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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1351543 | 05/26/2021 | HI | 12.0 | 12 | F | Patient received covid vaccination. Became lethargic, diaphoretic and pale in observation. Patient taken to ER for further evaluation. Pt left the ED after only being seen by triage RN; pt did not stay to see a provider. | U | 05/21/2021 | 05/21/2021 | 0 | none | OTH | unk | unk | unk | 2 | 05/26/2021 | Y | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1375917 | 06/04/2021 | HI | 12.0 | 12 | F | Patient developed pruritic rash 10 min after vaccine administration. She was given antihistamine with improvement in her rash, and symptoms. She was discharged home from the vaccination site in improved condition. | 06/04/2021 | 06/04/2021 | 0 | MIL | 2 | 06/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403988 | 06/16/2021 | HI | 12.0 | 12 | F | Patient fainted briefly after covid vaccine administered by pharmacy technician. Patient was sitting down. EMT arrived, vitals were normal, patient refused transport to hospital. Patient referred to PCP for evaluation. No anaphylaxis or other symptoms. | Y | 06/16/2021 | 06/16/2021 | 0 | PHM | none | 2 | 06/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801971 | 10/20/2021 | HI | 12.0 | 12 | F | Alopecia areata noted on top of scalp starting shortly after first dose and seemed to worsen after 2nd | Y | 09/17/2021 | 09/20/2021 | 3 | CBC, TSH, free T4 (all normal) | PVT | None | Denies | Obesity | 2 | 10/20/2021 | Y | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX |