Johnson & Johnson

Fever 100.6 - given tylenol Near fainting - mother called medical facility and spoke and was advised by a Triage nurse

flu symptoms. Pt received J&J vaccine this morning 0900. At 1400, started having a HA, chills, dizziness, chest pain cramps, and n/v. History: Pt had J&J COVID-19 vaccine this morning and after noon, pt started developing chills, non-thunderclap headache, felt light-headed like passing out while standing, having to sit down, sweating, with N/V x 2, here for eval. Also had muscle aches, in chest, thigh, and other parts of muscles, not isolated to chest. Felt not quite 100% when pt woke up this morning but otherwise didn't have any other symptoms before the vaccine and denies recent sick contact, recent travel, recent illness/surgery/procedures/abx use, diarrhea, rash, COVID-19 hotspot visit, sore throat, ear pain

The day the vaccine around 8pm Patient had chills and fever 100 degrees. Around midnight he started vomiting, had chills, fever 101, headache, body aches, extreme fatigue, racing heart 140 bpm. I called ER and told them symptoms. They said to bring him in. We arrived at ER at 1am. At ER they gave EKG, Tylenol, Toradol injection and IV fluids. They also gave him covid19 test. He started to feel better and he was sent home at 5am. Two days later he had rash going down his left arm where he received the vaccine. It was gone the next day.

Patient passed out briefly a few minutes after receiving the vaccine. Nurses evaluated patients orientation, oriented x3, vitals, within normal limits. Last food or drink a banana earlier that morning Called EMS who cleared patient to leave. Patient did not go to the hospital.

As of today, 4/3/21, 72 hours post vaccine, still experiencing sore arm, headache that won't go away despite taking ibuprofen, hard to breathe - weight on chest.

Patient at Vaccination table, just received dose of vaccine when patient's arm went limp. Also developed generalized weakness. Mother stood in front of him and held his head with both hands. Patient then passed out with eyes rolling in back of head. Also had convulsions for a few seconds that mimicked seizure. Patient soon became alert. Vitals obtained with BP 92/52, HR 34, O2 96% on RA. Patient also diaphoretic to touch. EMS activated and arrived at 1:30pm. Placed in reclining wheelchair and taken to private area. Started to feel better after given cold water. Suggested ER due to having seizure first time. Declined ambulance but mother will take to ER in private car. Patient and mother left with no further incident.

Perfectly healthy, fit, thin 18 year old young man with no allergies and no previous reactions to vaccines or medications... immediately upon receiving J&J injection his eyes rolled back into his head and he was unconscious for two to three minutes, then in and out of consciousness for another eight to ten minutes. He convulsed for around ten seconds after about two minutes of being unconscious. Four to five healthcare workers attended to him, asking him to "stay with us." They called an ambulance, and the medics monitored him for awhile. Heart rate dropped to 34 bpm, clothing drenched with perspiration. Blood sugar was slightly low, although he had eaten a late brunch of two fried eggs, sourdough toast and fruit salad. The last thing he remembers is a cold sensation shooting down his arm and into his left hand. He tried to talk to say he wasn't feeling well, but he couldn't form the words, so he raised his arm and then fainted. He felt generally unwell the rest of the day, and today he is still not fully recovered.

Person had syncopal episode after vaccination when standing to walk to observation area. Paramedic on staff aided them to ground. Head protected. No reported med history on screening. EMS called and on scene, person had full LOC when EMS arrived. moved to unit and transported to hospital for further eval.

We gave patient the vaccine and advised him to wait for the CDC recommended 15 minutes observation time. He decided to leave after just a few minutes, despite his dad (who was with him) questioning the decision and suggesting he stay 15 minutes. I was then told by a member of management through our walkie-talkie system that they needed me at the front register immediately because someone passed out after getting a vaccine. I was there within the minute with my vaccine emergency bag. Upon arriving, the patient was already awake, talking, and sitting in a chair. He also was profusely sweating. He stated he's never experienced anything like this before. He said he normally has low blood pressure. He starting drinking some water. When I checked his blood pressure it was so low the machine gave an error message. Throughout this time, the patient progressively was feeling better and eventually wound up laughing and smiling. Him and his father said that he would be ok and that he was feeling himself. I told him to sit for a bit more before leaving and stay as long as he wants. I called him later that evening to check on him and had to leave a voicemail. His father called back 2 days later and said he's been fine.

Post vaccination syncopal episode about 30 sec, upon arousal vomited several times, color pale, diaphoretic; Medical monitoring w/vital assessment: BP 98/62 P66 O2 sat 97% RA; rest w/ improvement of symptoms and no additional complaints reported. Released from facility w/ parent-mother.

Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.

After a few hours, developed a low grade headache and some soreness at the injection site. About two hours later I started getting extremely cold, despite the temperature in the mid-high 70s. I covered up under blankets. I began feeling very tired and a general sick feeling. After about an hour and a half of progressively worse chills and cold sweat, I began to get very very hot and removed all blankets and eventually clothes. I took my temperature, which was at 102 f. At this point I drank some water and Gatorade and waited for it to pass. I also noticed that my Apple Watch heart rate detection was saying my heart rate was in the high 90s to low 100s despite me just laying in bed. This was alarming because my typical resting heart rate is in the low 60s. About two hours later I felt well enough to at least brush my teeth, but upon standing up was greeted with an extreme feeling of weakness and dizziness and it was hard to keep myself up right. I eventually was able to fall asleep, and upon waking up, felt better, but still not great. My heart rate was more normal at this point, I no longer had chills or a fever, but still had a headache and soreness across my body, worst at the injection site.

Patient began having chills, fevers and sweats within 12 hours of receiving the vaccine. 2 days later he had severe chest pain prompting him to present to the hospital.

Patient felt faint, syncopal episode, came to and regained consciousness within 2 to 3 minutes. Full recovery at 11:30 am and left the facility.

Symptoms: light headed, pale, dizzy, seeing stars Vitals: BP 100/60, RR 16, Pulse 73, O2 96% BP 115/70, RR 18, Pulse 60, O2 95% Intervention/treatment: assessed vitals, gave patient juice, water

Patient had fever/chills/sore muscles. Patient reports going to take shower to help with flu-like symptoms and fainting in the shower. Patient's parents helped patient and had him hydrate. He has recovered now, with a lingering Head Ache.

Pt exhibited vasovagal s/s immediately after COVID injection. Stated he felt "light headed", was excessivel ydiaphoretic, and pale. Was sitting in the chair. Limbs were limp, but was able to move them. Remained conscious and able to answer questions, but stated he remained ligh theaded. Given water and able to drink. BP low-80/60. Pt assisted to cot to supine position. Stated he felt better and color returned. BP increased to what pt stated is baseline-92/44. After about 10 minutes, pt stated s/s resolved and able to sit up and then stand without difficulty or any s/s. Ambulated to waiting area where he remained for the rest of his 30 minute observation period.

Pt. had a syncopal episode as well as one twitching episode reported by patient's mother immediately after vaccine was administered.

Nosebleed on 4/14/2021 (this was the first nosebleed that he has ever experienced. He was cutting onions at the time of the nosebleed). So far no additional treatment has occurred, but I plan to call a healthcare professional today and will likely schedule a visit.

patient rolled to side, after he regained consciousness, moved to a reclining chair, Vitals taken and juice given PO. Held him for about 25 min. Orthostatic BP taken. patient stated he felt fine, vitals good, no dizziness prior to discharge home.

Patient became pale, sweaty, nauseous and was not wanting to talk with staff. Patient was slumped over so it was difficult to get an accurate BP reading. At approximately 5:30 pm, the patient took a few sips of water. See the following timeline: 5:08 pm--cold pack applied to back of neck 5:13 pm--BP65/38 5:16 pm--BP 82/48 5:18 pm--BP 78/55 5:23 pm--BP errored 5:25 pm--BP 85/55 5:30 pm--BP 87/62 5:40 pm--BP 81/58 5:48 pm--BP 91/54 5:54 pm--BP 100/75 Patient left with brother and father. Tried to call patient at 7:30 pm, but left a voicemail.

Patient received the J&J Covid-19 vaccine then fainted approximately 5 minutes later. Patient came to immediately and was conscious by the time the pharmacist reached the patient. Patient was ok other than having a sore head from when he fell. We provided the patient water and continued to monitor for an additional amount of time for a total of 30 minutes. Patient denied needing anything else such as juice. Patient was okay after and when asked if there was anyone that he could contact to drive with, he said he was okay to drive after.

Patient felt light headed and dizzy and passed out briefly following administration of vaccine. Patient had history of passing out during vaccination and blood draws. Patient felt sweaty and turned white. His color returned after a minute, I talked to his mother who was there during the incident. Did not eat or drink the morning of vaccine. I checked his pulse and blood pressure and it was 129/72 and pulse of 78. We gave him some water and orange juice. He felt much better. Then his mom bought him some muffins. He sat and ate for about 30 minutes and left feeling back to normal.

Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Loss of conciousness for less than 1 minute-Medium, Additional Details: The patient lost conciousness within a minute of receiving vaccine. Rph notified and immediately ran to patient. Rph tapped on patients shoulder and asked \"are you okay\" and patient regained conciousness immediately. Patient was confused and did not realize he lost conciousness. Patient felt oaky after regaining conciousness, but Rph helped patient lay down and elevated feet. Vital signs were monitored and were normal.

Pt entered vaccination site and stated "I always pass out when I get a shot." Pt was vaccinated while lying on 3 chairs with father, several nurses, and site-lead present. Approximately three minutes after injection, Pt stated that he was feeling dizzy, became pale, and lost consciousness for approximately 45 seconds. Once he regained consciousness, Pt denied any pain or other discomfort. Pt stated that he would like to remain lying down "for a few minutes; it helps me feel better." Pt was held in post-vac for a total of 30 minute. He stated that his symptoms had resolved and left site with father, escorted to vehicle by nurse.

Shortly after vaccine patient fainted. Came to within minutes, light headed. Rescue came, low BP. Took patient to hospital per patient request

Patient had a episode of syncope around 5 minutes of receiving the vaccine. Patient quickly recovered in less than a minute and then returned to normal around 10 minutes.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: DURING SYNCOPE EPISODE, PATIENT STATED HE "COULDN'T SEE". VISION RETURNED AFTER LESS THAN 1 MINUTE. PATIENT WAS UNCONCIOUS FOR LESS THAN 30 SECONDS. AFTER LAYING DOWN FOR 1 MINUTE, I RETURNED PATIENT TO CHAIR AND MONITORED BLOOD PRESSURE. PATIENT WAS HYPOTENSIVE FOR 20 MINUTES. PATIENT BECAME HEMODYANMICALLY STABLE AFTER 20 MINUTES USING 4 SEPERATE READINGS 5 MINUTES APART EACH. PATIENT'S FATHER ACCOMPANIED PATIENT AND OPTED TO TAKE HIM HOME AFTER HE WAS STABLE.

Headache, Fatigue within an hour, 8 hours after Achiness all over, Chills, Fever, Racing Heartbeat, Headache comes and goes, sleepiness, then too hot can't sleep Took 2 Ibuprofen, 2 x 30 suedo-effedrin , ate bagel and cream cheese, 1/2 a banana 3x2000 D3 vitamin Trying to sleep now

Woke up feeling warm, nauseous, feverish, had a headache. Went to the bathroom and felt dizzy, blacked out and fainted approximately 12 hours after vaccine.

Site: Pain at Injection Site-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Seizure-Severe, Systemic: Tachycardia-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Weakness-Medium, Additional Details: Patient was given COVID vaccine and moved to another chair to be observed. Upon sitting in other chair, he almost immediately went stiff, began convulsing, and then went unconscious. Patient came to, 911 was called, and patient was transported to ER.

Patient stated that at 3am the following day he was cold, sweating and weak. He got up and fell on the floor twice and passed out twice. The whole episode lasted 5 to 10 minutes. The rest of the day he was tired, but not to the extent of the 3am episode.

Pt received vaccine and sat down in observation and passed out after 3 mins in observation. Pt monitored for an additional 30 minutes then cleared by medical professional to go home with parent.

The patient fainted approximately 3 minutes after receiving the vaccine. I caught him before he fell out of his chair, and he regained consciousness within about 5 seconds of me tapping on his shoulder. We got him some water immediately and he was able to speak to me, but he continued to nod off in his chair over the next couple minutes. We got him to lay on the floor with his legs elevated and a damp cloth across his face. As soon as he made it safely to the floor he had fully regained consciousness and held a conversation with me. I had him stay on the floor in that position for about 10 minutes. When he felt like he had his full strength back he went back to his chair and sat there for another approximately 10 minutes and continued to drink his water. At that point I let him walk around the area with my supervision and he still felt strong so he left the pharmacy.

PATIENT FAINTED A FEW MINUTES AFTER RECEIVING THE SHOT AND WOKE UP AFTER A FEW SECONDS. WE LET THE PATIENT LIE DOWN AND ELEVATED HIS LEGS. WE ALSO ASKED PATIENT TO STAY FOR 30 MINUTES FOR OBSERVATION.

Patient received the vaccine and while sitting down within one minute he fainted and fell on the floor. He remained on the floor until paramedics arrived. Paramedics took his vitals and observed him for a period of time. They said it was fine for him to leave with someone else to drive him. While waiting for family to arrive the patient began to have a seizure. Paramedics returned and this time they took the patient for further care.

Patient fainted about 5 minutes post vaccine. We had them lay down for a moment and gave them water. Patient waited for 40 minutes after vaccine and recovered.

Two minutes after administration of J&J vaccine, patient asked this nurse for water and said, "I feel dizzy." Patient was diaphoretic and pale. Patient remained seated in chair. Felt this was for 15 minutes. His feet were elevated, cold compress to neck, fan directed at patient. Patient never lost consciousness. Took cold water and pretzels. BP at 14:57 was 104/76. Symptoms totally resolved by 1500. Patient and mother report a history of vasovagal fainting with previous blood work/exposure to needles.

Two minutes after administration of J&J COVID-19 vaccine, patient asked this nurse for water. "I feel dizzy." Patient diaphoretic & pale. Patient remained seated in chair. Felt this way for 15 minutes. Feet elevated, cold compress to neck, fan directed at patient. Patient never lost consciousness. Took cold water and pretzels. BP at 1457: 104/76. Symptoms totally resolved by 1500 hours. Patient reports history of vasovagalfainting with needles. Patient and mother reports a history of vasovagal fainting when getting blood work. All symptoms resolved within 15 minutes of vaccine administration. All symptoms resolved with juice, pretzels, cold pack to neck, and blowing fan on patient.

Initially after first dose of Janssen Covid vaccine patient was initially on guerney but states he felt fine and was then assisted to a chair. Four minutes after vaccine, patient was sitting in chair and was observed to slump in chair and was then assisted to the floor. Patient had syncopal episode. Immediately ammonia was placed under his nose and patient aroused. Patient is cool and clammy. Cold ice pack applied to back of head and neck. Vital signs taken pulse 80, respirations 20, blood pressure 126/79, and 02 sat 100%. Patient is alert and oriented x4 and states "this always happens." Oxygen applied at 4 liters per minute via simple mask. Patient assisted slowly to a sitting position. Tolerated well. Patient assisted to gurney by Nurses. Vital signs rechecked, blood pressure is 132/65, pulse 69, 02 sat is 99% on room air. Patient transferred to nurse treatment room via gurney in stable condition with nurse assistance. Report given to Nurse.

Suddenly felt dizzy and loss of hearing, sweaty and arms and legs felt tingly. He turned pale. We laid him down and placed ice pack on his forehead and neck. BP initially was 84/50 repeat in 10 min was 105/54. He felt better after 10 min. Felt back to normal at 30 min when he was released to his mother

Upon standing post-vaccination, patient fell into the floor, eyes rolled back into his head, and was convulsing. Upon regaining his whereabouts, patient stated he did not recall anything that had happened. He had impaired vision, tinnitus, and was ashen in color. I was able to get the patient into a chair and he experienced two more episodes within 5 minutes. 911 was called. Patient requested water and it was provided. Paramedics arrived and conducted multiple tests (blood glucose, blood oxygen, blood pressure, heart monitoring). Patient refused referral to the local hospital and left the pharmacy within 30-45 minutes after the incident without any further problems.

Patient received vaccine and fainted several minutes after receiving dose. When patient retained consciousness he was having difficulty speaking and was having difficulty breathing and kept repeating that he couldn?t breath, a dose of epinephrine through an Epi pen was administered 911 was called the patients vitals were checked and he chose not to leave in an ambulance and left

After vaccination, patient fainted and by the time got over to him he was alert. He was able to sit up and then was able to get into the chair. While in the chair he appeared to faint again ( looked like he was asleep in chair) and 911 was called. Patient states he had not eaten today and this was late afternoon. He also said he was nervous. EMS arrived and he agreed to go get checked out.

The patient fainted after receiving the vaccine. It was app. 5 minutes after receiving the vaccine that the patient fell over from his chair in our waiting area. The pharmacist helped him back up and the patient stated he was just nervous/anxious. He was given water and started to feel better. After an additional 15 minute the patient left. No medications were given.

Patient received Janssen COVID vaccination on April 6, 2021. Pt had no symptoms initially after vaccination. Pt started coughing up blood and having episodes of dyspnea on April 25, 2021. Pt went to Urgent Care earlier in the day on May 11, 2021 - no medications were given, told he was fine. Pt then went to Medical Center and was found to be pale, diaphoretic, and tachycardic in triage. Pt vitals were temp: 36.6; pulse: 128; respirations: 22; BP: 161/129; SpO2: 97. Hospital medications: carvedilol 6.25mg PO BID, enoxaparin sodium 40mg SQ Q24h, azithromycin 500mg/sodium chloride 250mLs @ 250 mLs/hr IV Q24h, ceftriaxone sodium 2gm/sodium chloride 50mLs @ 100mLs/hr IV Q24h, lisinopril 2.5mg tablet PO QD, metoprolol tartrate 5mg IV Q5MP prn tachycardia. ER disposition: consult for admission Dx: hypertensive urgency, tachycardia, suspected COVID virus infection, bilateral pneumonia

Patient fainted approximately 30 seconds after vaccine. Eyes closed and patient did not respond for approximately 30 seconds but still had pulse. When patient's eyes opened he stated his vision was slightly blurred; also pale and sweating. After elevating feet and providing ice packs patient began to feel better. Blood pressure and pulse stable 30 minutes following. Patient felt fatigued but otherwise back to normal when leaving pharmacy.

Patient experienced syncope upon exiting pharmacy after vaccination. He was assisted to a nearby chair before falling and sustained no injury. Patient and father declined emergency medical services to be requested. After an additional 15 minutes of monitoring, patient reported feeling well and was permitted to leave.

Staff notices patient was breathing deeply and slowly. Asked patient if he is feeling unwell. Patient states he feels lightheaded. Patient then became diaphoretic. Took patient to medical tent via wheelchair. Vital signs stable. Gave patient orange juice and water and applied a cold damp towel. Patient stopped sweating and states he no longer feels dizzy. Too BP sitting and standing. Stable both ways. Symptoms noted: paleness, sweating, fainting, lightheadedness,; Orientation x 3. Vital Signs: 12:47pm - bp 116/62, p 71, r 15, pulse ox 98; Vital signs: 12:53pm - bp 120/76, p 74, r 16, pulse ox 98; patient treated at vaccine location, stabilized and discharged to home, alert and oriented with no further complaints.

The patient passed out a couple of minutes after receiving the vaccine. I asked if he had had any reaction or problems to vaccines or shots before and him and his parents and him both said no. After he passed out they told me he was mildly autistic and had passed out at the doctors office when getting a shot and in biology class dealing with dissection. They repeatedly said it was just anxiety. After laying him down and elevating his feet he started feeling better. At no time did he display any breathing problems or any anaphylactic symptoms. And he did not hit anything when being laid down. I monitored him for 30 minutes and let them go after they said he was 100 percent feeling fine and he seemed like he was ok.

18 y/o male received J&J vaccine. Five minutes after being vaccinated, pt complained of nausea. Patient presented with pale skin, diaphoretic, and incontinence of bladder in the observation area. Pt lost consciousness for 15 seconds in the car. After 15 sec, pt regained consciousness and was able to walk and talk. EMT brought the patient into the observation tent to lay on the cot. EMT obtained 4 sets of vitals and completed orthostatic vitals. Last set of vitals are: 10:15am: BP 103/60, Pulse: 74, Respiration 18 and O2 98% on room air. Blood Glucose level was 106. Pt returned back to normal state after 15 minutes in observation. Pt was no longer diaphoretic, pale, or nauseous. Pt is stable, alert, and oriented x4. Pt is walking and talking independently. No EMS services needed. Pt was instructed to follow up with the nearest ER, if symptoms return or worsen. Pt left with his mother, who is the driver.

Developed clots in both right and left lungs. Wedge shaped infarction in left lung. Extreme headaches. Pulmonary emboli and plural infusion.

about 5 minutes after patient received shot , he came to pharmacy counter to say he felt light headed, as I ( the pharmacist) headed out to have him sit down, dropped to a sitting position on the floor, I was able to get him up to a chair and was fanning him and we got him some water. he the passed out and his lead lobbed backwards, I got behind him so he did not hit his head and he went into a mini seizure which only lasted about 5 seconds and then he came out of, he was in sweats and we called 911. He declined to go to hospital and his mom came and picked him up

Pt received vaccine at 5:55 pm At 6:00pm Pt had syncopal episode fell out of chair and hit head on concrete Pt had abrasion to right head right wrist and right knee Ot was able to answer questions A&Ox 4 No vomiting No blurred vision 911 called and ot was transported to hospital via Ambulance

While in observation after vaccine was given, 18 y/o male had a tension of body and fainted out of chair from sitting position. Head did hit the concreate floor. Male immediately jumped up once he hit the floor. Syncopal event occurred. HE was brought back into treatment area and placed on EKG along with vitals. Normal sinus rhythm, BP and HR stable. Small laceration to right side of temporal lobe about 1cm long, minimal depth, no stiches required, bleeding stopped immediately and ice pack placed. Neurological intact, pupils equal and reacted to light. AAOX4, No nausea, vomiting or dizziness. Male is stable condition with brother. Advised to seek further eval with x-ray of skull for precaution. He was in agreement and understood.

HAND AND WRIST SWELLING; PAIN IN JOINTS; VASCULITIS; BODY ACHES; This spontaneous report received from a parent concerned an 18 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included alcohol user, and non-smoker, and other pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A and expiry: UNKNOWN) dose was not reported, administered on 17-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On MAY-2021, the subject experienced body aches. On 19-MAY-2021, the subject experienced vasculitis. On JUN-2021, the subject experienced pain in joints. On 02-JUN-2021, the subject experienced hand and wrist swelling. Treatment medications (dates unspecified) included: cefalexin, and prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches on MAY-2021, and had not recovered from vasculitis, hand and wrist swelling, and pain in joints. This report was non-serious.; Sender's Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non-serious.

pt passed out, woke up and was white with low blood pressure but eventually gained color and blood pressure increased . was able to walk out of store with mom feeling better

Patient fainted and colapsed to the ground from a seated position. After coming to, he was pale and lightheaded, but after waiting 20 minutes he was able to leave without issue.

Patient received vaccination and immediately felt uneasy (nauseous, lightheaded). The patient leaned over and became quiet and was not responding to questions. Patient then leaned back up and went stiff and had symptoms similar to that of a seizure (arms and legs went stiff and was unresponsive to questions) for about 30-60 seconds (at this time the paramedics had already been called). Patient then regained control and felt awful (a 5 on a scale of 1-10) and then felt even more nauseous and had to spit up into a trash can. Patient was given a water bottle to help them relax and cool off because patient felt warm. Paramedics arrived and checked blood pressure and pulse but found everything within normal ranges except for a slightly low blood pressure. The paramedics did nothing else except offer a scan of the patient's heart in their ambulance which he was then rolled out on a stretcher.

The patient sat down for few min before he and his sister and mom decided they will walk around the pharmacy and rechecked that everything is fine, few minutes later, The patient felt he has dizziness and light headed and fell in the ground with support of his mom . I went to check on him and he was sitting on the ground with pale face , I gave him water and crackers and he started to feel normal, took him back to the pharmacy , get his blood pressure and it was within the normal range 120/80. he sat for 20 min and I got the managers who offered him calling the ambulance but he assured that he is feeling normal. and advised his mom to go to ED to double check and to keep a close eye on him and she stated she understand and will go to the hospital if needs to after they will call the dad.

Immediately post vaccine administration, patient experienced syncope (fainting). Eyes rolled back, sweating, lost consciousness. 15-20 seconds later regained consciousness as if nothing happened. Provided patient 4 glucose tablets and sat/spoke with him for an additional 15 minutes

Patient had an adverse reaction to the Janssen COVID vaccination. After vaccination, patient was told to wait 15 minutes in this chair and we would observe. I prepare their COVID card and went back out to give card and ask if the patient had any other questions. Patient was scared of shots, so some anxiety was expected, however after a few minutes while I was talking to the patient, I noticed he got stiff, and started to seize. His family was near by and we immediately put him onto the floor with head on a cushion and called EMS/911 CODE WHITE. He did not hit anything while seizing/convulsing. Once he laid down, within a few seconds, He stopped jerking, became conscious, and asked what happened. He lost consciousness and only remembered me talking to him about his questions about the vaccine. He was fully aware of his surroundings afterwards and said he never had a reaction like that to a shot before. Some anxiety, but not a seizure. EMS arrived shortly there after and he was taken to the hospital after inspection from EMS just to make sure everything was okay. We had to make a report to management per Store Policy. VAERS was reported

After giving patient Janssen vaccine around 12.40pm he started shaking and lost consciousness for less than a minute, we called 911 but patient's parents were on the phone with them already, so we cancelled our call, his blood pressure was 97/57 and heart rate 47, we laid him on the floor and elevated his feet, when paramedics arrived he was feeling better and his vitals were stable. Patient's father( who is a doctor and was present at the moment) did not want the paramedics to take him to the hospital.

Nausea, vomiting, dizziness, pale color, low heart rate and blood pressure Tx: cold packs, laying pt down

Every day at random times a week after I got the vaccine, I've been experiencing heart pains in a random manner throughout the week. Sometimes it feels like my heart is going to sink when I sleep.

Patient fainted 5 minutes after the administration of the vaccine, he could still talk and told me that he was having difficulty breathing so while 911 was on the way I injected one dose of Epinephrine 0.3 mg. He was also pale and sweating. I was making sure he had a pulse, when 911 arrived they assess him and his blood pressure was a little high. After maybe 15 minutes he was feeling better and he told us that he was afraid of needles. Honestly we do not know if he was very anxious or if he had a reaction to the injection since he mentioned his throat was closing.

Patient had slight queasiness/stomach discomfort and slight blurry vision before administration of vaccine. Both intensified within a couple minutes after vaccination, and 5 minutes after administration patient fainted/lost consciousness. He regained consciousness 10 seconds later and was ambulatory afterwards. Patient exhibited no difficulty of breath or cognitive impairment. Pharmacist had patient sit and drink water for a half-hour afterwards with observation. Patient left store on own ability and left afterwards.

Patient was sitting on a chair in the recovery area after receiving the vaccine and slumped over and fell off the chair (seeming to have fainted) He hit his head when he fell off the chair and bit his tongue. He regained consciousness immediately and was talking and coherent. We monitored pulse and breathing and kept him talking. We called an ambulance immediately and his parents. Ambulance personnel came and evaluated the patient and released him to his parents with the recommendation to monitor the patients and have him further evaluated if necessary.

My son said his arm hurt badly, he then said he needed to go to the bathroom because he needed to vomit. Then he asked for water, then oxygen and then he said he was going to pass out. He reached for my hand and then he was ?gone? like the nurses surrounding us said. He was unconscious, his eyes were open but he wouldn?t speak and he wasn?t there, not breathing no pulse. They came and took his pulse and it was very low, if I can recall correctly it was 94? over 54? ?they brought him back with an ice pack on his neck, shoulders and lifting his legs. He explained afterwards he felt like a weird sensation in his arm, the. It went up his brain, like electricity? ?and then went towards his ears and that?s when he said he can?t remember, started dreaming everything was black and came back to me saying: ?no, wake up? ? Wake come now??and he realized he had indeed passed out. They said it was common for young healthy boys to have this side effect, faint. I still feel I need to report this. It scared the life out of me, he was gone for seconds, seemed way too long!!!

A few minutes after injection the patient reported feeling nauseous. Had patient sit back down where he then passed out. Checked for pulse and breathing asked patient if he could respond to me. Within 15 second patient was able to respond to me. After about a minute patient color came back and was able to open eyes and look at me. Patient then complained of not be able to feel his hands and feet which feeling came back after a few minutes. However patient still complained of feeling pins and needles in his fingers. After 20 to 30 minutes patient reported feeling ok and was released under parents care.

2 mins after receiving the vaccine he became dizzy and nauseous. Then later loss conscious, hands were clenched and was unresponsive for 45 seconds. Fever and slight headache currently.

Patient said he couldn't hear. He felt dizzy, nauseas, and was sweating. Blood pressure was taken it was low. Gave patient water to drink. Took blood pressure repeatedly. Gave patient something to eat (said he hadn't eaten & that could be cause of nausea). Patient's blood pressure went back up to normal. Patient felt fine before he left. I had patient sit longer than the 15 minutes, it was at least 30 minutes.

After Janssen vaccine shot, patient was asked to sit and wait for 15 minutes. During the wait time patient was walking around and felt fine. About 10 minutes later patient looked a little pale. Told him to sit down and gave some water and a power bar. Patient had a seizure and past out for a few second. Patient regain consciousness and we lay him down on the ground. Breathing was normal. We called 911 and when EMT checked his vitals, his blood pressure was low. Patient was then taken to hospital for further monitoring.

Attendee received dose Johnson and Johnson vaccine at 11:40 in the left arm. Lot# 205A21A. Attendee was directed to observation area. Within 30 seconds attendee voiced complaints of lightheadedness, hot/cold feelings, escorted first aid to lie down on the cot. Skin was pale, cool, and clammy, rapid, shallow breathing. 11:43 – Alert and oriented, skin now warm and dry. HR: 62 BP: 120/90 RR: 20 O2Sat%: 99 11:48 – 911 called 11:50 -No voiced complaints- skin warm and dry. HR: 90 BP: 122/84 RR: 20 O2Sat%: 99 11:55 -No voiced complaints- skin warm and dry. HR: 72 BP: 120/84 RR: 14 O2Sat%: 100

Patient felt like passing out, got very white in the face, eyes rolled back into head. Then he was ok.

Pt received 1st dose Covid-19 Janssen vaccination. Pt stood up and stated that he felt dizzy and immediately began to fall to the floor. Staff caught patient as he was falling and lowered him to the floor. Pt remained conscious. Feet were raised and pt was verbal, states he didn't know what happened but he was okay. Pt alert, remained on the floor and drank juice. Pt helped up from the floor and became pale and diaphoretic, wheeled to the cot. VSS, cold compress applied to head and pt drank another juice. Pt lie on cot for approximately 5 minutes, stated again that he felt okay, observation team performed orthostatic VS. VS remained stable. Pt ambulated out of clinic with parents. VSS, A&O x4, GCS 15

Patient immediately reported the shot hurt more than usual shot and that he was feeling dizzy (he described it as "the spins"). He stated getting warm to the touch and started sweating profusely. About 4-5 minutes after the shot he said he was nauseous. About a minute later he threw up. He said that throwing up helped a little. RPh asked if he wanted some orange juice. He said he did and he took a few sips. He continued to feel warm to the touch and was sweating quite a bit. He also was quite pale. RPh continued to monitor him, providing cool compresses to forehead and back of neck and continued to have him sip on orange juice (drank about 20 ounces aver 30 minutes). He reported feeling better at 10:45am (about 30 minutes after shot.) RPh kept him for observation for another 15 minutes at which time he felt good enough to go home. Girlfriend drove him home. RPh called to check on patient at 6pm. Girlfriend reported he was doing ok and hadn't had any other reactions. He had just been sleeping all day.

Started with dizziness and light-headed. Became very pale, slumped on chair and lost consciousness for a couple of minutes. Was transferred to a gurney and put on trendelenburg position and started to wake up fully and talk.

Patient received J&J COVID 19 vaccine and proceeded to waiting area for required 15 minutes with his family. After a couple minutes, he starting getting dizzy, pale, nauseated and lost consciousness briefly. 911 was called and patient was transported to a hospital due to low blood pressure.

Patient presented to the ED for evaluation of chest pain. About 24-48 hours after receiving vaccination he started having left sided chest pain that worsened over the next 3-4 days. The pain intensified and he also reports having low grade fevers.

Patient had a vasovagal response and passed out about a minute after the actual injection of the vaccine. He was unresponsive, was twitching, urinated himself, and when he woke up was slightly confused.

My son woke up at 1am and felt like hw was "burning up" and felt like "heart was beating out of his chest". Heart rate on running watch was in the 150s. Pt is a runner and typically resting HR is 52-55. Mom took temperature and it was 104.1. 1000mg of Tylenol was given. Temperature was checked 20min later and it was 104.8 and checked a little bit later and was 105.4. He didn't seem himself during this time. HR was still in 120s on HR rate watch, it was difficult to monitor it by had because it was going so fast. During this time I also monitored my temp (mom) and it was 98.1 to see if the thermometer was working appropriately. The temperature took 2 full hours to gradually come down to 98.9 and HR round 100. When the temp was down to 102.1 then he started talking clear and said he felt a little bit better.

felt faint, slurry, pale. patient was placed flat on back with feet elevated. injected Epipen. called 911.

18 y/o male had syncopal episode while sitting in chair in post vaccine observation area. Paramedics on site evaluated and treated the patient. Patient states he has a history of passing out after receiving a blood draw in the past, patient also states he does not like needles. Patient denies any complaint related to the vaccine.

Patient passed out minutes after receiving vaccine for approximately 10 seconds, then became very drowsy, pale in color and began to sweat excessively.

After receiving a vaccine patient became disoriented fainted and exhibit muscle spasms. Treat it with Aromatic ammonia salt and water. Upon arrival of EMS patient got some glucose as well. Last report he was felling better, EMS took patient to the bus for check up. Unknown if patient went to the emergency room.

S: Patient is a 19 y/o male c/o odd sensation over his legs and arms lightheaded while he is walking out of the vaccination tent after 5 minutes of getting vaccine. Reports having history of lightheaded none with injections an appendectomy 2 years ago otherwise no other history . He did not eat or drink this morning. He did vape before taking vaccine. Allergies: PCN, anesthesia hives post surgery O: 1st reading 10:53 vitals BP 120/80 HR 92 Oxygen sat 99 pain 0/10 resp. 18 2nd reading 10:56 120/80 Hr 95 oxygen saturation 99 3rd reading standing after 5 minutes 110/80 Pale. Shivering. Weather is cold outside. Negative for shortness of breath, throat swelling, facial swelling, negative for rash. Negative for n

19 y/o M AD USMC with Hx G6PD Def was brought in by ambulance with complaints of abdomen discomfort, chills, fever, dysphagia/dysphasia, nausea and headaches following administration of Janssen vaccine 7-8 hours prior. Evaluation significant for edema/inflammation of the oropharynx, abdomen tenderness, down-trending BP, fever (>102 F), tachycardia (>115), despite the fluid resuscitation IV, Epinephrine, steriods, Antipyretic and diphenhydramine. Vital signs and symptoms significantly improved 2.5 hours into the treatment. Over the evening care, member had a unremarkable observation. Vital signs maintained stable in the morning and he was discharged with appropriate therapies and follow up instructions.

Patient received Janssen vaccine via IM into left arm at 519PM. This RN was called to patient side at 525PM due to patient feeling faint. RN and RN already at patient side. Patient was noted to be sitting in chair slumped over and diaphoretic. Patient not responding to questions or speaking. EMS called to scene. Cot immediately moved over next to patient and patient picked up via 3 person lift and laid onto cot. Patient eyes open and looking around with symmetrical chest rise and no appearance of difficulty breathing, patient pale and diaphoretic - vital signs at 529PM = manual BP 110/56, HR 48, SpO2 95% on room air. At 1732 patient became more coherent, GCS 15, alert and oriented x 4, patient remained diaphoretic and pink/pallor noted to skin. Vital signs at 1734 = manual BP 108/54, HR 77, and SpO2 99% on room air. EMS arrived on scene at approximately 545PM. EMS evaluated patient who remains alert and oriented x 4, GCS 15, and is now pink warm and dry. EMS allowed patient to go home after signing necessary paperwork on their end. Patient observed self-ambulating out of vaccination site with cousin at side.

After receiving the vaccine, patient became diaphoretic, lips were turning blue and patient seemed very weak. Vital signs were taken and oxygen administered. Patient was transferred to a stretcher and taken to the ED for observation. He was given some juice and crackers and went home. Patient's mom was present throughout all of the event and desired to take the patient home.

Palpitations and elevated heart rate began evening of 3/29/2021. At 10:30 pm experiencing chills and took tylenol. By 3:30 am on 3/30/2021, weakness, chills with fever of 102-103 and heart rate of 132. Given fluids. At 6:30 am, fever still up and heart rate still high(120+). Took tylenol and went to ER.

INFLAMMATION OF OROPHARYNX; INFLAMMATION OF OROPHARYNX; DYSPHAGIA; DYSPHASIA; DOWN-TRENDING BLOOD PRESSURE; ABDOMEN TENDERNESS; TACHYCARDIA; CHILLS; NAUSEA; HEADACHE; FEVER; This spontaneous report received from a health care professional concerned a 19 year old Hispanic or latino male. The patient's height, and weight were not reported. The patient's concurrent conditions included glucose-6-phosphate dehydrogenase deficiency. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805018 expiry: UNKNOWN) dose was not reported, administered on 15-MAR-2021; 15:30 for prophylactic vaccination. Concomitant medications included ibuprofen. On 15-MAR-2021 11:30, the patient experienced inflammation of oropharynx, inflammation of oropharynx, dysphagia, dysphasia, down-trending blood pressure, abdomen tenderness, tachycardia, chills, nausea, headache, and fever. Laboratory data included: Body temperature >102 F, Blood pressure (NR: not provided) Increased, and Tachycardia (NR: not provided) >115. Treatment medications included: fluid resuscitation IV, Epinephrine, steroids, Antipyretic and diphenhydramine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from inflammation of oropharynx, inflammation of oropharynx, dysphagia, dysphasia, down-trending blood pressure, abdomen tenderness, tachycardia, chills, nausea, headache, and fever. This report was serious (Other Medically Important Condition).; Sender's Comments: 20210330272-ovid-19 vaccine ad26.cov2.s- inflammation of oropharynx, abdomen tenderness, down-trending blood pressure, tachycardia, dysphagia, dysphasia. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210330272-ovid-19 vaccine ad26.cov2.s-chills, nausea, headache and fever. This event(s) is labeled and is therefore considered potentially related.

Within 2 hours of shot on 3.30.21?: severe headache, 1:30 am-2am- body aches fever 103.1F, at 7am high fever 102.6, severe body; heart palpitation, 3.31.21- high fever, heart palpations, sever body aches, headache. 4.1.21: fever is 99.5.

At 1628, RRT was called for a 19 y/o M with c/o dizziness and lightheadness. At first appearance, he was diaphoretic, pale, shaky, cool, and clammy. Head-to-toe assessment completed and all WNL than what was previously mentioned. Vitals: BP: 110/58, HR: 72, RR: 20. Has asthma, NKA, no medications/herbal supplements/vitamins taken that day. This was his 1st dose of Pfizer. Response team gave him icepacks to put on his neck and arms and client stated he felt better. His mother arrived and client and response team informed her of situation. Client declined paramedic/EMT assistance. Over monitoring/evaluation period, client?s condition improved. Skin color returned, no more diaphoresis, skin was warm. Client left facility at 1640, accompanied by mother. Mother drove client home.

Almost immediately after Johnson & Johnson Covid Vaccine was injected into patient, he passed ouit. He was in chair and his head went backwards with his eyes rolling back. called for help and I responded. Patient was coming to but proceeded to pass out 2 more times. Epi Pen was ready to inject if needed, but did not appear to be an allergic reaction. 911 and a code white were called. Blood pressure was taken and was low. Patient was warm and clamy. Ice was placed on his neck. Paramedics arrived and checked his vitals. Blood pressure had come back up. Pulse ox 99. blood sugar was normal. Paramedics told patient to hydrate and eat. Water was given to patient after paramedics cleared it. Patient eating in store and then checking in with Pharmacist. Patient will be called tonight at closing time.

Received Jansen COVID injection at approximately 11am 4/3/2021. Developed sore left arm, shoulder, and neck approximately 10 pm evening of 4/3/2021. Woke up 3:30am 4/4/2021 and informed parents he did not feel well-awake most of that night. Felt slightly better morning of 4/4/2021, but continued feeling feverish, pain in arms, shoulders, neck. Approximately 8pm Sunday night 4/4/21 he stated he felt it was hard to breath, chest pain, and his arms felt like they were on fire. Was taken to ER at Clinic. Blood pressure 149/98, temp 100.6 complain of feeling feverish and short of breath. EKG was taken which was abnormal and enzymes noted to be elevated. Transferred to main branch of Clinic approximately 4:30am 4/5/2021. Father states patient has inflammation around the heart. Had a cardiac catheterization today 4/6/2021-father states that was normal and patient was started on medication to reduce inflammation around his heart. Patients father states that patient was very drowsy from his catheterization and was fine with his father telling me the events as they occured. As I was speaking with patient father, patient was going down for a MRI of the heart. This information was conveyed to me by father and mother. Patient is a college student and was home for Easter break. Patient currently remains hospitalized in Clinic and father thought he would remain hospitalized until Thursday 4/8/2021 depending on test results and his response to treatment. Both parents state they are willing to be contacted for further information.

vasovagal reaction with syncope including multiple episodes of transient loss of consciousness and tonic-clonic seizure motions

About 5 minutes after the patient was vaccinated, he felt weak and faint. His pupils dilated and he began to profusely sweat. He then blacked out for about 15-20 seconds. By the time EMS arrived within 10 minutes , he was coherent and felt fully recovered.

Pt received vaccine and they started to feel dizzy and then passed out in his chair momentarily. Pt began to feel better and then patient fainted again. Pt also complained of ringing in his ears. EMS was called to the bedside where they found patient to be hypotensive. Pt was resolved quickly. Once he began to feel better he was sat up at the side of the bed and monitored for a short while. Pt no longer had any symptoms or concerns and went home with his girlfriend

Patient fainted a few minutes after the vaccination. Slumped over in chair. Woke up within about 10 seconds. Was pale and very shaky. Recovered over the course of 15-20 minutes.

The patient experienced syncope, diaphoresis, nausea and vomiting. The patient was able to recover within 45 minutes and leave under his own power. The patient was coherent and not in any noted distress.

Shortly after receiving vaccination patient fainted while sitting on bench. Paramedics were called and patient was transported to hospital for evaluation.

My heart rate is constantly high and won't slow down. It started at 1am, 3 hours after I fell asleep and had a fever of 100.3 and a headache and soreness. I couldn't fall back asleep the entire night.

PATIENT BECAME DIZZY AND FAINTED BRIEFLY(SECONDS). PATIENT DID NOT LIKE SHOTS. HELD HIM AT PHARMACY FOR 30 MINUTES UNDER SUPERVISION. GAVE WATER. CONFIRMED HE HAD A RIDE HOME AND FELT 100%

Total loss of taste on the tongue. The (very few) taste buds in the other areas of the mouth remained minimally functional. For a point of reference, I can barely taste anything when I swish mouthwash around in my mouth. Pre-existing minimal chest pain (related to history of vaping) flared up to an extreme extent the night of the day I was vaccinated. Hurt more than the joint pain or headache I also have (but those are common side effects).

Patient experienced syncope, flushing/sweating, and dizziness, likely vasovagal response. Patient fell, fall braced by healthcare provider, did not hit head. BP 96/46, HR 49, R16. Given water and crackers, stabilized within 30 minutes, BP 124/49 P52, stable and released from vaccination site

Janssen COVID-19 Vaccine, arms and legs were fully numb and cold, chest and back were hot, fever, headache, could not look to the edge of my vision, could not hold down food or water, intense pain in the lower back, bad balance, chills, aches,.

Dizziness, Nausea, chills, heat flashes, heart beat surged, felt like I was going to pass out. Constant coughing, and weak in the body.

Pt sts shortly after receiving the vaccine she became lightheaded. She passed out before she knew she was going to and as a result she fell out of her chair hitting her head. She has a minor abrasion approx 8mm in diameter to the L forehead. Swelling is minor as well, there does appear to be a light contusion as well. Pt sts she has not passed out with needles or injections before. VS: HR 110, BP 122/58, RR 14, Sats 98%. PMSx4, skin signs normal. Pt went to first aid area and allowed vitals. She does have tenderness to the site of her abrasion on her forehead. Her lightheadedness resolves and she denies all further complaints. She does not complain of headache and does not want further treatment. She declines further assessment, including a second set of vitals. Risks of refusal given. Pt notified that VAERS will be completed. Pt instructed to follow up with her doctor.

Patient experienced fainting spell. He complained of visual disturbance, blurry, twice within 5 minutes. His parents gave him a piece candy and drank some warm water. He was resting on a chair crouching over for about 5 minutes and feeling ok. I was going to call 911 for an ambulance and he refused. He was totally fine after 15 minutes of rest.

Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Additional Details: Patient was feeling light headed when his girlfriend called me over. The patient explained that he was dizzy and may pass out. He lost conciousness for approvimately 10 seconds. He came to and we laid him on the floor where the Pharmacist monitored him. He felt better and leftm here feeling fine.

Around 7 minutes after administration patient started to look like he was having headache. My technician asked if he was doing ok and he replied "no." I then went out and asked what symptoms he was having. He said he was having headache, dizziness, and didn't feel well. I then stayed with him to monitor him, at which point his arms fell, I was able to lay him on the ground with an associates help without his head hitting the ground. Code white was called and store management came to the scene. Patient regained consciousness, remained on the ground for a few minutes and then said he wanted to sit up. We helped him into a chair, a few moments later, he lost consciousness again. We then laid the patient down one more time and the instore officer requested a squad. Patient was monitored until they arrived and took over.

Patient stood up after the vaccine and became flush, pale, he briefly loss consciousness about 10 seconds and then jerked awake. He remembered the incident. Did not hit his head. He drank a bottle of gatorade and was monitored for an hour before leaving. He felt fine at discharge per patient.

While patient was waiting out the 15 min, he states he felt weird and went to let his father know. Upon getting up and leaving waiting area, pt. fainted but was quickly alert and able to speak. Patients father did state the patient has a needle aversion and has experienced this situation in the past.

A 19 y.o. male fainted about 15 seconds after being seated in the post IMZ waiting area. I had just walked away so didn't see it happen. I had him lie on the floor until he felt better. He was rubbing his head and thought he may have hit it on the floor. After 40 minutes he said that he felt ok and his head was not very sore. He declined to having us call for medical help.

Light fever, diarrhea, body aches, back pain, chest pain, headache, chills, vivid dreams, Lasted for 48 hours

I woke up around 1 am so sick that I could not sleep. My head was throbbing with every single heart beat. I had a fever of 102 and was constantly switching between chills and sweating through my sheets. The room felt like it was spinning and I felt like I was going to puke. Lastly I started to get chest pain which was by far the most concerning part to me. I still have a headache and chills but the fever is gone, and I am recovering

Massive chest pain that seemed to originate in the lungs. Worse with each inhale. Began about 12 hours after the injection and lasted about 2 hours. Also severe headache, beginning hours after injection, that lasted about 48 hours. Could not attend classes the next day. These symptoms were accompanied by high fever, chills, body aches, which began with the headache and did not dissipate for about 48 hours.

Chills beginning approximately 9pm; fever and vomiting by approximately 12:30 am of the 8th of April, with vomiting continuing at approximately 1 1/2 hr intervals through till approximately 7:30 am. Was given water to sip while awake. Would sleep between vomiting. Still feverish until late morning (was given 500mg acetaminophen when vomiting seem to stop) During the night, he said that he felt like his heart was pounding. By late morning, he did begin to feel and look better. Sore arm continued from evening of shot til 11th of April

Low Fever 99.0-101.7 on going at 99.0 Chills/headache Arm Rash on the same arm others of where shot was injected Fatigue on going. Racing Heart.

Patient had syncope shortly after the Janssen vaccine was given while he was waiting in the medical monitoring area of the vaccine clinic. Patient was unconscious for less than a minute, vitals signs were taken onsite, BP 102/60, O2 96, HR 72, RR 15. Pt was observed and assessed at the time by Dr. Patient reported not eating that afternoon, he was given water and a snack and monitored for 40 min after event. Patient instructed to f/u with primary care doctor the following day and go to the ER/Urgent care if any other changes occur.

Patient reports having fever and chills overnight. At approximately 6am he had a fainting episode followed by two other fainting episodes later in the morning. At approximately 3pm when I talked to him, he was still fatigued but feeling better.

Patient received shot and went to the bathroom. When returning from the bathroom he felt dizzy and fainted while walking back from the bathroom.

HEART PALPATIONS (FELT LIKE HEART WAS GOING TO BURST); FEELING JITTERY; POSSIBLE SWEATING; CHILLS; FEVER; This spontaneous report received from a parent concerned a 19 year old male. The patient's height, and weight were not reported. The patient's past medical history included covid-19. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, expiry: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. No concomitant medications were reported. On AUG-2020, Laboratory data included: COVID-19 virus test (NR: not provided) positive. On an unspecified date, the subject experienced heart palpations (felt like heart was going to burst), feeling jittery, possible sweating, chills, and fever. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from heart palpations (felt like heart was going to burst), possible sweating, chills, and fever, and had not recovered from feeling jittery. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment not required per standard procedure as the case is assessed as non-serious.

Lightheadedness and headache about 8 hours after vaccination, restless sleep during the night. Next morning before taking a shower felt lightheaded and sick to stomach. After my shower I fainted and had an ankle contusion due to fall.

TACHYCARDIA (FAST HEART RATE 116); HIGH FEVER; This spontaneous report received from a consumer concerned a 19 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced tachycardia (fast heart rate 116). On 06-APR-2021, the subject experienced high fever. Laboratory data included: Heart rate (NR: not provided) 116. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from high fever, and tachycardia (fast heart rate 116). This report was non-serious.; Sender's Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.

initial arm soreness, followed by extreme fever of 103.9 on set hour 8 and lasting for 12+ hours. Roughly hour 28 extreme lung pressure, new bruising and patching red dots on palms of hands. A phone call was made to a Covid help line and determined an ER visit was needed ASAP. ER visit determined an extremely elevated INR, but chest xray was clear. Toradol injection given after it was determined it was an inflammatory response to the vaccine centered in the tissue/muscles between the ribs.

INCREASED BACK TO BACK HEAVY NOSE BLEEDS FROM BOTH NOSTRILS; ARM SORENESS; HEAVINESS IN ARM; This spontaneous report received from a consumer concerned a 19 year old male. The patient's height, and weight were not reported. The patient's past medical history included nose bleed and concurrent conditions included seasonal allergy to pollen. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced heaviness in arm. On 12-APR-2021, the subject experienced arm soreness. On 16-APR-2021, the subject experienced increased back to back heavy nose bleeds from both nostrils. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arm soreness on 14-APR-2021, had not recovered from increased back to back heavy nose bleeds from both nostrils, and the outcome of heaviness in arm was not reported. This report was non-serious.

Patient received vaccination in their right arm. Patient looked at injection site and saw a drop of blood, then lost consciousness in the chair. They were held upright by the nurse who administered the vaccination. Patient regained consciousness after several seconds and was transferred to the cot. Ice pack applied to patient's head due to warm observation area. Patient declined VS, declined a snack, sat with girlfriend and requested to leave at 1420.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: PATIENT STATED HE'S AFRAID OF NEEDLES.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient experienced syncopal episode within 10 minutes after immunization. He was standing at the time, and fell into the floor. He was not injured. 911 was called out of precation. His vital signs were good. Patient left store on his own accord after being checked by EMT.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt. fainted a few minutes after he received the vaccine ~12:30pm. The pharmacist and family members attended to him until 911 emergency responders arrived. When he woke up, he told them he had not eaten, or had anything to drink all day. He also stated he had fainted in the past when receiving previous vaccinations. He declined to be brought to the hospital, and went home w/ his family. Pharmacist checked up on him at the end of the day and he stated he was feeling fine.

While in OBS felt lightheaded and slid to the floor, no injury, brought to med eval. BP 110/40 HR 48 Resp 18 Sat 98 BS 97. Offered Gatorade with cold compress, recovered supine and EMS EKG Sinus Arrhythmia 52 HR Rest and asymptomatic and BP was 118/62 HR 58 ambulatory discharge with Mom, decline any transfer to Hospital.

CLIENT HAD A VASOVAGAL RESPONSE IMMEDIATELY AFTER GIVING HIS VACCINE. CLIENT BECAME CLAMMY, FAINT, DIZZY, AND VERY PALE AFTER THE INJECTION. CLIENT RECOVERED AFTER 30 MINUTES, WITH WATER AND ELIVATION OF THE FEET AND REST.

Patient experienced vasovagal syncope approximately 5 minutes after vaccination. Patient regained consciousness shortly after. He was monitored by EMS in the pharmacy and left shortly after and was feeling fine. The patient's mother spoke with us a few hours later when she was separately at the pharmacy and stated he was feeling fine and had no further issues.

Within minutes of getting the Janssen covid-19 vaccine, patient began to feel dizzy/light headed and warm. Patient lost consciousness a few times over 10 minutes stretch monitored pt. for 30 additional minutes

Starting within two minutes of receiving Janssen vaccine patient became pale in color, clammy, and started exhibiting seizure like activity (jerking). Patient fell out of his chair and onto the floor. Patient does not remember incident, stated he only remembers looking at his phone then becoming alert again to people surrounding him. Patient was assessed by pharmacist immediately and EMS was called at 9:35 am. Vitals were taken by pharmacist at 9:37 am. Patient was re-assessed upon arrival of EMS.

PATIENT'S MOM INFORMED US THAT PATIENT WAS "SCARED OF NEEDLES". PATIENT APPEARED CALM IN VACCINATION OFFICE AND DID WELL WHILE VACCINE WAS BEING ADMINISTERED. PATIENT SAID HE FELT GOOD, STOOD UP WITH NO ISSUES, AND WALKED TO OBSERVATION AREA TO TAKE A SEAT. FIVE OR SIX MINUTES ELAPSED AND I WAS CALLED OVER WHEN PATIENT WAS "GOING DOWN". I RAN OVER AND NOTICED THE PATIENT PALE, COLD, WITH CLAMMY SKIN. HIS EYES WERE ROLLING INTO THE BACK OF HIS HEAD AND HE WAS BARELY RESPONDING TO HIS NAME. PATIENT'S MOM WAS CALLING HIS NAME AND I RAN TO GET THE BP CUFF. COULD NOT GET A PULSE OR BP ON PATIENT, CALLED 911. PATIENT WAS RESPONSIVE BUT BARELY. PATIENT RESTED, SITTING, WITH ARMS ON TOP OF A GARBAGE PAIL BECAUSE THE THOUGHT HE WAS GOING TO VOMIT. MOM TOLD US THIS HAS HAPPENED TO HIM IN THE PAST WITH OTHER VACCINES. HE HAS "VACCINE ANXIETY". THE PATIENT WAS TAKEN ON A GURNEY BY EMS, WAS AWAKE AND RESPONSIVE. EMS TOOK CARE OF HIM IN PARKING LOT IN AMBULANCE AND WE SAW PATIENT HEAD HOME IN CAR WITH MOM.

Patient felt dizzy about 1-2 minutes after receiving the vaccine. He was on his way to the chair in the waiting area when he fainted and fell into a Lysol display.

Aches and pains outside of arm 15 minutes afterwards. Subsided largely, but chills started and became more heightened after strenuous exercise later in the day. After 3 hours of sleep, awoke the next day with chest pain and difficulty moving. Heart rate (normally 60) spiked to 140 and could not see fit five seconds, had to call ambulance. Ambulance determined much of it was due to anxiety (multiple exams and significant work were due soon), and recommended medical supervision to ensure it did not escalate. Went to urgent care and was supervised until 1 pm, 24 hours after the vaccination, by which time symptoms had subsided

pt fainted approx 2 minutes after vaccination while sitting in waiting area. 911 was called. Pt was placed supine and was unconscious for approx 60 seconds with involuntary movements of arms and upper body consistent to passing out (not seizure like in intensity). confused, clamy/nauseas upon awakening, remained supine for 2-3 minutes. upon sitting up pt became dizzy and laid down again. paramedics arrived began assessment. BP, EKG, BG all normal. pt reports not having eaten today, also reports congenital heart defect that was corrected surgically while an infant. Mother arrived and decision was made in conjunction with paramedics to take pt to hospital for further eval based on his symptoms of lightheadedness/nausea continuing.

loss of consciousness for aproximately 5 seconds 3 seconds after administration. back to normal within 5 minutes

Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: delayed but quick onset of feeling of warmth-Severe, Additional Details: Patient came to me 5/13/21 to describe that later in the day, after receiving the Janssen vaccine, pt was driving and had a sudden feeling of body warmth and vertigo. Patient further described chest tightness and difficulty breathing, as well as all over body pain. He reported that he was able to safely get to where he was going and the next day had more "expected" grogginess and aches.

Patient passed out for a few seconds 2-3 minutes after the vaccine. Complained of dizziness , sweating and unable to stand up. Patient's father, was with him at time of accident. His after caught him and prevented him from falling. Patient did not get hurt. Patient sat in front of vaccination room for about 20 minutes and left. I called to check on the patient the following morning at 9 AM and was told by patient father that patient is ok now.

19 year old male who presented to Medical Center with presumed syncope leading to an MVA. He was the restrained driver of a car that was involved in a rollover. He was admitted to the trauma service, had trauma and syncope workup initiated. Pt has had 2 prior episodes of syncope, once when seeing blood and the other after smelling a noxious odor, suspect vasovagal syncope. Pt reports not feeling well since receiving covid vaccine on 5/4, and had vomited x 2 the morning of the accident. Trauma evaluation revealed nasal bone fracture, remained of imaging negative. He will follow up with the trauma facial surgeon next week

UNCONSCIOUSNESS WITHIN MINUTES AND COULD NOT REGAIN SUSTAINED CONSCIOUSNESS; BODY IMMEDIATELY WENT INTO SHOCK; This spontaneous report received from social media from a parent via a company representative concerned a 19 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: Unknown) frequency one total, dose was not reported, administered on 10-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. The parent reported that the healthy patient after receiving vaccine on 10-MAY-2021, experienced unconsciousness within minutes and could not regain sustained consciousness. He was rushed to the emergency room via ambulance and ran some tests, found nothing of significance. His body immediately went into shock. The patient seemed stable now. He was admitted to the hospital on 10-MAY-2021 and the duration of hospitalization was not reported. Laboratory data included: Lab test (NR: not provided) Found nothing of significance. Discharge date of hospitalization was not specified. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from unconsciousness within minutes and could not regain sustained consciousness, and body immediately went into shock. This report was serious (Hospitalization Caused / Prolonged).; Sender's Comments: V0:20210521196-JANSSEN COVID-19 VACCINE-unconscious within minutes and could not regain sustained consciousness, body immediately went into shock. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Immediately after sitting down in the waiting area after receiving the shot, the pt reported feeling a strange pressure in their arm. Following this, the patient described the sensation of "blanking out". The pt fell off their chair and lacked alert conconciousness for roughly five seconds. When the pt came to, they appeared confused and twitchy, with wide eyes and an overall appearance of shock. Pt remained in their state for roughly a minute, before stating that they felt completely better. The pt had developed a sweaty back but didn't state that they felt overally hot. They didn't mention being in any pain. The local injection site appeared a bit red but nothing of significant note. Pt did bump their head on the side wall behind the chair, receiving a minor bruise. Pt was given some water to drink and was monitored for 30 minutes. They pt stated they felt fine. They had no past history of fainting with vaccines, thought pt claimed to have passed out like this before but only after suffering a head injury. After their wait, the pt was allowed to leave and assured us that they felt completely fine.

After receiving vaccine, pt had vasovagal event and "fell out of" open car door, waking on ground. Intermittent vomiting x 30 min.

Patient seated in waiting area for 15 minute observation. Notified per staff that patient was not feeling well. Patient reported that he "passed out" while seated. Pt diaphretic and pale. VS obtained and blood pressure 98/60. No baseline blood pressure to compare. Pt given Orange Juice x 2 with improvement. Blood pressure retaken and 110/72. Pt with complaint of tingling in fingers , but stated that that was not new. RN sat with patient until patient felt better. Offered to call Paramedic to evaluate patient, but patient declined. Patient reported that he felt better and was going to sit for a few minutes longer and drive home. Patient did admit to fear of shots prior to receiving vaccine.

Client had an episode of dizziness , presyncope immediately after receiving his vaccine. Denied shortness of breath or chest pain . He reported tingling in his hands. He had not had breakfast prior to arrival . He was offered water . His symptoms resolved within 15 minutes and he was able to leave after his symptoms were resolved.

Patient fainted roughly 5 minutes after vaccine. He was nervous and stated he had fainted in the past from vaccines. He asked to have his partner with him during the shot and after to help prevent fainting. She was there when he asked to put his head down, then fainted. We moved him to floor. By the time we were able to get him to floor, he was waking.

patient fainted, fell off chair and hit head on wall we had him lie down on floor, took his blood pressure and put ice pack on bump on his head he eventually sat up and felt better

FAINTED; This spontaneous report received from a patient via a company representative concerned a 19 year old male of an unknown ethnicity and race. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, and expiry: Unknown) dose was not reported, 1 total administered on 06-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On the same day, the patient fainted (syncope) after vaccination. The patient woke up later and did not had to go to the hospital, however someone had to drive patient home. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fainted on 06-MAY-2021. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20210535593-COVID-19 VACCINE AD26.COV2.S-fainted. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Patient received the vaccine and fainted within 5 minutes after receiving the vaccine. He fell and hit his head and had a nose bleed. He was put in the Trendelenburg position and recovered immediately. The EMT was called and provided care to the patient. Checked on patient and patient said he was able to walk home on his own.

After receiving the Janssen Covid 19, patient fainted while sitting on a chair approximately 10 minutes after receiving the vaccine. Paramedics were called. BP and EKG were normal. Patient returned to work. Patient informed Pharmacist and Paramedics that he fainted before when donating blood.

My son woke up and complained to us of pain in shoulder where he got shot and pain in chest. Chest pain worse when inhaling or bending over. We had been telling him he sounded congested and ill for several days prior, but he denied feeling ill. Just thought he was groggy from waking up or having usual allergies. Sunday morning he told us ?I think you were right. I am sick. Told us about pains. Advised him to call advise nurse on insurance card. He was told to rest and take otc pain reliever. He rested but took no medication. By the next day his arm pain was gone and chest pain reduced to only on deep inhale.

The patient is a 19 yo male with pmh of anxiety d/o on clonazepam, who is also afraid of needles. He presented with his father to the site of vaccination and was very worried about the phobia to needles. He was nervous, about 4 minutes after vaccination he experienced lightheadness and near syncope, he was lie down flat on the floor and had legs elevated about 90 degrees, at this time the father was looking for water and when he came back he noticed that we were assising his son. He stayed for 15 mins there, VS: were stable 120/75 HR: 80 taken by the nurse. Denied any headaches, no palpitations and felt better, he just landed from California. Pt and dad refused EMS and wanted to leave home. Patient was stable a

high fever- 102, tightness in chest, headache, cold & sweaty, tingling feeling, loss of appetite. He took 2 ibuprofen, was able to sleep through the night and felt much better the next day. 2 days later he felt like himself again.

Patient received a Janssen Covid shot and 7 minutes after being given the shot became light headed. Pharmacist came out when alerted by the patients mother and helped the patient to the ground. Patient lost consciousness for 10-15 seconds on the way to the ground. 911 was called . Patient was assessed and it was determined he was ok. Patient left on his own accord after about 30 minutes.

HPI This is a 19-year-old male that presents for complaint of witnessed seizure-like activity. He arrives by EMS. Patient is currently awake alert and oriented ×3. Today, he was out on the golf course with friends. It was a normal day and he returned home. When he got home, he was complaining of a headache to his mother. She gave him Motrin. Mother then heard a noise from the other room and found the patient on the floor unresponsive, displaying tonic-clonic activity, and eye rolling into the back of the head. This lasted for 4-5 minutes per mother. EMS arrived on scene he was postictal. Patient is never had this happen before. He denies any illicit substance, alcohol or medication use. Review of Systems Constitutional: Negative for chills, fatigue and fever. HENT: Negative for facial swelling and trouble swallowing. Respiratory: Negative for cough, shortness of breath and wheezing. Cardiovascular: Negative for chest pain and palpitations. Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting. Genitourinary: Negative for dysuria and frequency. Musculoskeletal: Negative for back pain and neck pain. Skin: Negative for rash and wound. Neurological: Positive for seizures and syncope. Negative for weakness, light-headedness and headaches. Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.

At approximately 7pm, patient felt light headed and fainted and hit his head. He ended up in the hospital where they took blood and did a CAT scan. He had very low blood sugar and low blood pressure. Everything else was normal.

Immediately following administration of the vaccine, the patient reported lightheadedness, tinnitus, and paresthesia of extremities. Patient experienced these symptoms within 15 seconds of vaccine administration. Symptoms persisted for approximately 15 minutes.

ALMOST PASSED OUT; SKIN LOOKED WHITE AND PALE; MILD PAIN IN STOMACH; LEG HURTS; CHILLS (FEELING COLD AND SHIVERING); FEELING UNWELL; This spontaneous report received from a parent concerned a 19 year old male. The patient's height, and weight were not reported. The patient's past medical history included nose bleed, and other pre-existing medical conditions included patient had no other health condition. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 01-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 02-JUN-2021, the subject experienced almost passed out. On 02-JUN-2021, the subject experienced skin looked and pale. On 02-JUN-2021, the subject experienced mild pain in stomach. On 02-JUN-2021, the subject experienced leg hurts. On 02-JUN-2021, the subject experienced chills (feeling cold and shivering). On 02-JUN-2021, the subject experienced feeling unwell. Laboratory data (dates unspecified) included: Blood test (NR: not provided) low platelet count. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from almost passed out, had not recovered from skin looked white and pale, leg hurts, and chills (feeling cold and shivering), and the outcome of mild pain in stomach and feeling unwell was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment Comment not required as per standard procedure as case assessed as non serious.

Arm started aching shortly after vaccination, nausea. Loss of consciousness, diaphoretic. Moved to stretcher by staff- taken to medical screening for eval. Paramedic; Fire Dept. Recorded Lying B.P. 119/73 Pulse 63 SPO2=99% @15:14 B.P=107/58 HR:48 @15:17 Standing : B.P=127/72 HR=74 SPO2: 95

19 YRS OLD MALE. NO KNOWN MEDICAL HISTORY. SEVERE HEADACHE, FACIAL DROOP, TINGLING SENSATION ALL OVER HIS BODY. CHEST PAIN, SOB, BLOOD WENT UP. SINUS TACHYCARDIA.

PATIENT FEEL SHAKING AND PASSED OUT FOR FEW SECONDS, FACE AND LIPS GOR PALE. CAME BACK NORMAL AFTER HAVING SOME WATER. CALLED 911 AND EMR SERVICE CAME IN 4 MINS ,WHO CHECKED HIM, FOUND ALL PULSE , BLOOD PRESSURE NORMAL ON ARRIVAL. HE WAS FEELING OKAY BY THEN AND REFUSED TREATMENT FURTHER AND REFUSED TO GO HOSPITAL

SHORTLY AFTER VACCINATION WITHIN MONITORING TIME, PATIENT ASKED IF IT WAS NORMAL "NOT TO FEEL WELL" POST VACCINATION. PATIENT WAS LEANING ON A COUNTER AT THE TIME. THEIR EYES ROLLED BACK, I BROKE THEIR FALL AND GRABBED THEM. AFTER SITTING THE PATIENT CAME TO WITHIN A FEW SECONDS AND THE PATIENT HAD NO RECOLLECTION OF WHAT HAD HAPPENED DURING OR LEADING UP TO THEIR SYNCOPE. I APPLIED A COLD COMPRESS ON THE BACK OF THE PATIENT'S NECK AND THEY QUICKLY RECOVERED. THEY HAD NOT RECIEVED ANY RECENT VACCINATIONS BUT TO THEIR KNOWLEDGE NEVER EXPERIENCED SYNCOPE.

Patient felt light headed and fainted after receiving the Janssen Covid Vaccination. Patient fell but did not require medical attention and refused medical attention when asked.

patient fell down but was unaware of doing so, he almost immediately was conscious again and went and sat down, he was sweating all over for about 15 minutes as well; he was given a bottle of water and was observed until the EMS arrived: after they arrived and checked him out he left without the EMS

After I administered the vaccine the patient's pupils became dilated right after I finished injecting vaccine. On my question whether he was doing ok he answered yes, then stood up and walked out of the immunization room. While walking he walked directly into the end cap of the aisle. I rushed to him and with another customer and his mom was able to handle to make him sit on a chair. I kept talking to him while tried to keep him alert waiting for EMT. Another customer turned out to be EMT healthcare professional so he was helping me to keep the patient alert as he was losing his conscience, and we tried by any means to prevent this to happen. I pour a cold water on the back of his neck and put on the fan. His pulse was slow as well as his blood pressure as his whole body became very pale and cold to touch. However, he was alert as he was able to answer questions of how old he was, what type of education he was about to get and at what location he was pursuing his career. So, it was sort of a "zombie" state of mind which scared me the most. I have been practicing as a Pharmacist for six years as well as immunize people according to NYS Department of Health authorization and I never ever saw such a reaction before.

Patient Fainted and fell over; blood pressure was taken and it had dropped to 78/50. Waited several minutes for patient to feel better since he did not feel like he needed emergency support. Later, it was taken and it went up 116/79.

Attendee received Johnson & Johnson vaccine at 13:49 in the left arm. Lot# 204A21A. Attendee was directed to observation area. At 13:52 voiced complaints of dizziness and lightheadedness. Attendee's skin was warm and dry. Skin pale 13:53 – Assisted to a wheelchair 13:55 - HR: 77 BP: 110/72 RR: 12 O2Sat%: 99 13:57 - Attendee stated he felt better, pale. Took a mint that mom had in her purse and a sip of water. HR: 75 BP: 110/80 RR: 12 O2Sat%: 96 14:01 -No voiced complaints- skin warm and dry. HR: 76 BP: 110/90 RR: 12 O2Sat%: 95 14:06 -No voiced complaints- skin warm and dry. No longer pale. HR: 88 BP: 112/90 RR: 10-12 O2Sat%: 96 14:10 -No voiced complaints- skin warm and dry. HR: 75 BP: 120/86 RR: 10-12 O2Sat%: 98 14:20 - Care Practitioner educated on home discharge/adverse reaction instructions and attendee was discharged to home with his family. Attendee did not have any reported escalation of symptoms and was able to walk out of clinic independently.

I fainted while sitting in a chair about 3 minutes after receiving the dose. When I was woken up I was disoriented and had patchy vision as though due to low blood flow to my brain. I laid down on the floor with my feet in the air for several minutes to regain blood flow, then slowly got to my feet.

PER PATIENT'S MOM - PATIENT WOKE UP THE NEXT DAY FEELING LIKE SOMETHING WAS GRABBING HIS CHEST. EXPERIENCED THIS ON AND OFF UP UNTIL TODAY (7/6/21) WHERE HIS CHEST LOOKS SWOLLEN AND HAD DIFFICULTY BREATHING AT WORK. ADVISED PATIENT'S MOM TO GET TESTING/IMAGING DONE

Patient received dose of vaccine. About 2 minutes later he started coughing. A minute later he started to hunch over in his chair. I went over to make sure if he fainted that he would not fall. He described numbing and tingling in both arms and face. He was having difficulty seeing complaining of seeing white. We took his Bp it was 116/70 and pulse of 63. Ge appeared pale and white. We called for ems, and by the time EMS arrived he was feeling better his color had returned in his face. Patient was able to walk and leave store under his own power and didn't need to be transported.

fainting - 8:00 am after injection the day prior at 12:00 pm. EKG results: Sinus bradycardia with sinus arrhythmia left atrial enlargement right ventricular conduction delay

PATIENT CAME IN WITH HIS MOTHER, I ADDRESSED ALL CONCERNS AND QUESTIONS REGARDING JANSSEN VACCINE AND ALLERGIES PATIENT HAD. MOTHER STATED THAT THEY DISCUSSED WITH PCP ABOUT ALLERGIES AND VACCINE OPTIONS, MOTHER STATED SHE HAS HIS EPIPEN ON THEM INCASE OF EMERGENCY. VACCINE WAS GIVEN TO PATIENT, HE SAT DOWN AND WITHIN 10 MINUTES OR SO PATIENT LOSS CONSCIOUSNESS, BEGAN DROOLING, AND COULD NOT BE WOKEN UP AFTER REPEATED ATTEMPTS. EPIPEN 0.3MG (IM) WAS ADMINISTERED TO THIGH AND PATIENT REGAINED CONSCIOUSNESS. 911 WAS CALLED AND PARAMEDICS ARRIVED WITH 5-10 MINUTES. PATIENT VOMITED TWICE, AND WAS SWEATING PROFUSELY. ONCE AWOKEN, HE WAS AWARE OF HIS SURROUNDINGS, WHO I WAS AND HIS MOTHER, APOLOGIZED FOR THE INCIDENT. MOTHER AND SON THEN LEFT WITH PARAMEDICS TO HOSPITAL.

severe headache, 102 degree fever, abdominal pain, leg pain and sharp chest pain that occurred over night and then again in the afternoon on July 23.

The Patient got the Janssen shot and Passed out several minuets later. After coming to He was provided a bottle of water. He drank the water and said that he mainly just felt really hot. We asked that he stay in the store an additional 30 minuets, his mother was with him and kept a constant eye on him with the pharmacist checking in in 5 minuet increments. Patient was feeling better and left, at the end of the additional 30 minuet waiting period.

Systemic: Fainting / Unresponsive-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: left arm numbness prior to becoming unresponsive

Immediately had a dull headache. About an hour and a half just didn't feel well and became very tired where he was dozing off. About 7:00 pm started to shake. This continued to get worse with severe jerking along with the uncontrollable shaking. Had a rapid resting heart rate over 142 and a fever at 102.4. Was incoherent, mumbling his words and not making any sense. Went to ER at 8:48 pm they did blood work, urine test and started an IV. They weren't sure what was going on and first accused of doing drugs then wanted to do a spinal tap. His father stopped that and again told them it was from the covid vaccine. They finally gave him a shot of Ketorolac 30mg and LORazepan 1 mg. They sent him home and told him to take tylenol for his fever. spontaneous shaking kept on until late 3/11, along with a fever. Friday 3/12 he is feeling better, fever has broke but not quite 100%.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Pt nearly fainted/passed out. Had some tunnel vision/nausea/loss of hearing. Recovered after water and sitting for 15 minutes. Had some numb/tingling hands/arms.

H/A,neck pain. Pt ED EMS; received COVID vaccine this morning with syncopal event, possible head strike. state he was sittig in a chair and awoke on the floor. facility VS: HR48, SPO2 100% RA, A/Ox3. reports feeling better at this time. denies visual. emergency room there is no evidence for intracranial bleed or skull fracture. The patient had a rapid return to baseline. As well as laboratory evaluation was normal and he had an unremarkable EKG. At this time there is no emergent indications for referral or hospitalization.

20 y/o national guard male, presented to ER with weakness and fatigue, on exam was tachycardic, febrile and had chills. EKG showed sinus tachycardia, EKG with sinus tachycardia with RBBB, Echo normal. Troponin mildly elevated at 0.11, admitted for serial troponins and telemetry, released later in the morning.

Pt. reported feeling light headed, after sitting experienced a syncopal episode. BP 98/45 p 75. Pt. was revivied after about 35 seconds and stated feeling better. BP 112/72, p 76. Pt. stated has hx of syncope. Pt and family refused to be transferred via squad. Pt. states he will fu with PCP this week.

Besides arm pain that went to my pinky, I was fine. Later that night, I started to get chills and was really cold. The next day, I developed a fever of 100.2 and was really cold. For about a week, I would be fine during the day and would get really tired by the evening and extremely cold. I also started feeling tightness in my chest about 2 days after I got the vaccine. I contacted my doctor and she told me to take Tylenol and Albuterol.

Pt. passed out, diaphoretic and nauseated. Pt fell to floor hit left side of head. Pt given water and snack then recovered went home with mother

Came in for his Janssen COVID-19 vaccine and reported no allergies. Within 5 minutes of vaccination he briefly passed out. He was back up on his feet and reported feeling normal within 30 seconds. About 5 minutes later he began to have slurred speech, excessive perspiration and reported feeling warm. An ambulance was called and arrived within less that 5 minutes and took over care.

fever. PT presents with fever, bodyaches, nausea and chills with chest tightness and SOB x 11pm. reports received JJ vaccine 1700 yesterday. covid positive May 2020.

About 3 mins after Janssen vaccine was given, pt was very white and faintish. I rushed out of pharmacy and had a tech call 911. As I was running to him pt started slipping out of his chair, as a women, who I later found out was his mother and I helped keep pt in chair as he fainted and then seized for about 2 seconds and then gained consciousness. Upon awakening pt said , what just happened?" The mother answered "oh you just had a little seizure, you're fine." To my surprise, I asked the mother is this has happened before and she said yes when he sees needles/get shots. I told them the ambulance was on it's why and the mother asked "why?!" I told her because your son just fainted/had a seizure and we want to make sure he is ok. The pt refused to go to the hospital. I did go back out there and mentioned to them that it is very important to answer questions truthfully any time they are asked as they failed to honestly answer our questions about ever feeling faint after receiving a vaccine. His blood pressure normalized and once the paramedics left so did they.

Sinus tachycardia probably related to immunologic reaction to COVID-19 vaccination. He started experiencing tachypalpitations about 30 minutes after receiving Johnson & Johnson COVID-19 vaccine. He reports having associated low- grade fever, chills, and myalgias. He was noted to have elevated lactate levels which resolved on follow-up labs.

Patient with syncopal episode following vaccination. Improved with rest and food. Discharged to home.

Patient fainted about 1 to 2 min after getting vaccine. Patient felt very hot and was given an ice pack and began to sweat. After about 10 min patient was helped to a sitting position.

In 15 minute observation area, Passed out, fell off chair, had some shaking, difficult to rouse, hit head on floor and got a small cut, was taken on stretcher to private area, vitals taken every 10 minutes, released in 30 minutes. He still feels off, several hours later. Incident wasn?t documented at site.

Patient was administered Janssen COVID vaccine. Patient was fine immediately post administration in the IMZ room but witness stated he fell sideways (within a few minutes of receiving the vaccine) out of post-administration observation chair (which is in front of the pharmacy). Technician called code white and patient was immediately met with management and the pharmacy team. Patient was laying on his stomach on the floor, supporting himself upward with both hands/forearms. Patient had blood dripping from forehead and nose. Gauze was applied to laceration on forehead to help with bleeding and once patient was able to roll over on his back, an ice pack was applied to his forehead/nose area. Patient said he felt "pain" after the injection and then he felt light-headed. He remembered blacking out for a few seconds. Patient stated he felt "ok", then later stated he felt better but just had a bad headache. Patient stated he felt "it starting to hurt" and that it triggered his anxiety. Dad was in the store and arrived a few minutes later; dad said son/patient has a "fear of needles" and "he hasn't had anything to eat today in quite awhile". EMS arrived to examine patient and asked him if he needed to go to the ER; dad felt going to the ER was for the best since they had a 3 hour car ride home. Paramedics then transported patient to the ER and said he would likely need a stitch for the cut above his eyebrow.

Patient became lightheaded with blurred vision, pale, and nauseous within 5 minutes of administration of the vaccine. Called ambulence, EMT's performed vitals. Patient was given water to drink and refused transport to the hospital. Symptoms resolved between 30-45 minutes post vaccination.

COVID VACCINE BY JANSSEN LOT# 1808982 EXP JUNE 23/2021 IN ADDITION TO REGULAR SIDE EFFECTS - PAIN AT INJECTION SITE, FEELING UNWELL, HOT AND COLD CHILDS, TIRED, NAUSEA - THE PTNT ALSO HAS CHEST PAIN AND VOMITING. PHARMACIST ADVISED PTNT TO GO TO ER - PTNT WAS RELEASED UNCER FATHER CARE. ADVERSE EFFECTS AND SYMTPONS IMPROVED AND WERE GONE BY DAY 5.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Tachycardia-Mild, Systemic: Weakness-Medium

Patient was waiting in chair about 5 minutes after the vaccine when I heard him say he didn't feel too good. His skin color was pale and when I went up to see how he was he bent over and vomited. After he vomited he said he felt a lot better. I asked him to remain seated and asked for my tech in the pharmacy to call 911, but he then said no and that he was feeling better. He said he felt clammy just before he vomited. I asked him to stay seated and got him some cold water. He remained in the waiting area another 15 minutes after to make sure no further problems. After 15 minutes he was feeling fine and I reassessed and his color returned to his skin and I noticed some redness around inner portion of both thighs, but he said that was from his eczema and that it was there already. Allowed him to leave at 1:15pm and told him to seek medical attention right away if he felt any issues regarding trouble breathing. I called him an hour later to check up on him at 1:30pm and he was feeling fine. He thanked me over the phone.

Chills difficulty breathing loss of consciousness altered mental status fainting fever fatigue gastrointestinal pain

Around approximately 9:30PM on April 10th, I started to experience chills that got progressively worse throughout the night. No amount of layers seemed to help. Approximately 30min later I began to have a fever and a rapid heart beat started which led to chest pains . The chest pains subsided throughout the night, but the fever and chills lasted to around 11:00 AM, April 11th. I also had a bad headache from approximately 7AM to 10AM. Theses symptoms stopped around 11:00AM April 11th. Around 12 hours later I started experiencing chills and a fever again, however, these symptoms were less severe than the night before and subsided throughout the night.

Vasovagal Syncope Patient was sitting in waiting area when his friend alerted pharmacy staff that he had passed out. Patient was sitting on a backless chair and fell off, but did not hit head or have any apparent abrasions. Pharmacy staff quickly responded and patient was conscious and stated he had a history of vasovagal responses to blood draws.

Janssen COVID-19 Vaccine EUA 4/11/2021 1-3:30 AM: Chills, muscle spasms 4/12/2021 10 AM: Fever 4/12/2021 11:30 AM: Lightheadedness, muffled/impaired hearing, fainted

1-2 minutes after receiving vaccine patient was sitting in chair and asked for water. Upon evaluation, patient's head fell forward and he passed out. Once Paramedic and NP responded, patient became responsive, was transferred to wheelchair. VS 122/72, 98%, 82 HR. Client was discharge after 30 min monitoring.

Experienced syncopal episode; ground level fall; PHN witnessed from vaccination station and provided assistance along with NP on-site. Recipient was lying on side and assisted to supine position; assessed skin pallor, bilateral hands cool to the touch; denied SOB, denied chest pain; no swelling noted; alert & conversing; stated "I can't hear from my right ear"; d/t fall skull examined and small raised area noted with no skin break. Spanish interpreter utilized.911 called. Denied any h/o of allergies or medical condition; remained alert until arrival of emergency responders. BP taken supine WNL; informed by responders hypotensive standing. Reported hearing returned back to normal. Recipient was taken to local ER for further evaluation. Patient returned to mobile vaccine site after discharge from ED to discuss vaccine and stated ER physician indicated episode was possibly d/t vaccine.

Patient had a syncope episode along with urinary incomitance shortly after receiving the Janssen vaccine. Pt was sitting in the medical monitor area when the event happened. Pt was unconscious for less than a minute and EMS was called. EMS evaluated pt, he was pale but fully verbal and functioning. vitals were stable, BP 110/69, HR 74, 02 97. Pt refused transport but was monitored at the site by Dr, for an hr before being released. Pt was instructed to go to UC/ER if he had another episode or new s/s and follow up with his primary care provider. The following day, the patient's primary care provider, NP tried multiple times to reach out and follow up with pt. Pt did not respond to his PCP.

FAINTING. RECOVERED SOON WHEN WE HAD HIM LYING DOWN. CALLED 911, THEY TALKED HIM AND CONFIRMED THAT HE WAS CONCIOUS AND DIDN'T COME. BP CHECKING (80/42)..REALLY LOW. HE STAYED AT OUR LOCATION FOR 1 HOUR AND LEFT. CHECKED ON HIM ON 4/14/21, HE STATES HE IS FINE.

FEMORAL DEEP VEIN THROMBOSIS; This spontaneous report received from a physician concerned a 30-40 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions were unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 25-MAR-2021 for prophylactic vaccination. The batch number was not reported. the company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 14-APR-2021, approximately 20 days after the patient received vaccination, he experienced femoral deep vein thrombosis. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from femoral deep vein thrombosis. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: A 30-40 year-old man experienced femoral deep vein thrombosis approximately 20 days after vaccination. No past medical history or concomitant medications were reported. There were no details provided, including diagnostic workup. There is insufficient information to make a meaningful medical assessment.

Nurse observed patient raising his hand in the post injection waiting area. Patient appears to be paile. He was moved from the chair to the floow with lower extremeties fully elevated. Patient lost consciousness for approximately 1-2 seconds. Regained consciousness following post vasovagal syncope. No injury occurred. Patient was coherent and aware of surroundings. BP 109/60. Pulse 68. Respirations 14. O2 sat 96%. Patient was moved via wheelchair to clinic for further observation . Hand over care to nurse.

Patient's mother called today and stated that he had a seizure this afternoon at 1:35 PM. She stated that she and her husband are both nurses. She happened to be off today and was home with her son. She stated that the seizure was like a Grand Mal seizure that lasted approximately 5 minutes. She stated that he has had a diabetic seizure before when his blood glucose levels were low. She stated his blood glucose was 71. She said this was different, he had no residual after effects. He was not incontinent of bowel or bladder and he woke up quickly afterwards. About an hour after the seizure he ate and only complained of a headache. She gave him ibuprofen 600 mg and he put an ice pack on his head. She said he is better. She stated that she is a nurse and this really scared her, since it was so different than any other seizure he has ever had. She was thankful she was home. She call his primary healthcare provider and she did not feel he needed to be seen.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Mild

Patient was given vaccine and was told to wait in the monitoring area for 15 minutes post vaccination. Shortly after, the patient reported "feeling pale" and was told to remain seated. The patient then fell over from the chair and lost consciousness. We immediately called 911 and went to the patient's side with epinephrine. However, he recovered within seconds and was able to sit up and drink water. He reported feeling "pale [...], weird [...]" and said he felt like his "ears are sweating." He did not want epinephine and remained seated and responsive. When asked, he said he had never received any adverse reactions to any vaccines in the past. A pharmacist then cleaned and disinfected his right temple that was bleeding, which he seemed to have hit when he fell. He later reported feeling chest pain and slight difficulty breathing but did not want epinephrine at that time. Emergency services arrived about 20 minutes after and assessed the patient and removed him in a gurney.

Systemic: Fainting / Unresponsive-Severe, Systemic: Very pale upon awakening, sweaty, feeling "hot"-Severe

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Fainting / Unresponsive-Mild

PATIENT OBSERVED TO HAVE POSSIBLE SEIZURE ACTIVITY IN CHAIR. PATIENT BROUGHT TO THE FLOOR AND LASTED ABOUT 1 MINUTE. PATIENT HAD CONTRACTED ARMS, HUNCHED OVER, PALE, DIAPHORETIC, AND VERBALLY UNRESPONSIVE. 911 DISPATCHED AND ARRIVED WITHIN FEW MINUTES. PATIENT DID NOT RECALL EVENT ONCE VITALS STABILIZED AND WAS TRANSPORTED TO NEAREST HOSPITAL.

Patient displayed syncope and observed contracting arms (those who witness expressed seizure like activity lasting less than one minute). Patient was pale and diaphoretic with a glazed over look. Vitals were taken and patient was transported to hospital for evaluation.

Severe thrombocytopenia (<2000) 8 days after vaccination resulting in widespread petechiae Hospitalized for IVIG and corticosteroid treatment with slow rise in platelets to 58,000 then discharged. Seen by me in clinic 4 days after discharge and repeat platelet count again <2000 and re-admitted. Bone marrow biopsy was reassuring and he was started on high dose prednisone (150mg/day) to be tapered over the next 6 weeks Discharged 5/1/2021 with follow up with me 5/5/2021 and follow up with hematology 5/7/2021

Patient fainted after receiving Janssen Covid-19 vaccination, immediate upon removal of syringe needle at 3:24 pm on 5/16/21. Patient recovered consciousness about 10-15 seconds later and complained of feeling dizzy and light-headed. Wet paper towels were applied to patient's neck wrist and forehead for 5 minutes but he still felt light headed. Patient then was instructed to lie on the floor and elevate his feet on a chair. After doing this for 5 minutes he felt well enough to sit in the waiting/observation area for another 10 minutes after which he felt well enough to leave.

Approximately 10 minutes after receiving vaccination, patient became pale, faint, with slowed speech and responses. Patient was mildly sweating. Pulse was 80 and BP was 90/40 upon first checking. 911 was called and pt became more responsive (BP elevated to 115/60) while waiting for EMTs to arrive. Patient recovered by the time EMTs arrived, he was assessed by responders and denied going to hospital. Patient's significant other was present to provide transportation home.

pt had vasovagal syncope, dizzy, passed out, sweating, hot and cold. 911 was called. Put ice on pt's neck, spoke to pt to keep awake, blood pressure taken, EMS took all vitals and blood sugar and EKG all normal. pt allowed to leave pharmacy with ride home from girlfriend. followed up with pt 1 hour later by phone, pt is feeling ok but tired.

Syncope with what appeared as a short seizure. Patient placed flat on floor and at that time he asked "Where am I"? Respiration good, pulse good, no discoloration, no swelling , and not cold or clammy. While tending to patient a tech-in-training called 911. First responders arrived approximately 5 or 10 minutes later and followed up with the patient. He states he has never had a reaction to a flu vaccine but does not like to see the shot being given. He said that he could feel the medicine going into his muscle and it made him feel weird and doesn't remember anything after that until he asked "Where am I"? He stayed another 10 minutes and said he felt fine. His brother drove him home.

5 minutes after vaccination patient had sign and symptoms of Vasovagal reaction. Patient felt dizziness, passed out. Patient was given apple juice, salty snack, bottle of water.

Syncope - patient experienced lightheadedness, sweating, paleness, blurred vision and cold extremities. I reassure patient that he will be okay and this is the body's response to pain/anxiety. I also provided patient with water and make sure he was seated so he does not fall. His vision return to normal after 5 minutes or so and he started recovering within 15 minutes.

Pt received his vaccine and returned to the waiting room. Within 5 minutes he slumped to the floor, he lost consciousness and had a brief seizure lasting less than 30 seconds There was a sheriff deputy in the waiting area that asked him his name, year, president and where he was. He was able to answer all questions, but was still shaking. We called 911 and EMTs were here within 2 minutes and took over. After assessing him and taking his vitals they decided to transport him to Hospital.

PATIENT EXPERIENCED VASOVAGAL RESPONSE ~2 MINUTES AFTER VACCINATION. UNCONSCIOUS FOR 20 SECONDS. LETHARGIC AND VOMITING OCCURRED UPON WAKING. EMS WAS CALLED, CHECKED PULSE AND BLOOD PRESSURE. PROVIDED EMESIS BASIN AND COLD CLOTHS. AFTER EMS EVALUATION PATIENT WAS APPROPRIATELY RESPONDING AND LEFT WITH FAMILY.

Syncope reaction - IMMEDIATE REACTION. DROP IN BLOOD PRESSURE, FAINTNESS, PROFUSE SWEATING, BLURRED VISION, COLOR DRAINED FROM FACE, NEVER LOST CONSCIOUSNESS. WAS UNABLE TO GET BP DUE TO SMALL SIZE OF HIS ARMS. I HAD TROUBLE LOCATING THE PEDIATRIC CUFF. WHEN EMS ARRIVED THEY TOOK BP AND IT WAS 58/40. EMTS HUNG FLUIDS AND TOOK PT TO EMERGENCY DEPARTMENT. Pt called pharmacy at 8:30p reporting leaving emergency department feeling fine after fluids administered.

patient reports that he passed out before coming to ED, states felt nauseas. states received J&J vaccine yesterday, started having chills, nausea last night. denies V/D/fever.

Pt fell off the chair onto the ground few seconds after receiving Janssen Covid 19 vaccine. 911 was called. Patient regained consciousness right away and was taken to the hospital by paramedics. Per paramedics, pt's blood pressure was a little bit low.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient nodded off into a faint when I went to get him a snack, he remained in his chair but dropped his water. Patient said he was feeling sweaty and seeing black. He rested with head down & on the floor. Had some water and a snack. Side effects lasted 5-6 min, patient remained in pharmacy for an additional 15 min without any further events.

Symptoms: Paleness, Nausea, Sweating, Lightheadedness, low blood pressure; orientation x3. Vitals: 10:25am - b/p 98/60, p 72, r 16 10:35am- b/p 108/70, p 72, r 18; 10: 40AM - B/P 108/72, P 64, R 18, NO PULSE OX available. Patient was noted to be hanging his head and pale 5 min after receiving the vaccine. Pt states this "happens all the time" when receiving immunizations and was expected. Father has similar reaction with blood draws and vaccines. Patient was placed on floor in supine position with feet elevated on chair. BP improved, color returned to face. Stated feeling dizzy, diaphoretic and nauseous. Pt given water to sip. Declined foot, had not eaten yet today. VSS, alert and oriented throughout eventually up in chair and then standing with no complaints. Discharged ambulatory from monitoring area accompanied by father. Encouraged to drink fluids liberally and avoid strenuous exercise/activity today. Disposition: Alert , color returned, subjectively states feeling fine, ambulated with steady gait. Discharged with dad.

disorientation, light headedness, extensive soreness, severe shortness of breath, severe feebleness, tiredness, hallucinations, fever, chills, migraine, severe chest pain, loss of appetite, dehydration, minor physical exertion made me short of breath and have an elevated heartrate

AFTER PATIENT RECEIVED THE JANSSEN VACCINE, PATIENT WENT TO GO SIT DOWN FOR 15 MINUTES. ABOUT 1 MINUTE LATER, PATIENT FELT DIZZY, BLACKED OUT AND FELL ONTO THE GROUND FROM THE CHAIR. PATIENTS BROTHER WAS WITH HIM AT THE TIME AND PATIENT REGAINED CONSCIOUSNESS A FEW SECONDS LATER. PATIENT WAS SWEATING AND FELT WARM TO THE TOUCH. WE HELPED HIM BACK TO THE CHAIR AND I ASKED SEVERAL TIMES IF I CAN CALL EMS FOR HIM, PATIENT REFUSED MULTIPLE TIMES AND STATED HE FEELS A LOT BETTER AND WILL HAVE HIS GIRLFRIEND DRIVE HIM HOME. I HAD PATIENT SIT DOWN FOR ANOTHER 20 MINUTES BEFORE LETTING HIM GO HOME. I ADVISED PATIENT IF HE FEELS ANY SYMPTOMS AT ALL, WHILE AT HOME, TO CALL EMS IMMEDIATELY. PATIENT AND HIS BROTHER UNDERSTOOD AND THEY LEFT.

Systemic: Dizziness/Lightheadness-Mild, Systemic: Fainting/Unresponsive-Mild, Systemic: Weakness-Mild.

CHEST PAIN; COUGH; FATIGUE; MUSCLE ACHES; FEVER; This spontaneous report received from a parent concerned a 20 year old male. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, and batch number: 1821286 expiry: UNKNOWN) dose was not reported, administered on 14-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-JUN-2021, the subject experienced fatigue. On 14-JUN-2021, the subject experienced muscle aches. On 14-JUN-2021, the subject experienced fever. On 15-JUN-2021, the subject experienced chest pain. On 15-JUN-2021, the subject experienced cough. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine was not applicable. The patient had not recovered from chest pain, cough, fatigue, and muscle aches, and the outcome of fever was not reported. This report was non-serious.

Pt got lightheaded and dizzy 30 to 60 seconds after getting immunization. Blurred vision, pale, nausea. Had stay seated leaning back and gave OJ and water, observed for about 30 minutes. Pt walked away after rest and fluids.

Excruciating pain in chest. Chest felt like it was going to "explode". Took a few days for pain to subside.

after giving the vaccine the patients arms and head jerked around and then he fainted. all in about 60 seconds. he was able to breathe after gaining consciousness

Patient was light headed within a few minutes of injection. We gave him water and had him lay on floor with feet elevated. He said he had chest pain and was 2 on a scale of 1-10. We took his blood pressure. it was 110/80. We asked him at least 3 times if he wanted us to call an ambulance. He said no. After 30 minutes, he was feeling much better. 5 minutes later he left with his girlfriend driving. I called him about 7:30pm, he felt back to normal.

Attendee received Johnson & Johnson vaccine at 13:49 in the left arm. Lot# 204A21A. Attendee was directed to observation area. At 13:52 voiced complaints of dizziness and lightheadedness. Attendee's skin was warm and dry. Skin pale 13:53 – Assisted to a wheelchair 13:55 - HR: 77 BP: 110/72 RR: 12 O2Sat%: 99 13:57 - Attendee stated he felt better, pale. Took a mint that mom had in her purse and a sip of water. HR: 75 BP: 110/80 RR: 12 O2Sat%: 96 14:01 -No voiced complaints- skin warm and dry. HR: 76 BP: 110/90 RR: 12 O2Sat%: 95 14:06 -No voiced complaints- skin warm and dry. No longer pale. HR: 88 BP: 112/90 RR: 10-12 O2Sat%: 96 14:10 -No voiced complaints- skin warm and dry. HR: 75 BP: 120/86 RR: 10-12 O2Sat%: 98 14:20 - Care Practitioner educated on home discharge/adverse reaction instructions and attendee was discharged to home with his family. Attendee did not have any reported escalation of symptoms and was able to walk out of clinic independently.

3:30 pm Received the vaccine 3:40 pm Lost vision, gained a loud ringing in the ears, hands went numb, and passed out for over a minute 3:45 pm Vision was regained, hands were still numb and I could not hear due to the loud ringing in the ears 3:55 pm All Symptoms subsided, went to urgent care and I checked out

Several minutes after receiving vaccine, patient became unconscious and appeared to have seizure like symptoms. After 1 or 2 minutes, patient retained consciousness and felt ok. Paramedics were called but his mother picked him up to take to emergency room.

Approximately 5 minutes after vaccination, patient fainted and fell out of chair she was waiting in for post-vaccine observation. She fell on her right said on to the floor. I conducted a physical assessment for bruises, bleeding, broken bones, etc. as well as assessment for breathing and pulse. She was responsive to commands. We followed our emergency protocol and called EMS, who arrived within 5 minutes to further assess the patient. They obtained BP, pulse, and blood sugar readings (I am not aware of the results of those readings). Patient denied emergency transport to hospital, and left the facility about 30 minutes after vaccination with her mother to drive her.

20 year old, male patient came in for his appointment for Janssen COVID vaccine. Patient filled out the vaccine questionnaire, and we discussed patient questions and common side effects. Patient did not state any adverse reaction to previous vaccine or fainting history on the vaccine questionnaire. Patient was given vaccine in left arm. Shortly after receiving vaccine, patient states, "uh-oh it's happening again." I asked patient what was happening and he stated, "this happened to me when I got a blood draw. I fainted." I told patient to take some deep breaths, patient started to stare off to the ceiling and his pupils were dilated and his head fell back in the chair towards the ceiling. His legs body became stiff and he lost consciousness in the chair. I called for help and she came to assist me in the immunization room. I ran to get him a water while the pharmacy called for 911. He regained consciousness quickly, within a minute. Emergency response came quickly and attended to him and took his blood pressure and vitals. He was able to drink water and respond to all questions. He refused to be taken to the hospital and did not think he needed any additional medical attention. He was advised to follow up with his primary care physician. He was advised to sit and stay and get a ride home, which he did. An incident report and VAERS report will be reported today.

Patient received the Janssen COVID-19 vaccine and fainted while walking back to the chair in the waiting area. Pharmacist was walking behind him and asked if he was feeling ok, but he stopped and said no he felt light headed. Then he fell backwards into the pharmacist's arms. Pharmacist laid him down on the ground on his left side. He quickly regained consciousness, but remained on the ground for 10-15 minutes (until he regained color in his face and stopped sweating). His mother was present and right there for the entire incident. Then he sat up in the chair for an additional 10-15 minutes before leaving with his mother. There was no injury and patient did not want further medical treatment.

Patient received Janssen vaccination in our shot room and was able to walk to the waiting area without assistance or complaint of feeling ill. Within 5 minutes the patient passed out as he tried to move to a chair closer to his father. He fell to the floor and lost consciousness. He almost immediately regained consciousness, however, was very confused and disoriented for a short time. 911 was called. I stayed with the patient, gave him water, and made sure he stayed on the floor until EMS arrived. They checked the patient out and concluded that he was ok to leave with his father. A trip to the hospital was not necessary. The patient has a small cut behind his left ear, but otherwise was ok.

Acute pericarditis. 4 days of worsening substernal chest pain. Diffuse ST elevations on ECG. Large pericardial effusion on CT and ultrasound. Troponins negative. ESR and CRP elevated. No previous history of viral illness or autoimmune disease. Treated with course of Colchicine and Indomethacin with close Cardiology follow up outpatient. Patient otherwise afebrile and hemodynamically stable.

Patient reported feeling near syncope and sat down in his vehicle at 09:17. Patient had previously had Janssen COVID-19 vaccination on his right deltoid via intramuscular injection at 09:11. Patient was found awake, alert and oriented to person, time, place and event however was sluggish in response. Patient was observed pale, skin was dry to touch. Vital signs were obtained and patient was monitored every 5 minutes during incident. Patient reported progressively feeling better during interaction however patient stated that initially he experienced dizziness, a ?white-out, like a flash bang? to his vision, and feeling of near syncope. Patient stated not having any food intake that morning and to have previously used marijuana over night. Patient was offered EMS services on his behalf but patient stated he felt better after 15 minutes of monitoring and was well enough to drive home on his own. Patient was educated to stay hydrated and to have meals to compensate for his incident and informed to call 911 if his condition worsen or continued.

Patient got Janssen vaccinc , 5 minutes later his sister told us he was getting head ache ..got him water , headache he stated was getting worse throbbing pain, gave ice pack. as he was drinking bottle water , pt started leaning over as if sick, noticed blood coming from right nasal and he was actually about to pass out.got him sitting up while sister sat with him on phone with mother. Called 911 .pt was soaked with perspiration.He told EMT his vision was blurry but slowly coming back. After EMT assessed him he was starting to feel better and started walking and his oxygen was back up. Mom met with EMT later.

palpitation. PT brought in by EMS for nausea and chest tightness starting an hour after the J/J shot at 1000. States taking tylenol this am but nothing recent. Pain is described as intermittent tightness to the center of chest without radiation. States intermittent shortness of breath. PT speaks in full and complete sentences. MDM: 21-year-old male presents with constitutional symptoms after COVID vaccine reaction.. Stable on arrival, mildly febrile with moderate tachycardia and otherwise reassuring vitals. Patient well-appearing on exam with no productive cough, hypoxia, abnormal lung sounds, or respiratory distress to suggest pneumonia. No urinary symptoms or abdominal pain to suggest UTI or other acute intraabdominal process. No AMS, neuro symptoms, meningismus, or rash to suggest meningitis/encephalitis. Non-toxic appearance; low concern for sepsis or severe bacterial infection. No dry mucous membranes or tachycardia to suggest clinically significant dehydration. No exam findings to suggest strep, epiglottitis, RPA/PTA, or AOM. EKG nonischemic with no dysrhythmia, sinus tachycardia evident. Given Toradol, Zofran and IV fluid in the ER with improvement of symptoms and tachycardia. PO tolerant in ER. Plan for discharge with Tylenol/motrin PRN for fever/pain, and PCP follow-up. Discussed findings with patient/caregiver. Plan for discharge as above. Patient/caregiver verbalized understanding and agreement with plan. All questions were answered to satisfaction of patient/caregiver. Written and verbal discharge instructions were given to the patient, including strict ER return precautions. Patient was discharged in stable condition. Voice-recognition software was used in the documentation of this note and may contain minor grammatical errors/typos. CONSULTS: NA DIAGNOSIS: Vaccine reaction DISPOSITION: Discharge home acute intraabdo

High respiratory rate with shallow breaths, Rash on chest, Tachycardia, Altered Mental Status . The Patient that was suspected to have an adverse reaction. EKG displayed no abnormalities, IV was placed in patients L Arm and provided 1,000 ML of Normal Saline, and administered supplemental O2 via simple mask. An Epinephrine Auto Injector 0.3mg was also injected into the patients L thigh. Determination to transport to local treatment center was made by provider. Patient arrived at Medical Center approx. at 2245 and further evaluated there. Patient was then transferred to Level 3 Trauma facility to Hospital around 0100, 17 March. Admitted to the ICU for further evaluation. Update- Patient will be admitted until 18 Mar 2021. It was noted by Hospital Patient had a sever anaphylactic reaction.

Patient was nervous and afraid of needles during the vaccine process. Patient was asked to sit and wait 15 minutes after vaccine administration but he apparently went to get a soda and fainted at the self-check out stand 1 minute after getting the vaccine. Patient returned to his seat and was okay afterwards. Patient's father was also present during the whole process as he got the vaccine at the same time also.

Following administration of vaccine client complained of blurry vision, a heavy arm and that he felt his heart rate was pounding out of his chest. EMS and Dr on site. Pulse 58, Blood pressure 104/65 and 100% 02 saturation. Client was reclined in his car seat until he started feeling better. He reported reactions to previous vaccines but no elaboration. Released by Dr and advised to seek medical attention later if needed. Client verbalized understanding.

DIAPHORETIC, HYPOTENSIVE 95/45, BRADYCARDIC 45, PRESYNCOPE LAYED ON STRETCHER, DRANK WATER, SYMPTOMS RESOLVED. OPTED TO GO HOME ONCE SYMPTOMS RESOLVED

Shortly after vaccination, patient passed out while sitting, he fell out of the chair, hit his head on the floor, regained consciousness within 10-15 seconds, patient stayed laying down with legs elevated, patient vitals taken (pulse rate 60 blood pressure 120/70 respirations were 18) patient given juice and granola bar, monitored for about 40 minutes at which time he reported his symptoms had greatly improved, he was also offered transport with EMS but patient declined, patient has someone to transport him home, he was advised to follow up with his doctor as soon as possible or to go to the ER if he were to develop any symptoms.

Patient received vaccine and immediately felt dizzy and almost lost consciousness. He was brought in a wheelchair and vital signs taken. Patient refused transport to hospital. Advised to call 911 if any issues persist. Patient left to go home.

Client experienced less than 5 second syncopal episode within 5 minutes of vaccination. Client reported lightheadedness, nausea, and was visibly diaphoretic. Staff helped client down to a crash mat and elevated legs. Client remained conscious and responsive, but continued feeling dizzy, nausea, and persistent shivering. Paramedics contacted, evaluated and client moved to ambulance for remainder of monitoring period. Client recovered.

Few minutes after receiving vaccination the patient became pale and has experienced brief loss of consciousness (~5 seconds). After regaining consciousness, drinking some water, and approximately 15 minutes of additional siting time, the patient stated that they were feeling ok.

Patient experienced vasovagal syncope. Treated conservatively with recumbent position and feet elevated. Awake and alert within 15 seconds. Observed for 30 minutes with no sequellae. Patient has history of syncope with IM injections.

Patient received vaccination sitting down. Stood up to move out of the vaccination room went to be seated outside the door. Patient said he felt like he was about to faint and went to sit down and immediately started to slid out the chair once seated. Patient was out for no less than 15 seconds. Paramedics was called during the fainting. He was responsive and able to breath. Patient was kept on the floor in supine position. no difficulty in breathing and knew who he was and where he was located. No signs of distress just very pale and shaky. Paramedics arrived at scene and O2 stats and HR was normal BP was normal. Patient was taken to hospital for further test. Pharmacist called for follow up at 5:30 with fiancé and she stated that they had diagnosis of vasovagal syncope and that they were running more test. She stated that he was doing fine and that he seemed to be better. They were still in the ER at 5:30 pm.

headaches that have stayed for more than 12 hours, fainted at pharmacy minutes after receiving vaccine, blurry vision for around 8 minutes, dehydrated before fainting, a little difficulty breathing

Adverse event(s): Hives/red swollen skin(arms, legs, abdomen, back), fever, swelling of lips, fast heartbeat, high blood pressure, dizziness, weakness, headache Treatment: Prescribed Medrol (Pak) 4mg tablets, OTC antihistamine Zyrtec daily x 2 weeks, Benadryl at night Outcome: N/A. side effects have been reduced, occasional flare of hives.

Within minutes of receiving vaccine , patient became diaphoretic and had a vasovagal episode. Patient returned to baseline and was sent home with mother.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Syncope, light head, blurry vision.

About 10 min following vaccination, patient's father yelled for help. Patient was sitting on a chair and pale looking. He said his vision turned black, felt dizzy. His breathing was normal, but blood pressure dropped. During the 2 min observation time, his breathing was fast at some point. He said he wasn't nauseous. He asked for water. I gave him some warm water. He finished the whole cup of 6 oz of water. We continued to monitor his blood pressure every 2-3 min. His blood pressure was going up every time we checked. He continued to ask for water, and he drank another cup of warm water. After about 10 min, he felt better and able to walk without dizziness.

He started feeling funny, his pulse starting racing, the vein in his right arm (the shot arm) started pulsing rapidly. He then had chills, fever of 101.2. His pulse stayed at 95-100 beats per minute for 2 hours. I spoke to a nurse friend of mine who told me to give him Tylenol and Benadryl. His pulse went down to 80 beats per minute. His fever went higher during the night but eventually broke. Next morning he was still running a low grade fever and took Tylenol the rest of day. He also had diarrhea on 2nd day and exhaustion. 3rd day feeling better but still tired. No fever or diarrhea today.

On ALS exam pt alert, oriented. Pt states he has a history of passing out after getting a needle or having blood taken. Pt rcv'd J&J vaccine, and once in the monitoring area, he became lightheaded. Pt pale w/ thready radial pulse palpated on initial ALS contact. Pt placed seatback in reclined position and elevated feet on dashboard. Radial pulse strong on palpation. Pt symptoms subsided, color improved. V/S as shown. Pt returned seatback to upright position, and remained without complaint. Pt states he feels much better now. Pt exits vehicle and enters front passenger seat as his companion was going to drive home.

Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: Pt said he was feeling tingling in arms and legs

Immediate brief episode of syncope without hitting head or injury. Monitored for 30 minutes with full recovery.

1. Vasovagal syncope almost immediately after vaccination, little to no warning of oncoming syncope 2. Extremely fast acting fever (temperature went from 98.6 to 100.5 in roughly 30 minutes) followed by nausea, pounding headache, and body aches/chills. Remedied by alternating very high doses of ibuprofen (800mg) and acetaminophen (1000mg or 1g) every two to three hours. This did not ever bring down the fever below 100 degrees. 3. Blurred vision around 29 hours after vaccine - advised to go to ER by triage nurse. ER doctor determined not to worry about, likely due to headache but not 100% sure.

Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.

With in 5 minutes, Patient went from usual reddish complexion to pale, white. Complained of extreme dizziness, and that his sight was ?fuzzy?. Remained this way for approximately 10 minutes. Had him remain sitting and place head between knees. After 15 minute observation, he had regained some color, was able to stand, and left the pharmacy. He has a very sore arm today(4/10/2021), stated he is tired and feels feverish.

Approximately 1 minute after administering the vaccine the patient fainted. Within 15 seconds the patient was awake and oriented. His last memory before fainting was experiencing pain in his arm after the injection . The patient was monitored for at least 20 minutes and given some water and a protein bar. .When questioned whether he often faints, he said the only other time he had fainted was in the past when he was experiencing stomach pain. He appeared to be doing very well when he left the pharmacy with a friend.

At recovery table pt became dizzy, lightheaded, slightly nauseated, pale, diaphoretic. Brought to recovery cot to lie down with feet elevated. Ice pack to back of neck. VS taken 98/60, HR 66 reg strong, rest 16 reg non labored, SpO2 99% no LOC, no SOB, no N/V. Left deltoid site benign - redness - swelling - bleeding. Changed to monitor 30 minutes. Pt stated he was anxious about getting the vaccine. after 15 min pallor, dizziness, diaphoresis and nausea subsided. 2nd set of VS taken 110/72, HR 68 reg strong, resps 16 reg nonlabored. Provided reassurance, provided water for hydration . Vasovagal response to vaccine. pt stated "I feel better" Ok'd to exit after 30 min.

Patient became dizzy and fainted on the way to the observation chair. He did not lose conciousness, he said he just felt very dizzy. He said it felt good to lay on the ground, so I him lay for 5 minutes, then I helped him to a chair. I told him I wanted him to stay seated for 30 minutes so I can monitor him. He called his father, who came to pick him up after the 30 minutes were up. He slowly stood up and walked a few steps and then left the store with his father.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient felt dizzy and passed out shortly after vaccine administration. Patient had not had anything to eat or drink all day and has passed out before after blood draws. Patient recieved gatorade and a granola bar in the store and recovered within 30 min and left store with a friend.

Pt received vaccine. Immediately upon standing, pt lost consciousness and fell face first to the ground. Pt noted to have arms down to side and was stiff and shaking lying on his abdomen. Pt turned to supine position and mask removed. Pt noted to have obvious damage to two front teeth and blood to mouth and lip. Possible laceration to lip.

Pt received injection and immediately upon standing, pt lost consciousness and fell face first to the ground. Pt noted to have hands to side and was shaking. Pt turned to supine position and mask removed. Pt noted to have moderate amount of blood to mouth and lips. Visible damage to two front teeth observed as well as possible laceration to lip.

Systemic: Body Aches Generalized-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Hypotension-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: patient experienced temporary blindness, sweating ,syncope- which is ultimately why we call the ambulance

On 3/31 the patient received Jenssen Covid vaccine at 9:30 am. At 9:39 patient complained of N/V and lightheadedness. 9:40 BP 110/90 Pulse 104. Blood pressure faint. Patient pale and diaphoretic. His mother is with him. 9:43 BP 150/82 9:55 BP 142/74 Ate a granola bar and juice pack. Sitting at the edge of the cot. Skin cool and dry. Alert and oriented 10:10 BP 142/98 Remains sitting. Reports "feeling OK". Patient was DC'd with parent to home. Numerous attempts to contact via phone for follow up. Have not received a call back.

10 minutes after vaccine administration, patient reported feeling lightheaded and had a syncopal episode, fell off chair and hit head on the ground. EMS was present. BP was low and patient was mildly hypotensive. Patient started feeling better after some water, juice, and pretzels. BP stabilized. He was able to leave the vaccine area after 30 minutes. Follow up phone call that afternoon, he reported feeling better. Follow up phone call on 4/13, reports he is feeling fine. No complaints.

Intense headache, fatigue, chills, body aches beginning the morning after vaccination. These symptoms have persisted for 48 hours after vaccination. On Monday, April 12th at 2:45PM, I experience a full-body fainting and collapse onto the floor when attempting to stand upright.

24 HOURS AFTER THE VACCINE HE BEGAN HAVING HIGH FEVER, AND VOMITING. HIS FEVERS BECAME HIGH TO 103.7, HAD DIFFICULTY BREATHING, PRESENTED TO THE LOCAL ER, AND HOSPITALIZED. CT SCAN SHOWED NO PULMONARY EMBOLISM, BUT HAD SIGNS OF PNEUMONIA. COVID-19 TEST WAS NEGATIVE. He was hypoxic, requiring oxygen.

The patient presented to the pharmacy to receive his Covid-19 vaccination. He was accompanied with his mother, who stated that she was there for support. It was not made clear to the vaccinator that the patient had a history of fainting with vaccines or blood draws. The vaccine was administered, and the patient immediately lost consciousness. The patient was placed in a chair with arms, and was caught before falling to the ground. The patient did not come in contact with the floor or any surfaces to cause further damage. The patient with quickly assessed by the pharmacist on duty and 911 was called by the other pharmacist. The patient quickly regained consciousness and was aware that he had "done it again". Neither the patient nor the mother were particularly concerned about the event, but we called the paramedics to be safe. The paramedics came and took vitals, everything checked out okay and the patient declined transport to the hospital. The patient's mother then drove the patient home.

Syncope at 1033 am, recovered while lying down, cool compress, water. Observed with vitals for 30 mins. Discharged asymtomatic at 1103

Bloody Nose. He thought he had a runny nose all night, but when he woke up the next morning, discovered blood.

21 y.o. male with no significant PMHx who received the Johnson and Johnson vaccine 4/10/21 found to have extensive LLE DVT (extending above inguinal ligament). Pt was transferred to OSF for catheter directed thrombolysis. He was given 10 mg Eliquis prior to transfer. Pt reports acute onset of LLE pain the evening of 4/16 with progressive pain over the weekend and development of LLE edema/redness 4/18. Left leg mildly more edematous than right. Foot pink/warm, sensorimotor intact. No skin discoloration. Pt denies recent surgery, prolonged immobility or known family history of clotting disorders.

a number of minutes after receiving the vaccine, patient fainted while seated, fell backwards in his chair, and hit his head on the floor. as a result of the fall, the back of his head was cut. he remained on the floor and gauze was held against the cut to slow/stop the bleeding until the ambulance service arrived. Patient was taken to the hospital for treatment of the cut. Patient is currently in good health.

RIGHT SIDED CHEST PAIN, NOT EXCRUCIATING, BUT LASTING 90-120 MINUTES; TENSION IN CHEST; CHILLS; FEVER; This spontaneous report received from a patient concerned a 21 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, and expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced chills. On 06-APR-2021, the subject experienced fever. On 07-APR-2021, the subject experienced right sided chest pain, not excruciating, but lasting 90-120 minutes. On 07-APR-2021, the subject experienced tension in chest. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from right sided chest pain, not excruciating, but lasting 90-120 minutes, fever, tension in chest, and chills. This report was non-serious.; Sender's Comments: V0: Medical Assessment Comment not required as per standard procedure as case assessed as non-serious.

-Fatigue, headache, fever, dizziness, burning sensation in head 4/9/2021 ~2AM-6PM -Fatigue 4/9/2021-4/20/21 -Fatigue, dizziness, fever, headache, dry eyes, shortness of breath 4/17/2021 5PM-12AM -Heart palpitations, fatigue, dizziness, fever, headache, dry eyes, shortness of breath 4/18/2021 3PM-4/19/2021 12AM (was hospitalized) -Resting heart-rate upon arrival to hospital was ~105

Fainted immediately after the shot. This is not the first time he has fainted after a shot, though.

DIFFICULTY BREATHING/HARD TIME BREATHING; COUGHING; CHEST PAIN; WHEEZING; This spontaneous report received from a parent concerned a 21 year old male. The patient's weight was 180 pounds, and height was 70 inches. The patient's past medical history included untreated pneumonia during childhood, and concurrent conditions included lungs not in great shape, no alcohol use, and no smoking, and other pre-existing medical conditions included the patient had not known any drug allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1802072, expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 2021, the subject experienced wheezing. On 30-MAR-2021, the subject experienced difficulty breathing/hard time breathing. On 30-MAR-2021, the subject experienced coughing. On 30-MAR-2021, the subject experienced chest pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from difficulty breathing/hard time breathing, wheezing, coughing, and chest pain. This report was non-serious.

Patient without medical history, allergies, or medications, arrived with sister for Johnson and Johnson vaccine. Patient received vaccine and then became lightheaded, so the RN called for a medical response. NP and RN responded and found patient lethargic but answering questions appropriately, sitting in a chair. Patient was able to tell me his name, DOB, and what he had for lunch. Patient was moved over to nearby cot and while there experienced a 15 second syncopal event while supine. Patient was hypotensive and diaphoretic. Patient became responsive after 15 seconds and was able to tell us his name. Patient was able to sit up and drink juice, have a granola bar, and inform us that he has experienced this reaction to a flu vaccine and while having blood drawn. Medical team was called to evaluate the patient. The patient refused transport and signed out.

Patient starting feeling very sweaty, nauseous, light headed, dizzy almost immediately after sitting in the post vaccination chair. I had already instructed him to sit on the floor if he started feeling faint as he stated previous fainting episodes as a kid. He sat on the floor, then laid on the floor. I brought him a garbage can in case he got sick, an ice pack, wet paper towels, and a bottle of water. After 5 minutes or so the color came back to his face and he started feeling much better. He then sat back in the chair, then stood up and stated he was feeling back to normal. I asked him to stay standing an extra minute just to make sure he was good, then he left with the woman who was with him during the vaccine.

Patient got vaccine and sat down. He felt tired, his vision and hearing was impaired, and his skin turned white. He was still talking to us and somewhat alert but felt very tired and lightheaded. After continuing to talk to him for about 5 minutes, he started feeling better and his skin color recovered. He was able to drink water and his senses came back. He kept sitting and staff member watched him longer till he was able to get up .

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: he fell

Approximately two minutes after receiving vaccination patient fainted. He came to consciousness within one minute of fainting where he was sweaty. He did not seem disoriented and stated that the injection site radiated and had pain for a moment prior to his fainting.

Complained of chest pain, Shortness of breath, dizziness initially. BP 86/54, P 58, O2 sat 99% Note: Client had been working in migrant field in 95 degree heat for 3 hours prior to vaccine and also appear deheydrated. Symptoms resolved after placed in Trendelenberg position and hydrated with PO fluids Client signed EMS waiver declining to be transported to hospital.

Patient developed COVID symptoms 01MAY2021 (coughing, chest pain, fever, difficulty breathing) and was placed in observation by medics and physician. During initial evaluation vitals: temperature 102.7 °F, SpO2 95%, RR: 14, BP 132/90 and HR 115. The morning of 02MAY2021, patient had worsening difficulty breathing, lower oxygen saturations (88-92%) and sent to local hospital where he was admitted and found to have rapid antigen COVID test and confirmed with COVID PCR test. Patient was fully vaccinated as he received the vaccination 29MAR2021. Patient received antibiotics, 10L oxygen with non-rebreather mask, fluids and steroids.

After receiving vaccine and during monitoring period, patient walked up to check out table and fall witnessed by RN at 16:25. Patient unconscious for 10 seconds, later reported feeling dizzy and having blurred vision prior to fall. Denied any other symptoms once conscious. Initial vitals obtained: BP 100/50, Pulse 80, O2 Sat 97%. Patient alert and oriented. Given gatorade and remained lying down. EMS called and arrived to scene to assess patient. Patient denied transfer to hospital, monitored for additional 30 minutes at vaccine site. Additional set of vitals obtained prior to patient exiting facility: BP 118/84, Pulse 75, O2 Sat 99%.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Got shot 2:09pm pt had vision loss, sweating, low bp after recieving shot. 1st bp: 120/50 pulse 51 at 2:23pm, 2nd bp: 97/56 pulse 52 at 2:34pm, 3rd bp:97/47 pulse 54 at 2:48pm. advised pt to not drivr had friend leave with him at 2:50pm

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Patient had a history of seizures from 2012-2015 but is no longer on medication of any sort. About 5-7 min after vaccine was given he had seizure like activity. He had cold sweats, low blood pressure, and was very pale. He complained of dizziness, nausea, tingling in hands, and blurred vision. 911 was called and he left with EMT

Technician administered vaccine according to standard protocol into patient's left deltoid. Patient has no allergies and was afebrile (96.7). Approximately 5 minutes post-vaccination patient's mother reported that the patient was feeling lightheaded, and shortly after the patient vomited. He stated he felt as though he had a fever coming on. The patient was given a bottle of water while EMS was called. EMS arrived to the scene shortly after the call and assessed the patient. Patient denied going to the hospital and left soon after. Patient reported to EMS that he was feeling anxious/nervous and this likely contributed to his adverse effects. No futher harm to patient.

Patient fainted. Patient fell onto floor and hit face. Paramedics arrived and transported to hospital due to low blood pressure. Determined to be a response to stress of vaccination. Patient needed stitches to repair cut in lip from fall.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Collapsed about 1 minute after receiving shot for about 30 seconds. Called 911 and paramedics arrived. He was able to walk out without assitance.

Patient was given Janssen COVID-19 immunization via intramuscular route in the deltoid region of the left arm. Patient was fine following the vaccination and was instructed to sit for 15 minutes to be monitored. Approximately 5 minutes after patient was sitting, his body suddenly went straight and his eyes were open. He started to seizure for about 5 seconds and hit his head against the counter. He regained consciousness afterwards and was in distress. After calling EMS, they checked for his blood pressure, Pulse Ox, and blood sugar levels, which they considered stable. They asked the patient if he felt fine at that time, which he said yes. They told him to wait at the pharmacy until his Dad came to pick up him.

Pt passed out for a minute after receiving vaccine . Got dizzy and fell off chair. EMS called and came. Pt left on own will after 1/2hr.

Patient received vaccine, appeared to be fine, I went back into pharmacy and about 1-2 minutes later, patient fainted and fell onto the floor out of his chair. We called 911 immediately and they were here within 5 minutes. Patient continued going in and out of consciousness and they brought him to the hospital via Ambulance where he was later released that day.

Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Additional Details: Patient had profuse sweating after COVID vaccine, accompanied by nausea and dizziness. After patient reported chest tightness, 911 was called. An ambulance arrived to monitor patient (blood pressure, vital signs, etc). Paramedics took over care, however patient began to improve quickly and was feeling better by the time they arrived.

vaccine adm @ 12:35 pm 5/18/2021 ,first event occurred 12:37 pm (passed out/muscle weakness(slumping)/ when over has no memory of event total time 5-7 seconds, then alert some sweating. second event same as first occurred 5 minutes later( was given water after first event.) CALLED 911 ARRIVED 5-10 MINUTES AFTER SECOND EVENT. after exam bp/blood glucose/pules/O2 sat/all normal(per emt) patient walked out under own power

Patient had a bout of syncope without warning. He awoke less than 3 minutes later disoriented. He felt light-headed and nauseous for several minutes and vomited but produced nothing substantial. Patient was monitored for 30 minutes and felt tired and light-headed for most of that time. He recovered fully and left of his own accord.

Patient - received the Johnson & Johnson vaccination (Lot # 1808609) on 05/22/2021 at 1131 in the left arm. Upon walking to observation patient fell, it was observed that he hit the back of his head by nurse at nursing station #4, nurse immediately cradled patient?s head and turned patient on his side for safety. Patient was assessed for open wounds, hematoma and bleeding. Negative findings. EMS called by RN Patient assessed RN. Patient is a 21-year-old with no past medical history per patient?s grandfather. Patient is laying on the floor, with eyes wide open, not verbally responsive, and unable to follow commands. Patient was pale and diaphoretic. Patient is awake, but not oriented to time and place. Patient also does not recall having breakfast, but his grandfather stated that he did have eggs earlier this morning. Vital signs as follow: Time 1134: BP 147/78, pulse 43, 98% room air, temp 97.1 Time 1138: BP 147/82, pulse 47, 98% room air, patient started to become response asking questions. Patient denies any lightheadedness or dizziness, he only felt a burning sensation on the back of his head. Patient?s grandfather at his side. Patient?s wallet, vaccination card and glasses given to patient?s grandfather. Time 1142: BP 125/79, pulse 64, 98% room air Privacy screen in place for confidentiality from other patients. Awaiting EMS. Incident aware 1144 EMS arrived. 1146 Patient placed in wheelchair and left the building with EMS. Patient was awake and alert upon leaving the building.

Patient is fainting right after getting the vaccine and lasts for 1 minute and then recovered back after tapping on the patient and then fainting second time and then recover from fainting. Then he said he felt nauseous and after giving some water he recovered gradually. EMS was dispatched to the scene and they checked on his blood pressure and pulse oxygen and was confirmed to be going back to normal. He refused to go to the hospital then EMS and police left the scene

PAIN IN THE REAR OF THE RIGHT RIB CAGE; SHARP PAIN; SORE THROAT; NAUSEA; LIGHT RINGING ON THE RIGHT EAR; LEFT EYE DRYNESS; SLIGHT NECK STIFFNESS; BOTH EYES SENSITIVITY TO LIGHT; LEFT EYE IRRITATION; SLIGHT PRESSURE-LIKE FEELING ON THE NECK; SLIGHT PRESSURE-LIKE FEELING ON THE CHEST; DROWSINESS; HOT FLASH ON CHEST AND NECK; TOP LEFT OF THE ARM (AND SHOULDER AREA) FELT LIGHTLY NUMB; DIARRHEA; NERVOUSNESS; ANXIETY; SLIGHT LEFT SIDED CHEST PAIN; VERY SORE ARMS; LOSS OF APPETITE; ARMS AND LEGS FELT HOT TO THE TOUCH; HANDS WERE CLAMMY; SHORTNESS OF BREATH (UPON ACTIVITY - BUT WHENEVER LYING DOWN OR SITTING, THERE IS NO SHORTNESS OF BREATH); SMALL "HIVES" APPEARED ON HIS BODY; UPSET STOMACH; STOMACH PAIN; LIGHT HEADEDNESS; FATIGUE; HEADACHE; FEVER; CHILLS; TROUBLE SLEEPING; This spontaneous report received from a patient concerned a 21 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included seasonal allergies, non-alcohol user, and non-smoker, and other pre-existing medical conditions included the patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A - VHC expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced trouble sleeping. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 102.4 deg. On 12-APR-2021, the subject experienced light headedness. On 12-APR-2021, the subject experienced fatigue. On 13-APR-2021, the subject experienced upset stomach. On 13-APR-2021, the subject experienced stomach pain. On 16-APR-2021, the subject experienced small "hives" appeared on his body. On 18-APR-2021, the subject experienced shortness of breath (upon activity - but whenever lying down or sitting, there is no shortness of breath). Treatment medications included: dexamethasone, and diphenhydramine hydrochloride. On 19-APR-2021, the subject experienced arms and legs felt hot to the touch. On 19-APR-2021, the subject experienced hands were clammy. On 19-APR-2021, the subject experienced loss of appetite. Laboratory data included: Body temperature (NR: not provided) negative for fever. Treatment medications included: paracetamol. On 20-APR-2021, the subject experienced very sore arms. On 21-APR-2021, the subject experienced anxiety. On 21-APR-2021, the subject experienced slight left sided chest pain. Laboratory data included: Blood test (NR: not provided) no abnormality, Chest X-ray (NR: not provided) no abnormality, and EKG (NR: not provided) no abnormality. On 22-APR-2021, the subject experienced top left of the arm (and shoulder area) felt lightly numb. On 22-APR-2021, the subject experienced diarrhea. On 22-APR-2021, the subject experienced nervousness. On 23-APR-2021, the subject experienced hot flash on chest and neck. On 26-APR-2021, the subject experienced drowsiness. On 28-APR-2021, Laboratory data included: Body temperature (NR: not provided) no fever. On 01-MAY-2021, the subject experienced slight pressure-like feeling on the neck. On 01-MAY-2021, the subject experienced slight pressure-like feeling on the chest. On 03-MAY-2021, the subject experienced left eye irritation. On 04-MAY-2021, the subject experienced both eyes sensitivity to light. On 08-MAY-2021, the subject experienced slight neck stiffness. On 09-MAY-2021, the subject experienced left eye dryness. On 14-MAY-2021, the subject experienced light ringing on the right ear. On 15-MAY-2021, the subject experienced sore throat. On 15-MAY-2021, the subject experienced nausea. On 16-MAY-2021, treatment medications included: ibuprofen. On 17-MAY-2021, Laboratory data included: COVID-19 virus test (NR: not provided) NEGATIVE. On 18-MAY-2021, the subject experienced pain in the rear of the right rib cage; sharp pain. On 19-MAY-2021, treatment medications included: azelastine hydrochloride, cetirizine hydrochloride, and methylprednisolone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and fever on 12-APR-2021, headache on 18-MAY-2021, and nausea on MAY-2021, was recovering from loss of appetite, very sore arms, diarrhea, and sore throat, had not recovered from upset stomach, fatigue, light headedness, small "hives" appeared on his body, arms and legs felt hot to the touch, stomach pain, top left of the arm (and shoulder area) felt lightly numb, hot flash on chest and neck, slight pressure-like feeling on the neck, left eye dryness, both eyes sensitivity to light, nervousness, anxiety, light ringing on the right ear, slight pressure-like feeling on the chest, and left eye irritation, and the outcome of shortness of breath (upon activity - but whenever lying down or sitting, there is no shortness of breath), hands were clammy, pain in the rear of the right rib cage; sharp pain, trouble sleeping, slight left sided chest pain, drowsiness and slight neck stiffness was not reported. This report was non-serious.

Patient received Janssen COVID19 vaccine (LOT#201A21A) in his left arm at approximately 14:43 on 5/25/21. During the 15 minute observation period, he expressed "I don't feel well" and endorsed dizziness/ lightheadedness, slight tingling feeling in fingers, and nausea. Shortly thereafter at approximately 14:50, he started to slouch and appeared faint while sitting in a chair with eyes closed. He did not fall or hit any part of his body. He was easily aroused with a touch on his arm and responded to verbal questions immediately. He denied trouble breathing, chest pain, palpitations, headache, muscle weakness, vision changes, skin reactions, swelling. He was oriented x3 and not exhibiting verbal or swallowing problems. His vitals were normal- HR 80 bpm and BP 105/80 mmHg. He was offered a receptacle to vomit in if needed; however, he did not vomit. This initial reaction was consistent with potential vasovagal reaction/ near-syncope after vaccination. Patient was encouraged and instructed to sit on the floor to prevent injury in case of fall but he refused. Staff offered him water, a fan, and opened windows while monitoring. Later while waiting for a ride at around 15:10, he endorsed headache (first above his eyes and then toward the back of his head) and clarified this did not feel like a typical migraine that he has had before. Then at around 15:20 he endorsed vision changes in his right eye- he could not see a portion of vision out of that eye except peripheral vision and described not being able to see writing on the right side of a whiteboard in front of him in the room. Later he described a resolution of that gap in vision but then had blurry vision out of that eye. He denied any vision changes in the left eye. Due to alarming symptoms of vision changes and onset of headache, patient was recommended to go to ER for further observation and evaluation. He was not in urgent distress and patient did not wish for EMS to be called but agreed to go to ER when his emergency contact picked him up. Patient's emergency contact came to pick up patient at approximately 15:40 and was recommended to take him to the ER. Patient and emergency contact were amenable to this plan. He was able to stand up and walk to the car without issues.

patient received vaccine , looked at his arm , and started to freeze up, almost passing out , eyes rolled back and we got him to the floor and he came around saying he could move his arms (both) and his fingers were seizing up, we got ice packs, hewas clammy, but breathing fine , and hew was speaking and complaining about his inability to move. no issues breathing , we called 911

Patient received vaccine and within a couple of minutes, became completely pale, started sweating, and felt nauseous. Continued for 20-30 minutes and then started to resolve. Did not need additional assistance and came into store later on and was feeling better.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium

Patient got vaccinated and was walking over to observation area. Before he sat down, he passed out, hitting his face on the ground.

After administration, patient did not report any reaction and was asked to wait 15 minutes for monitoring. A few minutes later, he started feeling lightheaded and called his father. His father notified me that he was "spazzing out/seizing" with his head jerking backwards "for a couple seconds". When I saw the patient, he was sitting and unresponsive to verbal and physical stimuli with his father patting his cheek. After a minute or so, the patient was able to respond, but his voice was faint. He reported having a "severe headache" and feeling "sweaty". He had no fever or difficulty breathing. Father said there was no anaphylaxis, and asked for a bucket since the patient felt very nauseous. I then called 911 for emergency services. When I returned to the patient after the call, the father said he was feeling much better and that the "color had returned". Patient was unwilling to stand, and remaining symptom(s) was headache. Emergency services came and checked blood pressure, which was normotensive (SBP 111). Father insisted ER visit was not necessary.

The patient recieved the janssen covid vaccine at about 2:35pm. Patient passed out by his chair. It was about a few minutes after getting the janssen covid vaccine. We called 911. I went to assist him and was alert. He sat on the floor and I checked his pulse. He was pale. I offered him water which he drank after about 5 minutes. The EMT's arrived after a few minutes and checked him out. Took his vitals and looked him over. The patient left after 20 minutes.

21 y/o male here with brother whom he witnessed having an adverse reaction. Male moved into treatment area with brother and started to have a panic attack/vasovagal response. Became lightheaded, dizzy and diaphoretic. Placed on EKG per EMS, stable normal sinus rhythm, heart rate 71, BP 120/73. Placed in supine position, AAOx4 neurologically intact. Waited about 30 minutes, stable. No complaints or any other issues at this time. Able to walk out with brother.

Patient had two syncope events after vaccine administration lasting approximately 5-10 seconds. He was monitored continuously. EMS were called and checked blood pressure, blood glucose, and did an EKG -all values were normal. Additionally, patient remained being monitored for 30 minutes until picked up by family member. Patient recovered from adverse events.

before the shot, the patient reported that he has a history of fainting. Patient fainted shortly. was given ice pack, and recovered over about 20 minutes.

Vaccine given at 3:35pm. Asked him how he was feeling at 3:40pm. Patient replied "not too good." Patients was visibly pale and sweaty, but did not lose consciousness. He was able to walk back into the consultation room for BP monitoring. BP was 105/45 P 54. Patient admitted to a fear of needles and a history of anxiety. Also said he had not eaten today. BP measured again at 3:45pm --106/55 P 58. Gave patient a pack of peanut butter crackers and a water and rechecked BP at 4:00pm--104/57 P 65. Patient did not know the name of his regular doctor, so we called a clinic in town that he went to in May 2020 for a baseline BP reading. NP clinic reported that his BP at last visit was 120/72. BP at 4:10pm had dropped back to 99/46 P 62. Declined EMS service, but I did make him call a family member to come get him since he had driven himself. Advised family to keep an eye on him and to take to ER if he declines. Patient stated that he felt better, but was hungry. Released to family at 4:20pm.

Next morning after receiving vaccine, there was tightness in upper chest that migrated to the left side near the heart. It persisted for about 3 weeks and then I started having stomach problems. About a month after I started having headaches and started having difficulty breathing.

Chest Pain; patient stated he took a few ibuprofen 200mg tabs to try and relieve chest pain however no symptom relief. advised patient to seek medical attention based on package insert recommendation

The patient was seated in the waiting area and stated he became dizzy so he closed his eyes and the next thing he remembers is he woke up and was laying on the ground. This was event was not witnessed and the patient had handed in his timer and told the pharmacist he was fine. The pharmacy was notified when the patient came back to the pharmacy approximately 5 minutes later and told the pharmacist that he forgot to tell us that he passed out. Upon video review what could be seen was the patient bending over in the chair fell over was laying on the ground then he got up and sat back in the chair. The whole event lasted approximately 1 min. He then came over to the consultation window and handed in his timer. When the patient came back to the pharmacy the patient was asked if he was doing ok and feeling well and wanted any medical treatment. He stated he was feeling fine did not need anything and did not want to seek medical treatment,

Client received the COVID vaccine Janssen Lot#205A21A at 1:29 PM. RN was alerted by the client's family prior to vaccination that the client has a history of "fainting" with injections. RN recommended vaccination on the cot in the observation area to decrease risk of syncope. The client and his parents refused vaccination in the observation area and his mother stated "if he can look at his phone he'll be fine." The client received the vaccination at the table and ambulated to the observation area. RN was alerted by the client's parents at 1:39 and responded. EMT also responded at this time. The client was not verbally responsive to RN and EMT and his posture was tense sitting in the chair. RN elevated the client's legs on a metal chair. The client's posture relaxed and subsequently the client regained responsiveness. No injury was sustained. The client then stated that he was dizzy and lightheaded. He denied SOB, throat tightening, and itching. . Client was AOx4. Vitals obtained by EMT were as follows: BP 132/88 and HR 64 regular rate and rhythm. RN noted pallor on the client's face. At 1:42PM the client stated he was "a little bit dizzy" denied any other s/s of an allergic reaction. The client was offered water and began drinking it. No medications administered. Client denied any chronic conditions or medications and no known allergies. He began eating some goldfish at 1:45 PM. RN provided education to client and his parents regarding s/s of anaphylaxis, when to seek EMS, to follow up with PCP regarding syncope event, and V-safe. The client and his parents voiced understanding of this. Vitals obtained by EMT at 1:50 were BP 122/90, HR 72, RR 20. Repeat vitals obtained at 2:00PM were BP 122/86, HR 64, and RR 16. The client departed the vaccination site at 2:05 with his parents unassisted with a steady gait. The client's parents drove him home.

At the time of vaccine the patient indicated they get warm and sweaty from blood draws but not with vaccinations or shots, as he has had allergy shots before. He came with his mom, just in case he had any issues. All indications point to his fear of needles and a vasovagal syncope response. He was given and bottle of water and an icepack. He and his mom waited 30 minutes and he was feeling fine and back to himself.

RN to J&J vaccine about 3-5 min after delivery. Assuming Vasovagal response. His brother reports that patient was sitting there and his eyes rolled back in his head and he fell off his chair and hit his head/right eye. Employee got out there and he was a bit combative and saying "whats going on, whats going on". I asked him to sit down and employee called 911. We put pressure on his eye area to stop the bleeding. He was sweating, shakey, pale, and nauseous. Paramedics arrived quickly and eventually took him away on a strecher. Update: mom came back a couple of hours later to thank us and let us know that he is home and resting. He did get 3 stiches by his eye and the reason they took him via strecher was because his blood pressure was staying so low while they were here.

was advised to stay in store for 10-15 minutes. he responded with he had read online that he could wait in his car. he left, got to the car, sat & fainted

Patient fainted 2 minuets after vaccination. Patient then slipped off chair and regained consciousness in about 10 seconds

Patient was experiencing symptoms after 10 minutes of receiving J&J vaccine. He passed out for 5 minutes without any verbal response; with signs of seizure. He has a history of the same reaction with another vaccine. He got epinephrine 0.3mg IM Lot OFM625 Exp. Nov. 22. The ambulance was called and the patient's care was transferred to the paramedic. The patient was transferred to the ER.

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: After administration of Jansen vaccine in less than one minute, patiet had a syncopal episode. He recovered within few minutes. Vital sigs within normal range. He stated he had not eaten or drink anything since night before. 911 was called.

Patient became very dizzy and light-headed a few minutes after receiving the vaccine, and fell to the ground. Patient reported feeling dizzy and was very pale. He did not lose consciousness. We helped him to a chair and observed him for another 30 minutes. He was given some water and candy. After 30 minutes, the color returned to his face and he reported feeling better.

Approx 3 min after receiving the vaccine, (Patient) suffered a seizure. He experienced cold sweats, rapid heart rate, and blacked out. His eyes moved rapidly side to side. The seizure lasted approx 10 seconds. Pt. was lucid and able to answer basic questions when he came through. We took him to the hospital for additional evaluation. He received a CAT scan and blood work. Those results are pending

Vaccine administered ~7:30pm on 7/21. Patient sat down in observation area to begin medical monitoring. Within 2 minutes patient described feeling sweaty and looked pale. As the nurse began to check on the patient's status, he began having a seizure for about 10-15 seconds. 911 was called. Patient came to and was somewhat disoriented but responsive and still pale. Police/EMS came and recommended he go to the hospital for evaluation. He refused and did not go in the ambulance. Patient indicated no history of seizures. Nurse followed up with patient 7/22 - he is feeling well and did go to the ED. Treating physician advised that it was a "psychological reaction" and "not life threatening." Patient reported feeling well otherwise and has a follow up appointment with his primary care provider.

After the administration of the vaccine, patient was asked to wait for 15 minutes. shortly after about 3-5 minutes patient lost consciousness and was on the ground. After about 10 seconds he became aware of his surrounding and was able to express to us that he had a severe panic attack and that he gets like that with shots. Paramedic was called to check him out and he was allowed to go home after they felt it was not a seizure.

Patient fell out of his chair to the left side and lost consciousness for about 5 seconds at 12:22pm. As soon as he started falling out of his chair on his side, three RNs went to his aid and helped him turn on his back and he regained consciousness. Patient was offered to be taken to the Emergency Department but he refused. He was also encouraged to call for someone to come pick him up since he drove on his own, but said he was 'okay.' Patient reported vaguely remembering falling over and slight pain in his left arm where he was given his vaccine. No rash or swelling around the vaccine site. A small abrasion and bruise above his right eyebrow was noted and patient was given an ice pack. Patient was assisted to a seated position and vital signs were taken at 12:25pm BP:118/55 HR: 62 pulse ox: 98% on room air. Patient was assisted to a standing position after he reported feeling 'fine' and was accompanied by a RN to the stretcher where he was monitored until 1:15pm. Patient was given an orange juice and a granola bar and an ice pack. Patient's vital signs were taken at 12:40pm BP:113/83 HR:61 pulse ox:100% on room air and he reported feeling 'good' and 'much better.' Last vital signs were taken at 12:56pm in a standing position in which patient reported no symptoms; no dizziness, lightheadedness or any other symptoms. BP: 112/64 HR: 58 pulse ox: 100%. Again patient was offered to be escorted to the Emergency Dept. and to also to call someone to pick him up. Patient refused both. Patient was accompanied by a RN to his car outside which he reported no symptoms at this time. We advised patient to wait longer and to come back into the hospital and to call someone if he felt any dizziness or lightheadedness. He verbalized his understanding. Patient discharged.

Janssen COVID-19 Vaccine EUA Headache and body aches 10pm. High fever to 102 by 1pm with severe head and body aches, shivering, dizziness, unsteadiness. Tried drinking water, resting. Rapid heart beat at 120bpm. Couldn't sleep, so woke parent at 5:45a. Tylenol acquired from pharmacy and given at 6:30am. By 7:30a, fever under 101, HR 107 bpm. Severe headache and body aches persist. Injection site soreness and generally feeling awful. Continuing to hydrate with electrolyte water and plain water.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tinnitus-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Near fainting episode. Pt did not lose consciousness but blacked out (visual disturbances, tinnitus/temporary hearing loss, nausea) occurred within 2-3 minutes of administration. First attempt to read BP was low (~80/60). Pt is an athlete, so I waited until after water was consumed to take BP again. 2nd reading was ~106/65. Pt felt better after drinking water and after sitting for 15 minutes under observation.

Patient felt lightheaded and dizzy. He appeared to be pale and pass out for approximately 2 sec and independently came to. VS stable.

Patient passed out and began seizing within 5 minutes of vaccine administration sitting down on chair. Tonic, clonic motions for 5 seconds. No foaming at the mouth. Patient was taken off chair, held on the ground until seizure ended. Patient gained consciousness after a minute. Given water, snacks, air and EMS was called. EMS assessed situation, and allowed patient's girlfriend to pick him up from site and drive back home.

Prolonged mono-like illness x >3 weeks. I saw patient on 3/19/21 for ongoing symptoms including severe fatigue, headaches, back pain, chills. The patient had history of EBV infection a couple years prior, and he noted it felt very similar to that bout of Mono

I got the injection then went and sat down in a chair at the back of the room and started getting light-headed about 3 minutes after I sat down, so I called a nurse over. Then the inside of my chest started getting really hot and my vision started going white in both of my eyes, it took about 10 seconds for me to completely lose vision. Then I passed out, I have no idea how long I was out for but when I came too I had a sort of epileptic-type seizure but I do not know how long it lasted. I woke up completely disoriented, had no idea where I was at and had a severe cognitive dysfunction. I still have moments where I just can't follow or complete a thought or just kind of go blank.

Two minutes after the vaccination, PT walked up to the counter and said he feels dizzy. I asked him to sit down and started walking around the counter to check on him and check his blood pressure. At that moment he fainted and lost consciousness. Another patient caught his head and he did not hit his head. He remained unconscious for 30 seconds and we were preparing to start CPR breaths as he had a pulse but was not breathing. His eyelids were fluttering. He regained consciousness at that time and we waited with him until EMS arrived. His blood sugar was very low when EMS arrived.

PT PRESENTED DIAPHORETIC WITH NAUSEA, NEAR-SYNCOPAL EPISODE O2 SAT - 97 BP - 132/72 RESP. RATE - 18 GCS - 15

Patient left pharmacy and passed out on the sidewalk. Unknown if vaccine or fall caused Nausea, Headache, Memory loss.

Patient was looking pale and getting sweaty and stated they may pass out. Patient was given apple juice, water, and crackers. Patient stated he was feeling better after eating the crackers and that he was up all night due to working third shift and didn't eat anything. Patient remained on site for 45 minutes (including the recommended 15 minutes after vaccine administration) until he felt well enough to drive home.

Patient was given the Janssen covid vaccine and after he had sat down in the waiting are he fainted. time was 12:39 pm Friday, 4/9/21. We called EMS and code white at that time. Patient was unresponsive for a few seconds but woke up quickly. When we asked about any reactions to previous vaccine patient stated he had no reactions. After talking to him once he was feeling better, he did mention that this has happened in the past when his blood sugar was low. We gave cool compress and patient refused services from EMS. We also offered water and store management offered orange juice. We also advised him to stay for an additional 30 minutes for observation.

after administering the johnson and johnson covid vaccine patient fainted a few minutes later. He fell to the floor . he also cut his jaw in the process once we saw what was happening we rushed to help patient but he got back up almost immediately and refused calling 911 or going to convenient care of emergency room from for further care. he reported that he had fainted in the past with a different vaccine and believes he will be fine. we had patient sit in the pharmacy for an additional 30 minutes and confirmed that he wasn't experiencing any more symptoms before letting him go.

Immediate brief < 1 minute syncopal episode without head injury or injury. Fully recovered after 30 minute observation.

Immediate brief episode of syncope without hitting head or injury. Full recovery after 30 minutes of observation

Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadedness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Weakness-Severe.

At around 7PM the day of the J&J vaccine, I began to feel very fatigued and could tell that I was going to come down with a fever. I went to bed early that day around 10PM. Woke up around 1:30AM on the 4th. Felt terrible and took my temperature. It read 101.5. Got up to use restroom and when washing hands, everything started to go blurry, I thought i had just become lightheaded and that it would pass so i stood there leaning against the bathroom door.I ended up fainting and hitting my head on the cabinets. I was completely soaked in sweat. An hour later we drove to the ER to make sure everything as okay. IV was started, some test performed, and fever was gone by 5AM. Felt completely fine after going home and resting for a few hours.

Chest pain, tightness, shortness of breath, and coughing. Symptoms progressively cleared after a couple days. Pain started on Thursday the day after the vaccine, and continued until Saturday morning.

12 hours after receiving vaccine I got sharp pains in back and legs. Burning sensation all over body. I was walking across my room and passed out waking up on the floor. Muscle cramps and tightness followed this. I could not move my muscles for roughly 12 hours. After 24 hours from receiving vaccine these extreme symptoms seemed to fade and I was left with fatigue, soreness and fever as expected. This lasted for the next 3 days

VAERS INCIDENT (adverse drug reaction) with Jassen COVID vaccine at off-site UH clinic. Pt blacked out 5 mins after the shot and he fell out of seat into the floor. Pt did not require immediate treatment, EMS was not called and wasn't hospitalized.

patient fainted; light headed, dizzy, sweaty and nauseous for about 5 minutes watched patient closely, used ice pack, gave water .patient was fine after

Patient called the pharmacy on Monday, 4/12 to report an adverse reaction through the night on Friday, April 9 into Saturday, April 10. Patient reported had been taking ibuprofen following administration of Janssen vaccine on Friday at 9 AM. On Friday evening, patient reported that body temperature began to rise, going as high as 102.5 degrees F. Patient reported going to bed, then awakening early Saturday morning with a feeling of shortness of breath, intense pain in his left side that he described as "knives" in his chest, numbness in hands and legs, as well as body aches. He stated his jaw was locked up and he had bit his tongue. Patient's father called 9-1-1, paramedics arrived and were able to stabilize the patient at home. Patient stated his BP was elevated, however HR and 02 saturation was within normal limits. Patient reported to pharmacy on Monday, 4/12 and stated symptoms have resolved other than mild fever.

Approx 5 minutes post vaccine, patient lost consciousness but remained in chair. Patient was immediately given a cold compress to apply to back of neck and wrists. Patient regained consciousness but was very pale and was sweating profusely. Patient was able to hold a conversation but reported feeling very warm and sweating. After approx 5 minutes, patient began to feel normal. Patient's color returned to normal, stopped sweating and reported feeling normal. Patient was monitored for an additional 15 minutes before leaving.

Patient passed out. Mother stated he gets panic attacks every time he has a needle stick. Patient was fine shortly after.

syncope, HR 44, O2 90% RA. gave 50 mg IM Benadryl, 1 dose Epi-Pen, JR. B/P after meds- 143/72 and 122/68, HR improved to 76

I took a nap after around an hour of receiving my shot at around 1:40pm. Once I awoke at around 6pm, I had irritated eyes, extreme nausea, extreme dizziness, insatiably low body temperature, extreme shivers, migraine because of my head uncontrollably shaking, and dry mouth. I felt like I was in 20 degree weather and nothing I could do would heat my body up. My body grew so tired from the uncontrollable shaking that I could not get out of bed to get my phone to call 911. Every symptom I was experiencing was not mild and was to the level of extreme. This lasted until around 9am. I have been slowly recovering since then (currently almost 9pm) and feel only 70% back to normal.

Around 6:15 PM the day of the vaccine, began to experience chills and a headache. I also became very dehydrated quickly and started to rest. I woke up around 8:30PM the same day with a fever of 102.7F, but no longer had chills. The headache had gotten worse and I took Ibuprofen to help the fever and headache. I feel back asleep until 11:30PM the same day when I was feeling better and had come down from my fever. I slept the rest of the night and woke up feeling dehydrated still and tired. When looking at my Apple Watch, my heart rate jumped to 90-120 BPM when the symptoms started and stayed around there until when I woke up the next day. The symptoms ran their course and I did not have any other events until April 13th, 3 days after the vaccine when I developed a dry cough.

Patient was sitting in the waiting area after his vaccine. Within 5-10 mins of his vaccine he recalls suddenly feeling warm then he was observed convulsing in his chair. He fell over to the side, hit a metal bin, then fell forward onto the floor, hitting his head. It took him a few seconds to regain consciousness. Pharmacist 1 called 911 and pharmacist 2 attended to patient until EMS arrived. EMS reported he was very pale and blood pressure was low. Patient declined transport to the hospital.

Patient reports history of passing out with lab draws and one other time with injection. Within 30 seconds of vaccine, patient reported dizziness, narrrowed vision, and diaphoresis; he also appeared very pale. As we attempted to assist him to the floor, his eyes rolled back and he lost consciousness. Patient became alert within 10 seconds of losing consciousness. When safe, he was assisted to WC and taken to clinic where he was observed for a few hours. Patient discharged home with his mother when he was feeling better.

Patient fainted while sitting in chair. Started sweating profusely, felt clammy and cold. Elevated legs, checked pulse and pulse oximeter. Was awake and talking within a couple minutes. Gave him cold water and crackers and he was feeling much better. Paramedics arrived and confirmed all was good.

ON 4/7 PATIENT RECEIVED A JANSSEN COVID VACCINE AT OUR PHARMACY. THURSDAY AND FRIDAY HE HAD NORMAL REACTIONS TO A VACCINE (LOW GRADE FEVER, SORE ARM, HEADACHE). BY SATURDAY HE HAD A HIGHER FEVER AND WAS NAUSEATED. ON MONDAY HE STARTED WITH VOMITING AND SEVERE CHEST PAIN. PT WAS ADMITTED TO HOSPITAL ON TUESDAY WITH HIGH TROPONIN AND FLUID ON THE LUNGS. THEY ARE RUNNIGN MORE TESTS TODAY (WEDNESDAY). MOM CALLED ME TO REPORT.

PT RECEIVED THE VACCINE AFTER COMPLETING THE SCREENING QUESTIONNAIRE AND CONSENT FORM. PT THEN WALKED AROUND IN THE STORE AFTER RECEIVING THE VACCINE AND ENDED UP FAINTING. THIS OCCURRED WITHIN 10 MINUTES OF RECEIVING VACCINATION.

Within 24 hours after receiving vaccine, patient developed fever 100. 4, body aches, chest tightness and shortness of breath with exertion

Prior to immunization the patient was extremely nervous and stated he did not like blood and was also nervous about potential side effects. The pharmacist addressed his concerns and proceeded with the immunization. While the patient was in the waiting area and decided to get up and walked over to report he was not feeling well and proceeded to faint. 911 was called and the patient refused treatment

My son Fell out at work after shot was given. He had a seizure, he lay unresponse on floor until medics were called. He noe has a blood clot in brain & has had 3 more seizures.Patient drives a fork lift & drives a truck he is nolonger able to do either.

Patient had known fear of needles and despite mitigation strategies, once he knew the vaccine was administered, he began to feel weak and look pale. He lost consciousness twice but only for a few seconds and then he "came to." I helped along with the mother to lay him down to prevent injury. Patient was alert, breathing, and responding, but still appeared pale, "clamy" shaky and sweaty. Code was followed with store management responding, ambulance arrived to take care of patient within minutes.

Patient was visibly nervous prior to receiving the vaccine. About 5 minutes after administration (during the 15 minute watch period), patient appeared to be slumped over in the chair. He had eyes closed and seemed to be shaking slightly. Pharmacist and tech grabbed the emergency kit and laid patient on the floor. After a few more seconds the patient woke up and was able to respond to questions. He was very pale, sweaty, reported feeling clammy and dizzy. Patient claimed he had not eaten since the morning. We gave him some water and a pb&j sandwich. Patient stated he felt better and he just gets very nervous around needles. The patient sat with us for another 30 minutes until his grandmother and cousin were able to come pick him up from the pharmacy.

Patient fainted within 5 minutes after receiving the Janssen vaccine. He then appeared to be experiencing a seizure lasting no more than a minute. No history of fainting or seizure. EMS was called and arrived within about 10 minutes, and patient appeared to experience another seizure and he vomited. EMS then transported the patient to the hospital.

Patient was administered the Janssen COVID vaccine at 403 pm. I returned back to the pharmacy to prep his partner's vaccine and when I came back at 405 pm, he was loopy with his head swaying. He wasn't responding to verbal communication by his spouse and me nor through touch as I shook his shoulder. He then lost consciousness and so I lifted his head to check for breathing and pulse which he had. I asked my technician to call 911, and asked my other tech to help me transition him to the floor so we can raise his legs to provide blood flow to his head. Mid-transition, he had a seizure. We brought him completely to the floor and just as I was about to turn him to his side, he regained consciousness. Pupils were dilated, breathing normal, pulse elevated. He also was able to speak immediately and confirmed feeling "okay". I then had my technician remain outside with him laying on the ground as I returned back inside the pharmacy to call management and my technician was still on the phone with EMS. Paramedics and management arrived within 10 minutes upon which patient was then taken to the hospital. Wife followed and we rescheduled her vaccine.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Additional Details: A few minutes after administration, pt was lightheaded and dizzy and reported possibly fainting for a very brief moment. Pt was pale and sweating and reported being short of breath briefly. Pt was hypotensive but blood pressure and heart rate normalized after 10 to 15 minutes after pt lied down and propped up feet in addition to drinking water and juice. Pt reported feeling "normal" after resting for about 30 minutes.

Systemic: Fainting / Unresponsive-Severe, Additional Details: patient fell as he passed out called 911 paramedics checked out patient

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient fainted after receiving Johnson and Johnson covid vaccine. He asked for water, I told him to put his head inbetween his legs which he did and then he fainted and fell out of his chair onto the ground. He came to after about 15 seconds. Blood pressure 120/75 pulse 55. Had him stay for 30 minutes after. Followed up tonight he said feeling fine.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient asked for water, I told him to put his head down in between his knees and asked my tech to get him water. Patient fainted and fell out of the chair onto the floor. Unresponsive for about 15 seconds, felt pulse. Blood pressure was 120/75, pulse 55. Had him lay with feet propped on chair until he was feeling normal and then had him sit, drink water, and stay 30 minutes. Said he felt fine after, called to check in on him tonight at closing and he said feeling fine.

Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium

Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Visual Changes/Disturbances-Mild, Additional Details: pt had tunnel vison and lost his vision for a split second, he could not remmember me asking if he was okay. I gave his benadryl and checked bp that was 95/65, Encoraged pt to drink water and got a sucker for him. He was clammy and seemed worried. His bp started coming up within 5 minutes and was 105/80. His bp was 120/80 in 5min later, asked pt to get a ride and his wife came and got him. It had happened to him one time giving blood. pt had chills and ackes last night and is fatigued

Pt and his mother went to their car after vaccination. After about 5 minutes, mom beeped the horn, so myself and another nurse, RN., ran to the car. Once arriving there, pt was in the passenger seat, appearing pale, and mom said he was not feeling well. Reclined the seat fully had had him lay back. VSS. Never lost consciousness. Pt had not eaten nor drunk anything before his appt at 12:15 pm. Gave him some water and crackers with peanut butter. Within 5 minutes, pt's color returned and he stated he was feeling better. Mom was going to take him to get some lunch in a drive-thru. No further issues at this time.

APPROX. 5 MINUTES AFTER INJECTION, PATIENT REPORTED FEELING LIGHTHEADED, DIZZY, AND NAUSEOUS. HE BECAME PALE, DIAPHORETIC, AND VOMITTED FOR A FEW MINUTES. PATIENT HAD CHILLS AND WAS WEAK. PT HAD A FULL SET OF VITALS TAKEN (WITHIN NORMAL FOR AGE), MONITORED, AND GIVEN WATER TO SWISH AND SPIT. AFTER 30 MINUTES, THE VITALS REMAINED STABLE AND WAS ABLE TO TOLERATE SMALL SIPS OF WATER. COLOR RETURNED TO NORMAL AND PATIENT WAS ABLE TO STAND AND NOT FEEL DIZZY. HE REMAINED AT THE CLINIC FOR AN ADDITIONAL 30 MINUTES UNTIL HE FELT COMFORTABLE TO DRIVE.

chest pain. Sharp, left sided CP with SOB x 3 hours; continuous, no radiation; mvmt increases pain, started while sitting today; HX PTX x 2 with VATS surgery 5 years ago.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: pt witness previous pt receive vaccine and was nervous, we offered to reschedule him, but he insisted on getting the vaccine anyways

Pt fainted after ~2-3 minutes of sitting on a bench. Moved to the floor and resting against hard surface. Pt was warm and sweating. Came back to in about 1 min. BP was normal. Gave water and food. Pt is resting until ride comes to pick him up.

immediately following the vaccination (within seconds) patients head dropped down. I said his name bc I thought he was looking down at first but he would not respond for about 20-30 seconds before he came to. He blacked out for that short amount of time he said everything suddenly went black. He was able to get to the floor with assistance once he came to and he laid down, he was sweating and pale. his BP was 138-78 pulse 88 about 10 minutes after the event. he had reported being nervous when he first arrived for his appointment. he also has severe food allergies but never had a reaction to a vaccine.

Systemic: Fainting / Unresponsive-Severe, Systemic: Vomiting-Medium, Additional Details: patient fainted shortly after receiving covid-19 vaccine. pts legs were propped and he gained conciousness fairly soon. paramedics were called, they checked on pt and found all vitals to be normal. pt was given option to go to hospital but declined. he sat in chair for another 30 mins and then felt strong enough to walk. he walked a few times around pharmacy and then felt comfortable going home with mother.

Patient was with father while waiting in the store after the vaccination - Father stated that he "blacked out" and "slid down his chair" - The father let me know and we grabbed some water for the patient - After having some water the patient felt better - Father stated he has had this with previous vaccines as well - No other issues after having the vaccine

Patient became light headed and had a syncope reaction and fainted, and came to attention immediately as we approached him. He then vomited 10 minutes post syncope reaction.

Pt passed out in chair about a minute or so after administration of vaccine. He brought along his girlfriend who was in the consultation room with him. Prior to administration, pt informed me that he was afraid of needles. After administration, we discussed the type of needle that was used (vanish point syringe) and the mechanism of how it works. He seemd anxious so I advised that it was ok for them to sit in the room for a few minutes instead of getting up to wait in the lobby, I left the door open for them. I walked back into the pharmacy and his girlfriend alerted me that he had passed out. He regained conscious within a few seconds. I advised he sit with his head between his legs, as he mentioned feeling light headed, feeling hot and sweaty. he threw up a little into the trash. pt sat in room for at least 30 minutes until he felt better. was given a few cups of water while sitting. did not leave until he felt comfortable and no longer light headed. pt mentioned that his last vaccine was about 2 years ago and the same response occured then.

After patient received vaccine, another patient shouted that he needed help. Came back out of pharmacy to find patient passed out but he came to quickly. He was very pale, sweating and complaining of nausea. Got patient ice packs, water and Gatorade and after about 20 minutes patient was feeling well enough to leave with his father.

10 minutes following vaccine patient became confused, sweating, pale and dizzy, lasted 10-15 minutes and then resolved without treatment.

patient was dizzy, sweaty, skin color pale. He wanted to lie down and not would not respond to calls or touches. After about a minute he became responsive with normal skin color. Vital signs normal a

Patient became pale, clammy and light headed for 1-2 minutes while sitting being monitored. Patient given wet cloth to forehead and water to drink. Patient's symptoms resolved in 3- 5 minutes with additional 15 minutes of monitoring after the first 15 minutes.

Sequence of Events re Incident * Patient made his appointment via on- line scheduler * Patient came in, filled out his paperwork, made no mention of previous vaccine issue on paperwork * I performed the usual screening of patient, and when I asked him about any previous reactions to immunizations he stated that he had an ?issue with a TdaP shot 4 years ago and passed out in doctor?s office for several minutes.? He stated the MD told him that ?he had several other issues with the shot so the MD said it was a ?bad batch??. * I made sure that the patient was comfortable about getting the Covid shot and he agreed that he was fine to get it. At that time the patient did not seem overly nervous about receiving the shot. * I administered the shot to the patient and he went directly to the seats next to the pharmacy. I asked him to stay there because he had a past issue with another vaccine. * Approximately 2-3 minutes later, the patient came back, looked troubled and said he didn?t feel well and was feeling the same way as the other shot. I brought him back into the pharmacy immunization room, sat him down and put his head between his knees. I did a quick check on him to be sure he was breathing OK and that there was no apparent allergic reaction. * After a minute I brought his head back up and put patient into regular seated position. At no point did he completely lose consciousness or faint. I asked him at that point if he wanted me to call an ambulance or a family member and he declined. He sat there in the chair for approximately 15 minutes- part of the time his head was in his hands, part of the time looking at his phone. He asked for a glass of water and I got him one (he had completely drank it by the time he left). I kept checking on him and it seemed like every time he saw me check on him he put down his phone and put his head in his hands again. He could have been embarrassed by the situation, unsure though. I tried to make him as comfortable as possible. * After 15-20 minutes I asked him if he wanted me to call someone and he said at that point he wasn?t sure he wanted to drive home so he would call his mother to pick him up, which he did. * I sat down with him for a couple of minutes and explained that this was called a vasovagal response and was quite common (I even empathized with him by explaining that I have the same response when I get blood drawn at the doctor?s office). He seemed to feel a little better after I explained it to him. * His mother came in 15 minutes later and I brought her back as well. She explained the same thing happened at the MD office 4 years ago and that it was the Meningitis shot, not Tdap. I explained to them going forward that it would probably be best to get his immunizations at the doctor?s office so that he could lay down after the shot and they agreed. * He and his mother then walked out of the immunization room and left the building. He left under his own power and without assistance from his mother. I gave him a business card and asked him to call me on Sunday to let me know that he was feeling ok.

After receiving the vaccine, the patient stated that he felt light-headed, and was sweating profusely. He vomited. His blood pressure was 118/82 mmHg, pulse 81 bpm, and respirations 16 bpm. He said he felt like his throat was closing, so we gave him liquid diphenhydramine. At this point, we called 911. The patient was alert and talking the whole time. The patient went with EMS. The patient came back later after being released from the hospital and said that he didn't have an allergic reaction, but he had vasovagal syndrome.

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient said he was not feeling well. When I responded to him he said he did not feel good. I told him to put his head between his knees, but before he could do it, he became non-responsive. He remained seated as I shook him gently asking if he was ok, his eyes were open. When he became responsive, he said he must have fallen asleep. He said he felt nauseated. He was sweating. We called 911. The paramedics came and checked vital signs. His BP was 110/68, blood glucose was 107.Pt left on his own.

Within 60-90 seconds after receiving J&J vaccine, patient became lightheaded, sat down, then subsequently passed out. Then had 2-3 jerking motions similar to seizure activity. Was lowered to the floor and called a CODE ASSIST. patient was not registered at the time, but was in a hospital. No previous reaction to injections. Patient taken to ED for workup. Patient diaphoretic and bradycardic at 36. given IV fluids and performed EKG. was later discharged from ED

patient's friend's alerted me that he was feeling dizzy about 2:10pm. I went over to patient just as he was passing out. small muscle jerk was noted. I obtained assistance to place patient on the floor. He regained consciousness before we could put him on the floor. He was out only 5-10 seconds. he was given some water and proceeded to sit for 20 more minutes. Patient was feeling fine. He did state he had fainted receiving flu shot previously. Patient walked home and called to inform us he made it home safely and was feeling fine. He was instructed to hydrate and take it easy for the day. He refused offer to call the squad

Approximately 5 minutes after receiving vaccination patient fell out of chair onto floor and was breathing but unresponsive to pharmacist. Patient opened eyes and was fully alert with in a couple of minutes of passing out. Patient waited for another 30 minutes, had someone come pick him up, and stated he felt fine.

Myocarditis with elevated cardiac biomarkers and decreased EF. Patient had chest pain on admission along with nausea, vomiting and diarrhea.

HARD TO READ/CONCENTRATE; HEADACHE; DISCOMFORT WITH DIZZINESS; FEVER; This spontaneous report received from a patient concerned a 22 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: UNKNOWN) dose was not reported, administered on 14-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-MAY-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 38.5 Degree Celsius, and Body temperature decreased (NR: not provided) 38 and 37.8 Degree Celsius. On 16-MAY-2021, the subject experienced discomfort with dizziness. On 16-MAY-2021, the subject experienced headache. On an unspecified date, the subject experienced hard to read/concentrate. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine was not applicable. The patient recovered from fever on 16-MAY-2021, was recovering from headache, and discomfort with dizziness, and the outcome of hard to read/concentrate was not reported. This report was non-serious.

22 year old received Janssen vaccine at 10:50 am, and while in recovery area, reported that he became light headed, dizzy, and passed out. He slumped out of the chair hitting the right side of his head on the floor. Sustained a cut near his right eye. At 10:56 am blood pressure @140/65, pulse @ 53, 97% O2 sats while sitting on the floor. EMS was called 10:57am. When interacting with staff and friend accompanying him, eye was cleaned and ice applied. EMS arrived 11:05am. EMS reported vitals to be 86/49, 59, 100% O2. EMS recommended transport to client. Client accepted. EMS transported to Medical Center at 11:12 am.

22y/o AD male c/o Chest Pain since 4am today, Mid-sternal radiates to back. PT states Shivers/chills and anxious. PT is in Quarantine right now recieved J&J vaccine last night at 2300.

after 1 min pt experienced blacked out - rph reported pt being in shock grabbing chest and shaking arms. loss consciousness but regained in a few minutes - called 911 pt received help -pt states anxious about getting vaccine - pts father took the patient to the hospital

Patient fainted shortly after receiving the vaccine. He was instructed to go have a seat in our observation area and wait for 15 minutes and I believe he fainted before he even sat down. As I approached him he was already conscious again and i had him stay put just to make sure he was ok before getting back into the chair. He was given water and he was closely monitored until his 15 minutes was up. A family member came to take him home just to be safe. While he was waiting he said it wasn't a seizure and he probably fainted because of his fear of needles. He mentioned it has happened multiple times before whenever he gets tattoos. None of this was indicated when he filled out his vaccine consent form.

RANDOM NOSE BLEED; This spontaneous report received from a patient concerned a 22 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included non-smoker, and non-alcoholic, and other pre-existing medical conditions included patient had no known allergy no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A and expiry: unknown) dose was not reported, administered on 28-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 28-MAY-2021, the subject experienced random nose bleed. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from random nose bleed on 28-MAY-2021. This report was non-serious.

5 minutes after vaccine administration, the patient felt light-headed, dizzy, nauseas, sweaty, and went pale.

Syncope. Felt very light headed, then said he was 'dreaming' but lost consciousness for a few seconds. Gave water, and orange juice when pt said he hadn't eaten. We moved him to the floor, where he laid down for a few minutes. He continued to sip water and OJ, and within a few minutes regained color and strength. Gradually felt better and back to baseline in about 15-20 minutes

pt mom reports on Tuesday morning. PT HAS FEVER, SWELLING OF LEGS, SHORTNESS OF BREATHE, NO BLOOD FLOW IN EXTREMETIES. PT REPORTS FEELING NUMBNESS IF EXTREMETIES. CANT SEE OUT OF HIS RIGHT EYE, REFERRED TO hospital.

Patient had hx of feeling dizzy/passing out following vaccination as indicated on consent form. Patient began feeling dizzy and sweaty after administration, but during counseling. Patient passed out in chair and urinated. Patient was awoken and given water, then requested to wait while a family member could come to pick him up with a change of clothes. Patient felt well enough to leave with father approximately an hour after fainting.

Patient developed flu-like symptoms the following day including headache, myalgias, fatigue and fever. This resolved after 24 hrs later. On Thursday night, he developed severe substernal chest pain that radiated to his back. Pain improved when he sat up. He presented to Hospital ED on Friday morning (6/11/21) with continued chest pain and found to have an elevated troponin at 0.561. Patient was admitted at the time for possible COVID-19 vaccine myo/pericarditis. His chest pain did resolve with Toradol IV and has been start on full-dose Aspirin. His troponin has continued to rise however and is now 2.150.

Patient fainted couple minutes while seating on a chair after received the covid-19 shot. His muscles got very stiff up and fell/ slide off the chair. Rph was around the patient so, she was able to support his head down to the floor which prevent his head hitting the floor. After a few minutes (less than 5 minutes), he gained consciousness and claimed he always have this symptom of fainting after immunization. The EMT came and checked all his vital signs are all good. He did not need to go the hospital. He was fine after another 30 minutes of seating.

Patient fainted while sitting in chair a few minutes after receiving vaccine. Patient hit the floor face first. Patient was observed to have some bleeding from his nose and/or mouth. Patient transported by EMS to hospital for treatment to be checked out.

Pt received Johnson & Johnson vaccine on 6/12 @11:03 at the Vaccination Site. Patient started walking to observation area, reported feeling dizzy, lost consciousness, was assisted to the ground by staff at 11:05. When awakened, patient reported right elbow pain, headache, and was found to have a small amount of bleeding from his right ear. No preceding chest pain/palpitations/dyspnea, seizure activity, nor focal weakness. He was transported to the ED via EMS for further evaluation. In the ED patient reported previous history of syncopal episode with preceding dizziness several years ago but did not seek further evaluation. No nausea/vomiting. Evaluation revealed decreased hearing, drainage from ear, and right elbow tenderness. CT of head demonstrated right temporo-parietal bone fracture extending to skull base with blood within right mastoid air cells. Elbow x-ray showed no obvious fracture with right elbow contusion diagnosed. Trauma and neurosurgery further evaluated patient and recommended non-operative management of right temporal skull fracture extending into the auditory canal with no evidence of intracranial bleed nor depression. Hospital consulted and prescribed Ciprodex drops for 1 week with follow-up audiogram in 6 weeks. Patient to follow-up in trauma clinic or with PCP in 2-3 weeks. If hearing still muffled at follow-up, ENT will be consulted. Patient was discharge later in the evening on 6/12/2021.

On 6/16/21 presented with chest pain, diagnosed with pericarditis, treated with colchicine and aspirin after consult with cardiology. Echocardiogram normal. Troponin negative.

Patient experienced dizziness 12 minutes after administration. Syncope occurred shortly after. Patient lost consciousness for a few seconds. Pt bp and pulse stable, normal after sitting for 15 minutes.

Patient started to not feel well about 2 minutes after injection, asked for water. I grabbed co-worker (my pharmacist as I am a student) and she stayed with him while I called 911. He passed out on here, came back to, EMTs arrived and he again passed out on them so they took him to ambulance on stretcher

Previously healthy 22 yr old male with 6 days of chest pain, nl toponin, ECHO, CRP and ESR and mild abnormal ECG, patient given clinical diagnosis of pericarditis which seems correct.

Assumed Vaso-Vagal Syncope, patient was nervous about receiving an injection. Immediately after removal of the syringe, the patient leaned backwards. He stated that he felt dizzy. He started to jerk his head backwards (911 called) and then his head fell forward, unresponsive. At his time, we used an ammonia inhalant close to the nose. He started to move and we brought him to the floor supine with a pillow at his feet and then his head. Soon, he was able to sit up and we brought him water to drink. He was subsequently cleared by the EMT to go home.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient has fear of neddles and he passes out during vaccination and blood drawn. Patient faint out/ unreponsive for 30 seconds then he was responsive and fully orianted. Pt did not have any confusion after being responsive. Pharmacy staff called 911 by the time paramedics came, patient was responsive and fully oriented. Patient refuse to go to hospital. He was able to go to home after 30 minutes.

Patient was given the vaccination and asked to remain in the consultation area for 15 mins. The pharmacy student that administered the vaccination walked turned to walk away when he heard bumping on the wall of the room. He turned to see the patient with his head back and eyes wide open. He returned to the room and called the patient's name with no response. The patient at this point had his eyes shut and seemed to slump in the chair. His breathing was labored and then seemed to stop. His pulse was still felt. The patient was unconscious and seemed to be seizing. An Epipen administered in the right thigh. The patient seemed to twitch and immediately regained consciousness. At this point the EMT arrived and took over. The patient seemed unaware of the events and was fully recovered.

Full LOC, fell from post vax chair (approx 2.5 ft) onto the cement floor, striking head upon landing. Patient regained consciousness ~30 seconds after syncopal episode. Patient reporting posterior head pain and stomach pain. Negative DCAPBTLS. Patient provided with ice pack to apply to head. vitals at 05:17 PM were BP: 100 over 60 HR: 88 BGL: 88 RR: 14 Patient refused an ambulance to be called and signed that he did not wish to go to the hospital. Advised to contact PMD should further symptoms occur.

After getting vaccinated, exactly 23 days later I developed an allergy to alcohol or that?s what the dermatologist thinks. I have never been allergic to something and I have developed allergies after the vaccination that show up as vasculitis, it only appears on my feet with more on the foot plant. I thought it was rum allergy but it started to show up on other alcohols and also in some certain foods like salmon or shrimps and it shows up the same way with vasculitis

Patient Fainted approximately five minutes after vaccination. Patient was waiting in post vaccination observation area. He fell from the chair and was discovered face down. After rolling patient to his side, the pharmacist tapped patient back until he was responsive. After hydrating and staying on the floor for 5 minutes, patient fully recovered and spent another 10 minutes in a chair with arms until he insisted on leaving.

About one minute after the vaccination, patient stated he was "a little light headed". A few seconds after this, he passed out. Patient regained consciousness after about 5-10 seconds. Paramedics were not contacted. Patient stayed for 25 minutes following the adverse reaction.

Pt received vaccine, then within 1-2 minutes began having an apparent seizure . The symptoms were mild & pt recovered in less than 30 seconds. He was pale & clammy, but not other significant symptoms. After drinking water, cold compress applied to back of neck & a lollipop, the patient was back to his usual self. Pt reported he had not eaten prior to vaccine, and he had experienced similar symptoms when giving blood.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: pt sycope most likely due to fear of needles. ems called and evaluated pt. pt declined visit to hospital. pt released after ems eval.

patient received J & J vaccine at 1050 am patient was talking with nurse and suddenly stiffened his body with clenching fists curled upward to chest. He had bright red skin color, and could not speak. this lasted 10 seconds at most. Afterward the patient was sitting in chair had turned very pale and did not realize what had happened. one of the other nurses asked him if he knew where he was, he stated "In the Hospital", the nurse repeated that he was not in hospital, that he was at the health department getting a Covid shot. He stated "oh yeah.. I forgot," patient stated he was going to be sick, patient grabbed garbage can that was sitting next to him Patient was hooked up to oximetry, reading was 99% on RA, attempted Blood pressure 3 times but was unable to attain a reading, patient was holding garbage can tightly. patient had emesis 3x's that was clear in color, cold packs were placed on the nape of the neck and under armpit, patient was sweating and white in color. patient stated he had blurred vision, and noted that he was unconscious for approx. 25-30 seconds. 911 was called at 10:57. Nursing supervisor was notified at 10:58. Patient stated that he had nothing to eat today, and his mother stated that he had been anxious about getting the vaccine and that she made her son get it. Epinephrine was available but not given. no issues with breathing. EMS came in did a quick evaluation and transported patient to the hospital. Mother was with patient during the entire incident.

Day 2 after getting the vaccine I went to the hospital over headache, tinnitus, chest pain and breathing problems. The pain never went away but it slowly got worse over time. 5-6 weeks and I am severely suffering from chest pain and shortness of breath. Airways feels very tight. Went to the doctors and got perscribed prednisone and an inhaler. I've never needed or used an inhaler before. I've never had breathing problems other than nasal congestion during flu season. Neither the prednisone or the inhaler help at all. The prednisone and inhaler do not help the breathing even a tiny bit and this is after using them for all 5 days that they were perscribed. Breathing never feels satisfying. I am constantly breathing deep breaths through the mouth for air but it never feels like I'm getting enough air. Whether it be stress, allergic reactions, or exercise, I have never had breathing problems like this before and I have not done anything else that could have brought these problems on.

Patient complained of increasing heart rate and anxiety. Patient denied any symptoms/allergies. Nurse monitored and checked his vitals 2 times; did not show anything abnormal. At 9:30 - HR: 68. BP: 130/64. Room air: 99%. Resp: 19. At 10:10 - HR: 69. BP 110/64. Room air: 98% Resp: 17.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Patient had a vasovagal response after COVID-19 Vaccine. He was monitored in clinic for over 30 minutes and completely recovered from incident prior to disposition home.

Patient felt very warm and tingle for about 10 minutes. This feel causes him to lose consciousness for approximately 10 seconds. He return to state of full consciousness. He stated he was okay, "just fell asleep for a second." Blood pressure reading was 115 / 55 about 3 minutes after event occurred. Monitored patient for full 30 minutes. He stated he felt fine after 30 minutes were up.

23 yr old male sat on chair post Janssen vaccine and complained of light headedness approximately 1 minute afterward, patient called for assistance and onsite Paramedic (1) arrived by his side immediately. Patient became pale and clammy and as onsite Paramedic (2) approached patient sustained syncopal episode while seated on chair. Patient remained in seated position. Patient awoke and only recalled feeling "dizzy and lightheaded." Patient denied any medical history, allergies or medications. Patient denied shortness of breath, chest pain headache or pain. AOx4 EMS arrived. Care provided.

Drop of body temperature even wearing layers of clothes and bedsheets, drop in body temperature caused me to have uncontrollable shaking. The hyperactivity of having the uncontrollable body shaking accelerated my heart palpitations and felt intense pain in my chest. This reaction lasted for about an hour and felt like I needed to go to emergency care.

Patient was given the vaccine and seemed fine. He was talking and then just fell out of the chair and fainted. He was unconscious for about 15-20 seconds and came to. He was disoriented and complained of tingling in his hands. EMT was called non-emergency since the patient had regained consciousness. He still appeared disoriented for several minutes. Patient said he hadn't eaten since breakfast. He was given crackers and water. EMT arrived and took vitals. Patient appeared fine, just a bit shaky.

fever,nausea,headache. PT states getting the J/J vaccine this am 1000 with shortness of breathe, nausea, and headache starting around 13/1400. PT states taking 500mg tylenol around 1.5 hours ago. DATA: 23-year-old male presents with constitutional symptoms after COVID vaccine reaction.. Stable on arrival, mildly febrile with moderate tachycardia and otherwise reassuring vitals. Patient well-appearing on exam with no productive cough, hypoxia, abnormal lung sounds, or respiratory distress to suggest pneumonia. No urinary symptoms or abdominal pain to suggest UTI or other acute intraabdominal process. No AMS, neuro symptoms, meningismus, or rash to suggest meningitis/encephalitis. Non-toxic appearance; low concern for DATA: Med/Allg: denies PMH/PSH: denies ROS HEENT: no eye pain, no sore throat, no ear pain CV: no chest pain, no palpitations Pulm: no shortness of breath, no cough Abd: no abdominal pain, no N/V/D MSK: no joint pain, no joint swelling, no back pain PE Gen: A&Ox4, NAD, non-toxic appearing HEENT: no pharyngitis, no AOM/OE, no PTA/RPA/Ludwig's, no cervical adenopathy CV: S1/S2 RRR without MRG, cap refill <2 seconds all extr Pulm: CTA all fields, no dyspnea on exam Abd: no focal Abd TTP, no peritoneal signs, no CVA tenderness MSK moving all extremities without limitation, no gross deformities, no joint swelling or tenderness Neuro: CN 2-12 and cerebellar grossly intact Skin: maculopapular lesions on Bilat lower legs c/w contact dermatitis. Lab: none indicated Rad: none indicated

Full Body Chills - 3/15 - 3/16 Lightheadedness - 3/16 Fatigue/Tiredness 3/15 - 3/16 Elevated Heart Rate 3/15 - 3/16 (94 bpm resting avg as opposed to 68 bpm normal resting avg)

Patient received COVID vaccination and was waiting his 15 minutes in the waiting room, a few minutes after injection, his GF called me over because the patient passed out. As I approach, patient was coming to as he was peeing himself. Patient reported that he felt lightheaded and then did not realize what happened. Gave patient some water and took his blood pressure. His DBP was a little low around 49. Had the patient sit there for another 15 minutes and took blood pressure again and it was 104/60.

On 3/12/21 day of injection The patient got the Johnson & Johnson Covid vaccine this afternoon around 1400, after which he noted a red, itchy rash on his chest, back, and bilateral upper extremities. He also notes a dry mouth and mild throat swelling, but denies shortness of breath, vomiting, lightheadedness, chest pain. He took benadryl about an hour after getting the vaccine without any improvement.. He states that amoxicillin is the only medication to which has had an allergic reaction. On 3/12/21 He was s treated with Vistaril 50 mg, Deltasone 50 mg, and epinephrine 0.3 mL. The medications relieve most of his symptoms for 2 hours before it returned along with having developed a sore throat and sensation of swelling to his throat. On 3/13/21 at 0139am patient returned to ED for further evaluation. Patient remedicated with benadryl, epinephrine and was given pepcid. On 3/14/21 at 1430 patient again seen in ED for further evaluation with worsening rash. patient that last night he had a severe allergic reaction and self administered epinephrine at 0440. This morning he woke up with a worsening rash that he describes as burning. He reports a sensation of throat swelling. He has had 3 episodes of diarrhea, but no nausea or vomiting. Yesterday, patient states that his heart was "racing" but denies any chest pain. He states that every time his rash is treated, it returns and is worse in severity

After taking the vaccine husband started to feel a bit dizzy then 30 seconds later his whole body when into a shock and no longer control himself and started to shake a little. He had his eyes open but was unconscious for about 1 minute. Then he released his bladder and peed on himself. The pharmacist noticed and came over then he responded and was consious again. Then he began to sweat excessively all over his body. His face turned pale and the pharmacist began taking his blood pressure which dropped very low. He then began to feel nauseated. Then he started to get body chills. We monitored my husband there for another 30min and he slowly was coming back to his normal self. He had a small headache but was fine enough to leave.

Patient passed out shortly after given vaccine. Immediately regained conscious but felt nauseous and sweaty. Monitored the patient for thirty minutes and gave a cool compress. After the 30 minutes he felt well enough to leave the pharmacy. After two hour patient had eaten and felt completely fine.

patient lost consciousness and did not regain it. ems services took the patient to a local hospital. complained of burning at injection site

Symptoms began 6 hours after shot abruptly. Fever of 104, heart rate over 120, blood pressure spikes, headache, trembling, severe body pains and shooting pain, dizziness, lightheaded essential, short of breathe. All symptoms persisted for over 12 hours, but the fever broke with aspirin, and Tylenol given by the Emergency Room at 4am the following morning. Pain was too great to walk or sleep until 8am after the fever broke. The following day I was still sick with a mild fever, headache, and tachycardia that wasn't as high.

I experienced tightness in my chest and mild, dull pain for fifteen minutes while I was lying in bed. I also experienced a low-grade fever lasting from approximately 6:00pm on April 3rd to 4:00pm on April 4th.

PATIENT received COVID-19 (JANSSEN) vaccine at about 4:43 PM on 4/4/21. At about 4:50 PM, patient came to the counter and claimed to be feeling dizzy where upon I led him back to a chair. Before he could sit he fell down. We were able to prevent him from falling hard on his head. He was unconscious for about 20 to 30 seconds. H regained consciousness. We called 911 immediately. We monitored him until EMT's arrived. We gave him water and a pillow to rest his head. He was brought to the hospital by ambulance.

PT, A 23 Y.O, RECEIVED VACCINE IN LEFT DELTOID. UPON STANDING AND WALKING AWAY, PT ALMOST IMMEDIATELY FELL FACE-FORWARD AND SMACKED HIS FACE/HEAD ON A TALL WOODEN STOOL IN OUR PHARMACY. A FAMILY PHYSICIAN WHO WAS ACTUALLY PRESENT DURING THIS EVENT SAID THE FALL WAS MOST LIKELY DUE TO A VASOVAGAL RESPONSE (VASOVAGAL SYNCOPE).

Patient passed out shortly after receiving the vaccine. He lost consciousness for a minute and seemed to be twitching in his eyes and his mouth. He regained consciousness after a few minutes and we monitored him for 30+ minutes. We referred him to urgent care to be monitored further.

Patient received J&J IMZ at 9:45 am. After receiving dose was sitting in waiting area for 10 minutes. Patient then lost consciousness and fell off chair. Patient bump head on floor and had mild case of tonic clonic seizure for approximately 6 seconds. Patient came regained consciousness within 1to 2 minutes.911 was called in and EMTS arrived for assistants. Taking patient out in stretcher. Patient did not have any alerts or allergies noted on PQCF form to alert of any issue

pt was under 15 mts observation and noted on the floor, reported he blacked out and regained consciousness with in seconds. never lost pulse, alert and awake, answers questions appropriately, seen by md, given crackers and juice, comfortable sending back home, pt sent home stable with family.

Patient immediately started sweating, turned pale, complaining of dizziness and blurred vision. We observed him for approximately 30 minutes. Sweating stopped; coloring became better and normal vitals were seen before he left.

4/3 immediately after vaccine had lightheaded, tingling. 4/4 fatigued and slept alot.4/5 started with palpitations, and heart racing often to 110. 4/6 bad enough to go to ER with normal EKG, monitoring, Chemistry and CBC, troponin and CXR. released and saw me 4/7 with symptoms all resolved.

Patient received vaccine and moved to observation chair. Within about 5 minutes, patient proceded to experience a syncope episode. Total episode lasted about 30 seconds, and patient spontaneously awoke. Upon awakening, patient requested water, and we also offered crackers and he accepted both. Patient waited in observatory for a total of 30 minutes. At time of departure, skin color was normal and patient was not experiencing weakness or confusion.

Patient reported feeling dizzy, lethargic, shortness of breath Patient seen by medical team, patient has low blood pressure and provided with iv fluid Ambulance called for medical transport to hospital

The patient was very anxious and hyperventilating before shot. Sat in car with father and passed out. He was sweaty, pale, but otherwise okay. Patient came to and was given orange juice and squad was called.

Dizziness right after and felt a numb feeling - felt like he could not hear - sweaty . Feeling better now - was initially very hypotensive but better after laying down. Feeling better now after sitting again

pale, nausea, vomiting and sweating. patient stated, "needles/shot make him nervous, as well as he has not eaten any food today" He also drank an energy drink this morning

Patient fainted 5 minutes after receiving vaccine. He regained consciousness immediately and paramedics were called. Patient reported having breakfast at 5am and did not have lunch yet. The paramedics said he was ok to go home. I followed up with a phone call to the patient a few hours later and he said he felt better after having lunch and resting.

Patient was given the Janssen vaccine on 4/08/2021 at 4:25pm. Patient reported feeling faint, dizzy and hears ringing in his ears less than a minute after. Had the patient laying back on chair against wall with feet elevated. Patient turned pale and started to break out in cold sweats. No signs of swelling or redness around the injection area. Patient did not report any itching or swelling in throat/tongue. After 2 to 3 minutes from time that vaccine was given, patient started to recover, no longer feeling faint nor sweating. Over the course of the next 30 minutes, the patient?s condition stabilized with pulse returning to 80 beats per minute. Patient reported feeling fully recovered at 5:00pm.

Pt is 23 YOM at vaccination site, status post Johnson and Johnson vaccination, pt states he has a hx of fear of needles where he has ?passed out in past? from other medical procedures, pt states he returned to chair after receiving vaccine and began to feel light headed and dizzy, where he then fell to ground off chair, pt believes he may have syncopized however is unsure because he ?woke up right away?. Pt skin initially pale and clammy, but quickly had color return to face and extremities. Pt can recall events in entirety, is alert and oriented x4 and states negative head/neck/back pain, negative blurred vision, negative vomiting but + nausea/dizziness, which resolved after approx 3 minutes, initial systolic BP in 90?s but improved to 130 once seated, pt states eating full breakfast, with BGL of 106 mg/dL, pt initially denied transport to hospital but after brief period of time began to feel dizzy again and agreed to transport, due to reoccurrence of SBP in 90?s, IV placed in RAC 1:1 with NSL given KVO, pt 3 lead sinus rhythm without ectopy, upon arrival of ambulance full report given to EMT who assumed care of patient

About 5 minutes after receiving the vaccine, patient felt dizzy and fainted but quickly regained consciousness. We had him lay flat on the floor and continued to monitor and have conversations with him. His vitals were confirmed to be normal by the EMS and patient declined to be transported to the hospital. He remained in the premises for about an hour for observation after which he had a friend drive him home.

Approximately 12 hours after vaccination, awoke with severe trembling and nausea. Fainted twice. Fever of 100F. Nausea lasted approximately 30 minutes, trembling lasted about 45 minutes. Important to note that I previously had COVID-19 60-70 days prior to vaccination. The symptoms from the vaccine were significantly worse; however, they appear to have lasted for a much shorter period.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Patient fainted minutes after receiving the dose. He was sweating and disorientated after passing out. Recovered with iced tea and some crackers. Took about 30 minutes before he was comfortable standing again. He has never previously reacted to a vaccine before

Severe Fever, body ache, headache 12 hours after shot. Muscle pain and lung tightness , congestion for week after shot was received

AFTER RECEIVING THE IMMUNIZATION, PATIENT SLOWLY MOVED FROM THE CHAIR TO THE CORNER OF WALL AND SAID HE FELT FAINT. HE BECAME UNSCONSCIOUS FOR A FEW SECONDS AND WHEN HE BECAME ALERT, BEGAN CONVULSING. WE CALLED THE PARAMEDICS. WHEN THEY ARRIVED, THE PATIENT REFUSED TREATMENT.

Patient passed out at clinic - he has a history of anxiety and did not take meds before the shot because he was concerned about an interaction. The patient received his shot, sat down and fell out of the chair. He landed face first on the ground and hit his head on the corner of a post. He was rolled over and feet elevated. He came around quickly. He had a mark on his head. 911 was called on the scene to evaluate his head injury. Patient declined transport to the hospital and returned home. He was instructed to call 911 or report to hospital if he did not feel well tonight.

Janssen COVID-19 Vaccine: Vaccine administered by pharmacy staff at 1320, patient was observed for 15 minutes without complaint or concern. Upon check-out he stated he was "starting to feel sweaty". He denied dizziness, difficulty breathing, chest pain or other concerns. Systolic blood pressure was 76/40 (manual), heart rate 70. He remained awake, alert, skin pale, clammy, & cool. Sweat noted on forehead, in no acute distress. He was transferred to supine position and given cold water. BP increased to 124/82, heart rate 88, pulse ox 98%. He verbalized he felt much better, stated he began to have concerns about a reaction when he began to feel sweaty. He was unsure if it was anxiety or a reaction to the vaccine as the feelings began to escalate. He has no history of similar reactions but "doesn't like shots". He has no medical history, takes no medications/supplements and is otherwise "healthy". He ate lunch prior to appointment. Additional BP readings remained within normal limits, skin warm/dry, back to baseline. Observed for an additional 45 minutes and returned to work. Discharge vitals: 116/84, 90, 98%, 16.

Patient lost consciousness during the 15 minute waiting period after receiving the vaccine. He was pale and sweating, and lacerated his nose as he fell to the to floor. It appears that he fainted.

Patient experienced syncope about 1 minute after receiving the vaccine, falling from a seated position to the floor. Patient was evaluated by EMS on site and released from the clinic to care of his mother who came to drive him home. Follow-up with patient on 4/12/21, patient states he has not experienced any other negative reactions since the syncopal episode and is feeling fine.

Patient fainted shortly after receiving covid vaccination. He was seated. 911 was called. He revived quickly and consulted with emergency personnel . He stated he was feeling better but he did not want to drive. He remained at the pharmacy until he transportation arrived.

PATIENT PASSED AT HOME, BEGAN TO SWEAT COLD AND FELT UNCONSCIOUS. THE PATIENT WAS COLD TO THE TOUCH, GOT UP A LITTLE DAZED, HE WAS COLD HIS PULSE WAS LOW, THE BLOOD PRESSURE WAS OK. THE COUPLE REPORT THAT LOOKED LIKE A TYPE OF SEIZURE WHAT HAPPENED.

AFTER PATIENT RECEIVED THE DOSE OF COVID VACCINE JOHNSON AND JOHNSON HE WAITED FOR 15 MINUTES AND WHEN HE STOOD UP, HE COLLAPSED BUT HE WAS CONSCIOUS, WE HELPED HIM AND PUT HIM BACK ON A CHAIR AND HE PASSED OUT FOR 3 TO 5 SECONDS AFTER THAT HE STARTED FEELING BETTER BUT STILL VERY COLD AND PALE. WE ASKED HIM TO WAIT FOR OTHER 30 MINUTES AND AFTER THAT HE FELT OK.

Pt received the vaccine sat in our waiting area and then passed out a couple minutes after receiving the vaccine. He came to in a minute or so. We called 911 and the paramedics came and took him to the local hospital. Per his report he had not had anything to eat that day and when he came to he felt nauseated and clammy.

Pt received J&J vaccine at 0900 on Monday. Pt had ha and bodyaches on Monday night. Tuesday went to clinic for HA and bodyaches and was given tylenol. Pt woke up on Wednesday with a nose bleed and stomach ache. CHIEF COMPLAINT & HPI: 23 yo M here with epigastric pain, nausea, shortness of breath, fever, chills, since receiving the covid vaccine several days ago.

4/11 vaccination 12:46 12:51 They had us go sit in observation. I felt fine and all of a sudden I felt dizzy and felt near syncope, sweaty. I raised my hand. 2 EMT monitored my HR and BP; both high. Gave me some water, cold compress. Symptoms went away. I went to bed Sunday night, woke up at 230am to chills, shaking, sweats, feverish. That lasted thru till 8/9am and all day Monday I was pretty fatigued. Tuesday symptoms I was pretty much back to normal. I contacted my PCM with recent J&J news. My platelet numbers were normal (blood work done a few weeks before vaccine). Monitored by endocrinologist

THE PATIENT WAS SEEN FOR CHEST PAIN, CHEST PRESSURE, AND SHORT OF BREATHE. THE PATIENT WAS GIVEN A CHEST XRAY AND AN EKG. THEY WERE BOTH CLEAR. THE PATIENT WAS ALSO GIVEN A COVID RAPID TEST WHICH RESULTED AS A NEGATIVE. THE PATIENT WAS THEN RECCOMENDED TO GO TO THE NEAREST EMERGENCY DEPARTMENT TO OBTAIN FURTHER TESTING AND HE REFUSED - SIGNING A AMA.

Seen Emergency Services on 4/15/21 Dr: Diagnosis with Vaccine reaction, initial encounter, near syncope, frontal headache, evaluated for possible vaccine reaction, received J&J vaccine 6 days ago, now headaches and episodes vision blacks out, pt does not have any thrombocytopenia, D- dimer negative, at this time does not feel needs CT of head, if s/s worsening or changes, return for imaging, supportive care at home, discharged home, tylenol or ibuprofen for headaches as needed, return if changes or worsening.

'Pt rec'd vaccine lying down on cot. pt stayed 3 min lying down talking to vaccinator. Pt Sat up on cot for 2 more min, gave water for hydration Pt Alert and orientated. Pt stated "I did better than I thought I would." moved to recovery chair. Pt AAO after sitting another minute stated" I think I need to lie down. " 5:35pm pt started to have syncoble episode. + LOC - SOB. Several people came to pt side. Caught pt to help to floor. pt regained consciousness after 10 sec, with verbal and sternal rub. Mother at side stated" this happens every time he gets a shot. " Pt immediately became pale, diaphoretic, warm and alert. Ice packs to back and front of neck. Elevated feet on chair. Medical MD responded. stated Vasovagal episode occurred. VS taken 5:37 pm 102/60, HR 48 weak, thready, resp 12 reg non labored SpO2 97%. After 15 min sat pt up on floor. Check head for any bumps. denied hitting head and denied any pain. No further episide of syncoble.2nd set VS taken 114/72, HR 78 reg, strong, resps 12 reg non labored. SpO2 97%. Paleness and diaphoresis subsided. pt stated I feel back to normal . Suggested to go to hospital to be checked out. Pt refused hospital. stated this happens all the time. Ok'd to exit after 30 min.

PHLEGM WITH BLOOD; COUGH; SORE THROAT; This spontaneous report received from a patient concerned a 23 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included no known allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 201A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced sore throat. On 17-APR-2021, the subject experienced phlegm with blood. On 17-APR-2021, the subject experienced cough. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore throat on 15-APR-2021, and had not recovered from cough, and phlegm with blood. This report was non-serious.; Sender's Comments: MAC Comment: V0: Medical assessment comment is not needed as per standard procedure since case is assessed as non-serious.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe

CAN HEAR OWN HEART BEAT IN EARS; BODY ACHES SORENESS; CHILLS; NOT STRONG WEAK; HEADACHE; .This spontaneous report received from a patient concerned a 23 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 27-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 27-APR-2021, the subject experienced can hear own heart beat in ears. On 27-APR-2021, the subject experienced body aches soreness. On 27-APR-2021, the subject experienced chills. On 27-APR-2021, the subject experienced not strong weak. On 27-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, headache, not strong weak, body aches soreness and can hear own heart beat in ears was not reported. This report was non-serious.

SYMPTOMS: HEADACHE, CHILLS CHEST AND ARM PAIN FEVER DIZZINESS TEMPORARY EVOLUTION: THE FEVER DOWN A LITTLE, IT IS NO LONGER HAVING CHILLS. STILL HAVE ARM AND HEAD PAIN

Patient fainted after he got the J&J vaccine; as per patient, it had happened in the past after getting blood withdrawn or vaccines; Patient was conscious; 911 was called. Patient was fine and denied medical treatment.

No side effects until 12 hours after with fever, chills, soreness, nausea, and fast heartbeat throughout the following day.

After 5 minutes of receiving IMZ, pt felt hot, light headed, dizzy, and sweaty, skin palor and clammy. After 10 to 15 minutes supine, pt felt better and was 100% normal after 30 minutes.

A few minutes after receiving the vaccine, while sitting in the monitoring area, patient expressed feeling dizziness and appeared pale. Patient escorted to recliner chair by RN and lower extremities elevated. BP 102/78, SpO2 98%, HR 61. Patient remained seated for 15 minutes while drinking water and Gatorade after which the patient expressed feeling "better". Upon re-check BP 112/82, SpO2 97%, HR 64.

Systemic: Fainting / Unresponsive-Medium, Systemic: Vomiting-Medium, Additional Details: patient fainted for several seconds, when he came to, he was shaky and sweating. then vomited several times. completely recovered

Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe

Increase heart rate. Started 5/5/21 at about 6:45PM and continued through the rest of the day. Leading up to the hear rate increasing I was fine and just enjoying my day. No drugs or alcohol or did not do any exercise that day. Felt uncomfortable and with some anxiety I visited a urgent care facility. The visit was about 45 minutes and left. As I am writing this, my heart rate is still a bit above normal but doing better.

Patient admitted to being nervous prior to administration and said he did not like needles. Patient was consulted about what to expect, side effects, and asked if he had any additional questions prior to receiving vaccination. Patient declined and said he wanted to have the vaccine administered. Patient sat down in the designated waiting area. Approximately 2-5 minutes later patient blacked out and his body weight caused the chair he was sitting in to flip over, thus landing on the floor. EMS was called. Patient came to about 30-60 seconds later. Patient was disoriented, sweaty, pale, and shaky. Blood pressure was taken with a result of 143/95. EMS arrived and evaluated the patient. Patient admitted to having nothing to eat or drink today and being very anxious previous to getting the vaccine. There were no signs of an allergic reaction. Patient's blood pressure was checked about 20 minutes later and was returning towards normal. Patient declined transport to the hospital, but mother was called to come pick him up. Patient was advised to get something to eat soon and to rest and be observed for the next 24 hours.

c/o increased anxiety/panic attack. Syncopal feeling after Covid-19 Vaccine. Refused transport to ER

The patient after receiving his vaccine, was recommended to take a seat for 15 minutes to observe for any adverse reactions. Very shortly after the shot, he walked up to the counsel window to ask for a bottled water because he was starting to feel faint. As I was trying to suggest he immediately take a seat, he fainted and fell forward into the immunization booth which absorbed most of his fall as he went to the ground and landed almost sitting cross legged. Immediately myself and pharmacy staff laid him flat onto his back and raised his legs above his head where he regained consciousness immediately and stayed laying down for a period of time to make sure he was feeling okay. After a few minutes we gave him a bottled water and had him sit down for 15 more minutes where he claimed he was feeling much better.

Patient had the vaccine and was doing well for 13 minutes then became nauseous and had feelings of throwing up. patient then fainted briefly but regained consciousness after 30 seconds. Was laying down on floor for 10 mins and was clammy, sweating and low blood pressure 116/68 but high pulse 90. Patient states was very anxious after with frequent respirations. Patient then was helped up to the chair and sat for 1 hour with blood pressure taken every 15 minutes. Blood pressure was taken before leaving 128/71 before leaving attended by caregiver. Patient states didn't eat and was working outside for 2 hours before getting vaccine. Patient was advised to seek medical attention if condition worsened and was amendable to that suggestion.

Elevated resting heart rate (102 bpm), accompanied by flu-like symptoms (moderate chills, fever, headache, lethargy)

BODY PAIN; NAUSEA; FATIGUE; SLIGHT COUGH; CHILLS; ELEVATED HEART RATE; This spontaneous report received from a patient concerned a 23 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included non smoker. The patient experienced drug allergy when treated with amoxicillin. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 204A21A, and batch number: 204A21A expiry: UNKNOWN) dose was not reported, administered on 07-MAY-2021 17:00 for prophylactic vaccination. No concomitant medications were reported. On 08-MAY-2021, the subject experienced elevated heart rate. On 08-MAY-2021, the subject experienced slight cough. On 08-MAY-2021, the subject experienced chills. On 08-MAY-2021, the subject experienced fatigue. Laboratory data included: Heart rate (NR: not provided) 140, 100. On 08-MAY-2021 03:00, the subject experienced body pain. On 08-MAY-2021 03:00, the subject experienced nausea. The action taken with covid-19 vaccine was not applicable. The patient was recovering from elevated heart rate, and had not recovered from nausea, body pain, slight cough, fatigue, and chills. This report was non-serious.

c/o sharp chest pain which radiating to L lower chest and body ache since J&J shot yesterday 1700. denies took any meds.

Shortly after receiving the vaccine patient felt light headed and removed mask. He then passed out falling forward in chair and hitting his head he then went into convulsions. Quickly came to and was able to walk out with EMS.

4 minutes after receiving vaccine pt sitting in chair slumped or and fainted falling to floor. Awoke immediate. Alert and oriented x3. No complaints of pain. Ambulance called and assessed pt. Pt refused to go in ambulance. Pt given water to drink . Sat in vaccine for 1 hour. Able to stand with steady gait. Pt reported had worked a 10 hour day and probably did not drink enough water.

Pt scheduled and appt for J&J vaccine and it was administered by LPN in his left arm. Pt waited in observation for 5 minutes and reported he felt dizzy. Pt loss consciousness while sitting in his chair. Nurse repeatedly called patients name with no response . Charge Nurse was called for assistance . Charge Nurse administered a sternal rub and patient woke up . Pt was able to state his name , DOB and location . Pt reported that he lost his vision , with a headache and everything was black. Laid patient in first aid area on a cot and took patients vitals which were WNL. After lying down for 15 min patients vision returned. Pt stated he walked 25 min in the sun to the vaccination clinic and only had 1 meal for the whole day. Pt was monitored for an additional 30 minutes , drank water and was provided some crackers. Pt refused EMS services and just wanted to lie down . medial director was notified immediately of the incident and felt comfortable releasing the patient to walk back home on his own . Patients Vitals were rechecked and within normal limits . Pt left after 45 minutes

pt experienced syncope after vaccine administration. Monitored for 20 mins and pt seemed fine. No other reactions/ symptoms

I got th eJassen COVID-19 Vaccine EUA at 10:50am. When the needle was removed, blood ran down my arm. That has never happened, but it might have been the nurse. I had nausea for a few minutes afterwards, but I think that was due to the blood. I didn't feel like eating after the shot. Hours later, around 5pm or so, I started to feel hypersensitive and weak. I also started to have a fever that went up to 102.2 farenheit before decided to take ibuprofen. I had shakes, a heartbeat of 146, and a headache. It lasted all through the night and into the next day. Around 11:20am, whenever I moved my head, I would feel pain in my head. By the end of this day, I started to feel more like myself. By the start of the third day, all I had was pain in my left arm from the shot. It was strange that the pain got worse from Day 1 to Day 3, but that might be from how the vaccine was given and the blood that ran down my arm at that time. Another thing is my appetite has gone down a lot. I don't want to eat and when I do, I just want to stop. It's been a couple days, so I'm hoping my appetite will come back.

Patient received shot from our technician and immediately began to lose conciseness. He never fully lost conciseness, but was very pale and began sweating. Patient was moved for the chair to the floor. He was given orange juice and 911 was called by the staff pharmacist. After about 10 - 15 minutes, patient began to return to normal color and sweating had stopped. First response arrived, checked vitals, and patient left with his mother, who was present throughout the event. Patient declined ambulance transport.

Patient is complaining of fatigue, generalized body ache, fever, sore throat, nausea, vomiting, diarrhea.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt fainted 5 miuntes after receiving the vaccine. Pt feels much better after getting water from the staff and getting rested for about 30 minutes. Pt said he does not need an ambulance, and he is doing ok

Patient received vaccine, less than 10 minutes later patient was laying on ground 7 feet from the pharmacy and did reported waking up on the ground

Pateint was given vaccine on 5/18/2021, soon after her injection, she passed out in the lobby. Code Blue was called. After medical team arrived, her HR= 48; BP= 89/56; O2= 100% on 3L and she responded to verbal commands. Hx of needle phobia. Not sure whether her Syncope was secondary to Vasovagal vs. J&J Vaccine vs. Seizures, therefore, we called EMS to take her for further evaluation.

Patient received the Janssen vaccine. Less than 1 minute after receiving the vaccine, passed out and had seizure like activity for 10 sec. When he fell, his hit the right side of his head. When he came to, he knew where he was. Ambulance was called, he refused to go to the hospital. BP was 138/78 and pulse was in the 60's. Leading up to passing out, reported that he felt warm, then passed out. After waking up and coming to, he was feeling better.

Small blood clot in my left lung. Treatment includes 5 mg dose of Eliquis blood thinner twice a day.

Full body muscle aches developed in the evening of the day the vaccine was received. The next day, full body aches persisted. A low fever and moderate headache also occurred. The following day (2 nights after vaccination), a nosebleed occurred along with general drowsiness and a minor headache.

Patient had reported previously losing consciousness after vaccination a few years prior. About one or two minutes after receiving the vaccine the patient lost consciousness and experienced mild convulsions lasting in total about 10 seconds. His mother was present and explained this was the same reaction he had experienced several years earlier with a previous vaccine. The patient regained consciousness and reported that he felt dizzy, but otherwise okay. He appeared clammy and asked for some water. I gave him a bottle of water, which he drank slowly. He reported to us feeling the same as he had after the previous vaccine reaction. As patient was conscious and speaking clearly, I watched him and asked him to wait until he felt comfortable to stand. At one point he asked to sit on the floor, but was eventually able to sit on the chair again, then move to another chair in our waiting area about 20 minutes post-vaccination. I asked him to wait for a total of 30 minutes or longer if he felt anything unusual. At 6:39 approached me and said her son was feeling normal and they would be leaving.

Pt. stated he felt a little dizzy and that is the last thing he remembers. Patient passed out and was found on the floor. Denies hitting head. Patient was diaphoretic blood sugar was taken and was 71 . Patient drank juice and ate crackers. Sugar was rechecked and was 101. BP 145/83 HR- 67. Patient was feeling much better and left.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Severe

7 hours after injection high fever 104.8F. Severe chills and body aches; severe headache. Fever of 103-104;5 lasted approximately 12 hours and was over 103F with 400 mg Ibuprofen (every 4 hours) and 1000 mg Tylenol (every 4 hours). approximately 20 hours after injection faint, very dizzy and dry heaves/nausea. 24 hours after injection fever of 102.5F with the ibuprofen and tylenol, body aches and chills but not as severe. Headache improving.

Aching intermittent Left-sided CP x 2-3 hours, started while sitting today, radiates to Lt shoulder, deep breath makes worse; J&J COVAX yesterday.23 yo m presents with chest pain that radiates to lt shoulder, chills last night. J&J COVAX yesterday

After patient received the shot and was getting up to leave, he passed out. It took a moment to wake up.

It started off with a burning sensation in my throat that work it way down to my Adams apple. I started having chest pains and felt like I was being stabbed with a knife. On a scale to 1-10 the pain was a sharp 5.

About 4 minutes after administering the vaccine patient was sitting down in the waiting area and stated that he was not feeling too good. I immediately went over to him, at which point I noticed he was sweating profusely and stated he felt a little light headed. Less than 1 minute afterwards, he stopped talking and his eyes began to roll back, at which point his upper body began to slide over to once side as if he was going to fall. I immediately caught him, motioned for someone to call emergency services and continued to call him name. He did not respond, was pale and blacked out for about 30 secs. He was still breathing thankfully. When he regain consciousness, he stated that he felt better but he felt some tingling sensation in his forearms bilaterally. Thankfully at this point emergency services were present and upon taking his vitals, realized that his HR and BP were significantly low for someone of his age.

Patient became extremely faint immediately after the injection. Patient began to shake, got really hot, then really cold and felt as if he were going to pass out. Also said that his arm hurt & felt stiff at the injection site. This feeling he described lasted about 15 minutes, then he began to start feeling a little bit better. We gave him some water and had him sit for as long as he needed. Patient sat for total of 30 minutes, then left of his on accord.

Patient became syncopal within seconds of receiving the shot. Passed out for about 10 seconds. Felt dizzy and nauseous after. Lay pt down on cot, elevated feet. BP supine 110/68 P 66 R 16. Postural drop when seated, lay back down. After about 20 minutes pt maintained pressure when seated and standing, dizziness subsided. Pt declined further treatment or transport and friend drove him home. Advised to call 911 if began to feel worse.

Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Additional Details: Pt fainted about 5 minutes after injection for less than 1 min. Did not require EMS call. Pt sat for 20 minutes before leaving and drank water. Slight headache also reported. Pt states this has happened about 10 years post vaccination - most likely panic attack, not a fan of needles.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypertension-Medium, Systemic: Neurological Disorder (diagnosed by MD)-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Additional Details: after receiving the J&J vaccine on 6/5/21 about 1.5 minutes after administration the patient hit his head against the wall and was unconscious. the patient started to mildly seize and lips started turning cyanotic and the patient urinated himself. The whole episode lasting about 45 seconds. When the patient came to he informed me that was epileptic. I kept the patient in the supine position until the paramedics arrived on the scene shortly after.

Patient experienced vasovagal event after receiving dose of Janssen Vaccine. Spontaneous resolution after being put in supine position. Patient observed for additional 30 minutes at which point he left for home. Patient was called an hour later to see how he was feeling. He reported he was feeling fine.

The patient said he was feeling lightheaded few minutes after receiving the vaccine. He then fainted and was out for a couple of seconds. He came back to conscious within a few seconds. We put cold water paper towel on him and waited with him until he felt comfortable sitting up on a chair. The patient called his sibling to pick him up from the pharmacy. He walked out on his own and was feeling fine when he left.

After getting a vaccine, patient was advised to sit for 15 more minutes. As soon as he left the immunizing room, he fainted for couple of seconds. Then regained consciousness but had shaky hands, SOB, and in tears. He was provided with water and asked he may take off the mask if breathing is difficult. Taking the mask ease the breathing a little, but still SOB. Gave him a brown paper bag to breath into and as him to take deep breath in & out. He did that few times, then regained his normal breathing. Saw him looking down to his phone, which I told him to lift his head up to his eyelevel to decrease the dizziness. Was situated for about at least 30 minutes, then he said he was feeling better and he wants to leave as his friend is outside to pick him up and left.

Patient lost consciousness and appeared to have a seizure immediately following vaccination. He came back around within 1 to 2 minutes. EMS was called and attended to him. Reported as a vasovagal reaction. Patient left with his mother.

About 8 hours after receiving the Jansen COVID-19 dose, the site around the injection point began to few sore and my entire body began to feel sore, especially at the joints. Furthermore, my heart rate became elevated and beat erratically. These symptoms continued for about 12 hours. I could not sleep overnight as I ached all over and my heart rate was rapid. The next morning, I began to feel much better. My heart rate began returning to normal, though my heart area still felt somewhat sore. By about 36 hours after receiving the dose, all of my side effects were minimal. By about 48 hours after receiving the dose, I had virtually no more side effects.

Patient received the immunization and roughly 5 minutes later he passed out. Patient hit his nose on our bench and had to go to the hospital to get stitches. Patient didn't have a concussion. Patient went to urgent care and was taken care of and released the same day.

Please note patient did not receive vaccine at this organization. Submitting to VAERS following ED visit and admission. 23 y.o. male with no previous past medical history presented 6/10 with complaints of dizziness, presyncope and syncopal episodes. Initial fainting episode was in January 2021 upon receiving sutures the laceration on his his right index finger. At the time he reports that although he passed out he did not really lose consciousness as he was aware of his surroundings. Things seem to go fine for a while until the day after he received his J &J vaccine in April 28, 2021. Reports having the usual post vaccine symptoms such as myalgias and malaise but the following day while at the barbershop he reports having another syncopal episode. He reports a prodromal phase that includes shortness of breath, numbness of the lips and a generalized warm feeling. During this episode he denied any loss of consciousness, as he was able to unlock his phone and respond to the people around him. He denies any myoclonic movements or jerks. He denies any postictal symptoms. Patient has been seen in the ED 3 times within the last week. On 6/10/2021 while at the base clinic, he reports feeling like he was about to pass out and was brought to the emergency department for further evaluation. He denies any nausea, vomiting, headaches. He endorses some chest pain when he lays down flat that is relieved by leaning forward. He denies any recent illness. Denies any new medications or changes to his diet or hydration status. The day prior to admission, his ED visit for weakness and presyncope occurred shortly after PT eval at the base. He felt very lightheaded and he attributes that to not eating and drinking prior to the PT eval. Work-up in the ED included EKG which showed ST elevation in leads V3 and V4 in a biphasic pattern. CT chest which showed no PE or consolidation pneumonia or pleural effusion. CMP was remarkable for potassium of 3.4 serum bicarbonate of 21. CBC was normal. CK was slightly elevated at 913. Troponin was negative. Lactic acid was 1.9. UA with no concern for infectious process. UDS was negative. Due to EKG findings reported above, patient was discussed with cardiologist who recommended that patient be admitted for observation. Upon further discussion with patient, it was clear that his chest discomfort improved when leaning forward, and his EKG was consistent with diffuse ST elevation. With a clinical diagnosis of acute idiopathic pericarditis, patient was initiated on colchicine 0.6 mg twice daily and ibuprofen 800 mg 3 times daily. He is to continue his colchicine therapy for 3 months and his ibuprofen therapy for 1 to 2 weeks with a gradual de-escalation of that ibuprofen by 200 mg/week. He has follow-up with cardiology scheduled. Cardiology mentioned in their notes that they would obtain an echocardiogram to rule out structural heart disease and recommended a 2-week event monitor upon discharge with a 3-week follow-up with tilt table testing and exercise stress testing. Cardiology had high suspicion for possible vasovagal. Echocardiogram was unremarkable without pericardial effusion.

About 5 minutes after vaccination the patients body became stiff for about a minute, also went pale and lips turned white. Had patient lie down and rest for about 10-15 minutes. He also ate a protein bar. Color in face/lips returned to normal. Had patient remain in pharmacy for another 15 minutes for further observation, no other adverse effects. Although the patient stated never having an adverse effect to any other vaccines on the pre-vaccination questionaire; after recovering he asked "did I go stiff?", when told yes he said "that happened once before when I had a vaccine".

Patient awoke at 2:30 am after getting vaccine with uncontrollable shaking. Went to ER and blood pressure was also high. Given Ativan to decrease shaking and calm patient. Diagnosed with allergic reaction to vaccine by ER staff.

vasovagal reaction, patient passed out for less than 60 seconds. grayish skin, tired. Pt was feeling ok in about 20 minutes. no treatment

PATIENT STARTED TO PASS OUT AND LOOSE CONSCIOUSNESS 2 MINUTES AFTER GETTING HIS JANSSEN & JANSSEN VACCINE. HE WAS KEPT OUT SITTING ON THE CHAIR. HE HAD HIS JAW TO LOCK BUT I WAS TRYING TO KEEP HIS MOUTH OPEN IN ORDER FOR HIM TO NOT BITE HIS TONGUE. HIS EYES WERE ROLOONG OUT. IN ABOUT 20 SECONDES HE RECIVERED BUT HE WAS COMPLAINING ABOUT BLURRED VISION. WE CALLED 911. I TOOK HIS BP. FIRFIGHTERS & PARAMEDICS CAME INSTANTLY AND TOOK OVER HIM. THEY OFFERED HIM TO BE TAKEN TO THE HOSPITAL , BUT HE SAID HE WAS OK AND LEFT WITH HIS GIRLFRIEND. I DID A FOLLOW UP CALL AFTER 2 HOURS WITH HIM. HE SAID HE WAS FEELING MUCH BETTER.

SHORTNESS OF BREATH-A LITTLE; CHEST PAIN; CHILLS; NAUSEA; FEVER; MUSCLE PAIN; This spontaneous report received from a patient concerned a 23 year old male. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 06-JUL-2021 18:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 07-JUL-2021, the subject experienced shortness of breath-a little. On 07-JUL-2021, the subject experienced chest pain. On 07-JUL-2021, the subject experienced chills. On 07-JUL-2021, the subject experienced nausea. On 07-JUL-2021, the subject experienced fever. On 07-JUL-2021, the subject experienced muscle pain. On 08-JUL-2021, Laboratory data included: Chest X-ray (NR: not provided) Not reported, and EKG (NR: not provided) Normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea, fever, chills, muscle pain, shortness of breath-a little, and chest pain. This report was non-serious.

Within 5 minutes of vaccination, patient began sweating profusely and had pale coloring. He stated he did not feel well. He may have lost consciousness and fallen down. We had him sit down, gave him orange juice to drink, and fanned him. Within about 20 minutes he stated he all of a sudden felt completely normal again and left under his own power.

The patient had syncope a few minutes after the injection. They were unconcious for approximately a minute before regaining conciousness. They told me that right after the shot, they had a few moments of nausea which went away quickly. They then had a 'high-like' sensation before losing conceousness. After regaining conciusness, they had no further symptoms until the next day (today). They are feeling drowsy, achy bones, and headache. They said they would contact me if they experienced further symptoms.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Patient recovered after surpine positing for 15 minutes and water

Quick onset of fever (peaked at slight above 100 deg F), chest pains, shortness of breath, and severe chills about 11 hours after vaccine was taken. These symptoms were mild the next morning and afternoon and I was able to work fine from home. This evening, my fever once again flared up to 100 deg F.

Janssen COVID-19 Vaccine EUA At 11 PM the night of the vaccine (Saturday), extremely bad chills, fever and weakness set in almost immediately. I could not get my body to warm up and was borderline too weak to walk. Very bad headache and nausea set in as well. After several hours the chills turned to intermittent sweating/cold and I could not keep a consistent body temp, nor sleep that night. The next morning (Sunday) I had very bad aches and soreness, along with chills/fever and headaches that could be managed fine with around the clock acetaminophen. Around 8 PM that night, most of these flu like symptoms subsided. The following morning (Monday), still very exhausted despite a full 10 hours sleep. Tiredness and weakness lasted through the day. Tuesday morning until around 3 PM i still experienced drowsiness and was unable to gain strength for anything more than typical day to day tasks (could not workout). Wednesday morning, felt normal but while exercising experienced shortness of breath almost immediately as well as chest/lung pain easily. Come Thursday I feel 90% normal.

Fever, chills, headache onset 8 hours post vaccination, resolved 12 hours after onset. Tightness in chest with deep breathing and dry cough onset 8 hours post vaccination, still present 6 days post vaccination with no improvement.

Reported by EMS on site. client had syncope following vaccine and was transported to a local hospital. no phone number given to this writer after the event. EMS called at 11 am and arrived at 11.01. blood pressure 101/68 pulse 71. second reading was 108/76 and pulse 69.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt did not report history of syncope after vaccination. only told me after event occured. pt said he felt dizzy and sat back down in the post-vaccination area chair. monitored for approximately 40 minutes and pt's appeared to be stable and mobile alert and oriented and asked to go home. followed up with patient at 4 pm and he reported that he was feeling much better and appreciated us reaching out to him

Patient passed out 5 minutes after receiving vaccine. 12 hours later the patient had severe chest pain and went to the ED. He received a ketorolac shot there and returned home. 36 hours later, red dots were noticed on the patients feet and ankles (appeared to be petechiae). No other s/sx of bleeding but extreme fatigue, nausea, head fogginess, etc. has been experienced over the past 4-5 days. Patient w/ no PMH of any significance.

Patient received Janssen COVID-19 vaccine at 123pm on 3/25/2021. Patient directed to observation area and fell backwards out of chair at 127pm on 3/25/2021. After falling backwards out of chair patient had a full body stiffening episode and was noted to be bleeding from his head. Bleeding controlled with gauze held by an RN. Patient initially GCS 13 and unable to answer questions appropriately, manual blood pressure 118/60 HR 50 SpO2 89% on room air, patient pale and dry. Patients legs raised by RN and pressure to laceration on top of forehead continued to be held by RN. After 5-7 minutes patient GCS increased to 15 and he was alert and oriented x 4, manual blood pressure 114/60 HR 62 SpO2 97% on room air, patient pink warm and dry. Fire arrived on scene at 147pm and Ambulance shortly after. Fire and Ambulance given report by RN on site while other RN on site continued holding pressure to laceration on forehead with gauze.

Patient felt dizzy, warm, funny feeling in the stomach and turned pale. This happened 5 minutes after the administration of vaccine.

Headache, body aches, chills starting about 12 hours after injection and lasting until about 48 hours later; fainted in the bathroom about 20 hours after the injection

Patient with syncopal episode that occurred after vaccine. Patient improved with rest and oral intake. Discharged to home.

First nausea, then vomiting, fever and headache during the day, took 400mg ibprofin around 1PM. At night: chest pain, night sweats, continued nausea, fever and headache, took 500mg acetaminophen. Second day: headache and nausea continued, took 400mg ibprofin. Second night: extreme night sweats.

Client recieved J&J vaccination and arrived at obseravtion area. Client stated he was feeling faint and dizzy, Prior to passing out. Nurses and EMT beside client. Client was assisted gradually to the floor with legs elevated. Client Vital signs 101/62 99% O2 HR 69. Dr educated patient to hydrate and to stay in observation area longer to be monitored. Client states he has a fear of needels and has experinced fainting after recieving a vaccine in the past. Client states he feels much better and no longer feeling faint.

Patient got his vaccine and was sitting in the observation area. About 5 minutes after his dose, I noticed his head roll back. I immediately ran to the patient and asked if he was ok and he quickly "woke up". He said he completely dozed off but patient was unconscious for a moment. We checked his blood pressure which was high initially. Patient refused EMS.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient was being monitored after their immunization when started to feel dizzy. Patient fainted and fell out of chair to the floor where we responded to him and called EMS. Patient was still breathing and became coherent as he was rolled onto his back. EMS confirmed he was ok to not go to the hospital so patient opted out.

Began feeling delirious around 7:00pm - uneasy and strange. Upon walking to the subway station, I felt overwhelmed with sudden depressive thoughts and anxiety. On the Subway, I had a very severe, and disturbing panic attack. My vision became blurred and distorted, my heart rate spiked, and I became nauseous and extremely frightened. I sat down to try to maintain a sense of calm - but got off the subway after a few stops and met with a friend whom I had texted, to take care of me. From the point on, I was very shaken and agitated, and have been since the event. I have never experienced anxiety, depression, or any such symptoms in my life before, nor was I nervous or anxious about having received the vaccine. The onset of the event was sudden, and seemingly out of nowhere, without real purpose, hence my conviction that it may have been spurred as a side effect from the vaccination. I went to Urgent Care Sunday morning, April 11th, the morning after the event. My resting pulse was 97 BPM (normally 52-54) - and my blood pressure much higher than normal - 175/110. The doctor insisted I go home "and relax". I still feel uneasy and shaken from the event.

Pt walked over and sat down in waiting area. Within 2 minutes he lost consciousness, fell out of his chair, hit his head on the floor. this lead to bleeding/ bump on left eyebrow. Pt was hot, sweaty, clammy, and pale. he laid on floor with feet raised for a few minutes. He felt better in about 15 minutes, parents arrived to drive him home.

Patient received the vaccine and was asked to wait in the observation area afterwards. He approached the counter a few minutes later to report he wasn't feeling well. As he was speaking with the technician he became very pale, reported lightheadedness and fainted with loss of consciousness. The technician reported that he witnessed convulsive type tonic movements concentrated in the neck and upper-arms more than the abdomen or legs. He also reported foaming at the mouth and following each event which repeated 3 times in less then 15 minutes, he woke with confusion and no memory of where he was. EMS arrived after 15 minutes and transported the patient to the ED for evaluation. Upon follow up with the patient the next day, he reported that the ED found nothing on his medical exam and he had worked a 10 hour shift prior to receiving the vaccine and had had nothing to eat or drink.

Patient had a vasovagal response. He fainted. Once patient was aroused, he was sweating, lost some color in his skin. His temperature registered in the normal range. He was given water and food (doughnut). The patient had not eaten yet. The paramedics came to evaluate him.

At roughly 4pm the day of vaccine I started to feel generally sore in my muscles. At around 7pm I started to become light headed, had a headache, and bad muscle pain. My fever at this point measured 102f. These negative effects increased over the next few hours until I fell on the floor and couldn't get up without help from my wife. I felt like I was going to pass out every five seconds, threw up twice, my muscles kept contracting and relaxing and were intensely painful. Around 12:30am Saturday morning we went to the emergency department. I needed a wheelchair to get around. The wait at emergency was too long, and by 3am we went back home. I was feeling slightly better, but still not great, and my fever had reduced. I rested on Saturday with less severe but still considerable symptoms, and took paracetamol. Now on Sunday I feel sick and a little sore and very tired, but mostly better.

The patient had a vasovagal response. He fainted briefly. He lost some color in his skin. The patient had not eaten so he was given some food (doughnut) and water. The paramedics came to evaluate him as well. The sequence of events occurred between 10:15 and 10:25 AM.

Diarrhea, noticeably distended stomach, with severe stomach pain for about 2 days. treated with smooth muscle relaxer. Currently recovering.

patient fainted, then came to, had nausea, then vomited. Had patient sit and drink water afterwards ~30 minutes.

after administering Janssen COVID Vaccine, patient felt light headed, rapid heart beat, sweating all over the body, cold, slouched over in chair, nausea, did not throw up, weak (could not make a strong fist), felt dehhydrated, general unwell, took about 10 to 15 minutes to get back to baseline for patient. I sat with patient in IMZ room until felt better...I asked if wanted EMS but shook head no...later in evening I saw patient in store pulling freight....gave water at their request

Fever (24 hours), high blood pressure (unknown amount of time), moderate to high heart rate up to 120 bpm (12 hours), headache (24 hours), body ache(6 hours), chills (on and off 24 hours)

Patient had a brief syncopal episode w/flushing followed by muscle contractions. 911 was called. Blood Pressure 94/43. O2 sat was 98% on room air. Per patient, vision got blurry and then went black. Tingling in bilateral hands. Paramedics arrived and assessed patient. Per paramedics request patient was to wait another 20 minutes before leaving. 10:34am patient is alert & oriented x4. Walking and feeling back to baseline. patient was then walked to his vehicle and was informed that if he began to feel that way again, to call 911 immediately. from time of vaccination to time patient left was a total of 42 minutes.

after approximately 10 minutes of receiving Covid-19 vaccine, the patient fell out of chair in which he was seate. patient was unconscious for approximately 1 minute while I rolled him over and checked for pulse. his eyes were wide open and he seemed to have had an absensence seizure lasting upto a minute before regaining consciousness. he was quickly cognizant and I asked if he had any history of seizures or if he might be hypoglycemic. He did say that he had not eaten and it was 3:00pm. paramedics soon arrived and removed the patient from the scene. I did text patient the next day and he said only that he had a sore arm and symptoms consistent with having a vaccine administered.

I received the J&J COVID-19 vaccine, within minutes, I passed out. While unconscious, I hit my head on the pavement, resulting in a laceration across my right eye-brow requiring 10 stitches.

NOSE BLEEDS; FEVER; FLU-LIKE SYMPTOMS; This spontaneous report received from a patient concerned a 24 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021, the subject experienced flu-like symptoms. On 31-MAR-2021, the subject experienced fever. On 04-APR-2021, the subject experienced nose bleeds. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu-like symptoms, and fever on 01-APR-2021, and had not recovered from nose bleeds. This report was non-serious.

Chills, elevated heart rate, racing thoughts, shortness of breath, sleeplessness; I remained awake until around 8AM the following morning.

SHOOTING PAIN IN THE HEART; This spontaneous report received from a consumer concerned a 24 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 30-MAR-2021 for prophylactic vaccination. Concomitant medications included paracetamol. On APR-2021, treatment medications included: acetylsalicylic acid. On 06-APR-2021, the subject experienced shooting pain in the heart. On 09-APR-2021, Laboratory data included: Blood glucose normal (NR: not provided) okay, Blood pressure (NR: not provided) okay, Blood test (NR: not provided) okay, Cardiac function test (NR: not provided) okay, EKG (NR: not provided) okay, Oxygen saturation (NR: not provided) okay, and Triglycerides (NR: not provided) okay. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from shooting pain in the heart. This report was non-serious.; Sender's Comments: V0: Medical Assessment Comment not required as per standard procedure as the case assessed as non-serious.

PATIENT BROUGHT TO ED DEPARTMENT: HISTORY LIMITED TO PATIENT MENTAL STATUS CHANGES. PATIENT PRESENTS TO THE ED AFTER BEING FOUND ROLLING AROUND ON GROUND OUTSIDE OF APT. COMPLEX. SEVERAL HOURS INTO PATIENT STAY, HE BEGAN DROOLING. PATIENT HAD A RIGHT-SIDED FACIAL DROOP. CT ANGIOGRAM ORDERED WHICH SHOWED A THROMBUS IN THE LEFT MCA. VACCINATION OF JANSSEN VACCINE APPROX. 1 WEEK PRIOR TO PRESENTING PER PATIENTS MOTHER. UNKNOWN WHERE HE RECEIVED VACCINATION. PATIENT DIAGNOSED WITH ACUTE CVA

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild

Systemic: Fainting / Unresponsive-Medium, Additional Details: Pateint fainted within 5 minutes of receiving the vaccine. 911 was called and responded but he had quickly come to. He felt better within 10 minutes but the paramedics examined him anyway. He left of his own accord.

24-year-old male patient with no past medical history received Johnson & Johnson Covid vaccine on April 7 presented to ED with abdominal pain and was found to have portal vein, splenic vein, superior mesenteric vein thrombosis. Patient was also found to be thrombocytopenic he was admitted to the stepdown unit placed on bivalirudin. Patient remains hospitalized at the time of this report.

After patient got vaccine a few minutes later he fainted while sitting in chair and fell to the floor. He came back quickly. He stated he started to fill hot before he fainted. He said he was now cold. Pt also said he was nauseated and felt clammy. WE eventually moved him to vaccination area to take blood pressure. While taking Blood pressure , he fainted again and was having seizure like symptoms(flailing arms, fit kicking and his head falling back) 911 was called.He came back quickly. He was monitored at scene by EMT. His blood glucose was 115 and initially they were only able to get systolic of 75. They removed him from pharmacy on stretcher and monitored him outside. His blood pressure was fine and they released him. He came back to the pharmacy and was fine

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient experienced symptoms for few minutes and was resolved within 20 minutes of injection

Systemic: Bell's Palsy-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: OTHER-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Systemic: Tinnitus-Mild, Systemic: Weakness-Mild

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild

24-year-old male brought in by EMS for multiple complaints. On arrival vital signs stable with mild tachycardia and fever. on exam heart regular rate and rhythm. Lungs clear to auscultation bilaterally. EKG without evidence of STEMI. Chest x-ray normal. Labs with no actual abdomen bowel is. Patient improved in ED with medications and pain control. Suspect vaccine reaction. Plan for discharge home with continued supportive care and follow up with primary care physician.

Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient stood from seat during his 15 minute waiting period. Syncope occurred within 5 minutes. Patient fell face first on to floor and hit shelves with left arm. Loss of consciousness for approximately 2 minutes. Lost both 2 front teeth. Bleeding from mouth and left arm laceration. Patient was escorted Hospital via ambulance upon their arrival. Patient did not recall passing out.

Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT EXPERIENCED SYNCOPE (FAINTING) BUT REGAINED CONSCIOUSNESS WITHIN A FEW SECONDS. HE WAS CONFIRMED THAT HE IS GOOD TO GO HOME BY HIMSELF.

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Severe, Additional Details: pt did not have reddness or pain at site, but fainted and had a seizure

Patient approached pharmacy counter shortly after receiving vaccine looking very pale and clammy. Patient was trying to say something but fell over. He was conscious by the time I got to the other side of the counter but was stating he felt very nauseated like he was going to vomit. We got the patient to a sitting position and got him some cold water. Patient remained seated on the floor until his mother arrived and escorted him out about 15 minutes later.

Patient received J&J vaccine at 4:09pm on 5/11/2021. Within 3 to 4 minutes patient's girlfriend stated that the pt was having difficulty seeing. Pt evaluated and he described complete loss of vision (lasting approximately 10 seconds) that returned. Pt was seated and was instructed to move to floor and lean against wall. Pt described numbness and tingling in both legs that resolved within 5 to 10 minutes. Pt stated he was anxious, shaking was observed, and he was hot and sweating. Vasovagal episode with loss of consciousness was immediate assessment. BP was 98/62 within 20 minutes of AE. 911 was called and EMS evalauted pt. Pt did not go to hospital AMA per EMS and pt stated he felt better. Patient was contacted on 5/12/21 at 3:25pm and he stated "I'm all good no further issues. I got a fever 8 hours after the shot. Other than that I'm all good". Inquired about temperature and pt stated "I do not have a thermometer". Pt instructed to contact primary care but he has not seen them in 2 year (She is primary care). Pt then instructed to contact cardiologist that he sees for his heart palpitations and heart rate control. Patient is prescribed metoprolol for this and he missed a dose the night of 5/9/21, took dose night of 5/10/21, and had shot on 5/11/21. Patient's physician office was called and information reported to her.

Tightness in chest and slight difficulty breathing hours before event. Event was an episode on the toilet including vomiting, diarrhea, dizziness, sweating, slight tingling sensations, and temporary loss of vision (5-6 minutes). Dehydration and headache occurred after the event.

dizziness, faint, low blood pressure, sweating. patient laid down and put legs up on a chair, blood pressure returned to normal and patient felt better

immediately after vaccine: pre-syncope symptoms (lightheaded, perspiring, felt cold). 15 minutes later pulse 60 bpm (normal for pt). 30 minutes post vaccination pt reported feeling normal. called pt 5/12 to check in and he reported normal fatigue, and having experienced nausea for 2 hours

Patient stated he had no previous problems with vaccines in the past. After I gave him the vaccine, I directed the patient to sit outside and wait 15 minutes per protocol. As soon as patient got up to walk to outside of vaccination room, he fainted and fell onto the ground hitting his head as well. Patient regained consciousness 5-10 seconds later. I had him sit upright against the wall, I directed my technician to call EMS, and I gave the patient some water. EMS arrived in about 5-10 minutes and they triaged the patient for about 20-30 minutes (given anti-nausea medication, IV fluids, and some other things I didn't see). Patient's parent ended up coming to pick up him, EMS was comfortable letting him leave without going to the hospital, EMS advised patient to seek medical attention if other problem arises.

About 9 hours after getting my vaccine, I started noticing my temperature rising to ~99.0. About 1 hour later (12 AM), it had risen to ~103. I also noticed my heart rate was extremely high (on average 140 bpm, the highest was 225 bpm); this was also accompanied by chest pains which seemed like they were on the right side of my heart; I also had difficulty controlling my bladder and would randomly start to urinate. I had taken two Advil then slept. The next day (~9 am) my fever went down but 3 hours later it had gone back up to ~101, I eventually kept cooling myself (removing shirt, fan on high, etc.) and took one Advil and my temperature started to get normal. For about two days after that, I had pain in my left shoulder - but this was where the injection took place so I wasn't too worried. Currently I am feeling fine, but the initial day getting the vaccine was quite harrowing - I was quite worried I was going to have a heart attack.

24 male PT experienced syncopal episode approx 1 minute after receiving 1st dose Janssen COVID19 vaccine 041A21A IM Left deltoid which resulted in approx 5 seconds of unconsciousness. PT helped to floor by on site staff and placed in trendelenburg position. Staff called 911, obtained verbal consent for assessment, baseline vitals and demographics obtained. BP 110/70, SPO2 99%RA, Pulse 76 regular @ radial, skin CTC pale, cool, dry, and not trauma observed or stated. PT denies past medical history, denies medication use or non-compliance and states he has had 48oz of water in last 24hrs. PT denies any further medical complaint. Janssen assumed PT care at 1615. END REPORT

patient was hot and sweaty, passed out, came around and felt better over next 15-20 minutes, patient's parent contacted ems but when they arrived patient was much improved

Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Patient was sitting in chair after vaccination and <5 minutes later, he started shaking, then faceplanted on the ground. He regained consciousness within 30 seconds. I elevated his feet and laid him on his back/gave water bottle. Observed for total of 30 minutes before allowing him to leave. he denied emergency services.

BACK PAIN; SHORTNESS OF BREATH; CHEST TIGHTNESS; EXHAUSTED/VERY TIRED; HEADACHE; CHILLS; FEVER; DIZZINESS; This spontaneous report received from a patient concerned a 24 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included depression, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 20-MAY-2021 for prophylactic vaccination. Concomitant medications included desvenlafaxine for depression. On 20-MAY-2021, the subject experienced dizziness. On 20-MAY-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) Between 100.3 -102.7. Treatment medications included: acetylsalicylic acid/chlorphenamine maleate/phenylpropanolamine hydrochloride. On 21-MAY-2021, the subject experienced chills. On 21-MAY-2021, the subject experienced headache. On 22-MAY-2021, the subject experienced back pain. On 22-MAY-2021, the subject experienced exhausted. On 22-MAY-2021, the subject experienced shortness of breath. On 22-MAY-2021, the subject experienced chest tightness. The action taken with covid-19 vaccine was not applicable. The patient recovered from dizziness on 22-MAY-2021, and fever on 21-MAY-2021, had not recovered from headache, back pain, exhausted, shortness of breath, and chest tightness, and the outcome of chills was not reported. This report was non-serious.

PATIENT REMAINED SEATE AFTER VACCINATION, AND ALERTED US AFTER THAT HE HAD JUST PASSED OUT. HE WAS SWEATY AND SEEMED PALE AND LIKE HE WAS LIGHT HEADED.

Patient reported dizziness 5 minutes after he was administered the vaccine and then was reported by his sister he was fainting. Call 911, patient was monitored while waiting for EMS arriving to the store . Patient get his consciousness back, response to our questions. His breathing was normal, skin looked pale. Patient felt better after EMS came, got monitoring for more than 30 minutes and then went home.

pt rec'd vaccine, waited 15 min in recovery stood up ad became lightheaded, dizzy, pale, diaphoretic no LOC near syncope, + nausea, no vomit. Ice pack to head and back of neck. refused to lie down. Gave water for hydration provided reassurance. Pt stated no nourishment taken in prior to vaccine. VS taken 122/80, HR 88 reg strong, resps 16 reg non labored, 94% O2 sat. L arm vaccine site benign. Monitored 30 min. at 9:50 pt stated, " I feel great can I go" Paleness and diaphoresis subsided. OK'd to exit with friend.

Patient received vaccine at 10:16a.m., patient indicated they were feeling dizzy, while seated. He was immediately attended to prevent possible fall. Given orange juice. Patients head slumped back and had labored and guppy breathing, then went unconscious for a few seconds. His pulse was monitored, breathing monitored. He became alert and was talking. He was laid on the ground in supine position. Vitals were monitored continuously throughout the rest of the patient?s extended observation period. Vitals are as follows: Time: 10:20 Pulse: 69 RR: 24 O2 Stat: 97 Time: 10:27 Pulse: 78 RR: 22 (laying) Time: 10:31 Pulse 82 O2 stat: 98(sitting up) Time: 10:35 Pulse: 83 RR: 22 O2 Stat: 99 (laying) Time: 10:37 Pulse 66 RR: 26 O2 Stat: 98 (laying ) Sitting up from here forward Time: 10:48 Pulse 86. O2: 98 Time: 10:55. Pulse 81. O2: 98 Time: 11:01. Pulse 77. O2: 98 Time: 11:20. Pulse 75. O2: 97 BP: 132/78 Patient was instructed to have someone drive him, he was instructed not to drive OF NOTE: Patient stated he did not have breakfast.

patient fainted within minutes of getting the vaccine. they reported they were afraid of needles and was advised to take a seat in the waiting ares. patient fainted breifly, were sweating. emergency services was called immediately and they questioned the patient and determined it was just the result of anxiety from the fear of needles. patient was okayd to leave the facility by emt at around 3.50 pm. (within about 20 mins from starting of incidient) patient then left the facility without any other issues. follow will be done by rph in a few days. there were no signs of an allergic reaction or history of one

After administration, pt went shopping with his wife and kid. While shopping within the store, pt reports he fainted, fell down to the ground on his forehead and sustained a deep cut injury right above his left eye. He was bleeding profusely, first aid was rendered and his wife drove him to the ER

fever, sweating, headache, cough, bloody nose, congestion, fatigue, difficulty eating, muscle weakness, slept for over 24 hours in total two days after vaccine

while in post vaccination observation, client thrust head back into the wall, while in a seated position. Became unconscious. Left arm tremor- observed. diaphoretic, skin warm to the touch, sweating. When client became alert and oriented, he was fearful of the situation and began to cry. stating he didn't know what happened, he was scared, and he was dizzy and didn't feel well. Patient given emesis bag, given water and Ice pack. He also reports no ability to alert anyone prior he had no physiological indicators of what was about to happen. He urinated himself. He then had the second emesis and EMS alerted and on site to assess patient .

Ten minutes after covid vaccination, patient stood up to get the attention of pharmacy workers at the pharmacy drop off area. He did not make it to the counter. He turned pale and went unconscious. He collapsed and struck his head on the floor. Pharmacist got to him seconds later and he woke up. 911 was called and attended to him. He declined being taken to the hospital.

2 days after receiving the vaccine, I felt a severe pain in my chest/stomach area, centered just below my rib cage. It hurt when I was laying immobile, and it hurt even more when I moved. The pain lasted for approximately 4 days, by the third day I the pain had lessened considerably, and on the fourth it was only present when I was upright for extended periods of time.

client reported nausea after receiving 1st Janssen Covid vaccine. At 1540 RN assisted client who was pale and nauseous to sit down in observation room. Client reported he had just received Janssen Covid vaccine and was feeling nauseous. RN gave client emesis bag. PHN joined RN at 1543 with vital supplies. Upon arrival client sitting in chair, leaning forward holding emesis bag. Client appeared pale. Vitals: blood pressure 103/56, pulse 61, oxygen 96%. PHN and RN assisted client to transfer from chair to anti-gravity chair. Per client only had nausea. Declined headache, blurry vision, chest pain, shortness of breath. Per client had arrived to site and ate snack quickly prior to vaccine, last meal was breakfast. RN provided client water and juice at 1545. Per client no relevant medical history, medications and no known allergies. Vitals at 1548: blood pressure 135/75, pulse 59, oxygen 96%. Per client nausea improving, skin color improving. RN stayed with client remaining time in observation. Vitals at 1553: blood pressure 131/78, pulse 68, oxygen 97%. Per client all symptoms resolved, skin color normal for ethnicity. Vitals at 1603: blood pressure 136/79, pulse 58, oxygen 100%. No complaints. Client finished juice. Last vitals at 1613: blood pressure 140/81, pulse 56, oxygen 99%. Per client feeling fine, no nausea. Client left facility with steady gait at 1620.

Patient was apprehensive about getting vaccine, immediately after receiving vaccine he started to experience vasovagal syncope. I laid him down on his back and lifted his legs onto a chair. He regained consciousness within 10 to 15 seconds. I had him lay down for about 5 minutes till he was comfortable enough to sit. He sat for an additional 5 minutes before being able to walk and leave on his own. I gave him some water while he was on the ground and he was able to leave on his own.

Red blotchy skin, hives, blood pressure very high, trouble breathing, panic feeling, itchy everywhere to point of pain

Myocarditis. Chest pain, shortness of breath, pain when leaning over or increasing heart rate, referred pain in left shoulder

Patient came to Pharmacy today for his J&J vaccine along with his wife who also received her vaccine as well. After I administered the vaccine, the patient got light headed and I asked him if he would like to lay down. Before he could respond, the patient collapsed off his chair hitting the side of the plastic trash bin in our patient care room. I caught him before he hit the ground. I asked if he could hear me after saying his name a few times, no response. I assessed his subjective vitals and could tell he stopped breathing. Called for Pharmacy resident to grab and administer an epi pen. Patient responded within 30 seconds of epi pen administration and started breathing again. Proceeded to call emergency services, first responders arrived within 5 minutes and administered IV fluids and oral ondansetron. Patient left with the ambulance and will follow up tomorrow to make sure everything is ok.

Patient was passing out right after 10 minutes later after the vaccine. He felt dizzy, weak, and his hands were numbed for as short time.. He felt like he was sweating and still feeling weak. EMS came to take care of him.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: pt was sitting and than fainted 911 arrived and helped pt recover

I vaccinated the patient with Janssen Covid 19 vaccine (as patient requested). He was sitting in the observation area when I looked up and noticed the patient looking pale. This was less than 2 minutes after being immunized. As I headed out the pharmacy to check on the patient, he slid out of his chair and I heard his glasses hit the floor. He was unconscious on his stomach, so I rolled him over to his left side. He immediately regained consciousness and tried to get up. I elevated the patient's feet on a chair while he laid with his back on the floor. The pharmacy technician and another associate called EMS. Patient was cognizant after 5-7 minutes and answering questions appropriately. When EMS arrived 10 -12 minutes later, patient was laughing and joking with them. Patient has a needle phobia, of which I was aware. Patient was pleasant and appropriate when he while he was being vaccinated, which is why I believe this is a reaction to the vaccine and not from his needle phobia. EMS evaluated the patient and he signed a waiver stating he did not want to go to the hospital. He was instructed not to drive (his companion would drive them home) and to drink lots of water, which he did before leaving. He laughed and joke with myself and the EMS and thanked us numerous times for our care and concern. The whole event lasted about 18 minutes, from patient being vaccinated to leaving with his companion who agreed to drive him home.

Patient received the vaccine at approximately 10am on 6/21/21. Shortly after receiving the vaccine, he complained of a headache and arm pain. Patient was told to remain seated and was monitored by pharmacist and staff. After 20 minutes, he was still not feeling well. He was moved into a different observation area. Based on symptoms it appeared he was having a a vasovagal reaction. He did not want to lie down and elevate his feet. At approximately 1/2 hour, he became nauseous and threw up. We continued to monitor him. He still had a headache and said he felt off. He had no swelling in the face and was speaking without issue. No hives were noticed. Patient said he was having a hard time breathing- I suggested he remove his mask to get more fresh air. After removing the mask, he said it felt better to breathe. In total, patient was monitored for 3 hours. He did not lose conscience, exhibit facial swelling or hives. Patient went back to work for 1 hour then left to go home. Prior to receiving the shot, patient showed a lot of anxiety and was hesitant to get vaccine. In the end, he decided he wanted to get it. Per medical staff at his work, he does tend to be high stressed and anxious. I followed up with patient on 6/22/21. He stated that he was feeling a lot better. He did have redness at the injection site- I explained he could ice the area. He still had a headache= I instructed him he could take a pain reliever. He mentioned he had a purple spot on his back. I asked if he had any other spots and said he would have to check. I suggested he contact his PCP and make an appointment to be seen.

6 minutes post vaccination he reported feeling lightheaded. his BP was 147/77, pulse 60. About a minute later, he reported chest pain. 911 was called. They had him chew 4 81mg ASA until the paramedics could arrive. Around 15 minutes after vaccination, he reported chest tightness, he thought he was breathing at 80%, and light sensitivity. Around 20 min post vaccination, EMS arrives and escorted him outside. I never received further info on his condition from EMS. The next day, I tried to reach the patient twice via phone, but there was no answer and no voicemail.

Approximately 5 minutes after vaccine was administered pt. fell out of chair and lost consciousness for approximately 5-10 seconds. Pt. was turned on his side until consciousness was regained. 911 was called, EMS arrived and evaluated pt. because pt. struck his head when he fell out of the chair. Vital signs were stable and pt. refused any further medical treatment. Pt. remained with nursing staff until 30 minutes after event. No further signs/symptoms of any adverse effects noted. Advised pt. call 911 immediately if shortness of breath, dizziness, difficulty breathing, swelling of the face, lips, or throat develop, chest pain, or any additional emergency arise. Pt. verbalized understanding. From beginning of the event to pt. regaining full consciousness with no symptoms or complications was approximately 5 minutes.

Patient was nervous about getting a covid shot so decided to get the Janssen as it was one shot and more like the flu shot, I gave him the vaccine in his right deltoid and he had some blood drip which I cleaned up after putting on cotton ball with bandage as I was cleaning up and talking to him he got pale and passed out in the chair. I called to someone to call 911 as he i was getting him lowered, I removed his mask to help with breathing, and hugged him to lower him to the ground, while I was lowering him he came too and kicked as he was startled. I laid him on the ground in imz booth and had someone get my garden pad I keep in the pharmacy to place under his head. I had someone get him damp paper towel for his forehead. The floor was cool on his back which helped cool him down. The color came back to his face and He said he felt fine but was embarrassed which we reassured him it was all good. He said he felt more awake then when he came in. The ambulance arrived and he stood up and he was fine and didn't go with them. I gave him a vial of water and thanked us and went on his way.

About 11 days after receiving the shot, I started experiencing chest tightness/pain. The pain persisted for four days and I went to urgent care. Urgent Care referred me to ER to screen for blood clots. After returning from ER, I started feeling sharp pains in multiple places all over my body?hands, fingers, toes, feet, calves, shins, forearms, back. Chest pain also continued. The chest pain has subsided, but I still experience shooting pains in arms, legs, hands, feet, toes, fingers, and occasionally my back. Pain is a 3-4/10 on average, but persistent. Some days are better than others. Some days the pain is mostly in a forearm (sometimes both) and the next day it's in a leg (sometimes both). Some pain seems to be in/along muscles, some in/along bones. It sort of feels like there's a small electrical storm in my body. Movement does not seem to have any effect on the pain.

The patient was waiting the regular 15 min after vaccination and with 10-12 minutes I heard a big sound . I ran and out site the Pharmacy Department and the patient was just getting up from the floor after a fainting episode. The patient was sweating perfusely and he was very pale and very warm to the touch.

Patient received the vaccine and 5 minutes later stated he became warm to touch, and walked to the cooler to get a bottle of water and fainted. He was found on the ground with no pain or injuries per patient. He stated he still felt warm. Patient refused 911 transport. Patient stated he had a history of fainting with a previous H1N1 vaccine. Patient did not have any difficulty breathing or itching.

Syncope within 2 minutes after shot. Excessive forehead sweating and lightheadedness. Did not fall to floor or lose consciousness. Resolved completely in 15 minutes. Gave pt Gatorade and peanut butter crackers. Pt admitted to always getting nervous prior to any medical procedure. Pt visiting. 100% fine when he left.

PRESENTED WTIH CHEST PAIN, SOB, TACHYCARDIA; WAS ADMITTED TO A FACILITY WITH DX WITH PERICARDITIS. SENT BACK HOME, REHOSPITALIZED FOR FOUR DAYS

Thrombocytopenia resulting in undetectable platelets that improved with 4 days of dexamethasone and IVIG with improvement in gum bleeding and petechial rash of bilateral lower extremities

After the vaccination, patient presented with an elevated pulse and blood pressure. He complained of blurry vision and requested to remain seated in the office. He sat in the office for 30 minutes and drank 3 cups of water. Ammonia inhalants were also administered as syncope was suspected. After 40 minutes, all of his vitals returned to normal and he no longer had blurry vision.

About a week after vaccine started exp chest pain and difficulty breathing, After the two week mark of those side effects I started exp joint pain, little fatigue, redness and swelling of both knees.This was causing difficulty for me to stand.As of today I'm still exp symptoms taking Ibuprofen causing stomach pains stopped and physician recommended Tylenol.

Assessment: Full body diaphoresis, pale in color, extreme anxiety, rapid HR (120) and low BP (80's-90's /50-60s). Tx: cool washcloth to forehead, removal of mask, head down, fluids (oral) and snacks. Call to EMS. Patient refused transport to hospital for IV fluids. Outcome: Stayed on sight for 1.5 hours. VS returned to normal. Still pale upon exit, but A/O x4 with no other complications.

Pt passed out briefly after receiving the vaccination. Pt recovered after being laid flat and legs elevated. Pt given fluids and snack

Transient low blood pressure with few minutes of vaccine administration. Nothing to suggest allergy. Resolved after about 15 minutes.

Patient called pharmacy 1 hour after vaccine with fast heart rate and tight chest. Pharmacist advised patient to take Benadryl and referred to urgent care for further monitoring. Pharmacist called patient next day and patient reported they took Benadryl and did not go to urgent care. They felt fine the next day.

Normal symptoms, the adverse symptom I'm experiencing is an extremely intense sharp pain in my left chest, it happens about 3 times a minute, and only lasts maybe a quarter of a second, but it has been happening since I woke up a couple of hours ago, and hasn't seemed to even become less frequent at all. It is extremely painful as it happens, but since it lasts so briefly each time it's bearable, if it were to happen for longer than it would actually be unbearable.

Pt endorsed severe chest pain the day after receiving the vaccine. Pt's BP was 156/98 and HR was 102. Pt was sent to emergency room and discharged back to facility a few hours later with a diagnosis of Unspecified Chest Pain.

About 5 minutes after administering Jassesn COVID 19 vaccine the patient began to lose consciousness and rested his head on the table. The patient was then assisted down to the floor. Within 2 minutes the patient was alert and oriented, 911 was activated. PT reported dizziness. Patient asked about medical history which entail WPW, and no medications. EMS assessed and took vital signs. PT refused to go to the hospital. Patient monitored for an additional 30 minutes, and escorted downstairs.

Systemic: Dizziness / Lightheadness-Severe, Systemic: blacked out immediately post vaccine administration (1-2 min)-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: PT stated passing out post vaccine is normal / occurs (why he used nasal flu shot in 2020 and not injection). blacked out post vaccination, RPh held patient at head and shoulders in chair to prevent fall from chair or injury to neck when as when he blacked out he fell back in his chair. post black out we provided water and monitoring. PT stated during recovery light headed, tingling in fingers / numbness. vision impared (like post concussion when hit in head/face).

Flu-like symptoms (severe fatigue, severe body aches, elevated heartbeat - near 120 BPM, normal is just over 100) from 5 AM-3 PM day after injection

Patient passed out and hit his head on the floor cause a laceration above left eyebrow which needed medical attention at local hospital. Also may have needed a concussion test done.

NEAR SYNCOPAL EPISODE PALE/WARM/DIAPHORETIC PT REGAINED SKIN TONE, NO OTHER PAIN DENIED HOSPITAL TRANSPORT

Jansen Covid-19 Vaccine EUA, 0130 restless, insomnia, severe chills, sweating, heart racing, approx 0510. woke up mother stating ?did not feel well & was going to pass out, anxious, heart racing, 0520. collapsed in bathroom, grazing head against the bathtub, loss of consciousness, profuse sweating, 911 called. approx. 3-4 minutes of loss of consciousness, waking, but lethargic, confused, EMT assessment on scene, started IV fluids, transported to hospital - additional IV fluids, CT scan of head, EKG, CXR, labs, given zoltan, pepcid, toradol, monitored for 2-3 hours. Reported from physician that ?all tests were normal?. Discharged from hospital, ate few bites of food, coherent but reports no memory of events beyond waking up mother. Sleeping comfortably

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypertension-Mild, Additional Details: 12:20pm\r\n24/Male fainted after administration of Janssen vaccine. No other symptoms noted. Had patient sit on the floor and elevate legs. Assessed for anaphylaxis, epinephrine was not indicated.\r\n12:24pm BP 140/75 (unsure of patients baseline, no diagnosis of hypertension). Ambulance was called. When ambulance arrived patient felt better. May have just been nervous due to needle itself, not COVID vaccine. followed up with patient 4:20pm and he states he feels perfectly normal now.

Patient received injection and the pharmacist stayed for a few minutes to talk to him and make sure he was ok before leaving patient in the waiting area. About 5 minutes later pharmacist was notified that the patient was feeling dizzy. As the pharmacist approached the waiting area, the patient and fainted and fell out of his chair. The pharmacist helped the patient sit up and he immediately regained his consciousness. The patient was assisted by being given a pillow and ice pack. He was monitored for over 30 minutes before leaving the clinic after recovering. Patient claims to have fear of needles and had not eaten lunch prior to receiving vaccine but had never passed out before, but was states that they were very anxious.

Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.

Fever, chills, and passed out when getting up middle of night after urinating. My family had to open the bathroom and pick me up off the floor before i regained consciousness

It felt like I had contacted the virus all over again except worse than last time. Body aches, chills, fever, nausea, severe headache, fatigue, slight cough, balance and coordination problems, chest pains. Literally the only things I don?t have are the loss of taste and smell.

9 April 11:07am: got the vaccine 12:00: started feeling an underlying headache. 15:00pm: very fatigued, headache increased, slightly nauseous. 16:30pm: started feeling better, but still have an underlying headache. Appetite came back. 17:42pm: started feeling a fever develop. 23:30pm: temp. were normal 97?F. 10 April 03:30am: +102?F fever, body pain, Took one 500mg Tylenol, Stayed awake until 04:17 with elevate heart rate and it felt like my heart was pounding through my chest. Headache increased and I started to experience neck stiffness. 04:17: Temp 98.9?F. 04:39am: took another Tylenol 500mg and finally slept. 10:00am: woke up 11:31am: had breakfast and took Tylenol 500mg. Underlying headache, neck stiffness, light chills, ears are sensitive to sound. Elevated heart rate and increase blood pressure. Could feel my heart beating very strongly and intensely. 16:07pm: fever chills continued to be more severe. Latest temp is 102.2?F. Took another Tylenol 500mg. Heart rate is still elevated and beating very strongly. Headache and neck stiffness. 18:35pm: Temp 102.7 F. Heart, head and neck same as above. 18:42pm: temp 102.3 F. Heart, head and neck same as above. 19:30pm: Went to Urgent Care to seek medical assistance as my condition deteriorated. Received 975mg of Tylenol from Urgent Care unit. 20:00pm: Transferred to Hospital ER facility for further checks/tests. 21:20pm: Temperature gone done from fever levels. Still waiting for doctors to tend to my case. 22:05pm: Doctor came to see me and suggested an IV to hydrate me. 11 April 12:58am: Received the IV and pain medicine. 02:03am: IV completed, headache and neck stiffness reduced. Heart rate still very elevated and pounding strongly. 11:00am: Still had an underlying headache, dizziness and foggy mind.

Pt. fainted while vaccine was in arm. I called a CODE 100 and put a cold water bottle on the patient's neck. Pt. came to within seconds. Pt. came to profusely sweating, pale, and feeling dizzy. We took his BP and kept monitoring it for 45 minutes after we had him lay down. His BP continued to rise and was normal. Pt. was nervous before vaccine administration (shaking). After event, Pt. stated this has happened in the past with donating blood. Pt.'s girlfriend picked him up, so he did not drive home.

About 3 hours after getting the vaccine I started to feel short of breath. About 5 hours after that I got chills that made me shake all over because I got a fever of 103. Then 2 hours later my heart started to beat very rapidly and got up to 126 beats per minute, my heart was also not only beating vast but very very hard. Then throughout the night and all of the next day, I had pain in my chest on the left side and also pain in my rib area on the left side. The pain lasted for over 24 hours and because of that I went to the emergency room. It turned out they didn't find anything life threatening at the emergency room but all the pain I had was very scary and very uncomfortable. It was a terrible experience and because of it, I am telling people not to get the Johnson and Johnson vaccine.

One week after receiving the Johnson & Johnson vaccine, several small bruises (6-8) appeared on the back of my left leg. Throughout the day, my leg developed a soreness that, after reading a 10 Feb 2021 story in the newspaper about COVID vaccine recipients developing immune thrombocytopenia caused me to seek medical treatment in the afternoon of 4/6/2020. I first visited an urgent care facility where my high blood pressure (130/98) combined with my slight lightheadedness, soreness in the leg and observes bruising were enough for the tending physician to recommend rushing to the ER for bloodwork to be performed immediately. I was admitted to the ER in the early evening with an elevated blood pressure (~150/111) and the bruising still prevalent. The tending nurse practitioner authorized a complete blood count (CBC) and discharged me an hour later when the results came back ?extremely close to normal,? noting that my platelet count of 194 was no immediate cause for concern. Since then, the bruising and soreness has subsided.

SX: lightheaded, feeling faint, losing BP 110/70 color and clammy. TX: Food (crackers with chesses), water, stayed an additional 15 minutes. Patient felt better after 23 minutes and left in good spirits.

Symptoms: pale, nauseous & chills PMH: history of anxiety and allergy to sulfa Vitals: BP 120/63 RR 20 Pulse 50 O2 99% Intervention/treatment: assessed vitals, gave patient juice and water

In the span of about 40 minutes following the shot, I had severe reactions. I initially felt really warm in my arm and my heart started to race for a bit. That subsided pretty quickly. Then I got really dizzy, lightheaded and warm and sweaty while waiting the 15 minutes. Then my vision started to blur and I felt tingly in both of my hands and both of my legs. According to others with me, I also went grey. I was given a cool cloth and fanned which helped with a lot of the issues. I also had my legs elevated and was given some slightly sugary food and drink to help the vaccine disperse better. Paramadics and amabulance arrived to assess me. I was improving by the time they arrived and was deemed stable, so I did not go to the hospital for this incident

HEADACHE; SHORTNESS OF BREATH; NAUSEOUS; MUSCLE TENSE; SEVERE MIGRAINES; SWEATING; SHAKING; CHILLS; ELEVATED HEART RATE; FEVER; This spontaneous report received from a patient concerned a 25 year old male. The patient's weight was 200 pounds, and height was 66 inches. The patient's past medical history included childhood asthma, and concurrent conditions included no alcohol use, and non smoker, and other pre-existing medical conditions included the patient had no known vaccine, food or drug allergies and no history of drug abuse. the patient had no family history of any disease. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 12:00 for prophylactic vaccination. No concomitant medications were reported. On 19-MAR-2021, the subject experienced elevated heart rate. On 19-MAR-2021, the subject experienced sweating. On 19-MAR-2021, the subject experienced shaking. On 19-MAR-2021, the subject experienced chills. On 19-MAR-2021, the subject experienced fever. On 19-MAR-2021 23:00, the subject experienced severe migraines. On 20-MAR-2021, the subject experienced muscle tense. On 20-MAR-2021, the subject experienced nauseous. On 20-MAR-2021 02:00, the subject experienced shortness of breath. On 20-MAR-2021 07:00, the subject experienced headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from elevated heart rate, severe migraines, sweating, shaking, chills, headache, nauseous, and fever on 20-MAR-2021, was recovering from muscle tense, and had not recovered from shortness of breath. This report was non-serious.; Sender's Comments: V2: Medical Assessment comment not required per standard procedure as the case is assessed as non-serious.

c/o chest tightness, headache, chills, cold, muscle ache, throwing up since had J&J vaccine. took Motrin last night and this morning, 0900 but no changes. denies sob, abd pain, dizziness.

pt had transient fatique and myalgias on 4/8 post vaccination. adm 4/15 with chest tightness and palpitations; found to have suspected polymorphic VT/wide complex tachycardia and pericarditis. otherwise healthy young adult with no med hx. CTA neg for PE. given amiodarone. echo normal LVF. troponins normal arrhythmia resolved to be discharge today

After receiving injection patient walked out of pharmacy and sat in chair in front of pharmacy. About 8 minutes or so later, patient fell back in the chair and passed out. I ran over and called the patient's name who came to, and he felt warm and sweaty. Patient was able to recall his name, the day of the week, and where he was. About 2 or 3 minutes later after coming out to the patient, he vomit into a trash can and then stated he felt much better.

25 y/o male with an intellectual disability who presents for his telehealth visit today with his mother after being hospitalized. He was hospitalized from 03/31 to 04/08 for about 8-9 days days after J&J vaccine on 03/30. Reports son and her daughter-in- law were walking at the mall when her son collapsed on the sidewalk, EMS was called and the son was transported via ambulance to the ED. CT scan completed in the ED and mother was told patient had blood in his lungs. was intubated in the ICU and had feeding tube. Still awaiting medical records.

25 you M with vasovagal syncope after injection. Patient recovered. He had a companion drive home. He was evaluated by EMS on scene.

Patient received immunization. Was sitting in chair for observation and about 5 minutes after immunization was given he passed out. Was awake immediately but said he didn't remember passing out. Knew his name, date of birth, where he was. I watched him until paramedics arrived. He said he felt fine but was sweaty. Paramedics stated all his vitals were normal and he said he felt ok but he said he got really hot. Remained at the pharmacy until his friend could come and get him.

PT appear to have a Focal Seizure and syncope ensue. PT hit his head but no abrasion. Pt awake and alert. Reported feeling tightness in chest and anxious before passing out. Rescue Team contacted ; PT refuse transfer. Vitals in all normal range; BP:120/70 HR:98 Spo2: 97-98. Pt monitor longer in oberservation by Nurse and Rescue Team REFUSE Transport vitals taken before leaving site. Vitals before leaving site: BP:122/77 HR:90 Spo2 97-99.Pt was able to be ambulatory and leave site

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Shakiness-Mild, Systemic: Stroke-Mild, Systemic: Weakness-Mild, Additional Details: patient was nervous and was hesistant about needles just prior to vaccination. as soon as the vaccinnation was done, patient became tense and seizure like activity for ~10 seconds, then he became coherent and was sweating/ pale/ feverish. Gave the patient water, ice packs, and offered to call 911 once he was coherent. Patient refused and then called friend to take him home.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient was sitting on the bench waiting for his 15 minute interval. A few minutes after sitting there, he passed out & fell on the floor. Said he got dizzy & didn't remember falling: was able to talk & answer questions within a few seconds. He was exremely pale, sweaty but remained responsive & stayed on floor until EMS arrived. Unsure if he hit his head or injured during fall. EMS assessed as syncope & possible dehydration. BP didn't stabilize so he went to ER for fluids & was released.

Patient has a history of vasovagal syncope when getting vaccines. Patient received COVID vaccine and about 30 seconds later passed out. Patient did not fall. Nurse was able to stabilize him. Within 15 seconds patient regained consciousness and was fine. Patient with no injuries or issues after. Was able to ambulate with no issues.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Pt fainted about 2 minutes after getting their COVID vaccine. We had him sit with his feet up. We checked blood pressure about 5 minutes after and found he was hypotensive (109/71). Called the ambulance was was released by them.

pt was seated and fainted apporx 5 mins after vaccine, did hit hear on ground. Pt regained consciousness right after. Gave water and a banana and pt felt fine 10-15 minutes after. did report headache. advised to have md check him out if headache does not lessen

c/o bodyache, fever, sweathing, H pounding, and difficulty breathing since J&J shot @1130 today. took Tylenol x2 but not helped. last Tylenol @1830.

FEELS HORRIBLE; SEVERE FLU LIKE SYMPTOMS; ALMOST PASSED OUT; This spontaneous report received from a consumer concerned a 25 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included work out. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-MAY-2021, the subject experienced severe flu like symptoms. On 12-MAY-2021, the subject experienced almost passed out. On 13-MAY-2021, the subject experienced feels horrible. The action taken with covid-19 vaccine was not applicable. The patient had not recovered from feels horrible, and the outcome of severe flu like symptoms and almost passed out was not reported. This report was non-serious.

Pt was lethargic, described blurred vision, tingling in both arms, sweaty, felt cold to the touch, BP at 7pm was 70/42, contacted EMS for help. EMS followed the pt home (came to pharmacy with his father), his BP had risen to 119/88 per call with father at 8:38pm. Father stated his symptoms had resolved and he was resting.

Patient fainted after vaccine. Patient was placed on cushions with feet elevated for further evaluation. Set of VS taken . Neuro checks done q15 for three times. Neuro checks WNL. PT offered juice and granola bar, pt recovered quickly, observed for an additional 30 mins before released home.

WITHIN SEVERAL MINUTES OF RECEIVING THE VACCINATION THE PATIENT PASSED OUT, REGAINING CONSCIOUSNESS WITHIN 1 MINUTE

The patient passed out and fell on the floor. He woke up. He laid down. He drank some water. The nurse took his vitals BP 128/80, P:82, SPOZ: 99%. He stated that he was ok. EMS checked him out. He stated that he was ok and refused transport.

Within 5 min of administration, pt states ge felt lightheaded and passed out. Pt was seated and under care of RN. RN secured pt's airway and applied sternal rub to which the pt quickly revived. VS were normal. EMS was called and pt refused to go. Pt felt much improved within 45 min of the event and left the clinic w/o further incident.

Systemic: Fainting / Unresponsive-Medium, Additional Details: lost conciousness during his 15 min wait (while he was sitting). Bumped his head. I immiediately got his legs elevated and put something under his head. He regained conciousness within a minute, but I had him remain on the ground. The pharmacy tech called 911 right away. EMT services arrived within 10 minutes, although patient was persistent about wanting to leave on his own as he stated he regularly passes out with needles and has in the past as well. Emt evaluated him and let him leave.

SYNCOPE, PALE, COLD, UNRESPONSIVE X 30 SECS, ASSISTED TO FLOOR, WOKE UP, PARAMEDICS ON SITE, BP 141/72, HR 91, PROVIDED WATER, SX RESOLVED, NO TRANSPORT.

PATIENT CALLED TO REPORT FEVER, CHILLS, AND CHEST PAIN, PT REPORTED CHEST PAIN HAD GONE AWAY WHEN HE HAD CALLED, ADVISED PATIENT TO SEEK MEDICAL HELP IF CHEST PAIN COMES BACK, ADVISED PATIENT TO TAKE TYLENOL FOR FEVER AND TO SEEK MEDICAL HELP IF FEVER DOES NOT SUBDUE

Patient received vaccine and with in minutes, became very light headed, vomited and lost consciousness. Patient became alert but still had trouble hearing, seeing and speaking, and vomited several more times. Paramedics arrived and transported to hospital

ER care, spent 5-7 hours under treatment of lactic acid, saline IV, ivsoln IV and ceftriaxone vial after receiving multiple imaging tests, EKG, and other tests. He started feeling bad in the evening, went to sleep, and woke up around 11pm that night shaking uncontrollably, unable to see, had an extreme headache and was throwing up. His heart rate was close to 180 while sitting down and he could not stand up. Was taken to the ER and seen immediately. Afterwards for about 2 weeks he had bad chest pains and extreme shortness of breath. He could not exert himself at all.

patient went to waiting area. patient sat down then he pass out. Fell out of chair onto the floor. patient got up walk over to pharmacy said he passed out

Patient had a syncopal episode, pallor; VS taken- bradycardia; 4 lead and 12 leads EKG done- abnormal rhythm. ASA and oxygen given. Paramedics called.

Patient fainted after receiving shot. He came too after 1 to 2 minutes. He was pale in the face but was back to normal after waiting for 30 minutes after the episode.

Patient fainted about 5 minutes after vaccination. Did not hit head. Regained consciousness in about 30 seconds. He reported fainting with prior injections. Patient refused emergency care when they arrived due to cost.

5 minutes after patient got his J$J vaccine he lost consciousness and fell down on the floor. The pharmacist(myself) run to him. Patient started to seize. I turned him to his side and tried to keep his mouth open in order for him to not bit his tongue. Meanwhile 911 was called. Patient had seized about 15-20 seconds, then suddenly he became calm and conscious. 911 dispatcher told us to keep him laid down on the floor till they get to the store. One of our coworker asked patient few questions to see if he remembered things. Paramedics came about 7 minutes later and took care of him. They let him go after evaluation. I called him later & he had recovered.

Patient stated before receiving the vaccine that he had very bad anxiety in regards to needles. I administered the shot and the patient immediately said he didn't feel well and asked for water. I went to retrieve water and when I returned he had fainted. He came to within a minute. He laid down on the floor until his family arrived to help him get home.

Patient experienced syncope after vaccination. It was brief. Patient struck his head. Patient had no focal deficits. EMS was called. Patient declined transport.

Pt at vaccination table after receiving first dose Johnson and Johnson vaccine. Nurse states she left table to get the lot # and upon returning pt stiffened up, eyes rolled into back of head. 1425 staff assisted in lowering pt to the floor where he began to demonstrate convulsions lasting no more than 30 seconds. Nurses and EMS responded. Pupils dilated , skin pale and stated "am I okay? Hello." Nurse told pt what had happened. A&O and able to tolerate water. Pt states no past medical hx. BP 118/62, HR 62, O2 97% and POC 108. Pt sat up, stated feeling nauseous and started to vomit. Pt assisted to stretcher at 1440. Pt educated on going to hospital for further evaluation. At this time pt is refusing transport and wants to wait.

(M|D)-Vitals: O2 98 Temp 97.5 Patient recieved COVID-19 vaccine and as soon as he got it he started feeling dizzy, turned pale and yellow and went to sit down and loss of color per (P-EMT). Right after receiving COVID-19 Vaccine given at 10:25AM. 1027 89/48 HR48 1035 110/50 HR86 1045 123/99 HR79 1048 131/82 HR73 Glucose 114 finger prick. Upon recovering at 1048 patient exam was within normal range.

After the vaccination, Patient went to sit in the chair, while sitting, he started to feel lightheaded and fainted. He came too after a few seconds. He fell off the chair but did not hurt himself. After he woke up , he sat back on the chair, a cool towel was put on his neck, he was fanned and given cold water to drink. After 20 minutes he felt better then left.

Chest pain, lung heaviness, pressure behind eyes and in head, weakness, fatigue, joint pain, dry mouth, feeling of passing out.

Last week Monday - June 14 I worked 1pm-9pm. My opening pharmacist left around I'd say 2pm, or 2:15pm~ish and hadn't witnessed the incident. So somewhere around that approximate time I was inside the pharmacy working on a back computer by drive thru and I heard someone yell for help in the waiting area. It was the kind of help you just know means something really drastic has just occurred. I quickly entered the waiting area via the pharmacy consultation door and saw patient face down between two chairs and his nose had a consistent drip of blood that was apparent on the floor. My technician who was in the consultation room told me he had received a Johnson and Johnson Covid vaccine probably within 5 minutes of the incident. With the combination of that information and the visualization of an active bleed, I made eye contact with another staff member inside the pharmacy at will call and told him to call 911 which he turned around immediately and did. The man was alone, but the woman who yelled for help was also calling 911 I believe. At this point I'd say approximately every 3 seconds, a new drop of blood would emerge. There were a couple people nearby including the customer and I asked everyone to stay back a little, I surveyed the scene and it appeared to be safe and I approached patient as I tried to verbally get a response of some sort. I asked if he could hear me, if he knew where he was and what happened, both with no response. The bystander recommended turning him on his side but with the unknown cause of the bleed and the recent vaccination I didn't know if it could be CNS or spinal related and since we were on the phone with EMS, we could get their recommendation of whether to move him or not. Within 15-30 seconds probably, he started regaining consciousness and he was scared at first and rightfully so. He jolted up and back and looked at me like, "why am I face down in my own blood (and probably in a lot of pain i'm sure)", and it scared me a little to be honest. I told him what we had observed, and I saw the bridge of his nose stuck out beyond what was normal but I'm not sure what normal is to him..?? I saw two small lacerations on the side of his nose and a pair of glasses on the floor. I couldn't determine if they were broken or not but surmised, he must have fainted and fallen off the chair and landed on his glasses which cut and may have even broken his nose. Or maybe the ground broke his nose. Either way it looked bad. There were several store team members around at this point (those listed in this report), and the patient was given paper towels for the bleeding and bottled water. There was a store use wheelchair we put him in when he was ready and wheeled him into the consultation room where he could be monitored until EMS arrived. While speaking with the patient before EMS arrived, he rendered all the following information: Never had a reaction to a vaccine before Never had any knowledge of high or low BP issues Doesn't recall ever feeling lightheaded or dizzy upon quickly erecting Might have low blood sugar issues Reasonings for the above response: Hadn't eaten that day yet before his shot and was feeling a little anxious about it Last time he gave blood he hadn't eaten breakfast and passed out after that This was the only other fainting history mentioned He did say it was within the last 6 months EMS arrived within another 2-3 minutes I'd say at which time we had already began the cleaning process. We blocked off the area to other customers, we halted the vaccination process until the issue was resolved, I printed the Biohazard Spill procedures, we obtained the bio-hazard spill kit, and proceeded to clean with all the PPE and sanitization materials included within the kit. After the entire process was completed the store team even ran the cleaner over the area to go above and beyond. The patient refused the ride to the hospital via ambulance due to costs and signed a medical waiver I believe..??

PATIENT DISCLOSED AFTER VACCINATION A FEAR OF NEEDLES, FAINTED AT CLINIC, HIT HEAD ON FLOOR, CUT ABOVE EYE AND BROKEN TOOTH.

At 1142, patient reported minimal chest discomfort to nurse Patient reported the chest discomfort started at approximately 1130 and stated "it comes and goes". Patient reported he took deep breathes and walked after it started. Patient reported history of anxiety attacks and similar episodes in March 2021. At 1150, Nurse assessed patient vitals: blood pressure 148/92 mmHg, pulse 78 beats/minute, and SpO2 98%. Patient offered 911. Patient refused 911. Patient reported he was nervous before getting the vaccine and stated "I know it's all mental". At 1205, nurse assessed patient vitals: blood pressure 140/98 mmHg, pulse 82 beats/minute, and SpO2 98%. At 1212, nurse assessed patient vitals: blood pressure 142/90 mmHg, pulse 76 beats/minute, and SpO2 99%. Patient reported he wanted to leave. Nurse educated patient on signs/symptoms of when to seek emergency care, to sign up on V-safe, and to follow up with primary care provider. At approximately 1220, patient left facility with unlabored respirations and steady gait.

Pt passed out (slumped over in chair) was unconscious for maybe less than 10 seconds and twitching. He came to and was conscious and seemed to know what had happened. was pale, sweaty, weak, upset stomach and low blood pressure. was not feeling well for a good 15 to 20 minutes. felt better, was assessed by EMTs and declined hospital visit.. went home with 2 friends. did not drive.

After his vaccination, patient was waiting 15 minutes in waiting room. Patient knocked on door and said he didn't feel well. I closed door and turned to grab epi-pen and diphenhydramine. When I turned back around, patient fell on the floor and was unresponsive. I asked my technician to call 911. Patient regained consciousness in about 10 seconds and I told him an ambulance was coming. I observed his breathing to be normal. He sat up against the wall in a cold sweat and told me this has happened to him one time when he donated blood. The ambulance and paramedic arrived very promptly. They took him to the ambulance.

Patient reported history of vasovagal syncope after fingersticks, vaccines & blood draws. The patient stated that he felt comfortable receiving the vaccine in this particular retail pharmacy setting. Shortly after vaccination, patient became very pale and stated he did not feel well. I had the patient sit on the floor with his back against the wall, and shortly after he passed out. I remained at the patient's side and made sure his head and upper body remained supported. Patient regained consciousness after about 45 seconds and was able to report where he was, what the date was and what had happened shortly upon awakening. Patient had a lollipop, 2 bottles of water and one granola bar and was able to get back into a chair where he sat for additional observation with me for approximately 30 minutes. Patient had someone in the car waiting for him that was able to drive him home.

LOST CONSCIOUSNESS; COLD TO THE TOUCH; SWEATY; This spontaneous report received from a consumer concerned a 25 year old male. The patient's weight was 68 kilograms, and height was 170 centimeters. No past medical history or concurrent conditions were reported. The patient experienced drug allergy when treated with azithromycin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 206A21A expiry: UNKNOWN) dose was not reported, 1 total administered on 07-JUL-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021, few minutes after the vaccination, the patient lost consciousness and regained it a minute later. The patient was also cold to the touch and sweaty. The patient had visited the doctor/healthcare professional office. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lost consciousness, cold to the touch, and sweaty on 07-JUL-2021. This report was serious (Other Medically Important Condition).; Sender's Comments: V0:20210718535- covid-19 vaccine ad26.cov2.s-Lost consciousness. This event(s) is considered un-assessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Patient fainted after receiving the vaccine. He stated he fainted after receiving vaccines in the past.

CHEST PAIN; UNABLE TO SLEEP; FEELING NAUSEOUS; HEADACHE; FATIGUE; This spontaneous report received from a consumer concerned a 25 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included nuts allergy, seafood allergy, dog allergy, and cat allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 22-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 22-JUL-2021, the subject experienced chest pain. On 22-JUL-2021, the subject experienced unable to sleep. On 22-JUL-2021, the subject experienced feeling nauseous. On 22-JUL-2021, the subject experienced headache. On 22-JUL-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chest pain, unable to sleep, feeling nauseous, and fatigue on 23-JUL-2021, and had not recovered from headache. This report was non-serious.