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. 2022 Aug 19;71(33):1047–1051. doi: 10.15585/mmwr.mm7133a3

TABLE 3. Reports of nonserious and serious events to the Vaccine Adverse Event Reporting System for children aged 5–11 years who received a Pfizer-BioNTech COVID-19 booster dose (N = 581) — United States, May 17–July 31, 2022.

Reported events No. (%)
Nonserious VAERS reports
578 (100)
Symptom, sign, diagnostic result, or condition (MedDRA PT*)
Product preparation issue
145 (25.1)
Incorrect dose administered
128 (22.2)
No adverse event
105 (18.2)
Product administered to patient of inappropriate age
55 (9.5)
Product preparation error
53 (9.2)
Expired product administered
46 (8.0)
Fever
45 (7.8)
Pain in extremity
38 (6.6)
Fatigue
28 (4.8)
Headache
22 (3.8)
Injection site pain
22 (3.8)
Product storage error
22 (3.8)
Vomiting
22 (3.8)
Chills
18 (3.1)
Dizziness
18 (3.1)
Serious VAERS reports §,¶
3 (100)
Clinical impression
Generalized pain, fatigue, and malaise requiring hospitalization
1 (33.3)
New onset type 1 diabetes
1 (33.3)
Facial swelling 1 (33.3)

Abbreviations: MedDRA PT = Medical Dictionary for Regulatory Activities preferred terms; VAERS = Vaccine Adverse Event Reporting System.

* Signs and symptoms in VAERS reports are assigned MedDRA PTs by VAERS staff members. Each VAERS report might be assigned more than one MedDRA PT and can include normal diagnostic findings. A MedDRA PT does not represent a medical diagnosis made or confirmed by a provider or clinical reviewer.

All reports classified as no adverse event were accompanied by at least one report of vaccine error (e.g., product preparation issue, incorrect dose administered, product preparation error, product administered to patient of inappropriate age, expired product administered, or product storage error). A total of 413 reports were classified as vaccine errors; the most common specific errors are listed in the table. Of the 413 reports of vaccine error, 105 included the MedDRA PT “no adverse event,” 63 listed an adverse health event, and the remaining reports only indicated that a vaccine error occurred.

§ VAERS reports are classified as serious if any of the following are reported: hospitalization, prolongation of hospitalization, life-threatening illness, permanent disability, congenital anomaly or birth defect, or death.

Serious reports to VAERS were reviewed by CDC physicians to form a clinical impression. The clinical impression of the event does not establish a causal role with vaccination. https://www.meddra.org/how-to-use/basics/hierarchy