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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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1038226 | 02/18/2021 | WI | 15.0 | 15 | F | Vaccination was administered without adverse event at COVID-19 clinic. Individual was noted to be a healthcare volunteer. Upon logging person into tracking process for scheduling a second dose appointment, it was identified that this recipient was under | 02/15/2021 | 02/15/2021 | 0 | WRK | 2 | 02/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093665 | 03/12/2021 | WI | 15.0 | 15 | F | Pfizer-Covid-19 Vaccine given to 15 year old, not licensed for anyone under 16 years of age. | Y | 03/11/2021 | 03/11/2021 | 0 | PUB | unknown | none | none | 2 | 03/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156426 | 04/01/2021 | WI | 15.0 | 15 | M | Patient was administered an initial dose of the COVID-19 Pfizer vaccine. Patient's current age is 15 years, 4 months while the vaccine is authorized for patients 16 years of age and older. No adverse effects have been reported to date. | U | 03/31/2021 | 03/31/2021 | 0 | PHM | 2 | 04/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1190016 | 04/10/2021 | WI | 15.0 | 15 | F | Patient was administered the COVID 19 vaccine at 15 years old. Pfizer vaccine is only approved for 16 years and above. No adverse reaction occurred after administration. | 04/07/2021 | 04/10/2021 | 3 | PHM | 2 | 04/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223135 | 04/17/2021 | WI | 15.0 | 15 | M | PATIENT PRESENTED WITH HIS MOTHER, WHO PURPOSELY DOCUMENTED AN INCORRECT DOB ON THE CONSENT FORM, MAKING THE PATIENT APPEAR TO BE 16 YEARS OLD. IN FACT, AT TIME OF THE INJECTION, PATIENT WAS ONLY 15 YEARS OLD AND NOT APPROVED TO RECEIVE THE VACCINE. WE WE | Y | 04/14/2021 | 04/14/2021 | 0 | N/A | PHM | N/A | N/A | N/A | 2 | 04/17/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233494 | 04/20/2021 | WI | 15.0 | 15 | F | Patient is 15 years old and received Pfizer vaccine. At date of administration vaccine was only approved for those aged 16 and above. | U | 04/07/2021 | 04/07/2021 | 0 | unknown | PUB | unknown | unknown | unknown | 2 | 04/20/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237794 | 04/21/2021 | WI | 15.0 | 15 | M | Patient was under the minimum age of 16. No other adverse effects. | Y | 04/20/2021 | 04/20/2021 | 0 | None | SCH | None | None | None | 2 | 04/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262226 | 04/27/2021 | WI | 15.0 | 15 | M | Client reported they were 16 and received Pfizer dose even though they are 15 years old. | 04/23/2021 | 04/23/2021 | 0 | PUB | 2 | 04/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262371 | 04/27/2021 | WI | 15.0 | 15 | M | Client and parents both reported client was 16 years old when they were really 15. Client received Pfizer dose, and age was discovered afterward. | 04/24/2021 | 04/24/2021 | 0 | PUB | 2 | 04/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1263095 | 04/27/2021 | WI | 15.0 | 15 | F | Pt. arrived for dose #2 04/26/2021. We refused and informed that dose #2 can be given after 16th birthday. | 04/05/2021 | 04/05/2021 | 0 | OTH | 2 | 04/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1263188 | 04/27/2021 | WI | 15.0 | 15 | M | Pt. arrived for dose #2 04/27/2021. We refused and informed that dose #2 can be given after 16th birthday. | 04/05/2021 | 04/05/2021 | 0 | OTH | 2 | 04/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271913 | 04/29/2021 | WI | 15.0 | 15 | M | When signing up to schedule for a vaccine appointment, they have to attest that the person receiving the vaccine is 16 years of age or older. When the patient arrived to vaccine clinic, the date of birth was overlooked not realizing the patient was only | 04/27/2021 | 04/27/2021 | 0 | PVT | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1272509 | 04/29/2021 | WI | 15.0 | 15 | F | Patient was later determined to be only 15 years old, an unauthorized age group for this vaccine. No adverse reaction identified. | Y | 03/31/2021 | 03/31/2021 | 0 | PHM | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273489 | 04/30/2021 | WI | 15.0 | 15 | F | Patient under 16 and received both doses of Pfizer covid 19 vaccine 3/27/2021, 4/17/2021 | U | 03/27/2021 | 03/27/2021 | 0 | PVT | Budesonide, clotrimazole cream, clindamycin gel, ferrous sulfate, prenatal vitamin | 2 | 04/30/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273871 | 04/30/2021 | WI | 15.0 | 15 | M | CHILD IS UNDER AGE OF 16. PARENT IS AWARE. | Y | 04/15/2021 | 04/15/2021 | 0 | PUB | NOT APPLICABLE | NOT APPLICABLE | NOT APPLICABLE | 2 | 04/30/2021 | NOT APPLICABLE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1295811 | 05/07/2021 | WI | 15.0 | 15 | M | Patient and father stated that date of birth was 08/27/2004 when making an appointment for COVID 19 vaccine. Pharmacy discovered on entering in WIR that patient had DOB listed as 08/27/2005, making him ineligible for vaccination at the time of the vaccine. | Y | 05/05/2021 | 05/05/2021 | 0 | None needed. Follow-up with patient to determine if adverse effects appear. | PHM | none | none | none | 2 | 05/07/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1297018 | 05/07/2021 | WI | 15.0 | 15 | F | The 15 year old patient received the Moderna COVID vaccine today with parental consent. This vaccine is only approved under Emergency Use Authorization for 18 and older. | U | 05/07/2021 | 05/07/2021 | 0 | PHM | 2 | 05/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303021 | 05/10/2021 | WI | 15.0 | 15 | M | Patient under 18 received Moderna | Y | 04/22/2021 | 05/06/2021 | 14 | PHM | 2 | 05/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1307869 | 05/11/2021 | WI | 15.0 | 15 | F | Client scheduled for Pfizer appointment and received it after incorrectly reporting they were 16 years old or older. Client is 15 and Pfizer will be approved for 12-15 year old shortly, so will remain on invitation list. | 05/06/2021 | 05/06/2021 | 0 | PUB | 2 | 05/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1322905 | 05/17/2021 | WI | 15.0 | 15 | F | Error: Patient Too Young for Vaccine Administered | U | 05/16/2021 | 05/16/2021 | 0 | PHM | 2 | 05/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1322918 | 05/17/2021 | WI | 15.0 | 15 | F | Tongue swelled up and her throat felt tight, itchy, and closed up. I have a dose of Benadryl within minutes, it didn?t seem to help. I gave a second dose of Benadryl and increased the amount and that helped. I also called the nurse line. | N | 05/17/2021 | 05/17/2021 | 0 | None | PUB | 2 | 05/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1323997 | 05/17/2021 | WI | 15.0 | 15 | F | Child is not 18 years of age when received immunization | Y | 05/11/2021 | 05/11/2021 | 0 | na | PUB | unknown | unknown | Unknow | 2 | 05/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333194 | 05/20/2021 | WI | 15.0 | 15 | F | Pt received vaccine...came out of vaccination room...sat down and started talking to mother...started to feel nauseous ? sat back and started to look limp...paramedics immediately contacted...pt never loss consciousness...looked pale... not feeling well... | U | 05/19/2021 | 05/19/2021 | 0 | unknown | PHM | No known medications. | no known illnesses | no known health conditions other than allergies listed above | 2 | 05/20/2021 | Y | walnuts, pecans, peanuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1344193 | 05/24/2021 | WI | 15.0 | 15 | F | patient fainted about 3 minutes after getting her vaccine injection. SHe was out for about 3 to 5 seconds and then came to. she was sweaty but her temperature was ok and pulse seemed normal. THe pharmacy called 911 as a precaution. paramedics verified her | Y | 05/24/2021 | 05/24/2021 | 0 | none so far | PHM | none | none | none | 2 | 05/24/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1358295 | 05/28/2021 | WI | 15.0 | 15 | M | Hypotensive. Dizzy and sweating. pulse 52 hr @ 12:46, BP 110/40. 12:51 BP 90/50. 12:54 BP 96/60. 1:00pm BP 108/68. | Y | 05/28/2021 | 05/28/2021 | 0 | pulse 52 hr @ 12:46, BP 110/40. 12:51 BP 90/50. 12:54 BP 96/60. 1:00pm BP 108/68. | OTH | 2 | 05/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368079 | 06/02/2021 | WI | 16.0 | 15 | F | Client received 1st dose in seriers of Pfizer on 5/18/2021. Client started with itching and hives on 5/25/2021 and treated by parent with OTC ibuprofen and benadryl. No improvement noted and symtoms progressed on 5/26 and 5/27. On 5/27 symptoms worsed with | 05/18/2021 | 05/25/2021 | 7 | Lymes test, strep test returned normal. Parent notes that client's serum chloride levels sightly elevated. No other concerns per parent on lab work | UNK | 2 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368647 | 06/02/2021 | WI | 15.0 | 15 | M | Vaccine not approved (EUA) for client's age group | Y | 06/02/2021 | 06/02/2021 | 0 | None | PUB | None | None | None | 2 | 06/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1400318 | 06/15/2021 | WI | 15.0 | 15 | M | Patient was 15 years old at time of vaccination. At the time, this vaccine was only approved for individuals 16 and older. The patient's mother filled out his intake forms and the two of them deliberately lied about his age in order to be able to receive | 05/12/2021 | 05/12/2021 | 0 | SCH | 2 | 06/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1402481 | 06/16/2021 | WI | 15.0 | 15 | M | Received 2nd dose of Pfizer vaccine on 6/12/21. Intermittent headaches since that time. On morning of 6/14/21 developed chest pain (described as achy and in the center of the chest). Denies shortness of breath, radiation of pain, or fevers. 6/15/21-seen at | Y | N | 06/12/2021 | 06/14/2021 | 2 | 6/15/21-EKG at urgent care showed diffuse ST elevation 6/15/21 primary hospital- troponin 12.6, D-dimer 509, CRp 3, BNP 19 (?-unable to see outside records), LFTs mildly elevated but under 100. Bedside ultrasound-no pericardial effusion, CT angio-normal 6 | PVT | Per medical record review-history of migraines | 2 | 06/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1404255 | 06/16/2021 | WI | 15.0 | 15 | F | Woke up with chills, muscle pain through out whole body, fatigued and just flu like feeling. Felt like that, all day. Around 6:30pm she came outside to get some fresh air, trying to feel normal & got suddenly dizzy & then fainted. Her body kind of, rocked. | N | 06/15/2021 | 06/16/2021 | 1 | PVT | Sertraline, multivitamin, vitamin D, hair skin & nails gummies | 2 | 06/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1421014 | 06/23/2021 | WI | 15.0 | 15 | F | Too young to receive Moderna | 06/22/2021 | 06/22/2021 | 0 | UNK | 2 | 06/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1431540 | 06/28/2021 | WI | 15.0 | 15 | F | Patient woke up the morning of 6/25/21 with a rash on both of her hands. Throughout the day, the rash did spread to her upper thighs and lower legs. The rash continued to spread to her feet. The rash was bilateral on her body, and appearance was similar to | Y | 06/23/2021 | 06/25/2021 | 2 | None | PUB | Escitalopram 15mg PO Daily, Risperidone PO BID, Hydroxyzine PO PRN, Zyrtec PO PRN | None | None | 2 | 06/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437516 | 06/30/2021 | WI | 15.0 | 15 | F | Sore left arm two hours after the vaccine was administered. on 6/21. Soreness subsided the next day. On 6/27 hives were noticed on both arms with mild itchy symptoms. 6/28 hives appeared on both legs with mild itchy symptom. Hives are still noticeable th | N | 06/21/2021 | 06/27/2021 | 6 | PHM | None | None | None | 2 | 06/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446276 | 07/03/2021 | WI | 15.0 | 15 | M | The patient received a Pfizer COVID vaccine when he was 15 years old, but on the date he received it, the EUA only allowed for administration to ages 16 and older. The patient subsequently returned for his second vaccine, by which time the EUA had been ex | Y | 04/22/2021 | 04/22/2021 | 0 | None | PHM | None | None | None | 2 | 07/03/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446681 | 07/04/2021 | WI | 15.0 | 15 | F | Blistering rash on side of face. Resulted in infection and swelling on right side of face and under eye. Blister was swabbed and cultured by attending physician and came back as Herpes. Patient was put on antibiotics immediately and Valtrex after culture d | Y | 06/18/2021 | 06/22/2021 | 4 | See above. | PHM | Neosporin | None | None | 2 | 07/04/2021 | Y | Y | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459712 | 07/09/2021 | WI | 15.0 | 15 | F | Generalized maculopapular rash. | U | 07/07/2021 | 07/07/2021 | 0 | None | PHM | None | None | None | 2 | 07/09/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1481594 | 07/17/2021 | WI | 15.0 | 15 | F | Patient was faint a few minutes after receiving the vaccine. She was lowered to the ground and regained consciousness almost immediately. airway was stable--no other adverse events. Patient was able to sit up and drink water. When she was comfortable, she | Y | 07/17/2021 | 07/17/2021 | 0 | none | PHM | not known | none reproted | none reported | 2 | 07/17/2021 | none reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1502341 | 07/26/2021 | WI | 15.0 | 15 | M | Per MD Note: "Acute throat and upper chest pain this AM. At approximatley 0300, he woke up with severe 10/10 chest pain. The pain is sharp and he points to the midline between his collarbones. He went to an ED and received a GI cocktail and famotidine, whi | U | 07/19/2021 | 07/23/2021 | 4 | Results for patient 7/23/2021 10:56 Troponin I Result: 7.620 (H) Novel Coronavirus 19 IgG: REACTIVE (A) ECHO Summary: 1. No cardiac structural abnormality identified. 2. Normal right and left coronary artery origins. 3. Normal left ventricular cavity | UNK | Lithium, Depakote, Guanfacine, Wellbutrin, Desmopressin, Zyrtec | None known | disruptive mood dysregulation disroder (DMDD) and PTSD | 2 | 07/26/2021 | Y | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1515281 | 07/30/2021 | WI | 15.0 | 15 | M | 15 year old patient received Janssen vaccine and it's authorized use is 18 and over. Requested by parent. Follow up call on 7/30 with mom revealed patient had some tiredness, headache and feelings of "fluish" symptoms on 7/29. They resolved by the evening | Y | 07/28/2021 | 07/28/2021 | 0 | Not apply | PVT | 2 | 07/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1520458 | 08/02/2021 | WI | 15.0 | 15 | M | 1 cm lump below right clavicle. Determined to be a benign lymph node on ultrasound. | U | 06/07/2021 | 06/30/2021 | 23 | Ultrasound. | PVT | None | None | 2 | 08/02/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535673 | 08/09/2021 | WI | 15.0 | 15 | F | Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient fainted briefly after getting Pfizer vaccine. She bumped her head on the wall when she | Y | 08/08/2021 | 08/08/2021 | 0 | PHM | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545445 | 08/11/2021 | WI | 15.0 | 15 | F | Approximately 30 minutes after receiving vaccination, patient gave complaint of tight chest/throat. Benadryl 25 mg was given twice and patient was placed on 8 L oxymask and was transferred to EDTC for monitoring and observation. No additional interventions | Y | 05/26/2021 | 05/26/2021 | 0 | PVT | AUVI-Q 0.3 mg epi-pen, cetirizine 10 mg tablet, clobetasol 0.05% foam, clobetasol 0.05% ointment, fluocinolone 0.01% scalp oil, loratadine 10 mg tablet, naproxen 375 mg tablet, olopatadine 0.1% ophthalmic solution, pediatric MVI chewable ta | Allergic rhinitis, asthma, eczema, scoliosis | 2 | 08/11/2021 | Y | Cats, Cephalexin, Mold, Peanuts, Ragweed, Trees, Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1549237 | 08/12/2021 | WI | 15.0 | 15 | F | Patient stated she was not feeling well, volunteers/staff moved her into the shade, moments later she fainted. On assessment HR rate was 45, BP not obtained. Patient was pale, eyes wide open staring off into space, arms ridged contracted outward, not able | U | 08/12/2021 | 08/12/2021 | 0 | OTH | None | Patient and dad stated she had a "cold" about a week ago. | none | 2 | 08/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1553779 | 08/13/2021 | WI | 15.0 | 15 | F | Client rec'd 1 dose of Johnson and Johnson vaccine that is not approved for her age. | 08/12/2021 | 08/12/2021 | 0 | None | PUB | unknown | unknown | Unknown | 2 | 08/13/2021 | dairy, eggs, pistachio, cashews. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574510 | 08/16/2021 | WI | 15.0 | 15 | F | Lightheaded and nausea within 5 minutes of vaccination. Provided hydration and something to eat. After 15 minutes she complained of difficulty breathing. Located NP and patient HR, breathing, and oxygenation was found to be within normal limits. After 30 m | Y | 08/13/2021 | 08/13/2021 | 0 | N/A | PHM | norethindrone-ethinyl estradiol (JUNEL FE 1/20) 1 mg-20 mcg (21)/75 mg (7) per tablet | None noted | Depression | 2 | 08/16/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587245 | 08/19/2021 | WI | 15.0 | 15 | M | Pt did not experience any adverse event out of the normal (i.e. sore arm, feeling tired). Pt is under the age of 18. Currently Moderna is only supposed to be used at 18 years old or older. | Y | 08/17/2021 | 08/17/2021 | 0 | PHM | None | 2 | 08/19/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587430 | 08/19/2021 | WI | 15.0 | 15 | F | 1258 - VRemained in vaccine administration room lying on cot for 5 minutes because per mom she has a history of fainting with shots. After 5 minutes, patient reports feeling fine and was moved to observation area. 1308 - Patient states "mom I don't feel. | Y | 08/19/2021 | 08/19/2021 | 0 | None. | PVT | cetirizine (ZYRTEC) 10 MG chewable tablet - 5 mg PO, daily prn | no current illness | idiopathic scoliosis of thoracolumbar region | 2 | 08/19/2021 | seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1656041 | 08/30/2021 | WI | 15.0 | 15 | M | Patient received COVID Vaccine dose that was expired at the time of administration. Pfizer vaccine had been prepared on Friday 8/13/2021 at 1805 so would have expired on 8/14/2021 at 0005 and was administered to patient on 8/16/2021 at 1100. | U | 08/16/2021 | 08/16/2021 | 0 | PVT | Not known | Not known | not known | 2 | 08/30/2021 | Not known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1666151 | 09/02/2021 | WI | 15.0 | 15 | F | Vaccine stored in immunization refrigerator from deep freeze state on July 20, 2021. Vaccine administered on August 30, 2021 which exceeds recommended storage time. Vaccine vial expiration was August 31, 2021. Client with NO adverse reactions noted. | 08/30/2021 | 08/30/2021 | 0 | N/A | OTH | none | no | none | 2 | 09/02/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1666563 | 09/02/2021 | WI | 15.0 | 15 | F | On 9/1/2021, client received Covid-19 vaccine that was mixed at 9:06 AM and was given at 3:30 pm, but at 3:06PM, vaccine 6 hours & expired. Client was feeling well at the time & stayed at clinic until 4:10 pm and stated feeling fine. No adverse reaction. | 09/01/2021 | None. | OTH | Unknown. | None reported. | None reported. | Unknown to writer at this | 2 | 09/02/2021 | None reported. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683130 | 09/08/2021 | WI | 15.0 | 15 | F | 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 | 1683314 | 09/08/2021 | WI | 15.0 | 15 | F | Patient was standing/leaning on a chair when they lost consciousness and fell from standing onto the floor. (syncope) Patient regained consciousness within a few minutes. Patient recovered after having some water within 15 or so minutes. | Y | 08/14/2021 | 08/14/2021 | 0 | None at this time | PHM | None | None | None | 2 | 09/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765603 | 10/06/2021 | WI | 15.0 | 15 | F | Within 1 minute of receiving the vaccine, the patient lost consciousness & urinated herself. Within 1 minute she regained consciousness. Her vitals signs were normal after fainting & 30 min after vaccination. | Y | 10/06/2021 | 10/06/2021 | 0 | none | PVT | None | None | Anxiety | 2 | 10/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775774 | 10/10/2021 | WI | 15.0 | 15 | F | On October 4th after the 2nd shot, my daughter experienced a sever allergy attack from possibly chocolate. She has never had an allergy before. It happened again on October 8th. We have now restricted her from having chocolate and we scheduled a doctors a | Y | Y | 09/11/2021 | 10/04/2021 | 23 | None to date. We have ac doctors appointment on Friday, 10/15. | PHM | None | None | None | 2 | 10/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1833155 | 11/01/2021 | WI | 15.0 | 15 | M | Guillain Barre syndrome, Miller Fisher sysndrome. Symptom onset 10 days after Tdap. | Y | N | 10/04/2021 | 10/14/2021 | 10 | Nerve conduction studies. LP, etc. | PVT | none | polytrauma | none | 2 | 11/01/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX |