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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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1208669 | 04/14/2021 | WI | 14.0 | 14 | M | 14 year old received vaccine. Mother of patient was contacted to discuss and cancel 2nd dose appointment. Mother stated that she brought this up to hospital staff who said that it was OK to give as long as she consented. Unknown which staff member said tha | Y | 04/01/2021 | 04/01/2021 | 0 | None | PVT | Unknown | Unknown | Unknown | 2 | 04/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313686 | 05/13/2021 | WI | 14.0 | 14 | F | Patient not within the age group covered in the EUA | U | 05/11/2021 | 05/11/2021 | 0 | n/a | WRK | unknown | unknown | unknown | 2 | 05/13/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327352 | 05/18/2021 | WI | 14.0 | 14 | F | pt experienced numbness and tingling in arm of injection was | U | 05/13/2021 | 05/13/2021 | 0 | none known | PHM | none known | none known | none known | 2 | 05/18/2021 | Y | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1342052 | 05/23/2021 | WI | 14.0 | 14 | M | Heart Palpitations - Friday afternoon 5/21/21 about 72 hours after vaccination. Patient complained of heart palpitations after school Friday. he said he felt them after PE class. He also experienced them on Saturday, 5/22 about 96 hours post-vaccination. I | U | 05/18/2021 | 05/21/2021 | 3 | PUB | sertraline 50mg | non | overweight, otherwise healthy | 2 | 05/23/2021 | possibly allergic to the *-cillin family of antiboitics (developed hives after amoxicillin at a younger age) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346974 | 05/25/2021 | WI | 14.0 | 14 | F | PATIENT VISION BECAME BLURY, AND PATIENT EXPERIENCED COLD/HOT FLASHES | Y | 05/21/2021 | 05/25/2021 | 4 | PHM | N/A | N/A | HX OF FAINTING WITH IMMUNIZATIONS | 2 | 05/25/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351341 | 05/26/2021 | WI | 14.0 | 14 | F | Initial complaint at 1353: Lightheaded, hot, cold, headache on right side, diaphoretic to the touch 1406 BP 110/70 HR 64 Denies SOB, tingling throat. Ate at 12 noon fruit and chips 1410 BP 122/72 HR 66 Worsening of headache on right side of head | U | 05/21/2021 | 05/21/2021 | 0 | unknown | PUB | Fluoxetine | denied | Celiac's | 2 | 05/26/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351724 | 05/26/2021 | WI | 14.0 | 14 | F | Pfizer Covid vaccine administered at 1401 on 5/26/2021. 1413 - in observation room, pt noticed a rash (red/blotchy) around injection site. No pain/itching at site. No other symptoms reported. Pt monitored for 30 minutes by 2 RNs following vaccine admin | Y | 05/26/2021 | 05/26/2021 | 0 | PVT | 2 | 05/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1357756 | 05/28/2021 | WI | 14.0 | 14 | F | Dizziness reported ~5 minutes after injection. Water and juice provided, LE elevated. Shortness of breath reported ~45 minutes after injection. After 1 hour of observation at Vaccine Clinic, patient transferred to Urgent Care per family request. | U | 05/25/2021 | 05/25/2021 | 0 | PVT | 2 | 05/28/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1358230 | 05/28/2021 | WI | 14.0 | 14 | F | Dizzy, fell to ground from chair. BP 128/68 at 12:05. BP repeat at 12:10 is 122/70. Recovered and Father came to pick her up from school. | Y | 05/28/2021 | 05/28/2021 | 0 | BP 128/68 at 12:05. BP repeat at 12:10 is 122/70. | OTH | 2 | 05/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361861 | 05/30/2021 | WI | 14.0 | 14 | F | Pt received her 1st dose of the Pfizer vaccine in the right arm at approximately 2:45 PM on May 29 at pharmacy. Pt was recommended to sit for 15 minutes in the waiting area after vaccination for observation, but she and mom opted to go shopping in the stor | U | 05/29/2021 | 05/29/2021 | 0 | Unknown | PHM | Unknown | Unknown | Unknown | 2 | 05/30/2021 | Y | No allergies listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1375112 | 06/04/2021 | WI | 14.0 | 14 | M | CLIENTS MOTHER REPORTS CHILD HAD HEART PALPITATIONS AFTER RECEIVING SECOND DOSE. EXACT TIME AND HOW LONG PALPITATIONS STARTED AND LASTED UNKNOWN. CLIENTS MOTHER INFORMED STAFF CHILD WOULD RECEIVE SECOND DOSE AT HIS DOCTORS OFFICE. | Y | 05/18/2021 | 05/18/2021 | 0 | UNKNOWN | OTH | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 06/04/2021 | Y | UNKNOWN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1381815 | 06/08/2021 | WI | 14.0 | 14 | M | 2 days post vaccination patient developed hives--parent treated with Benadryl, 3 days post vaccination--patient's finger began swelling, worsening symptoms over following 4 days included increased difficulty walking (started with a limp), diarrhea, extreme | Y | U | 05/28/2021 | 05/30/2021 | 2 | Rheumatoid factor, WBC | PHM | Methylphenidate ER 54mg, Guanfacine ER 1mg, Bupropion SR 200mg, Oxcarbazepine 300mg | 2 | 06/08/2021 | No known allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1386202 | 06/09/2021 | WI | 14.0 | 14 | F | Patient received wrong dose. Administered .5ml of Pfizer instead of .3ml. | U | 06/09/2021 | 06/09/2021 | 0 | PHM | 2 | 06/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1391510 | 06/11/2021 | WI | 14.0 | 14 | F | Patient reports cough and fever since 5/22. Was seen by pediatrician in clinic on 5/25, diagnosed with pneumonia and prescribed azithromycin. Parent reported compliance with medication but reported that patient started to have coughing fits and fever of 10 | Y | 3 | Y | 05/21/2021 | 05/22/2021 | 1 | 5/28 chest xray shows worsening patchy airspeace disease in left lung base. Positive COVID test on 5/28, elevated CRP values on 5/28 and 5/29. | PVT | N/A | N/A | Obesity (BMI 35), ADHD | 2 | 06/11/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1399347 | 06/15/2021 | WI | 14.0 | 14 | F | Received dose too soon, 16 days after the first dose. | 06/10/2021 | 06/10/2021 | 0 | PUB | 2 | 06/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403329 | 06/16/2021 | WI | 14.0 | 14 | M | Headache Arm soreness After COVID vaccine | N | 06/15/2021 | 06/16/2021 | 1 | None | PVT | None | Ankle injury | None | Emesis to previoius vaccines as child | 2 | 06/16/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403573 | 06/16/2021 | WI | 14.0 | 14 | F | 9:10...Patient noted to be very pale, was assisted to the mat. BP 110-60, HR 62 9:20...BP 106/62, HR 70 9:35...BP 104/60, HR 62 9:40...Left ambulating with mom. | Y | 06/11/2021 | 06/11/2021 | 0 | PUB | Claritin | None reported | Asthma | previous episodes with past vaccinations | 2 | 06/16/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403602 | 06/16/2021 | WI | 14.0 | 14 | F | 8 minutes after vaccine was administered she started to feel lightheaded and like she was going to faint, also felt shaky. Was given water and laid down. Her sister felt faint as well and she was concerned about her. Was fine after 8 minutes. No vitals | Y | 06/11/2021 | 06/11/2021 | 0 | PUB | Unknown | Unknown | Unknown | 2 | 06/16/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403636 | 06/16/2021 | WI | 14.0 | 14 | F | 9:52 Within 1 minute of being vaccinated, while seated in chair stated "I'm really lightheaded". Eyes were wide open and became unresponsive to verbal stimulation 9:53 Arms stiffened, no response, diaphoretic, pale 9:54 More responsive, groggy 9:56 Plac | U | 06/11/2021 | 06/11/2021 | 0 | PUB | Denied | Unknown | Unknown | 2 | 06/16/2021 | Denied | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403655 | 06/16/2021 | WI | 14.0 | 14 | F | 9:45 Pale, eased to floor/mat BP 102/60 Pulse 64 9:55 BP 104/58 Pulse 60 10:00 Left ambulatory with Dad. Color pink, skin warm an dry. Has routine Dr appointment shortly and will talk to her about her episode | U | 06/11/2021 | 06/11/2021 | 0 | PUB | Denied | Denied | Heat induced seizures | 2 | 06/16/2021 | Denied | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1404030 | 06/16/2021 | WI | 14.0 | 14 | F | Patient developed painful genital ulcers. Looked most consistent with Lipsch?tz ulcers. | U | 06/05/2021 | 06/07/2021 | 2 | HSV PCR and HSZ PCR testing was negative. | UNK | None | no | no | 2 | 06/16/2021 | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1415426 | 06/21/2021 | WI | 14.0 | 14 | M | Patient arrived to observation room and shortly after called observation RN over to him and reported that throat "feels funny, sore and tight, but not having difficulty breathing." RN administered 25 mg benadryl to patient and gave him water to make sure | U | 06/21/2021 | 06/21/2021 | 0 | PVT | Unknown | Unknown | Unknown | 2 | Ibuprofen (contraindication) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1425035 | 06/24/2021 | WI | 14.0 | 14 | M | Patient was given vaccine with no initial side effects and was asked to wait for 15 minutes before leaving facility. During that wait time patient started to develop blurred vision, and the pharmacist was alerted that the patient fell on the way to the ba | U | 06/23/2021 | 06/23/2021 | 0 | 6/24/21 - blood pressure taken by pharmacist and EMS | PHM | none | none | none | 2 | 06/24/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1425921 | 06/25/2021 | WI | 14.0 | 14 | M | Patient was diagnosed with myocarditis on 6/24/2021 after 4 days of fever, malaise, fatigue, and an episode of chest discomfort. His evaluation revealed elevated inflammatory markers, CRP and ESR, and elevated troponin levels. His EKG and echocardiogram | U | 06/04/2021 | 06/21/2021 | 17 | Initial troponin 604 ng/L at 4pm on 6/24/2021 Repeat troponin 584 ng/L at 7:25pm on 6/24/2021 ESR 23 mm/hr CRP 14.31 mg/dL normal CBC and CMP | PVT | Humira | none | Behcet's disease - uveitis and oral ulcers | 2 | 06/25/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437970 | 06/30/2021 | WI | 14.0 | 14 | F | Patient was given Moderna vaccine at age 14. She should have received Pfizer vaccine. | Y | 06/25/2021 | 06/25/2021 | 0 | unknown | PVT | unknown | unknown | Developmental delay, angelman syndrome, chromosome deletion | 2 | 06/30/2021 | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437980 | 06/30/2021 | WI | 14.0 | 14 | F | Patient received Moderna vaccine on 6/25/2021 at age 14. She should have received Pfizer. The patient developed a high fever after vaccination. | Y | 06/25/2021 | 06/25/2021 | 0 | unknown | PVT | unknown | unknown | angelman syndrome, developmental delay | 2 | 06/30/2021 | Y | flavoring agents | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1440415 | 07/01/2021 | WI | 14.0 | 14 | F | Pt was given shot by immunizing technician. And then sat down by her parent in the waiting area. Immunizing tech came and got me since parent was worried. Pt briefly passed out. By the time I got out into the waiting area pt had already woken up. Pt fe | Y | 06/29/2021 | 06/29/2021 | 0 | 6/29/21: BP: 110/71 Pulse: 101 | PHM | None | None | None | 2 | 07/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1447122 | 07/05/2021 | WI | 14.0 | 14 | M | Sore arm & swollen lymph nodes in the lt arm that are tender upon palpation. | N | 07/03/2021 | 07/04/2021 | 1 | PHM | Multiple vit Vitamin D | None | None | 2 | 07/05/2021 | Mild, pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1450019 | 07/06/2021 | WI | 14.0 | 14 | F | Per RN, patient "almost immediately" after receiving vaccine, stated she wasn't feeling well. Patient became diaphoretic and pale. Patient assisted to supine position. Vitals at 1227 BP 113/78. 100% O2Sat, 61 HR. Placed cool compress on forehead. Conti | Y | 07/06/2021 | 07/06/2021 | 0 | None | PVT | None | None | None | 2 | 07/06/2021 | Clindamycin, Bactrim, Bug bites, Seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454067 | 07/07/2021 | WI | 14.0 | 14 | F | facial swelling especially around the lower eyelids, subsided through the next 48 hours and is the swelling is now gone, pictures available | Y | 07/02/2021 | 07/03/2021 | 1 | none, did not see a doctor, called the nurse hotline, they advised to watch the symptom and to go to emergency if the symptom got worse | PUB | none | none | none | 2 | 07/07/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1456991 | 07/08/2021 | WI | 14.0 | 14 | F | chest pain, shortness of breath | N | 06/24/2021 | 06/29/2021 | 5 | EKG | PVT | 2 | 07/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457143 | 07/08/2021 | WI | 14.0 | 14 | F | Client received second dose of COVID19 vaccine at 2:28pm. While sitting in observation room with her mom, she became dizzy, light headed and nauseous. Nursing staff evaluated client. She stated she had only had a muffin for breakfast. Staff provided juice, | U | 07/07/2021 | 07/07/2021 | 0 | Unknown | PUB | Unknown | Unknown | Unknown | 2 | 07/08/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1467182 | 07/13/2021 | WI | 14.0 | 14 | F | LESS THAN 5 MINUTES AFTER RECIEVING THEIR VACCINATION, THE CLIENT WAS FOUND LAYING DOWN ON A ROW OF CHAIRS IN THE OBSERVATION AREA. CLIENT REPORTS HAVING FELT WARM, FLUSHED, AND LIGHT HEADED. CLIENT REMAINED LAYING DOWN FOR SEVERAL MINUTES (AROUND 30 MINUT | Y | 07/13/2021 | 07/13/2021 | 0 | NONE | OTH | UNKOWN | UNKOWN | UNKOWN | 2 | 07/13/2021 | NONE REPORTED | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1467270 | 07/13/2021 | WI | 14.0 | 14 | F | WITHIN A FEW SECONDS AFTER RECIEVING THEIR VACCINE, THE CLINE T TURNED WHITE AND SAID SHE FELT HOT. AFTER SITTING IN THE CHAIR FOR A COUPLE MINUTES, THE CLIENT WAS HELPED TO THE FLOOR AND FEET ELEVATED. WITHIN A MINUTE THE CLIENT FELT BETTER AND WAS ABLE T | Y | 07/13/2021 | 07/13/2021 | 0 | NONE | OTH | UNKOWN | UNKOWN | UNKOWN | 2 | 07/13/2021 | NONE LISTED | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1509507 | 07/28/2021 | WI | 14.0 | 14 | F | provoked TMJ | U | 06/02/2021 | 06/02/2021 | 0 | PVT | 2 | 07/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1531517 | 08/06/2021 | WI | 14.0 | 14 | M | no adverse event - patient was given expired vaccine. | 07/21/2021 | 07/21/2021 | 0 | PVT | 2 | 08/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1531525 | 08/06/2021 | WI | 14.0 | 14 | M | Patient was given expired vaccine | 07/21/2021 | 07/21/2021 | 0 | PVT | 2 | 08/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1531559 | 08/06/2021 | WI | 14.0 | 14 | M | Pt experienced headache/migraine and difficulty speaking after receiving 2nd dose. Medical response was called. Doctor assessed pt requested further monitoring. Pt was able to speak when doctor arrived. No swelling, SOB or hives seen. Lung sounds cle | Y | 06/03/2021 | 06/03/2021 | 0 | PVT | 2 | 08/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1531767 | 08/06/2021 | WI | 14.0 | 14 | F | Patient developed left arm pain and left leg pain that self resolved following administration of Johnson and Johnson vaccination. It was determined by the vaccination Clinic provider, who administered the vaccination, that the patient did not qualify for | U | 07/29/2021 | 07/29/2021 | 0 | None | PVT | Fluoxetine | Depression | 2 | 08/06/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536037 | 08/09/2021 | WI | 14.0 | 14 | F | Patient received second dose of Pfizer COVID19 Vaccine 1 week early. Received first dose on 7/23/21 and received second dose 8/6/21. No known adverse reaction/side effects at this time. | U | 08/06/2021 | 08/06/2021 | 0 | None | PVT | N/a | Unknown | None | 2 | 08/09/2021 | N/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536152 | 08/09/2021 | WI | 14.0 | 14 | M | Within 10 minutes of receiving vaccine, he complained of dizziness, loss consciousness with posturing, stiffening or arms and legs and odd moaning/grunting noise. Lasted about a minute. Slowly recovered, then large emesis. We left clinic, had another ep | Y | 06/05/2021 | 06/05/2021 | 0 | EKG, normal BMP, CBC both normal | PVT | Multivitamin | None | None | 2 | 08/09/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545475 | 08/11/2021 | WI | 14.0 | 14 | F | Approximately 10 minutes after receiving the vaccination, the patient developed facial flushing, blotching of the skin, and complained of throat pain/tightness with associated shortness of breath. Patient received epinehprine 0.3 mg auto-injector at the cl | 06/15/2021 | 06/15/2021 | 0 | PVT | Adapalene 0.3% gel, cetirizine 5 mg tablet, clindamycin 1% gel, diphenhydramine 25 mg tablet, epinephrine 0.3 mg auto-injector | 2 | 08/11/2021 | Y | Azithromycin (anaphylaxis) and Ceftriaxone (anaphylaxis) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1549049 | 08/12/2021 | WI | 14.0 | 14 | M | After the vaccine, he had hives noted on inner sides of upper arms down to his antecubital areas and on his anterior and medial proximal thighs. Administered 10mg of cetirizine, which lessened the hives. Advised cetirizine qhs for a few days to a few week | U | 08/11/2021 | 08/11/2021 | 0 | PVT | N/A | None reported | None reported | 2 | 08/12/2021 | Y | Methylphenidate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1550005 | 08/12/2021 | WI | 14.0 | 14 | F | Headache, nausea, vomiting, cough, runny nose, sore throat, bilateral achilles pain. | N | 08/02/2021 | 08/09/2021 | 7 | UNK | 2 | 08/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1579221 | 08/17/2021 | WI | 14.0 | 14 | M | Less than 5 minutes after vaccine, Patient was warm and sweaty then dizzy and light headed with blurred vision, then patient passed out and continued in and out of consciousness through out the 20-25 minutes he was here. | U | 08/17/2021 | 08/17/2021 | 0 | Patient was taken to urgent care by parents | PHM | unknown | unknown | unknown | 2 | 08/17/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580077 | 08/18/2021 | WI | 14.0 | 14 | M | 14 year old / received / Twinrix; This case was reported by a other health professional via call center representative and described the occurrence of inappropriate age at vaccine administration in a 14-year-old male patient who received HAB (Twinrix) (bat | U | 08/06/2021 | 08/06/2021 | 0 | UNK | USGLAXOSMITHKLINEUS202117 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582337 | 08/18/2021 | WI | 14.0 | 14 | F | Fell to the floor and had a seizure | Y | 08/15/2021 | 08/16/2021 | 1 | Had an EKG and an EEG both were normal | UNK | 2 | 08/18/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1623579 | 08/23/2021 | WI | 14.0 | 14 | F | vaccine administered to person under age 18. No s/s of adverse effect noted | 08/22/2021 | 08/22/2021 | 0 | PUB | 2 | 08/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1623852 | 08/23/2021 | WI | 14.0 | 14 | M | extensive cerebral sinus venous thrombosis | Y | Y | 2 | Y | 06/14/2021 | 07/09/2021 | 25 | MRI brain/MRV with extensive clot burden | UNK | focalin during school year (unsure if was on during the time) | none | ADD In hospital ultimately found - Factor V Leiden heterozygote - variant 1691G>A (c.1601G>A) | 2 | 08/23/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637241 | 08/26/2021 | WI | 14.0 | 14 | F | CLIENT INDICATED SHE WAS NOT ABLE TO SEE WITHINS A FEW SECONDS AFTER HER SHOT AND FELT SHE WAS GOING TO FAINT. CLIENT FAINTED AFTER RECEIVING HER 1ST COVID VACCINE. CLIENT LOST CONSCIOUSNESS FOR LESS THAN A MINUTE. AFTER REGAINING CONSCIOUSNESS, CLIENT THO | Y | 08/17/2021 | 08/17/2021 | 0 | NONE | PUB | UNKNOWN | NONE | UNKNOWN | UNKNOWN. MOTHER REPORTED FLU SHOT | 2 | 08/26/2021 | NONE LISTED | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1641609 | 08/27/2021 | WI | 14.0 | 14 | F | Adult dose of Recombivax HB vaccine given too soon. It was given at 4 weeks, rather than waiting the appropriate schedule of 4-6 months from the last Hepatitis B Recombivax HB adult dose. | 08/26/2021 | 08/26/2021 | 0 | PVT | 2 | 08/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1653882 | 08/29/2021 | WI | 14.0 | 14 | M | Vaccine done at 7pm 8/27 Tingling in upper back from 8 am upon waking up. 6pm had change in vision, static in ears and swaying. I layed him down before he passed out. | 08/27/2021 | 08/28/2021 | 1 | PHM | None | None | None | 2 | 08/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683115 | 09/08/2021 | WI | 14.0 | 14 | M | no adverse reaction | Y | 08/30/2021 | 08/30/2021 | 0 | the Pfizer vaccine in the refrigerator has a longer shelf life, it's more than 31 days. called Pfizer company to ask if the vaccine is viable. | PVT | no | no | no | 2 | 09/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683165 | 09/08/2021 | WI | 14.0 | 14 | M | No adverse reaction | Y | 08/30/2021 | 08/30/2021 | 0 | the Pfizer vaccine in the refrigerator has a longer shelf life, it's more than 31 days. called Pfizer company to ask if the vaccine is viable. | PVT | no | no | no | 2 | 09/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683245 | 09/08/2021 | WI | 14.0 | 14 | M | Patient is under the age of 18 when he was given the Moderna vaccine. Patient had no side effects to the vaccine. | Y | 08/09/2021 | 08/09/2021 | 0 | None. | PVT | None | None | 2 | 09/08/2021 | Sertraline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683345 | 09/08/2021 | WI | 14.0 | 14 | M | 09/04/21 9:00am fever aches headache 09/05/21 dull headache and fatigue most of day 09/06/21 5:00 am chest pains few hours while laying 09/07/21 3:30 am chest pain radiating to both arms while laying 09/07/21 8am called physician 10am ER 09/07/21 6pm tran | Y | 1 | U | 09/03/2021 | 09/06/2021 | 3 | EKGs, Echo, ultrasound heart, bloodwork | PVT | None | None | None | 2 | 09/08/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1693141 | 09/11/2021 | WI | 14.0 | 14 | F | Patient passed out just 5-10 seconds after her vaccine was administered. Mom caught her when her knees buckled, on the ground she was shaking but I kept her sitting up. And after about 15 seconds she came to. She was dizzy and a little hot, and very pale. | Y | 09/11/2021 | 09/11/2021 | 0 | PHM | 2 | 09/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1722517 | 09/22/2021 | WI | 14.0 | 14 | M | Rash and throat closing. | Y | 09/17/2021 | 09/17/2021 | 0 | PVT | Albuterol inhaler, adderal, Zyrtec, epi pen, fluoxetine. | 2 | 09/22/2021 | Bee venom, azithromycin, penicillins, amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745696 | 09/29/2021 | WI | 14.0 | 14 | M | BREAKTHROUGH/PREVIOUSLY VACCINATED | U | 07/08/2021 | 09/12/2021 | 66 | POS COVID19 9/15/21 | PVT | NONE | NONE | NONE | 2 | 09/29/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1762891 | 10/05/2021 | WI | 14.0 | 14 | F | Patient developed hives (uticaria) after her second dose of the Pfizer vaccine about 53 hours post vaccine. The hives started as small, flesh -colored bumps and developed into itchy, raised pink bumps. She was seen by the pediatrician, about 14 hours aft | Y | 09/25/2021 | 09/27/2021 | 2 | None | PVT | multivitamin and Elderberry vitamin | None | None | 2 | 10/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1764840 | 10/06/2021 | WI | 14.0 | 14 | F | Covid 19 break-through infection 08/16/2021 | Y | 06/24/2021 | 08/16/2021 | 53 | + covid NAAT test 8/16/2021 | PVT | n/a | n/a | none | 2 | 10/06/2021 | Y | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775176 | 10/09/2021 | WI | 14.0 | 14 | F | Patient was given vaccination as usual and vaccine was confirmed and accurate. No previous reactions were reported prior to administration. Patient expressed the vaccine hurt more on her arm that dose 1 as she was returing to her mother in the waiting ar | U | 10/09/2021 | 10/09/2021 | 0 | unknown result but was awake and stable. believed to be transported out of caution | PHM | Clindamycin/BPO gel topical | 2 | 10/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1814771 | 10/25/2021 | WI | 14.0 | 14 | F | Increased liver enzyme levels, hair loss within 2 weeks of 2nd dose. No previous familial history of autoimmune disorders Both autoimmune Hepatitis and Alopecia have been diagnosed in my daughter since her vaccinations | Y | N | 06/08/2021 | 06/24/2021 | 16 | Comprehensive Blood and LIver testing including Ultrasounds and Liver Biopsy due to hair loss and increased liver functions. Testing and Procedure dates - all 2021: July 27 July 30 Aug 13 Aug 24 Sept 7th, Oct 12 Oct 21 | PVT | Daily Multivitamin | None | None | 2 | 10/25/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1852246 | 11/08/2021 | WI | 14.0 | 14 | F | pt's mom - (contact information is for mom as patient is a minor) reported urticaria reaction diffusely that began on post-vaccine day #4. No dyspnea, mucosal-/angioedema, fever, or other systemic sx. Pt is not an established patient of mine; have just s | N | 11/03/2021 | 11/07/2021 | 4 | advised patient be seen for eval & tx of urticaria | PVT | none | none | none | 2 | 11/08/2021 | Y | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX |