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From the 1/14/2022 release of VAERS data:

Found 2,826 cases where Age is 12-or-more-and-under-18 and Vaccine targets COVID-19 (COVID19) and Serious

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Case Details

This is page 11 out of 283

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VAERS ID: 1315414 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-12
Onset:2021-05-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abnormal behaviour, Anaemia, Chest discomfort, Crying, Dyspnoea, Electrocardiogram abnormal, Fear, Feeling abnormal, Hypoaesthesia, Hypokalaemia, Laboratory test abnormal, Limb discomfort, Muscular weakness, Panic reaction, Tachycardia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none known
Preexisting Conditions: none known
Allergies: Per Medical Center hospital records, client has no known drug allergies. She does have a history of environmental allergies to pollen, dust, and cats. She also once had a reaction to a preservative in eye drops.
Diagnostic Lab Data: Labs and EKG, showed hypokalemia and anemia and tachycardia
CDC Split Type:

Write-up: Approximately 5 minutes after receiving vaccine client became quiet, clenching fists, and started crying. RN asked if she was okay, stated she was scared and that her arms felt weird and her chest was tight. RN asked some questions about her health history, she then offered a granola bar and water. Client drank some water, declined snack. Clients hand began to shake, RN offered to lay client on a cot but client declined. Her dad came to check on her, she broke down saying that her arms were numb and chest was tight. The 15 vaccine minute timer went off, client stood but legs were week. She sat down and then slid herself onto the floor. She at first went into a fetal position then laid out flat on the floor. Client began acting more panicked and frantic with short quick breaths and her hands appeared to be contracting some. Clinic team made the decision to call 911 and administer 0.50 mg epinephrine. Ambulance arrived quickly and client was taken to the Medical Center via ambulance.


VAERS ID: 1315645 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Appendicectomy, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Child taken to his pediatrician?s office on 04/27/2021 and examined. Diagnosed with possible inflamed appendix and urged to go to emergency room immediately. Appendix was removed on 04/27/2021 and patient was hospitalized until 04/30/2021 for recovery and observation.
CDC Split Type:

Write-up: Constant stomach pain , and vomiting - symptoms occurred 24 hours after injection of 1st vaccine shot.


VAERS ID: 1315653 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-02
Onset:2021-05-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chest pain, Intensive care, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: Elevated troponin- highest level was 11.6 on 5/7.
CDC Split Type:

Write-up: Myocarditis. Patient initially presented with chest pain 12 hours after vaccination. No other risk factors. Patient required to be in Pediatric ICU for treatment and cardiac monitoring.


VAERS ID: 1315976 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-25
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Appendicitis, Computerised tomogram, Surgery
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ct scan and subsequent surgery
CDC Split Type:

Write-up: Appendicitis with hospitalization and surgery. Vaccine site. 2nd dose administered on 05/12/2021 at 3:00pm


VAERS ID: 1317116 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-01-19
Onset:2021-05-07
   Days after vaccination:108
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac failure, Heart transplant rejection
SMQs:, Cardiac failure (narrow), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: tacrolimus, calcitroil, calcitrate, magnesium oxide, prednisone, lisinopril, metformin, insulin, insulin long-lasting, famotidine
Current Illness: gallbladder removal, obstruction of the bile duct, allergic reaction, hives big circles
Preexisting Conditions: Patient is a heart transplant recipient with a history of PTLD, Lymphoma, Diabetes, and recently was admitted to the hospital due to heart failure, rejection. Medication used to treat rejection caused him many side effects, and doctors are wondering if the vaccine had anything to do with it.
Allergies: allergic to contrast; opti ray
Diagnostic Lab Data: There are over 200 tests I wouldn''t know which ones to send.
CDC Split Type:

Write-up: Patient was recently admitted to the hospital with heart failure due to rejection. The medication that has been administer to him has caused too many side effects and negative reactions. I was told to report it.


VAERS ID: 1317129 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-07
Onset:2021-05-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test abnormal, Chest discomfort, Hepatitis, Limb discomfort, Loss of personal independence in daily activities, Myocarditis
SMQs:, Hepatitis, non-infectious (narrow), Anaphylactic reaction (broad), Dementia (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Inflammation of the heart, many test was takes
CDC Split Type:

Write-up: HI, couple days after my son (17 years old) got the 2nd shot he was heaving a pressure in his chest and left arm so we rushed him to the hospital. When we got to the hospital with his level of 26 (normal 1) and blood test show also lever inflammation they hospitalized him right away. He was there 3 days and just got released. now he need to be under care with medication and visit to a heart cardiology doctor every few days for tests. he cannot do any activity (per to the doctor including computer games that can raise his heart rate)


VAERS ID: 1317615 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-04-19
Onset:2021-05-06
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Continuous positive airway pressure, Culture negative, Cytomegalovirus test negative, Differential white blood cell count, Enterovirus test negative, Epstein-Barr virus test negative, Frequent bowel movements, Full blood count, HIV test negative, Haemoglobin decreased, Intensive care, Lymphocyte count decreased, Neutrophil count decreased, Pancytopenia, Parvovirus B19 test negative, Platelet count decreased, Pyrexia, Respiratory failure, Respiratory viral panel, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Skin disorder, White blood cell count decreased
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Myelodysplastic syndrome (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Enbrel, Epidiolex, felbamate, keppra, topiramate
Current Illness: JIA, encephalopathy, central line dependence
Preexisting Conditions: JIA, encephalopathy, central line dependence, cerebral palsy
Allergies: cephalosporins, erythromycin, ketamine, metronidazole
Diagnostic Lab Data: 5/7 CBCd WBC 1.1, Hgb 6.7, Plts 23, ANC 0.8, ALC 0.7; Cultures negative. 5/5 COVID PCR negative, 5/9/2021 COVID Ab positive Viral workup included negative Biofire respiratory film array 2.1 (5/5), BioFire GI-film array 5/6, and serum HIV, EBV, CMV, parvovirus, parecho/enterovirus and adenovirus PCRs.
CDC Split Type:

Write-up: 16-year-old medically complex female, JIA, bronchiectasis and chronic nighttime oxygen requirement who presented to the hospital on 5/6 with fever, increased stool output, and perianal skin breakdown. Her course was complicated by respiratory failure (requiring ICU admission for CPAP), pancytopenia, diarrhea with buttock skin breakdown requiring rectal tube for wound and stool management, and extensive workup which was unrevealing for an infectious cause. She clinically improved with respect to pancytopenia with discontinuation of felbamate, and completed a treatment course with Zosyn for suspected buttock SSTI.


VAERS ID: 1318491 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-04
Onset:2021-04-19
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Blood test, Fatigue
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol and Claritin, if needed.
Current Illness: Depression, not yet diagnosed.
Preexisting Conditions: History of Asthma. History of Autism.
Allergies: No known allergies.
Diagnostic Lab Data: Bloodwork and he has been referred to a gastroenterologist.
CDC Split Type:

Write-up: He has developed constant, chronic fatigue, upset and painful stomach lasting for about a month. This started 2 weeks after his second dose. We aren?t sure if it?s related, but just in case we want to report it. The cause of his symptoms is still unknown at this time.


VAERS ID: 1320682 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-10
Onset:2021-05-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test normal, Chest pain, Echocardiogram normal, Electrocardiogram normal, Myocarditis, Palpitations, Troponin
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: flax seed sometimes,
Current Illness: diarrhea from 5/9
Preexisting Conditions: none
Allergies: seasonal allergies, hay fever
Diagnostic Lab Data: Admission, regular blood labs, EKGs, Echo
CDC Split Type:

Write-up: chest pain, palpitations admitted for myocarditis now with troponin of 17 today 5/15


VAERS ID: 1320793 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-16
Onset:2021-04-27
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Appendicitis, Laboratory test, Pulmonary thrombosis, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bupropion, sertraline, clonidine
Current Illness: Depression
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Dozens and dozens of labs/tests were run after admitted to hospital for both cases. (We?re still currently in the hospital for appendix)
CDC Split Type:

Write-up: After 1st shot; Patient developed multiple blood clots (lungs and legs) about 10-11 days afterwards. All tests for cause of clots were inconclusive. Patient received his second dose and with in 48 hours was hospitalized for appendicitis. If it was a reaction after just one shot, I would normally think it was a coincidence. With him have severe reactions after both shots, it seems very suspicious!


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