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| VAERS_ID | RECVDATE | STATE | AGE_YRS | CAGE_YR | CAGE_MO | SEX | RPT_DATE | SYMPTOM_TEXT | DIED | DATEDIED | L_THREAT | ER_VISIT | HOSPITAL | HOSPDAYS | X_STAY | DISABLE | RECOVD | VAX_DATE | ONSET_DATE | NUMDAYS | LAB_DATA | V_ADMINBY | V_FUNDBY | OTHER_MEDS | CUR_ILL | HISTORY | PRIOR_VAX | SPLTTYPE | FORM_VERS | TODAYS_DATE | BIRTH_DEFECT | OFC_VISIT | ER_ED_VISIT | ALLERGIES | Link 1 | Link 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0919885 | 01/05/2021 | MD | 1.0 | 1 | .0 | U | No other AE; Caller reports AE related to administration of expired PROQUAD.; Excursion occurred 11/17/2020; This spontaneous report was received from an office manager, referring to a 12-months-old male patient. The patient's pertinent medical history, cu | U | 12/07/2020 | 11/17/2020 | UNK | US0095075132012USA012913 | 2 | 01/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1062458 | 03/01/2021 | MD | 1.0 | 1 | .0 | M | On 4/11/2016, child received two vaccinations that were expired (Hep B, expired 11/1/2015 and Hib expired 10/28/2015) | U | 04/11/2016 | 04/11/2016 | 0 | PVT | unknown | unknown | unknown | 2 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1123085 | 03/22/2021 | MD | 1.0 | 1 | .1 | U | No additional AE; Improperly stored VARIVAX administered to patient; This spontaneous report was received from a nurse referring to a 1-year-old patient of unknown gender. Information about medical history, concurrent conditions and concomitant therapies w | U | 03/11/2021 | 03/11/2021 | 0 | UNK | US0095075132103USA004415 | 2 | 03/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1149212 | 03/30/2021 | MD | 1.0 | 1 | .0 | F | About 5 minutes after the vaccination, child had a tonic-clonic seizure lasting 1.5-2 minutes. | Y | 03/13/2018 | 03/13/2018 | 0 | Transferred to hospital ER, where all tests were normal except slightly elevated WBC. Followup EEG a couple weeks after was normal. | PVT | 2 | 03/30/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313912 | 05/13/2021 | MD | 1.83 | 1 | .8 | M | I received the Pfizer COVID-19 vaccination, and experience injection site soreness. My nursing toddler (22month old) experienced the following adverse side effects: loose stool (days 2-4 post vaccine), vomiting (72hrs post vaccine), 102 -103 degree fever f | N | 05/06/2021 | 05/07/2021 | 1 | N/A | PHM | N/A | N/A | N/A | 2 | 05/13/2021 | Egg allergy (severe vomiting) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334045 | 05/20/2021 | MD | 1.42 | 1 | .4 | F | Redness and swelling of the injection site. | U | 05/19/2021 | 05/20/2021 | 1 | None. | PVT | None | None | None | 2 | 05/20/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371689 | 06/03/2021 | MD | 1.0 | 1 | .0 | M | My son had severe seizures, temp went from normal to over 104 within seconds, lethargic and wouldn't eat or anything | Y | Y | 11/28/2012 | 11/28/2012 | 0 | Had to call 911 and they took him to hospital | PVT | None | None | None | 2 | 06/03/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1495694 | 07/22/2021 | MD | 1.08 | 1 | .1 | M | vesicular rash, intra-oral, perioral, neck | N | 07/20/2021 | 07/21/2021 | 1 | PVT | 2 | 07/22/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1497145 | 07/23/2021 | MD | 1.0 | 1 | .0 | F | pediatric patient/ administered on Jul 15th 2021 with an adult dose from Havrix; pediatric patient/ administered on Jul 15th 2021 with an adult dose from Havrix; This case was reported by a other health professional via call center representative and descr | U | 07/15/2021 | 07/15/2021 | 0 | UNK | HAVRIX Pre-Filled Syringe Device | USGLAXOSMITHKLINEUS202115 | 2 | 07/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1530447 | 08/06/2021 | MD | 1.0 | 1 | .0 | M | below freezing temperature excursion; This case was reported by a physician via call center representative and described the occurrence of incorrect storage of drug in a 12-month-old male patient who received HAV (Havrix) (batch number yl532, expiry date 9 | U | 07/16/2021 | UNK | USGLAXOSMITHKLINEUS202116 | 2 | 08/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535836 | 08/09/2021 | MD | 1.0 | 1 | .5 | M | was administrated with Havrix after a below freezing temperature excursion; This case was reported by a physician via call center representative and described the occurrence of incorrect storage of drug in a 1-year-old male patient who received HAV (Havrix | U | 07/28/2021 | UNK | USGLAXOSMITHKLINEUS202116 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1571617 | 08/16/2021 | MD | 1.0 | 1 | .6 | M | patient received an expired dose / exp 08/01/2021; This case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a 19-month-old male patient who received HAV (Havrix) (batch number BE5554, expiry d | U | 08/05/2021 | 08/05/2021 | 0 | UNK | USGLAXOSMITHKLINEUS202116 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1653376 | 08/29/2021 | MD | 1.0 | 1 | .3 | F | expired dose of ACTHIB was administered to a patient, no adverse event; Initial information regarding an unsolicited valid non-serious case was received from the other health care professional via Global Medical Information (GMI) (Reference number- 0072570 | U | 08/16/2021 | 08/16/2021 | 0 | UNK | VARICELLA VACCINE; DAPTACEL | USSA2021SA273606 | 2 | 08/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696566 | 09/14/2021 | MD | 1.58 | 1 | .6 | F | Vomiting x 1 every night and 5 loose stools per day (reported to PCP 1 month after vaccine). | N | 08/13/2021 | 08/14/2021 | 1 | TSH, Hepatitis panel, Food allergy panel, CMP, CBC, O&P, Giardia, Stool culture, Stool WBC | PVT | N/A | None | None | 2 | 09/14/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1750345 | 09/30/2021 | MD | 1.33 | 1 | .3 | M | He had a seizure and went unconscious. I had to preform CPR and call the ambulance. This was 3 days after the injection. 6 days later he had another one in a pool where we were at his cousins bday party. | U | 06/24/2019 | 06/25/2019 | 1 | N/A | PVT | NONE | NONE | NONE | When he was 3 months old he broke out in hives all over this body. They claimed it was " baby acne" | unsure | 2 | 09/30/2021 | Y | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1797090 | 10/19/2021 | MD | 1.0 | 1 | .4 | F | 4 months of age (administered on 29Jul2019 / 16 months of age (administered on 14Aug2020 / 19 months of age (administered on 13Nov2020; 4 months of age (administered on 29Jul2019 / 16 months of age (administered on 14Aug2020 / 19 months of age (administere | U | 08/14/2020 | 08/14/2020 | 0 | UNK | USGLAXOSMITHKLINEUS202121 | 2 | 10/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1848111 | 11/06/2021 | MD | 1.0 | 1 | .4 | M | received 2 doses, 3 weeks apart; This case was reported by a other health professional via call center representative and described the occurrence of drug dose administration interval too short in a 16-month-old male patient who received Flu Seasonal QIV D | U | 10/20/2021 | 10/20/2021 | 0 | UNK | USGLAXOSMITHKLINEUS202122 | 2 | 11/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |