VAERS ID: 1858355

AGE: 5| SEX: F|STATE: VA (United States)

Description

Phone call received from parent regarding event child experienced today. Child was vaccinated on 11/7/21 per mother. 11/10/21- Per mother, at approximately 3:30PM, the child was at school, her eyes rolled in the back of her head, and she slid down in her chair. The child's lips appeared to be bluish in color and the child "passed out" for approximately 10-15 seconds. Vital signs taken by the school nurse were reported to the parent to be within normal range. No identifiable cause noted to cause the child to lose consciousness per mother. Parent has already reached out to pediatrician and is awaiting callback for further guidance and follow up.

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Symptoms

Cyanosis, Loss of consciousness, Eye movement disorder

Vaccines

VAX DATE: 11-07-2021| ONSET DATE: 11-10-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK5127 IM UN

RECVDATE:11-10-2021
RPT_DATE:
CAGE_YR:5
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PUB
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-10-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.