Adverse Event Reporting

VAERS ID 2583550
Gender Female
Age 8
StateCode MA
Pharmaceutical Company PFIZER\BIONTECH
Lot Number FP7136
Number of vaccinations 1
Vaccinated 2023-02-17
Onset 2023-02-17
Condition
Symptoms

Current Illness

N/A

Preexisting Conditions

N/A

Other Medications

n/A

Previous Vaccinations

Allergies

No Known Drug or Food Allergies

Laboratory Data

none

Write-up

The patient is 8 years old and the Pfizer vaccine administered was the "gray cap" 12 + dose ( 30mcg/0.
3ml) Pt weight is 104.
0 lb (47.
27 kg)