VAERS ID: 1884681

AGE: 6| SEX: M|STATE: CO (United States)

Description

Flushed face, Rt chest pain, Rt neck pain transient headache, transient itching at ankles but no rash, no fever, transient sudden Lt knee pain that resolved in under 15 minutes. Observed and given tylenol. All symptoms resolved in 2 hours. Temperature, BP, Hr all normal during observation

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(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Arthralgia, Pruritus, Headache, Neck pain, Chest pain, Electrocardiogram, Flushing, Sinus arrhythmia

Vaccines

VAX DATE: 11-17-2021| ONSET DATE: 11-17-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK513\27 IM RL

RECVDATE:11-19-2021
RPT_DATE:
CAGE_YR:6
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:EKG- sinus arrhythmia 11/17 at time of event
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-19-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:Penicillins
V_FUNDBY:

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