VAERS ID: 1417007

AGE: 16| SEX: F|STATE: CT

Description

My 16 year old daughter had a "medical reaction" to the first Pfizer vaccine. The shot itself was fine. As we pulled away from the tent, in an alarmed voice, my daughter exclaimed that she could feel the shot traveling down her left arm into her hand. She said her arm felt really weird and her hand felt buzzy. By the time we rounded the corner to get to our mandatory 15 minute wait period, the reaction began. She lost eyesight and hearing - foggy hearing and began to sweat profusely. Her pupils were completely dilated. She became very weak and her hands were cold and clammy to the touch. The sweat was beading on her face and arms. Her hands became rigid and she cried that she can't move her fingers. When the ambulance arrived, they put her on oxygen - as she was blue at the extremities. Her eyesight faded in and out several times throughout the reaction as did the foggy to almost gone hearing. We went to the hospital via ambulance. They tested her with an EKG. We were there for 4 hours. Her eyesight returned and her hearing became less foggy as time went on. When we left the hospital, my daughter was still very shaky. Her symptoms of shakiness lasted another 2-3 days and emotionally took another week to calm down. The trauma of the event is still with her. She was diagnosed with "medical reaction" from hospital.

Symptoms

Asthenia, Blindness, Cold sweat, Cyanosis, Deafness, Electrocardiogram, Emotional disorder, Feeling abnormal, Hyperhidrosis, Mobility decreased, Muscle rigidity, Mydriasis, Peripheral coldness, Tremor, Vaccination complication

Vaccines

VAX DATE: 04-14-2021| ONSET DATE: 04-14-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH ER8729 Unknown Unknown

RECVDATE:05-07-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:EKG
V_ADMINBY:OTH
OTHER_MEDS:guanfacine 3mg Focalin XR 10mg
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:05-03-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:penicillin
V_FUNDBY:

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