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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 |
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0943212 | 01/14/2021 | MD | 10.0 | 10 | M | Patient was sitting on exam table; he was talkative and alert until after receiving third injection, HPV. Patient suddenly slumped forward and then backward. He was placed in the lying position onto his right side. Eye rolling and upper body jerking was n | Y | 01/13/2021 | 01/13/2021 | 0 | None | PVT | NONE | HEADACHE, ALLERGIC RHINITIS | ALLERGIC RHINITIS | 2 | 01/14/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591560 | 08/20/2021 | MD | 10.0 | 10 | M | No adverse results - patient was 10 yrs old at time of vaccine, administration error | Y | 06/09/2021 | 08/20/2021 | 72 | PVT | 2 | 08/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1842815 | 11/04/2021 | MD | 10.0 | 10 | M | Patient received second dose of influenza vaccine due to communication error between parent, school, and vaccine registration system. | N | 11/02/2021 | 11/02/2021 | 0 | none | SCH | 2 | 11/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |