did not get hurt. He was given water, gold fish crackers after a few moments and his mother monitored him for the remaining 30 minutes in the lobby. Patient left pharmacy feeling better


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