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From the 4/26/2024 release of VAERS data:

Found 39 cases where Age is 12-or-more-and-under-18 and Vaccine is COVID19 and Manufacturer is PFIZER/BIONTECH and Symptom is Postural orthostatic tachycardia syndrome

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Table

   
AgeCountPercent
6-17 Years39100%
TOTAL39100%



Case Details

This is page 1 out of 4

Result pages: 1 2 3 4   next


VAERS ID: 1349530 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-04-13
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness, Postural orthostatic tachycardia syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D3
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: History of migraines
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021517151

Write-up: Passing out POT syndrome has occurred 10 times since initial vaccine; Passing out POT syndrome has occurred 10 times since initial vaccine; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 07Apr2021 15:15 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE for covid-19 immunization. Medical history included history of migraines from an unknown date and unknown if ongoing. Concomitant medication included vitamin d3 taken for an unspecified indication, start and stop date were not reported. Passing out POT syndrome has occurred 10 times since initial vaccine worsening post second vaccine on 13Apr2021 12:00. The patient experienced "passing out POT syndrome has occurred 10 times since initial vaccine" and was reported as worsening post second vaccine. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hasn''t been tested for COVID-19. Therapeutic measures taken as a result of the event included a Heart monitor (as reported). Outcome of events was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


VAERS ID: 1361792 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-13
Onset:2021-05-20
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Diarrhoea, Dizziness, Fatigue, Headache, Heart rate increased, Myalgia, Nausea, Postural orthostatic tachycardia syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin, Lexapro 5mg
Current Illness: None
Preexisting Conditions: None
Allergies: Allergic to penicillin
Diagnostic Lab Data: Patient has been seen multiple times since the onset of the symptoms. He has been to the ER. We were advised by his pediatrician to have him be seen by a pediatric cardiologist immediately for suspected PoTS. patient was 100% healthy with NO chronic conditions prior to the first dose of the COVID vaccine (Pfizer).
CDC Split Type:

Write-up: Six days (evening of 5/20) after the first dose of the COVID vaccine (Pfizer), Patient started to experience severe dizziness and nausea. Since that evening he has experienced the following: - Significant increase in heart rate when transitioning from laying down to sitting and/or standing. - Severe dizziness - Excessive fatigue - Headaches - Gastrointestinal issues (constant nausea. Nausea increases in severity when standing. Diarrhea.) - Muscle pain in his upper arms and upper legs The above symptoms have continued 24/7 since their onset.


VAERS ID: 1365067 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-05-22
Onset:2021-05-29
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Angiogram normal, Aspartate aminotransferase normal, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride increased, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea decreased, C-reactive protein increased, Carbon dioxide decreased, Chills, Computerised tomogram normal, Diarrhoea, Electrocardiogram normal, Eosinophil percentage decreased, Fibrin D dimer increased, Full blood count abnormal, Haematocrit normal, Haemoglobin normal, Lymphocyte percentage decreased, Metabolic function test normal, N-terminal prohormone brain natriuretic peptide, Nausea, Neutrophil percentage increased, Pain in extremity, Peripheral swelling, Platelet count normal, Postural orthostatic tachycardia syndrome, Pregnancy test negative, Presyncope, Protein total normal, Pruritus, Pyrexia, Rash, Red blood cell sedimentation rate normal, SARS-CoV-2 test negative, Swelling, Troponin, Urticaria, Vomiting, White blood cell count increased
SMQs:, Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Food/environmental allergies
Allergies: Pineapple, Tide brand detergent, spider bites
Diagnostic Lab Data: Labs/tests from 5/31: CRP 44 mg/L (elevated), D-Dimer 4.5 mg/L (elevated), Troponin <3ng/L (normal), ProBNP <15pg/mL (normal), Complete metabolic panel (Normal): Na 136/K4.3/Cl 108/ CO2 22/BUN 9/Creatinine 0.89/Glucose 108, Albumin 4.5, Total Protein 6.8, ALT 44, AST 24, Bili total 0.7, Alk Phos 59 ESR <1mm/hr (normal), Pregnancy test negative, Covid Binax negative, CBC (very slightly elevated throughout): WBC 14.2, Hgb 15.2, Hct 43.9, Plt 330, 77% Neutrophils, 13% lymphocytes, 0.1% eosinophils EKG Normal, CT CTA Negative
CDC Split Type:

Write-up: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.


VAERS ID: 1366568 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-06
Onset:2021-05-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Laboratory test, Postural orthostatic tachycardia syndrome, Troponin
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad), Noninfectious myocarditis/pericarditis (broad)

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: He has had two EKGs, an echocardiogram, lab tests including troponin and has worn a smart watch with heart rate monitoring function
CDC Split Type:

Write-up: I am a physician. My so developed POTS syndrome after the second dose. He was completely healthy before this., a competitive tennis player.


VAERS ID: 1371212 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-15
Onset:2021-05-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test normal, Blood thyroid stimulating hormone, C-reactive protein normal, Chest X-ray normal, Chest pain, Echocardiogram normal, Electrocardiogram normal, Epstein-Barr virus test negative, Fatigue, Full blood count normal, Palpitations, Postural orthostatic tachycardia syndrome, Red blood cell sedimentation rate normal, SARS-CoV-2 test negative, Tachycardia, Thyroxine free normal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Methylphenidate ER Clonidine Fexofenadine Flonase
Current Illness: He had been having some mild left sided rib discomfort for about 7-10 prior to the vaccination. No fevers or other evidence of illness
Preexisting Conditions: ADHD Seasonal allergies
Allergies: Red and Yellow dye
Diagnostic Lab Data: CXR (5/17/21). Normal ECG (5/18/21). Normal Blood work: (5/20/21): CBC, ESR, CRP, EBV titers and Free T4/TSH all normal. Cardiology visit (5/24/21) - ECG/ECHO normal COVID PCR (5/27/21). Negative
CDC Split Type:

Write-up: Within 24 hours of the vaccine started to develop episodes of tachycardia (mom who is a physician measure heart rates as high as 130-140) with minimal activity. He noticed a couple of episodes of heart racing (was not noticing other episodes) but no HR obtained. He developed more pluetitic chest pain at the site of his rib pain and persistent fatigue. Seen in my office three times over the next 7-10 days. and symptoms persisted. Testing included CXR and ECG which were normal. COVID PCR NP swab was negative and blood work was normal (cbc, ebv/cmv titers, thyroid). He was evaluated by cardiology on 5/24/21 and diagnosed with POTS. Currently (early June) he continues to have fatigue significant enough that he can''t get through an entire school day (very atypical for him) and has intermittent pleuritic chest pain (which had mostly resolved about 10 days after the vaccine) The tachycardia has resolved for the most part (within 2 weeks of the vaccine)


VAERS ID: 1381069 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-06
Onset:2021-05-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0163 / 2 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Heart rate, Postural orthostatic tachycardia syndrome, SARS-CoV-2 test
SMQs:, Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20210508; Test Name: heart rate; Result Unstructured Data: Test Result:increased dramatically upon standing; Comments: believe this to be postural orthostatic tachycardia syndrome (POTS); Test Date: 20210514; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021581836

Write-up: extreme fatigue; postural orthostatic tachycardia syndrome (POTS)/ heart rate increased dramatically upon standing; This is a spontaneous report from a contactable physician (parent). A 16-year-old male patient (son) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 intramuscular, administered in Left arm on 06May2021 13:00 (Lot Number: EW0163) as 2nd dose, single for covid-19 immunisation. The patient medical history was none. no known allergies. concomitant medication was none. the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. the patient did not receive other medications within 2 weeks of vaccination. Patient previously received first dose of BNT162B2 (brand: Pfizer, lot number: EW0161) on 15Apr2021 01:00 PM (at age of 16 years old) via Intramuscular into Left arm for Covid-19 immunization in Hospital. Patient is an extremely fit competitive tennis player, developed extreme fatigue 2 days after the second dose (08May2021 17:00), which has now lasted for more than 2 weeks. After getting an smart watch they noted that his heart rate increased dramatically upon standing, and after excluding other possibilities, believe this to be postural orthostatic tachycardia syndrome (POTS) on 08May2021 17:00. event resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Disability or permanent damage. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient underwent covid tested post vaccination which included Nasal Swab: negative on 14May2021. Treatment received for the events included so far compression socks, rest and diet changes. Outcome of the events was not recovered. Follow up needed, further information has been requested.; Sender''s Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1392099 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-29
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW9168 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Dizziness postural, Echocardiogram, Electrocardiogram, Feeling abnormal, Heart rate increased, Nausea, Postural orthostatic tachycardia syndrome, Tachycardia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Dehydration (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, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Methotrextate. Folic acid
Current Illness: JIA
Preexisting Conditions: JIA
Allergies: no
Diagnostic Lab Data: June 9--EKG, Echocardiogram, blood work, chest xray
CDC Split Type:

Write-up: Pt received first dose on May 14. Initially, we did not think side effects. Pt did complain of getting dizzy when standing up, but we did not think was related. We thought it was from her methotrexate. Pt received her second dose on June 6. On June 7, Pt had chest pain, tachycardia, and did not feel right. We went to Hospital. Pt was admitted because of the high pulse rate and nausea and vomiting. It appears that the vaccine triggered POTS. This is an update to my report that I filled out in the hospital a few days ago


VAERS ID: 1395119 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-11
Onset:2021-06-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache, Postural orthostatic tachycardia syndrome, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: na
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: headache and fatigue day after vaccine, then 2nd day had episode of orthostatic syncope, now appears to be fully recovered but continues to have orthostatic tachycardia


VAERS ID: 1441099 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-06-07
Onset:2021-06-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary pain, Blood test, Body temperature increased, Chills, Dizziness, Fatigue, Heavy menstrual bleeding, Lethargy, Menstrual disorder, Nausea, Pain in extremity, Postural orthostatic tachycardia syndrome, Vitreous floaters
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Retinal disorders (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anemia check in blood pressure cuff to check for POTS syndrome- Postural orthostatic tachycardia syndrome
CDC Split Type: vsafe

Write-up: My daughter experienced on day of her 2nd vaccine, feel nauseated in the evening time, then the second day. Felt very lethargic, fatigue, laying in bed all day, sleeping. She still had nausea also experienced chills, highest temp 99.8F. Her arm pit on the right side where she got the vaccine was really sore. She basically like within a couple of days she started her period cycle again and it was very heavy and lasted one week and half almost two weeks. On 06-08-2021, at about 10pm, she was brushing her teeth when she saw black spots and she went to tell me. At about 11:30pm that night, she squatted to pat our dog and when she got up and she felt really dizzy, lightheaded so I got concerned. Her symptoms persisted and I scheduled an appointment with her pediatrician on 06-15-2021. The pediatrician ruled out anemia. Her pediatrician said she has Postural orthostatic tachycardia syndrome. Her pediatrician said that this is something manageable, she needs to strengthen her calf muscles and drink lots of water. They monitored her heart pressure and blood pressure. Her heart rate had increased to 40bpm. I also gave her Ibuprofen medication after the vaccine. Leading to today she has been having dizziness and light headiness every single day. My daughter is still experiencing symptoms, dizzy and light headed today. For her 1st vaccine- within few days after her 1st dose, she experienced when using the treadmill, she would feel very dizzy. I did not think anything of it at first and this happened three times then it stopped. She also had a sore arm.


VAERS ID: 1446328 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Postural orthostatic tachycardia syndrome, Troponin
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CXR, EKG, troponin + other blood tests at Hospital ER on 6/15/2021
CDC Split Type:

Write-up: symptomatic with POTS (Postural Orthostatic Tachycardia Syndrome), chest pain, short of breath.


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