Moderna

Presented as a pulled muscle in the left chest/lung area. No SOB, just pain and tightness in the chest. Began after the second vaccine and occurred on and off for about 2-3 weeks.

The individual starts to show signs of anaphylaxis reaction some minutes after vaccination by the nurse. Said"I am not feeling good." Upon assessment, the individual is leaning his head backwards, unable to read how many fingers I held up; complained "can't see"; slow in responding. The individuals appears to be losing consciousness; eyes closed. Color of face pale. HR: 47; Pusle Ox 95%. RR:16. BP 112/64. Epipen 1 dose administered L leg IM. 911 was called. Continue to monitor and check vital signs. BP 143/75, HR: 54 and pulse ox: 94%. At 0850:EMS arrived. VS remain stable. HR: 62; Pulse Ox 94%. The individual starts to open up his eyes and responding. Parents at his side. He is taken to the ER. Followed up with the patient's parent, mom and is stable and doing better.

Tactile fever ,arm pain, headache and malaise in 24 hrs following injection Next day generalized achiness ,retrosternal chest pain and bilateral forearm tingly pain similar to Nov 2019 and went to Hospital UC,CXR and EKG normal but with short PR interval on EKG ,elevated troponin 3.5 Transferred to hospital troponin 12.1 ng/ml IVIG given SARS IGG positive on admission PCR negative

Myocarditis; A spontaneous report was received from a physician, concerning a 18-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced myocarditis. The patient's medical history was not provided. No relevant concomitant medications were reported. On 30 Dec 2020, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot number: 037K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 31 Dec 2020, within 24 hours of vaccine administration, the patient develop symptoms of myocarditis and was admitted to the hospital. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome for the event, myocarditis, was not reported.; Reporter's Comments: This case concerns an 18-year-old, male, who experienced a serious unexpected event of myocarditis. The event occurred approximately 2 days after first dose of mRNA-1273, Lot# 037K20A administration. No information available regarding medical history and concomitant medications. Very limited information regarding this event has been provided at this time. Based on temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

WITHIN 5 MINUTES OF VACCINE PATIENT FELT FAINT, LIKE HIS HEAD WAS SPINNING. BP WAS 80/40. PULSE WAS 42. BLOOD SUGAR WAS 125. VERY PALE, LIPS WERE PALE/BLUISH IN COLOR. HAD A DECREASED LEVEL OF CONSCIOUSNESS. SPO2 WAS 88%, OXYGEN WAS PLACED ON HIM. HE WAS TRANSPORTED TO HOSPITAL VIA EMS

Developed fatigue, body aches, headache 1 day after vaccination on 3/3. The morning of 3/5 complained of chest pain. Took Tylenol at 8:30 am. At 10:30 am his family found him unresponsive. EMS was called and he was pronounced dead in the home.

About 3 minutes after patient received immunization, he fainted and had a seizure. Patient was with his parents and he told them he felt like he was going to faint, so his parents stabilized him before it happened. Patient seized for about 10 seconds and then came to alertness. He was made comfortable and given juice and a granola bar after a while because patient had not yet eaten this morning. I monitored patient for about 45 minutes before I felt patient was stable and feeling well enough to leave. Patient left with his parents monitoring him.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt fainted in waiting area shortly after vaccine administration. Quickly became responsive, talkative, and aware. Had patient lie down, elevated feet, gave pt water and potato chips to increase salt intake/ raise bp. Monitored patient for additional 30 minutes. Pt indicated he was feeling much better and left with family members with instructions to monitor him and have pt rest for remainder of the day. Tried to follow up with patient on 3/9, but phone number was out of service.

At approximately 2 PM on Wednesday the 10th, I began to feel light headed, nauseous, and feverish. Color drained from my face and I also began to lose track of the conversation I was having. I couldn't keep up with the pace of the conversation and eventually realized I couldn't remember what we were talking about. Looking back on the event now, I could only remember what was happening for around. 2 minute span before I forgot it. After losing my ability to form new memories, I began to lose old ones. I would look through pictures and not recognize faces, listen to songs and not remember the artists, and lose entire gaps of my past. My parents described my memory loss as that of a concussion but, to be frank, I don't remember much of any of it. All of my past memories have returned, but I still have yet to regain my memory from 2 PM to 10 PM of that day.

patient "saw black"and nearly passed out was grey, sweaty HR 39, BP 96/60 after a few minutes his color came back after vomiting x2 observed in tent, BP 136/78, HR 69

Received first dose of Moderna vaccine today around 2:30 pm. Reports 2 minutes later, felt left side of throat "swell" and was uncomfortable. Also felt mild chest discomfort. Symptoms resolved after about 3 minutes, so he finished his 15 minute observation time, and left the clinic. He returned approximately 15 mins later, and informed the ER MD here in the clinic that his throat swelling and tightness had returned and that he now had and some difficulty breathing. He was answering questions appropriately, appeared in no distress. At 1510 VS taken: BP 122/74, O2 sat 100%, P 73, RR 18. Skin color pink/normal. ER MD advised patient be taken to ER and he called report there. Patient was taken via WC right away to ER with MD, and RN and myself. Anaphylaxis kit brought. But not used. He was stable during transport. In ER he c/o more throat tightness, and it appeared that the left side of his neck was mildly swollen. He then c/o bilateral pedal numbness and also some difficulty breathing. Care was assumed by RN and report was given to her. He was able to call his parents prior and remained stable at the time we departed the ER. NP

After receiving vaccine, patient sat down for the 15 minute observation. He reports about 1-2 minutes after sitting down feeling flushed, lightheaded. Patient's color pale. EMS on site and took over triage of patient. BP 83/50, P 58-60. Patient reported eating a bar before coming. His blood sugar 111. Patient was given water to drink. BP increased to 100/62, color returning, still pale. He reports feeling better. He stood and sat in a w/c to take to the stretcher for additional observation. Patient ate a pack of peanut butter crackers, drank 1 16.9 oz bottle water, color pink, BP 121/76. Patient says he drove from DIFFRENT STATE to receive his vaccine and is alone. Patient reports feeling better. He was instructed to walk around, he did so without any complications, color remained pink. He says he feels better. After additional 15 minute observation, he was checked out. I instructed if the symptoms come back to pull over and call 911, he verbalized understanding.

ABOUT 3 MINUTES AFTER RECEIVING COVID-19 MODERNA VACCINE CLIENT EXPERIENCED WHAT IT LOOKED LIKE SEIZURE ACTIVITY. ACCORDING TO MOTHER CLIENT WHO WAS SITTING ON A CHAIR FOR OBSERVATION POST VACCINATION, DROPPED HIS PHONE TO THE FLOOR AND RAISED BOTH OF HIS ARMS UP WITH PALMS OPENED AND STARTED TO SHAKE A LITTLE WITH EYES CLOSED. MOTHER ASKED FOR HELP. WHEN HELP ARRIAVED CLIENT WAS CONSCIOUS AND NO SEIZING ACTIVITY WAS WITNESS. CLIENT LOOKED PALE AND SWEATY.

patient passed out a few minutes after recieving his second moderna dose, he recovered quickly but opted to be transported via ambulance to hospital and released with a diagnosis of syncope.

Pt reported feeling dizzy post vaccination. Staff responded. Pt presented pale and sweating profusely. VS: BP-84/59, HR- 64, RR-20. On-Site EMTs assessed patient. Pt transported to Medical Center for further evaluation. Mother of patient present.

Per the NP: 1:20pm: While in observation, patient had an episode of syncope/ hypotension. It was unclear at the time if this was a reaction to the vaccination or not. Was treated immediately by NP and EMT/Paramedic staff. 911 was called and pt was transferred to the ER via monitored stretcher for further evaluation. Prior to leaving, and as pt was being transferred from one stretcher to the transport stretcher, pt experienced another syncopal episode. No arrhythmia noted on monitor, BP running 70's/50's. Awake, sluggish but oriented to person and place upon leaving. Transported via monitored stretcher to the ER.

15:40 Patient stood up and walked to escort to be checked into Observation. Turned around and returned to nurse, stating " I don't feel good" and fainted. Patient assisted to chair then floor. Diaphoretic. EMS and NP immediately on site. Smelling salts waved under his nose and he abruptly woke up. He stated he has a fear of needles . Family member here with patient. 15:50 - BP 98/35; HR 53. Sats 98% on RA. Conversant with EMT's and nursing staff 15:52- drinking water, eating breakfast bar. States he feels better 15:55 BP 117/72; HR 78- R 20. Ready for discharge home @ 1605.

Patient passed out and fell over. He did not injure himself in the fall. Was out for 1-2 seconds. Was a little light headed and weak as he sat in the chair, but was recovered after 15 minutes. Reported being nervous about needles and failed to eat/drink much earlier in the day.

After getting vaccinated. Patient felt dizzy and shortness of breath, parking team sat him down in wheelchair. Medics responded, mouth feels dry. Feels a little light headed. HR 160, BP 130/85 at 9:30am. HR 151, BP 177/94 at 9:35am. Facial flushing. Loss of color in face. Transport to hospital.

dizziness/light headed, cold, clammy and sweating in face, fainted, then vomited. Occurred 4 hours after shot was given.

Patient received vaccine in left arm and during waiting/observation period a few minutes later (while sitting), he told the person near him he felt dizzy, and he fainted. He soon regained consciousness (within about a minute) and was observed/attended to. 911 was called immediately as a precaution, and paramedics monitored his vital signs slowly helped him into a chair. He drank some water and a little electrolyte drink. He did not want to seek hospital treatment, and paramedics left. He stated he was experiencing nausea while sitting in the chair, and said he started to feel like he was going to faint again. Again 911 was called and paramedics attended to him, but he did not faint again. After resting in a chair and drinking some more water and some electrolyte drink, as well as cold compresses on his forehead and the back of the neck, he was eventually escorted by two store employees on a motorized scooter cart to his parent's car and went with his parent home (he did not want to seek hospital treatment).

Patient received the vaccine and was instructed to sit for 15 minutes as required before leaving. About five to ten minutes to, we were alerted that the patient had fainted. Upon coming to the patient, he was starting to come to but was out of it. I tried asking the patient how he was feeling, is he having a hard time breathing? Patient's entire arms and legs were bright red with possible rashes that lasted about 5 minutes and went away quick. Patient's face remained their normal shade. Patient reported he fell asleep and patient's father reported waking the patient up prior to coming to get his vaccine. Patient sat at the pharmacy to be monitored for an addition 30 minutes before leaving with father. Patient was given water and fan to help cool him down. Patient reported feeling ok after about 10 minutes with legs elevated but was instructed to sit for longer than that time. Patient was ok to leave with father after 30+ minutes of monitoring.

About 10 minutes after the vaccine, the patient was standing in front of the pharmacy with his mom and fainted. He landed on his buttocks and did not appear to hit his head. He immediately appeared conscious but disoriented. He had a steady pulse and no itching or rash or trouble breathing, but he seemed pale. EMT was called and upon evaluation determined that he did not need further treatment. The patient went home with his mother.

Patient called today, received the vaccine at a pharmacy, at 11 am. At 10pm now feeling like he cannot swallow, pale, chest pain, irritated throat. Was dispositioned by On call Provider Dr to seen medical care in the ED.

Near syncopal episode. Patient was layed down on cot and vital signs were taken and within normal limits.

This patient had some dizziness after the shot and was apprehensive in receiving it. He claimed he felt dizzy and in seconds had slumped off of his chair. He was unresponsive for a few seconds only about 5-10 seconds and we gave him an IM Benadryl as a precaution. He awoke complaining of a funny feeling in the mouth and tongue but had no rash or redness or swelling to indicate an allergic reaction. We decide to monitor closely for an escalation of symptoms but to have a EpiPen handy, and call an EMT unit. His blood pressure was low at first at around 107/68 then quickly come up in about 10 minutes to 130/80. With no other issues we believe he had a vasovagal syncope but wanted the ER to make sure we were correct. I called and checked on him after he was at the ER. and the nurse stated that he was doing very well and that they had seen this happen with the vaccine at other site locations.

"At 1400 patient in observation, RN vaccinator, noticed young man's head drooped over. RN went over to the patients and tapped his arm. Did not respond to verbal or physical touch. RN called for help. After a few seconds patient responded and opened his eyes. Patient transferred via wheelchair to private area. BO 76/64, diaphoretic. RR appeared normal. Patient stated he did not eat all day. patient stated his throat hurt and felt tight and he had chest pain. Patient agreed to be transported via on-sight ambulance to Medical Center for assessment with brother."

Syncope, lightheadedness. Observation had him walk and he fainted while walking. Ate Crepes for breakfast, lunch he had chips and a small cup of water.

Patient developed mild chest pain roughly 24 hrs after receiving 2nd Moderna Vaccine injection. He initially managed this with ibuprofen, but pain intensified and he presented to the ED approximately 1.5 days after 2nd injection with severe chest pain, diffuse ST elevations on EKG and elevated Troponin I measurement of 6 ng/ml. Patient transferred to hospital for further management and remains under inpatient care at time of report. Testing initially suggested pericarditis but cardiac MRI consistent with myocarditis. Troponin I peaked @ 75 ng/ml on 4/16/21.

History of Present Illness: Patient is a 18 y.o. male with no pertinent past medical history who presents to the ED with complaints of chest pain. The patient notes that he started noticing chest pain this AM after he woke up that is associated with nausea. The pain is described to be in the center of his chest and is persistent. EMS was called who administered 2 SL NTG and 1 dose of ASA 325 mg. He notes that he received his 2nd Moderna vaccine on Thursday April 15th. He is currently a senior in High school. He had no adverse reactions to his 1st dose of the Moderna vaccine but after the 2nd dose he notes that he was having fever, malaise, body aches, and decreased appetite. He also tells me that he has been so fatigued that he has not really gotten out of bed in the last 48 hours. In regards to his oral intake he had (1) 16.9 oz bottle of water yesterday and nothing else but did have a glass of orange juice and some cereal this morning. During my evaluation with the patient he notes that he is still having chest pain that he reports to be retrosternal any 5/10 in severity. He denies any radiation into the left arm or jaw. He feels the pain is worse with movement and better when he is resting. He has had associated nausea and shortness of breath. He has been having low-grade fevers at home but denies any coughing, abdominal pain, diarrhea, dysuria, burning or itching with urination, congestion, rhinorrhea. He denies any tobacco use, drug use, alcohol use. In the emergency department initial workup is notable for potassium 3.6, magnesium 1.7, phosphorus less than 1, troponin 7206 with repeat at 10,212. CPK noted to be 380. Initial EKG was nonischemic. COVID swab was noted to be negative. After I evaluated the patient around 1520 an RRT was called due to hypotension and bradycardia. His blood pressure had dropped to 80/40 and heart rate was in the low 50s and he was symptomatic with diaphoresis and feeling as if he was going to pass out. 1L fluid was given running wide open. Repeat EKG did show some diffuse ST segment elevations concerning for pericarditis. Cardiology and ICU team were notified and evaluated the patient. Response is likely that the be vasovagal from acute pain. History obtained from: ? patient ? outpatient clinicians ? family ? staff at facility ? other ? review of medical record as summarized below Pt unable to provide reliable history because: ? Acute mental status change ? Acute illness/medical condition ? chronic dementia/mental challenges ? poor insight ? other ____

pt fainted after receiving 1st dose of Moderna Covid vaccine. Pt fainted approximately 10 minutes after vaccine was administered. Pt came to after 10-15 seconds, and fainted 2nd time after about 90-120 seconds. pt came to after about 10-15 seconds. Pt felt weak, was sweating, had chills. Pt was able to talk, breath and swallow water which pt requested to drink. Pt and mom decided that they would like EMT's to check him out. EMTs brought pt to ER and was released after a couple of hours..

Patient stated prior to administartion of vaccine that he has had a history of passing out following vaccinations, mostly when he does not eat or drink beforehand. He stated he made sure to have something to eat and drink beforehand and was aware that it may happen following this vaccine as well. Prior to administering vaccine, I verified details with patient on previous episodes and discussed risks with patient, who understood and wished to proceed anyways and was okay staying additional time beyond 15 mins post vaccination to ensure no serious reaction. Immediately post-vaccination, I asked the patient how they were feeling prior to sending him to the designated waiting area. He stated repeatedly that he was fine and okay to walk to the chairs on his own. Moments after sitting down, a technician alerted me that he had collapsed off the chair and fell on the ground before anyone could get there to catch him. I immediately called 911 and attended to the patient who had already regained consciousness while I was on the phone with emergency services. He informed technician that when he sat down he felt a little queasy and the next thing he knew, he was on the floor. Fortunately there happened to be an EMT in the store that came over to help while waiting for additional paramedics. We provided the patient with an ice pack and a bottle of water, but instructed him not to drink anything until paramedics arrived. We checked the patients blood pressure and found the reading to be low and patient was tachycardic, expected following a syncopal episode. Myself and the EMT got patient to lie down on the floor and elevated his head. We noticed that the patient had suffered a small laceration to his head resulting from falling off the chair onto the ground. Store management also got involved to assess the situation and take statements. Upon arrival of paramedics, care was transferred over to them. At first, patient refused to be transported to the hospital but asked that we contact his mother. After reaching his mother, she arrived shortly after to the store, and after further rest and evaluation, patient was transported to a local hospital for a further workup .Patient was only unconscious for 20 seconds or less, and the event occurred within 5 mins of vaccine administration. Upon regaining consciousness, patient was alert and oriented, and again stated that he's fine and it wasn't the first time it has happened.

Patient fainted for a few seconds after he was waiting in the waiting area after receiving the Moderna shot. He did regain conciousness a few seconds afterwards.

18 YOWM PRESENTED TO PHARMACY FOR ADMINISTRATION OF 1ST DOSE OF MODERNA COVID VACCINATION. HE MENTIONED BEING "SCARED OF NEEDLES" BUT AWKNOWLEDGED THAT HE WAS ON BOARD AND WISHED TO RECEIVE THE VACCINATION. AFTER PT WAS IN OBSERVATION FOR HALF OF THE 15 MINUTES REQUIRED, HE STARTED LOOKING PALE AND CONFUSED. PT FAINTED, AMBULANCE WAS CALLED, PT AWOKE AFTER 5 SECONDS FROM WHEN HE FAINTED. NO SWELLING OF TONGUE, FACE OR THROAT WAS APPARENT. PT STARTED TO VOMIT. ADMINISTERED 25MG OF ORAL DIPHENDYRAMINE SYRUP. AMBULANCE ARRIVED, CHECKED VITALS WHERE ALL WITHIN NORMAL RANGE. PT WAS PICKED UP FROM FACILITY BY HIS MOTHER. CALLED PT TO CHECK ON A FEW HOURS LATER, HE STATED HE WAS DOING WELL.

VR experienced nausea and vomiting a few minutes after vaccination. VR appeared diaphoretic and pale. Symptoms subsided after 5 min.

He was admitted to Cardiovascular Medicine on 4/11/21 with acute idiopathic myocarditis, the etiology was unclear but considered due to recent COVID vaccination vs viral infection. He presented with elevated troponin and initially elevated ESR and CRP. CTA of coronary arteries was on done on 4/12 and showed normal coronary arteries. TTE was done on 4/13 and showed a normal LVEF of 65% and normal LV size and wall thickness. His RV size was mildly enlarged and has mildly elevated right atrial pressure. There was no significant valvular disease. Cardiac MRI was done prior to discharge and he will follow up with cardiology for the final results. He was having some intermittent chest pain and SOB and was recommended to use OTC ibuprofen 600 mg BID per cardiology. Reports that his chest pain and shortness of breath is slowly resolving. His symptoms are mild and infrequent.

Patient received 1st dose of vaccine, about 5 minutes later patient fainted/passed out in the chair during the observation period. Hit head on floor and had a hematoma form. 911 was called and patent went to hospital for observation. Blood pressure was running low after fainting in the 90/60 range. When patient came too said this happens all the time, was asked about issues with previous vaccines before shot and said no issue and marked on cdc checklist and consent form no issues to vaccine.

Patient fainted a couple of minutes after receiving vaccine. Patient fainted while sitting up, was move to the floor and laid flat on back with feet elevated. He regained consciousness quickly, within several seconds. Gave cold compress and applied to neck. Paramedics called and arrived and took over.

18 y/o male reported having blurry vision approx.. 5 minutes after having his 1st dose vaccine. Pt walked to 15 waiting area prior to felling ill. Pt was siting down and had a syncopal episode lasting 20 seconds. Pt was Pale and cool to the touch. After he gained consciousness pt. stated he felt pins and needles to his legs arms hands and lower back. Pt felt better after gaining consciousness. 911 was called R22 arrived on the scene did an evaluation and obtained a pt. refusal as pt. did not want to go to the hospital.

Pt had a vasovagal response to the vaccine. It happened right after administration. Patient started shaking and closed his eyes. Just a few seconds later he woke up and said something along the lines of, "Oh did I pass out?" I caught him in my arms before he could fall to the floor. The same response where he started aggressively shaking and eyes closed happened a few seconds later. His legs straightened out and his head was headed backward. Again I caught him and stabilized him. Afterward, my 2nd pharmacist stopped over and spoke with him. He seemed to be feeling better, but to ensure the same reaction wouldn't happen again, we had him wait 30 min instead of the standard 15. He sat in his chair and did not have any issues. We offered food but he was not interested. I spoke w/ him again this afternoon via phone and he said he was doing fine. Pt said he has had this type of rxn before w/ previous vaccines.

Pt. just received first Moderna vaccine dosage. He had just sat down in the observation area when he began to feel flushed and lightheaded. NP was present and soon afterwards his head went backwards and he syncopized. He was caught by the NP and he was still sitting in the chair. NP proceeded to perform a sternal rub. Pt did not become conscious or aware for approximately 2-3 minutes. He never fell to the ground. On further questioning after patient was responsive, he states that he had not eaten prior to coming for his vaccination. He has only received a handful of vaccines and has never had the flu vaccine so he is unsure of his reaction. As per NP patients face became very pale PE: O2sat-96% on room air BP- 110/86 Pulse 60 Pt is pale in color Pupils slightly dilated Responds to sternal rub only After 2-3 minutes pt is more alert EMS was called but patient who is also here with his father refused to be transported to the ER. Repeat vitals 0pulse ox - 96 % room air BP- 105/65 HR-57 Pt. alert and able to respond to conversation Heart rate regular and easy Lungs CTA bilaterally Respiration regular and easy A/P 1-Gave patient water and 2 juices Symptoms have responded well to water and juice and sitting for a few minutes 2. EMS was called but patient refused to go to the ER 3. Discussed possible side effects of vaccine and when to call 911 or go to the closest ER 4. Patient left for home with father after being observed for 40 minutes

After the patient is given 1 st dose of Moderna and sat in the chair for 10 to 15 min. When he came to pharmacy register to make 2nd appointment, he fainted and hit his head on the floor. No bleeding found. He looked pale and was sweating, no redness or SOB. Applied a cold compress to patients face, neck and wrist. BP is normal 107/58. Pt is alerted and oriented. Store management called 911 and EMT came to monitor patient. Patient feel better and doesn't want to ER.

Patient presented with severe chest pain and after EKG, echocardiogram and MRI was diagnosed with acute myopericarditis. Testing for any other cause for myopericarditis was completely normal. From the time course it appears that it is related to his vaccination

Immediately following the injection, pt had syncopal episode with loss of consciousness for approximately 15-20 seconds. Pt lowered to floor and placed in trendelenburg. BP 100/43, HR 47 and O2 sats 100%. BP then dropped as low as 56/32. Pt alert and oriented and states that his hands felt tingly. and HR in 40's. Cold compress applied as pt was pale and diaphoretic. BP continued to be alert and oriented. BP increased to 103/50 within 5 minutes of lowest BP and HR of 70. Pt states he is starting to feel better. Within 15 minutes of vaccine, BP increased back to 117/83. Pt sat up and BP 134/75. Pt up to chair and BP 139/71. Pt reports he is feeling much better now. Mother called and after approximately 1 hour drove patient home with patient back to baseline before leaving clinic.

Patient received Moderna Covid-19 vaccine and fainted approximately 5 minutes later. Patient reported feeling dizzy, hot and nauseous. Patient's blood pressure 81/41mmHg, heart rate 58 bpm, oxygen level 96% (taken by paramedics) approximately 10 minutes post-vaccination. Paramedics took patient to emergency department to be monitored. Patient was given IV fluids and discharged from the hospital a few hours later. Patient reported that he has a needle phobia and had fainting incident post-vaccination years ago.

patient fainted about 2-3 minutes after receiving the vaccine--lasted only seconds--patient was shaking and pale after recovering--patient was did state they probably should have eaten breakfast that morning and did not--his mom got him some orange juice and a poptart -- we also got him a cool/wet compress for the back of his neck--within 10 minutes his color improved-his shaking subsided and he began feeling much better. he was able to leave with his mother under his own power after 15 - 20 minutes.

Patient received his doses of the Maderna Vaccine on: 3/20/2021 and 4/23/2021. Two days later he started complaining of chest pain and pressure midsternal which improved by sitting forward and worse by lying down. His EKG showed diffuse ST elevations c/w possible pericarditis. He has no prior cardiac hx. His troponins were extremely elevated. Cardiology consulted and his assessment is that pt has combined myocarditis and pericarditis. Likely immune-mediated response post vaccine and also there are reports of young men in other countries with post vaccine pericarditis.

Pt received vaccine 4/20/21; developed profound HA, lethargy, diarrhea with symptoms persisting 7 days. CRP elevated, platelets decreased. lead to hospital admission. likely only 24 hours

The patient presented with chest pain and dyspnea on exertion which started the day after receiving the second dose of the Moderna Covid vaccine. Pt was found to have myocarditis. He was admitted to the hospital and treated with NSAIDS and Steroids. He improved and was discharged after 2 days.

patient caregiver reported he experienced severe headache, nausea, body ache ,chills chest tightness and went to emergecy room in hospital and by the time patient was seen by dr he started feeling better so he was discharged from hospital after monitoring for some time

After 2nd vaccine dose developed myalgias, fever, chills, chest pain and shortness of breath hours afterwards which persisted and continued to worsen. Initial work up so far in the hospital appears to be myocarditis and is he is being admitted to telemetry.

Pt developed chest pain , shortness of breath 2 days after initial COVID-19 vaccination he was admitted to Hospital with myopericarditis

1 day after first Covid-19 vaccine patient developed fever, chills, then chest pain,,12 lead showed 1mm ST elevations laterally with cardiac ultrasound showing mild global hypokinesis of the left ventricle and an EF of 40%

Pt developed chest pain on 5-1-2021, then went to the ER 5-4-2021, was hospitalized for pericarditis , elevated troponin 1 level, and hypokalemia. DC 5-5-2021 after 1 night in the hospital. Outcome: remains alive. TX management is colchicineo.6mg BID x 3 months and prn ibuprofen

Passed out; Hallucination; Chest tightness; Sore arm; Headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out) and HALLUCINATION (Hallucination) in an 18-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039B21A and 008B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 30-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion hospitalization), HALLUCINATION (Hallucination) (seriousness criterion hospitalization), CHEST DISCOMFORT (Chest tightness), PAIN IN EXTREMITY (Sore arm) and HEADACHE (Headache). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out), HALLUCINATION (Hallucination), CHEST DISCOMFORT (Chest tightness), PAIN IN EXTREMITY (Sore arm) and HEADACHE (Headache) outcome was unknown. Patient was hospitalized due to vehicular accident Concomitant product use was not provided by the reporter. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.

Patient is a healthy 18 year old male with no history of Covid-19. Received 1 dose Moderna vaccine 5/8/21. Felt malaise, febrile to 103.5 that evening, 5/9/21 began experiencing chest pain. 5/11/21 presented to emergency department. Diagnosed Myopericarditis of unknown origin. Cannot exclude inflammatory response from vaccine as etiology.

At clinic for first pfizer dose became pale and diaphoretic vaso vagel . Assisted to stretcher Legs elevated. Ice pack applied Seen by Dr . BP 102/60 Observed x 30 min then d/ c home with parents.

Patient has a history of occasional nose bleeds, however after receiving 2nd Moderna vaccine he is experiencing nose bleeds every other day lasting >20 minutes.

Patient experienced soreness at injection site, high fever (102 for 3 days), severe headache, muscle pain, nausea and vomiting, stomachache, extreme fatigue, palor. All these symptoms persisted for approximately 7 days. On the 8th day, patient developed strep throat as diagnosed by his physician and was given antibiotics.

ABOUT AN HOUR AFTER THE SHOT, TIRED AND WEAK. ARM SORE. NEXT DAY WEAK, DIZZY, COULDN'T GET FULL BREATH....NEEDED BREATHING TREATMENTS ALL DAY, HARD TO LIFT ARM, TRIED TO WALK BUT FAINTED AND CRASHED INTO A WALL.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Additional Details: paramedics came to check out patient and he was ok

Had the vaccine after working out. He came home and showered and then went to get vaccine at 6:30. He came home ate dinner and went to bed much earlier than usual around 9:30. Woke up with chills and fever around 8:30. Came downstairs and fainted. Said he felt dizzy. Stood back up and while I was taking his temperature he fainted again (fell backwards from standing position). Got him up he went to bathroom and collapsed on floor. Got him up and were headed to car to take him to the hospital and he collapsed again. Got him up again and the paramedics were called. They arrived and he had a blood sugar of 60 and they thought he may be dehydrated. He did not have fever when they arrived. They left. He ate some breakfast and was tired the remainder of that day and the next.

Patient fainted after receiving 1st dose of Moderna. He recovered after about 20 seconds. Pharmacist checked blood pressure several times and it was within normal limits. After 45 minutes of observation patient felt ok to go home. Pharmacy called an car service to take patient home since he walked to the store alone.

Myocarditis in the setting of recent second Moderna vaccine. Troponin peaked at 9.67 and trended downward. He was taken for cardiac catheterization on 5/17/2021 and was found to have normal coronaries. He had a cardiac MRI on 5/17/2021 which was found to be positive for myocarditis. Echo completed displaying preserved EF without wall motion abnormality or Due to the episode of NSVT will start low dose metoprolol tartrate until follow up with cardiology in the outpatient setting then hopefully able to discontinue. Post procedure restrictions discussed, patient verbalized understanding. No cardiac rehab indicated.

Patient was given injection with no issues; spent a few minutes post injection speaking to patient about the potential side effects. Encouraged him to stay hydrated and to utilize Tylenol if fever, pain, or aches. Patient was alert and oriented when he left the vaccination room. After sanitizing the room for the next member, preparing the next member's shot, came out of the room to announce the next member and found the original patient face down on the floor of the warehouse. Witnesses stated he had fell to his knees from a sitting position and then hit his head on the floor with no more then 2 minutes going by (most likely less then 1 minute). Had the patient lay on the ground with legs elevated while he came to. Offered patient water and ice pack. Patient was able to call his parents, which I stayed by his side, until they arrived.

PATIENT FAINTED IMMEDIATELY FOLLOWING THE VACCINE ADMINISTRATION. LAID PATIENT FLAT ON THE FLOOR, PUT HIS FEET UP AND PATIENT WAS OK WITHIN 30 SECONDS.

Systemic: Dizziness / Lightheadness-Mild, Systemic: "passed out" but was never unresponsive - said he felt very faint while sitting in the observation chair-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: BP and HR were normal for pt. - he laid on the floor for ~10-15 minutes and then stayed seated for additional time and had someone come pick him up as he didn't feel comfortable driving. He stated he hadn't eaten anything this mornign before coming to recieve the immunization - he felt fine by the time he left and we checked in with him later in the day and he was still feeling fine

Patient received dose 1 of Moderna vaccine on 5/8/2021 and had witnessed seizure 5/12/2021- (first time ever). He was admitted to ICU on 5/12/2021 and discharged 5/15/2021. He states he had one seizure while in the ICU and another seizure 5/16/2021- at home after discharge. He has since been placed on anti-seizure medications and is scheduled for follow up with neurology on 6/2/2021. Patient's mother states ICU doctors told her they found a blood clot in the brain picked up by MRI.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: mother informed rph prior to shot that patient exhibits these reactions after receving shots. mother and rph held pt. he fell on his buttocks but was unhurt while changing location. rph had advised mother to keep him sitted. we fanned him to cool his sweating. he drank 2boxes of juice. he left after 15minutes.

Fever, chills, body aches, dizziness, sore left arm, weak body, brain fog - these signs lasted from 9:30 PM, Tuesday 5/18/21 through 6:00 PM , Wednesday 5/19/21. On Monday, 5/24/2021, patient experienced 2 bloody noses. One when he woke up at 7:30 AM and then another at 5:15 PM. Bloody noses are not normal for him.

Minutes after getting 2nd dose of moderna patient complained of his fingers turning purple. Pharmacist on duty checked patients blood pressure several times which was slightly elevated. Patient complained of no other adverse effects. The color of patient's fingers turned normal once hands were raised but returned to dark purple color when patient put them down. Pharmacist on duty place a call to 911 and was advised by paramedics to monitor patient closely for worsening of symptoms (over 30 minutes). After over 45 minutes patient was advised to follow up with immidiate care provider (walking distance). Few hours after pharmacist on duty reached out to patient to follow up and at that time patient was already evaluated in ER and sent home in stable condition.

Experienced chest pain two days after shot. I did have covid-19 1 year prior to the shot but was sent to the hospital for myocarditis. I was in the hospital for 2 days, now in unable to exercise and cannot do any harsh work.

10 minutes following second dose administration, patient began to have blurred vision followed by syncope. After the syncopal episode, patient felt fine. Patient was provided some water to drink and is currently feeling fine.

It is thought to be vaccine-induced myocarditis. Myocardial infarction was ruled out. Patient does now have a reduced ejection fraction of 45%. Here is the note from the ED today: "He indicates that he was awakened from sleep with chest pain this morning around 2:50 AM. He ended up trying to sleep longer to see if it would improve and ended up going to his mother's room. She recommended that he drink some orange juice and gave him some Tylenol. He states that the pain continued to increase since that time and he asked her to bring him to the emergency department. The patient states that the pain is on the left side of his chest radiates to his left shoulder and down his left arm. He denies that it radiates to his back. He has had lightheadedness. He does not feel short of breath. He does have some pain into his left jaw as well. He has not had any vomiting. He denies abdominal pain. He denies diarrhea. The patient did receive his second dose of the Moderna vaccine on Friday to his left arm. He has had fevers over the past 24 hours to 103 at home. His mother and he indicate that the go away with Tylenol though seem to come back when the Tylenol wears off. He did complain of some headache, myalgias, malaise and sore throat which she states were all worse when he would have a fever and seemed to dissipate when his fever resolved. He states he did not and has never had chest pain like this until this morning. The patient does not have a history of Covid infection. He is active and has run track in the past. He has not had any travel. He denies any pain or swelling to his legs or calves. He has had no sick contacts. His mother received her second dose of the vaccine on the same day that he did and has not had any similar symptoms. "

Dose 1: 4/29/2021 Dose 2: 5/27/2021 Symptoms onset began on 4/28/2021 and included fevers, cough, weakness, heartache, diarrhea, headache, dizziness. Symptoms temporarily improved on 5/29/2021. On 5/30/2021 at approximately 1:00 AM patient experienced constant, pleuritic chest pain/pressure and shortness of breath which prompted him to go to the emergency department.

Shortly after patient received vaccination, he lost consciousness. He slumped in his char, nearly falling to the floor, but was caught by a nearby patient who noticed patient falling. Patient was assisted by staff to lie down on a cot. At that time he regained consciousness and was able to state his name. Staff attempted to check his blood pressure, but the electronic cuff was unable to measure b/p despite multiple attempts. Because of this, and persistent pallor, drowsiness and low pulse, EMS (who was standing by in the parking lot) was requested to enter the building to assess the patient. After evaluating him within the vaccination site for approximately 30 minutes, patient was transported to the hospital due to persistent low pulse and low blood pressure.

Pt received 1st Moderna covid vaccine at approx 10:25am with no apparent issue. He was sitting outside pharmacy in observation area playing on cell phone and approximately 10 minutes after receiving vaccine fell in the floor, hitting his head. EMTs were called immediately as a precaution. He was conscious when pharmacist reached his side. He reported remembering a buzzing in his ears and then woke up in floor. Pt reported no hx of seizures or fainting. He remained in floor for several minutes, reporting his head hurt, but was able to tell his name, location, and date with no issue.

On 6/1/2021 patient presented to the Medical Center with C/O chest pain, diaphoresis, and nightmares during his sleep. Physical exam revealed mild tachypnea.

Patient received second Materna vaccine 5/28/2021 around 630 pm. Around 10 PM felt fatigue and headache. Felt very fatigued and unwell and slept most of 5/29 - 5/30. On 5/31, began experiencing chest discomfort radiating to left arm and palpitations. Presented to hospital which was notable for abnormal EKG with diffuse ST elevations and PR depressions, troponin peak of 25. TTE revealed low normal systolic function with EF 50%, no valvular disease or wall motion abnormalities. Cardiac MRI revealed subepicardial delayed myocardial enhancement in the mid, apex lateral wall of the left ventricle and adjacent pericardium consistent with myopericarditis. Patient was treated with colchicine and improved. Infectious work-up for cardiotropic viruses were sent, viral swab was notable for positive rhinovirus/enterovirus. Patient's presentation and timing of vaccine should be looked into as it is unclear wheter this presentation can be entirely due to presence of virus as above. This is notably at least the second presentation of teenager with myopericarditis on this cardiology service in the past 2 weeks in setting of recent Covid vaccination.

Patient presented to ED 3 days after Moderna vaccination with chest pain. EKG and blood work reflective of possible Pericarditis.

Patient received vaccine on 6/2. On 6/3 developed low grade fever to 100.6F, later endorsed his "heart hurting." Initially presented to outside hospital ED.

Patient fainted within 15 minutes of vaccination. Felt better after resting and was released to home.

ABOUT 1-2 MINUTES AFTER THE SHOT, PATIENT WAS DISORIENTED, STRETCHED OUT /PASSED OUT FOR A MINUTE, HAD SHORTNESS OF BREATH AND WAS LATER TRANSPORTED TO THE ER

Patient received his second dose Moderna and sat in our waiting area. He got up to tell us he was feeling nauseous and dizzy and he passed out. We lifted his head and legs and called EMS. EMS came and patient was ok. He passed out again when they checked his blood sugar but was seated and did not fall.

He presented to my office 04/14/21 with chest pain. Seen subsequently by cardiology and diagnosed with early pericarditis on 04/15/21.

Patient presented with chest pain .troponin peaked at 7.5. Patient discharged hospital with diagnosis of ?myocarditis secondary to moderna vaccination?.

Pt received vaccine and walked to chair, immediately after sitting patient said he felt light-headed then immediately passed out. He is unsure if he last conscious. The vaccine nurses immediately went to assess the patient and was awake and oriented. VS 44, 86/46 02 sat 98%. Pt is accompanied by his father. Both reported that the patient had a syncopal episode approximately 4 years ago after he had his blood taken. Currently, the BP is 110/62. 02 is 98% on 2l nasal cannula. Blood sugar is 126. paramedic arrived. VS 115/63 heart rate 55. Patient stood up and immediately felt light-headed again and felt as if he was going to pass out again. Pt transferred accompanied by paramedic to the hospital for further evaluation.

4/23/21 at around 1pm, felt pain in left shoulder blade and around left upper lung and ribs area. Felt like tissues around it was tearing and grinding. After an hour felt pain near heart area and experienced nausia and felt faint. Was taken to hospital around 3pm. Was screened and tested for Covid-19 - negative. XRay was taken - did not show any issues Was given strong anti-inflammatory via shot Was monitored for 2 hours. Sent home. Discomfort improved over the weekend and no longer experiencing any symptoms.

After 2nd dose: On 4/21/21: shortness of breath On 4/32/21: shortness of breath, chest pain, leaning over chest pain Diagnosed with pericarditis from cardiologist treatment: Colchine for 30 days and ibuprofen for 10 days

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Convulsions-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Seizure-Medium

blood pressure and pulse went very high, felt heart palpitations, chest pains on left side of chest, left arm and hand went numb

Pt developed fever 24hr after second dose. 2 days after second dose pt began experiencing chest pressure lasting 1 hour. Chest pressure reappeared at 03:00 6/14/21 with jaw pain. Ibuprofen made sxs worse.

Woke up on floor/ Past out; Anxiety; Fall; Little weak; Foggy head; Shiver; Headache; Nausea; Throw up; Concussion; Buzzing in ears; Did not eat; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Woke up on floor/ Past out) in an 18-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 033C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 01-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Jun-2021, the patient experienced CONCUSSION (Concussion), TINNITUS (Buzzing in ears), EATING DISORDER (Did not eat), CHILLS (Shiver), HEADACHE (Headache), NAUSEA (Nausea) and VOMITING (Throw up). On 02-Jun-2021, the patient experienced ASTHENIA (Little weak) and FEELING ABNORMAL (Foggy head). On an unknown date, the patient experienced LOSS OF CONSCIOUSNESS (Woke up on floor/ Past out) (seriousness criterion medically significant), ANXIETY (Anxiety) and FALL (Fall). At the time of the report, LOSS OF CONSCIOUSNESS (Woke up on floor/ Past out), CONCUSSION (Concussion), TINNITUS (Buzzing in ears), EATING DISORDER (Did not eat), ASTHENIA (Little weak), FEELING ABNORMAL (Foggy head), ANXIETY (Anxiety), FALL (Fall), CHILLS (Shiver), HEADACHE (Headache), NAUSEA (Nausea) and VOMITING (Throw up) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Jun-2021, Blood glucose abnormal: abnormal (abnormal) abnormal. On 01-Jun-2021, Blood pressure measurement: abnormal (abnormal) abnormal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not reported . Treatment information was not provided. Company comment:Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Patient received vaccine and 10 minutes into waiting period, he began to slouch in chair and he dropped his belongings. We got to him quickly and held him up while it appeared he was fainting. We lowered him to the ground and called 911 and his father that was in store . He complained of being very hot and dizzy. He began to recover fairly quickly, he drank some water and stayed on floor. His dad arrived and the 911 call was cancelled due to his improving awareness. He stayed in the lobby for 20-30 minutes. He felt much better and left with his dad in good physical condition.

Patient presented to hospital on 6/20/21 with complaints of substernal chest pain, nausea and vomiting 6 days after his second dose of Moderna Vaccine. His symptoms had started on the day of his second vaccine dose ( 6/14/21). He had initially presented to another hospital on the day his symptoms began and was discharged home after observation overnight. He presented to healthcare facility on 6/20 because his symptoms of chest pain, nausea and vomiting had not resolved. On presentation, his HR was 39. EKG showed sinus bradycardia, Left axis deviation and T wave inversions in II, III and aVF. His COVID and Flu RT PCR was negative. HS Troponin was elevated to 168 and peaked at 283. There were no previous values to compare with from his prior admission. Cardiac MRI was done but did not show LGE. He was diagnosed with clinical myocarditis after Moderna vaccine administration.

Pt fainted seconds after receiving the 1st Moderna vaccine. Unconscious for approx. 30 seconds, shaking limbs & facial twitching. Pt came too quickly & mother came to take him home without assistance.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted 8 minutes after administration, came to after a few seconds. Patient was laid supine with legs elevated and EMS was called. Patient stated that he was fine, but was taken by EMS for further evaluation.

Patient fainted approximately 15 minutes after administration. He felt nauseated immediately before, then fainted, falling to the floor and striking his head.

Near syncope event after vaccine. Was sitting and turned pale and felt nauseated. Was able to lie down and was then feeling better. Was able to eat and drink and was discharged from the vaccination area in stable condition.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received covid vaccine, approximately 10 minutes after patient slumped foward in chair then fell out of the chair and struck there face on an unkown object, blacked eye and chipped patients tooth. I went to the pharmacist rushed to patient's side made sure they were awake, asked technician to call 911, assisted patient back in the chair. Had technician stay with patient got him a water and waited for paramedics to arrive. The paramedics determined patient could leave.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt fainted in waiting area approximately 2 minutes after administration. felt dizzy, had approx 12 oz water after. remained for 20 min. in waiting area. took bp and was normal just before he left.

Endorsed acute chest pain around 1200 on 6/21 initially that seemed to get better. On the early morning of 6/22 at 0400, the pain woke him up from sleep with a 7-8/10 in severity. At this point it was extremely painful for the patient to breathe but he denies shortness of breath. Denies radiation of pain, felt better when he was lying down, worse when sitting up, and was extremely bothersome while ambulating. Presented to Hospital and was found to have elevated troponin ( 7.25--13.00--2.52). Transferred to another Hospital Cardiac MRI supported the diagnosis of myopericarditis. By the time of transfer to Hospital, hos chest pain had resolved. He was treated with a 6 week course of ibuprofen and colchicine.

Site: Pain at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: 8 minutes after pt received Moderna vaccine, pt's mother yelled for help because the pt had passed out for a duration of 5-10 seconds then woke up. Pt was administered 1 dose of adult epipen and 911 was called. Once EMT arrived they took him to the hospital to be evaluated. He appeared to recover by demonstrating the ability to stand up walk around and respond to questions asked by the EMT.

Developed severe chest past 10/10. Has history of sickle cell disease and went to the ER. Treated as sickle cell pain with IVF, ketolorac, dilaudid. Chest x-ray was normal. Labs baseline for patient. Had abnormal EKG (Sinus rhythm -normal P axis, V-rate 50-99 -Abnormal Q suggests anterior infarct -Q >30mS in V2-V4). Discharged home, but pain took 3-4 days to recover. Follow up EKG on 7/9/21 showed sinus brady and marked sinus arrhythmia, but otherwise normal. Echo was also normal.

PT'S FACE LOSE COLOAR . HE WAS VERY WHITE. HE ALSO HAD COLD SWEAT. HE FELT DIZZY AND HAD RINGING IN HIS EARS HE FELT LIKE HE WANTED TO THROW UP. HIS AUNT WANTED US TO CALL AMULANCE. THE PARAMEDIC CAME . ALL THE VITALS WERE NORMAL. HIS FACE COLOR STARTED COMING BACK. PARAMEDIC ALSO CHECKED IF THERE WERE RASHES ON HIS CHEST AND ARMS. NOTHING. PARA MEDIC ASKED PT WHETHER HE WANTED TO GO HOSPITAL, HE DECLINED. HE SAT 10 MORE MINUTES FOR OBSERVATION AND HE FELT WELL ENOUGH AND LEFT.

Systemic: Allergic: Anaphylaxis-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Weakness-Medium, Additional Details: Patient was administered vaccine in left deltoid. Patient was seated in chair when vaccinated. Patient walked about 5 or 6 steps to waiting room chair to sit down and wait post vaccination. About 90 seconds to 3 minutes post vaccination the patient was seated in chair and fainted forward. Was holding conversation with father in the next chair to him and fainted from chair to the floor. Patient was aware after about 5 to 7 seconds post fainting, arms and hands were rigid.

Pt "blacked out" & legs went stiff shortly (within 5 mins of receiving vaccination), pt reported feeling cold & seeing black spots, emergency personnel was called immediately, water was given & monitored until emergency personnel arrived on site. Patient reported waves of feeling better & worse throughout the course of waiting for emergency personnel. Emergency personnel evaluated patient & transported to local hospital.

Symptoms began 6/11/21, neck pain, intermittent stomach aches, chest pain described as "pressure". Treatment- colchicine 0.6mg BID x 3mo

Patient felt nauseous. He got up to go to restroom without telling staff. He apparently lost passed out on his feet. He fell but did not remember falling. He immediately regained consciousness. After feeling better, he sat in chair while he waited for family member to arrive. Upon leaving, he seemed to be better.

Myocarditis; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDITIS (Myocarditis) in an 18-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 01-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MYOCARDITIS (Myocarditis) (seriousness criterion medically significant). At the time of the report, MYOCARDITIS (Myocarditis) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No laboratory data was provided. No concomitant medications were reported. No treatment information was provided. Company Comment: Based on current available information and the temporal association between product use and the start date of the event acausal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 07-Jun-2021: Follow-up received contains patient demographics, suspect drug start date were updated.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the event acausal relationship cannot be excluded.

After patient was given vaccine he sat in waiting area for observation. He started to sweat and turn pale. He was given cool water and ice pack. He said he always has this happen after he sees a needle or gets a shot. He recovered after 5 minutes.

HEIGHTENED BLOOD PRESSURE AND HEART RATE, ALTERED MENTAL STATUS. EMS REQUESTED AND AIDED TRANSPORTED TO MEDICAL CENTER.

I got the injection at 3:35pm on 1/20 in my left arm. Within the first 30 minutes, my shoulder around the injection site was incredibly sore, my left elbow had a lot of joint pain, and my left thumb and index fingers went numb within the first 30 minutes, I woke up at 8:00am on 1/21 and noticed that I had a light headache, felt extremely groggy, and was experiencing an uncomfortable amount of muscular and joint pain. I went to work at 9:00 and on the drive there, I began to feel dizzy and I felt as if when I turned my head, my vision would lag behind and take a second to process my surroundings. By 10:00, my muscular and joint pains were significantly amplified, my headaches were increasing in frequency and amplitude. I also began to have the chills, followed by periods of radiating heat from my body. Coworkers told me I looked very flushed, however, I never developed a fever. By 11:00, the muscular and joint pains, coupled with the headaches forced me to sit down and I almost broke down into tears. There were three sperate times where I began to get very lightheaded and thought I was going to pass out ( I did not). I went home at noon and noticed that my muscles felt like they were on fire. I took Tylenol and Advil whenever I could, which helped to reduce the symptoms. we had dinner at 7:00, however, I had no appetite, without eating since noon. On 1/22, I woke up at 8:30 with a pounding headache, muscular and joint pains still there, however reduced, and the same groggy feeling. This morning, I also noticed that I had a very sharp stomach pain in my abdomen. I also woke up with a severe nosebleed, which is extremely uncommon for me.

Received COVID-19 vaccine (Moderna) on 1/21/21. No local reaction. No immediate symptoms (hives, lip swelling, respiratory symptoms). One day later, feverish T99.5F. 1/23/21, Patient developed a painful red rash on the palmar aspect of his hands and dorsum aspect of his feet and has had this rash since (total of 5 days). He currently takes Xyzal daily. Father would like to know if patient should receive the second dose of the vaccine. Erythematous macular rash limited to hands and feet that is blanching. As time progressed, raised in some places. Looked eczematous in some places as well. Painful, stinging skin, and swollen. He has limited range of motion. Hot shower decreased discomfort, increased range of motion. Cold water also helped. Symptoms are improving. Spring 2020 - may have had COVID - had anosmia. Was not tested at the time, but did have COVID antibody testing in July which was negative. Family has reported the reaction to VAERS and is also using V-Safe. Patient has no history of reactions to vaccines in the past nor has he had an allergic reaction to any component of the Moderna/Pfizer vaccines. He also does not have PEG/polysorbate allergy history (though he has taken Miralax in the past for constipation). Patient does have a history of anaphylaxis.

It started off with a headache and later in the night severe headache with chills. I also started exp palpitations. The next morning 2/2 still exp symptoms from the day before and fever of 102.4 with a lingering cough.I still have the cough ad all other symptoms lasted 48 hours.

0902 C/O of lightheaded, 72 P, 20 R, 119/72 @ 0912. Pt stated feeling faint, noted paleness & diaphoretic. 0911 Pt stated feeling better, noted color is now pink, no longer diaphoretic. 0917 Pt stated he would like to leave. 0919 Pt left on his own.

Vaccine was administered to patient. Within 10 minutes of administration, the patient had an episode of syncope and fell out of his chair. I immediately went out to help the patient and a technician called for EMS. The patient woke up within 2 minutes and reported feeling dizzy, tired, and numb. While waiting for EMS to arrive, the patient was situated in a sitting position and I continued talking to him to keep him awake. EMS assessed him and took him out to the ambulance to wait for a relative to come. It is unknown if the patient went to the emergency room or not.

Patient started not feeling well the night after receiving vaccine. Next day patient had flu like symptoms, headache, anxiety, increased heart rate and trouble breathing. Patient also presented with rash located back of neck and back - red, painful, burning and itching rash - painful to sleep on back the night after receiving the vaccine

Patient fell out of chair in post vac after vaccination. Patient hit head on floor, loss of consciousness noted. No visible injury noted. Patient regained consciousness. Neuro functions intact. Pupils equal and reactive to light eyes open spontaneously. Motor response intact. BP 110/55, P 76, R 16, O2 99%. 911 and mother called. EMS assessed patient. BP 75/48, P 61, R 18, O2 99%. Alert and oriented x 3. EMS recommended transport to hospital. Patient refused to be transported to hospital, patient educated. Patient left AMA and released to his mother's care. Patient assisted to car in wheelchair. Stable condition, no visible injury, refused further care.

19 yo medically complex M with prior COVID infection in Dec 2020 who received first dose of the Moderna COVID vaccine on 3/4 as well as Epo shot (for chronic anemia secondary to CKD). Recently admitted for MRSA sacral abscess and had recently been discharged to complete treatment on oral Bactrim. On 3/6, developed worsening diarrhea, decreased urine output, facial and tongue swelling, and altered mental status. EMS was called and patient was brought to the ED. Upon presentation, noted to have hypotension and was fluid resuscitated. Initial blood gas with hypercarbia, and he was intubated for airway protection. CXR was non-focal. He was started on empiric vancomycin and ceftriaxone, although these were discontinued with negative blood and urine cultures. Repeat respiratory film array was negative. Patient intubated 3/6-3/10.

Perimyocarditis post covid19 vaccine syndrome; A spontaneous report was received from a physician concerning a 19 year old, male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced perimyocarditis post covid19 vaccine syndrome. The patient's medical history was not provided. No concomitant medications were reported. On 16 Feb 2021, approximately six days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number: 013L20A) for prophylaxis of COVID-19 infection. On 22 Feb 2021 the patient experienced the symptoms following vaccination: perimyocarditis post covid19 vaccine syndrome. No treatment information was provided. No relevant laboratory details were included. The seriousness criteria for the event perimyocarditis post covid19 vaccine syndrome were hospitalization and medically significant. Action taken with the drug in response to the event was unknown. The outcome of the event, perimyocarditis post covid19 vaccine syndrome was reported resolved on an unknown date.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

10 minutes post vaccine administration at 13:15 patient began to exhibit the following symptoms: dizziness, paleness, weakness, blurred/loss of vision, ringing in the ears, and diaphoresis. Cold pack was placed on patient's forehead and patient's feet were elevated. BP, pulse, & temperature unable to assess, pulse was faint and weak. Patient experienced loss consciousness for 1 minute, 34 seconds. During this time paramedics were called. Vitals at 13:20 were: BP=98/76, P=62, temp= unable to register with machine on hand. Patient able to follow commands and asked to lie down. Cold pack was placed on the back of his neck. Paramedics arrived and assessed patient's blood glucose = 56. Patient given orange juice. Vitals at 13:30 were: BP = 107/69, P = 70, Temp = 97.6., pulse ox: 99%. Patient asked to sit up and vitals were: BP = 114/73, P: 71. Patient declined to go be transported in ambulance with paramedics to the hospital at that time. Blood glucose assessed again = 127. Patient given chips and salsa from what facility had on hand. Patient stayed 10 minutes to eat the snack. Patient instructed to go to the hospital or urgent care for further follow-up and assessment. Patient verbalized understanding and agreed to instruction. Stated he will go to nearest Urgent Care facility. Patient left this facility alert and oriented.

Patient stated he was feeling very faint and dizzy. He also stated that he does not do well with vaccines. When asked to explain, he stated that he always feels like he is going to faint. I placed a cold ice pack on the back of the patient's neck and we stayed with him until he felt better, which was approximately 20 to 25 minutes. We asked patient to remain for a total of 30 minutes, after which he stated he felt fine to leave.

A small amount of blood coming from the vaccination site caused the patient to feel dizzy and get tunnel vision. Patient may have lost consciousness but only for a second or two. Appeared diaphoretic, pale and unsteady. Was assisted to supine position and was responsive at that time with improved color, BP 128/82, HR 55, O2 98 within 5 minutes. Observed in supine for 30 minutes, re-evaluated vital signs at 15 minutes past laying supine with BP 122/76, HR 66, O2 98. Took orthostatic BP at 30 minutes with no drop in blood pressure.

Woke up at 4:30 AM, felt feverish, got worse as the day progressed. Developed a headache, fast pulse, chills, muscle weakness, etc. took 1000mg Tylenol at 1 PM and 7 PM, symptoms got better each time.

Chest Pressure developed 2 days post-vaccine. Admitted for elevated troponins, myopericarditis. Improved on NSAIDs, colchicine.

Patient got the vaccine at 1:06pm on the left deltoid, 1st dose Moderna. 2 to 3 minutes when sitted in the post vaccine area, started to felt lightheadedness, anxious, diaphoretic and feeling of passing out. At 1:14pm, VS#1 95%, 56 & 105/58. Snacks were provided and monitor for s/sx of distress. At 1:29pm, VS#2 99%, 76, 109/76 & 16. Per patient "he feels much more better now" Denies any lightheadedness. No s/sx of distress. Steady gait. Alert and oriented. Patient is with his dad to drive him home. Left vaccination clinic around 1:45pm.

Patient complained of chest pain, admitted to emergency room and being treated with tests. doctor thinks vaccine may have caused the inflammation of the heart lining.

After patient received COVID vaccination, he exhibited seizure like activity. Staff moved patient to floor. 911 was dispatched. Patient complained of nausea. Vomited x2. Skin pale and diaphoretic.

Unknown relation to vaccine but since I was vaccinated, I have had about three nosebleeds per day with unusually heavy bleeding (lasting more than 20 minutes). They seem to be random with no obvious cause. Treatment was per the usual, folded tissue paper in nose and tilt head forward to allow the blood to clot.

BEGAN FEELING CHEST PAIN AND LIGHTHEADEDNESS BEGINNING 3/14, THE DAY AFTER GETTING THE VACCINE. HE PRESENTED TO THE EMERGENCY ROOM ON 3/17 WITH WORSENING OF CP THAT WOULD NOT GET BETTER WITH NSAIDS, PAIN RADIATING DOWN LEFT ARM. TROPONINS NOTED TO BE ELEVATED, PT ADMITTED TO INPATIENT ROOM FOR CARE ON 3/17. TESTING DONE AND PT TREATED FOR MYOCARDITIS POSSIBLY SECONDARY TO COVID 19 VACCINATION. DC'D HOME ON 3/24 WITH LISINOPRIL AND PREDNISONE. ORDERS TO FOLLOW UP WITH DR.

Shortly after vaccine administration, pt c/o numbness to tongue, "difficulty" to back of throat, and shakiness. Dr. evaluates and finds no SOB, clear lung sounds, maintained 99-100% O2 sat on room air, and intermittent tachycardia. Benadryl and zyrtec administered, pt advised to eat as he reports he hasn't had much today. Dr. advises to go to ED if anything changes.

COVID-19 Vaccine Moderna Lot #027B21A Patient received 1st dose of Moderna COVID-19 Vaccine @ 1324. At 1330 during the observation period patient was found to be unconscious in his chair. Patient was immediately aroused and assessed. Patient Vital signs were within normal limits and patient noted to be diaphoretic. Patient did not recall loss of consciousness and only recalled the period before the event and then immediately after when aroused. Patient had no signs of allergic reaction. patient did state he felt anxious before recieving his vaccine. Patient assessed to have had a vasovagal response and transferred by EMS to ED for further evaluation.

PATIENT FAINTED APPROXIMATELY 5 MINUTES AFTER RECEIVING MODERNA COVID 19 VACCINE, BUT WOKE UP IMMEDIATELY. APPLIED COLD COMPRESS TO PATIENT AND GAVE COLD WATER. HE REFUSED EMERGENCY MEDICAL CARE.

Immediately after receiving dose patient began to feel dizzy, light headed and nauseas. He looked pale and sweaty. Upon further examination his BP was low at 70/53. He stated he had not eaten that day. We gave him water, juice and pretzels and he began to feel better in 10 minutes. His BP was retaken 15 minutes later and it re-elevated to 122/78. He phoned a family member for a ride home and the supervisor was notified. Pt was instructed to go on V-Safe to report and was counseled.

Severe abdominal cramping, vomiting 2 days, lower back pain, elevated blood sugar (159 after 18 hours post-prandial and having vomited all night with no history of diabetes), diarrhea, Chills

The patient became very pale and he could not see anything for few minutes. The patient felt better after 5-10 minutes

Patient complained of dizziness immediately after walking to checkout station. We sat him down and he said he was only seeing black and he was got and his neck hurt. We called EMS to check him out also. His BP was 140/90 and his vision started to come back after a couple of minutes as blurry. Once EMS arrived, he was much improved and vitals were all good. He refused to go to the ER, but his roommate assured us that he would watch him today. Patient waited 30 minutes and said he felt totally fine when he left.

Syncopal episode. Positioned patient in trendelenburg position. Patient bp wnl, HR 120. Patient layed down on stretcher and recovered. Sent home

vasovagal response. - sudden flushing - faint feeling x30 seconds - passed out while seated (x3 seconds) - resolved unconsciousness after laying prone - nausea and dry heaving once conscious x1 minute return to normal after 5 minutes (and given 500mg tylenol & 25mg benedryl)

During post vaccination wait time. Patient noticeably anxious/restless/bouncing legs. Initial assessment patient reported feeling like he had a hot flash and arms and were itchy. Vitals taken every five minutes, potential seizure activity noted, patient positioned for safety on cot. EMS activated, hives noted on left upper shoulder and left side of face. Patient complained of shortness of breath and crying. Patient became pale and LOC and temporary apnea noted, 0.3mg EpiPen administered in left leg x 1 dose, by RN. After administration patient gasped became combative. EMS arrived and patient transported via EMS to ED.

"Asyncope followed by apparent seizure activity. Palor, stiffness with jerking motion of muscles to extremities. Pt. lost conciousness multiple times (2 to 3). Patient was transported to hospital via EMS

The day following the vaccine at 2:30 AM, I had terrible chills, headache, shaking, and full-body weakness. 9:30 AM, I got out of bed and fainted soon after (reason for filing this report). The next day at 2:30 AM, every symptom went away.

Seizure-like symptoms for around 3 minutes. Struggled to breath, move, talk, intense pain in chest and head. Fever and headache for several days after.

Patient became light headed and lost consciousness for a few seconds. Regained consciousness without assist of smelling salts. Blood pressure was low and Heart Rate was bradycardic at initial measurement. Patient was provided with oral fluids and monitored for 45 minutes. Patient was discharged after his vital signs became more stable and he was able to walk about unassisted and without complaints of dizziness.

This was reported to me by RN. "Pt was vaccinated, stated he felt like he was "going to pass out," slumped over in his chair. Was lowered to the floor in a sitting position by the vaccinator and another staff member. Pt exhibited symptoms - clammy pale skin, sweating and some shaking of body. B/P 60/30 HR 38." Transported to the hospital.

The patient experienced 5/10 bilateral frontoparietal headache and nausea 4 days after receiving the vaccine. On the 7th day, CBC revealed low platelet count. The patient was subsequently admitted, vomiting and fever occurred during stay, platelet count monitored, given IV antibiotics. Symptoms resolved, platelet gradually went up, and the patient was discharged after 5 days.

pt had syncopal episodes after vaccination. pt is unsure of LOC or if he hit his head. no signs of hematoma or laceration noted to posterior head. pt vital signs stable HR 80 BP 122/70 7:35. vitals signs at 7:40- HR 81, BP 118/76. pt sts he is having difficulty thinking and answering questions, c/o headache.. report called to ED. pt stable on discharge, walked pt to brothers car. reported.

Patient started feeling lightheaded and felt like he was going to faint. Dr assessed the patient and stated it was a vasovagal episode.

After about 10 minutes after vaccination patient complained of difficulty breathing, excessive sweating, numbness in hands and he was very pale. I called 911 and gave him one dose of epipen, Patient felt much better very quickly. Police and ems show up within a few minutes and stayed with him for about 45 minutes. He was fine and they cleared him. Neither he or ems felt it was necessary to transport him to the hospital. I called him later in the day and he was feeling fine.

Patient experienced loss of consciousness after administration of vaccine. This happened within 45 seconds of administration. This happened 3 separate times within a 5-10 minute time frame. No signs of anaphylaxis were identified during this time. Patient would "faint" briefly (approximately 10 seconds) and then regain consciousness and confirm that he had no symptoms of anaphylaxis. Symptoms observed were loss of color of the face and lips and some diaphoresis. The patient was monitored for any changes and EMS was called. The patient refused EMS service or hospital service. He stated that the "fainting" happened to him regularly whenever he received a vaccine. The total time of the event was approximately 30 minutes and the patient was advised to stay longer for monitoring if he would refuse EMS service, which he did. The patient has since been called and is currently feeling "normal except for being somewhat tired". He has been advised to follow up with his primary care.

Patient received vaccination, I explained the need to wait in the store for 15 minutes. Patient was ok as I returned to the pharmacy to prepare for the next vaccination. Pt left the waiting area to shop, then returned after about 2 minutes and sat down in one of our chairs. Pt then announced that he was feeling dizzy. I immediately tried to reach the patient, by the time I reached him he had collapsed to the floor. The patient was unconscious for about 1 to 2 minutes, I had my staff call 911. Then the patient regained consciousness. The paramedics arrived and checked his vitals and watch him. His father arrived and took him home. He was feeling ok when he left the store.

PT FELT DIZZY ABOUT 10-15 MINUTES AFTER RECEIVING VACCINE. UPON STANDING HE FELL TO THE FLOOR AND BRIEFLY PASSED OUT. PT STATES HE DOES NOT REMEMEBER FALLING. HE DID NOT EAT PRIOR TO VACCINATION. GAVE PT ORANGE JUICE. PATIENTS MOM CAME IN AND STATED HE HAS HAD THE SAME ISSUE IN THE PAST. PARAMEDICS CAME TO MAKE SURE PT DID NOT HIT HIS HEAD AND HAVE A CONCUSSION. HE WAS FOUND TO BE OK AND WENT HOME WITH HIS MOM.

Several minutes after receiving the vaccination, while waiting in the post vaccine area, patient had either a seizure or fainted. I did not witness the occurrence. 911 was called and patient was transported to the hospital.

PATIENT RECEIVED FIRST FOSE COVID19 VACCINE AT 10:20AM TODAY, SECONDS TO A MINUTE AFTER THAT PATIENT FAINTED FOR A FEW SECONDS BUT RECOVERED IMEDIATELY NOT KNOWING WHAT HAPPENED. 911 WAS CALLED STAT AND ARRIVED WITHIN APROX 5 MIN. PATIENT WAS COMUNICATIVE IMEDIATELY AFTER INCIDENT, SAID HE FEELS GOOD NOW BUT DIZZY BECAUSE HE DID NOT EAT FOOD IN THE AM. FATHER WAS PRESENT. EMT NOTICED PATIENT'S BLOOD PREASURE VERY LOW AND TOOK PATIENT TO THE HOSPITAL RIGHT AWAY. PATIENT DID NOT WANT TO GO TO HOSPITAL IMEDIATELY BUT AGREED AFTER ADVICED TO DO SO. PATIENT DENIED TROUBLE BREATHING OR ANY OTHER SYMPTOMS WHILE PRESENT AT PHARMACY. PATIENT AND EMT LEFT SITE BY 10:39AM

Patient had parked in the COVID vaccine waiting area, and was observed to fall forward onto his steering wheel within a few minutes of parking by 2 other participants waiting in the car next to him. One of them immediately notified one of the parking lot volunteers who came and got me within 1 minute of this observation. 2 students and I came quickly to the open drivers side door and began talking to assess the situation. Mr. Bannister appeared pale, mildly diaphoretic (sweating) and slightly confused as to the passage of time, but was able to state and spell his name and talk coherently about his circumstances. He stated that he was not allergic to anything that he knew about, and that he had no prior history of similar reactions to vaccines or medicines although he had not taken any shots in several years. He noted that he had not eaten anything since breakfast (now mid-afternoon). He described himself as initially feeling weak, faint, and nauseated with his vaccinated arm feeling heavy and numb. He also reported that he had a sensation of blurriness before passing out, but denied any spinning sensation, visual loss or ringing in the ears. There were no obviously visible abrasions or bleeding on his face or forehead. The nursing students brought a chair, and we elevated his legs and gave him some water to drink during the time we were monitoring his vital signs. He refused a cupcake because of the nausea, but as time progressed he gained facial color and was more comfortable in conversing. His hands had equal muscle grip and strength, visible fingernail beds were pink and his capillary refill was less than 3 seconds. Towards the end of our monitoring, he did accept some nuts and M & Ms to eat. A University Safety Medical Report was completed by the appropriate safety personnel. He was fully AAO x 3 at the end of our monitoring, and stated that if he felt better he would drive to his apartment (less than 5 minutes away) but would wait for his girlfriend to get out of class if he did not feel fully capable of driving. We encouraged him to eat something light when he got home, to use cool water/warm water soaks at his shot site, exercise his arm, and to take an NSAID for pain relief the next day. We recommended that he eat something light before his second shot (which had already been scheduled), that he bring someone with him the next time, and as a precaution to wait 30 minutes following the second shot. He left at 3: 15 pm driving his car without any apparent difficulties. An online report was completed for the incident 04/20/2021.

Developed Fever and chills during the night 4/8/2021. Felt fatigued with intermittent chills on 4/9/2021 and then fever and chills again that night. Felt fine Saturday 4/10 and then Sunday 4/11 developed low grade chest pain lasting 2 hours and resolved with Advil. Awakened at 5am on Monday 4/12 with severe diffuse chest pain requiring hospitalization and treated for myopericarditis.

severe dizziness - almost syncope but patient did not faint which lasted for 10 minutes - patient was instructed to lie do supine position with feet elevated - applied cold compresses to face, neck and wrist - pt was fasting for religious reasons

Vasovagal response ~3 minutes after vaccination. Patient was lowered to the ground with assurance, has vitals checked. Blood pressure remained stable and oxygen saturation was maintained. Patient was observed for 30 minutes and reported improvement in symptoms. He was able to walk independently out of vaccination site.

Post vaccination patient had syncopal episode shortly after receiving vaccine. Mom supported the patient to the floor and several seconds later he is responsive. Feet was raised and checked vitals At 12:25pm vitals, Pulse 88 BP 99/67 RESP 16. 12;45pm vitals Pulse 88 BP 98/74 RESP 17. Kept patient for a hour monitoring regularly.Gave patient juice and cookies. Patient is stable after one hour and ten minutes and is released from facility with mom

The patient passed out 3-5 min after vaccination. He notified staff of feeling faint. He was unconscious <1 minute. He was pale, diaphoretic and felt weak. However, he was alert and speech was clear. Within 5 minutes his palor improved and the diaphoresis and weakness began to improve. Cold ice packs were applied. No treatment given. The patient reported he "has done this before." He remained onsite for 1 hour, at which time he reported he "felt normal". Also, I spoke with him by phone at 5:30 pm and he stated " I made it home fine and I'm good".

Patient fainted about 5 minutes after shot in waiting area. EMT/hospital attributes to low blood pressure and patient not having breakfast.

Syncope Reaction, Fainting. Several minutes of passing out. Laid patient on pillows took blood pressure and pulse. Gave water and slowly rose patient back to full recovery.

Heart and chest pain, started about 8-9 hours after injection. Going to sleep, so I cannot continue to monitor until morning.

9:59 AM - Vaccine 2:39 PM - Stinging pain in left arm which slowly radiates out from the vaccine site over the next several hours 7:25 PM - Pain reaches base of neck 7:29 PM - Nausea 7:30 PM - Lightheadedness 8:09 PM - Pain reaches tailbone 8:13 PM - Entire back and both shoulders begin throbbing 11:25 PM - nasal congestion 12:15 AM - body temperature drops to 97.9 12:20 AM - shortness of breath, blood oxygen drops to 95% 12:32 AM - blood oxygen drops to 92%. 12:34 AM - blood oxygen rebounds to 95% 12:35 AM - blood oxygen stabilizes at 96%. I am usually at 97-98 while resting. 1:31 AM - one of the worst sore throats I've had in my life begins 2:05 AM - low grade fever 99.1, chills, severe shivering even when under three blankets with heater on full blast, uncontrollable muscle spasms in face, arms, fingers, and legs 7:32 AM - woke up with severe muscle and joint pain. Too bad to sleep through. Can't even walk from my bed to my bedroom door without collapsing. High grade fever 101.7.

i had regular symptoms the day of and after my vaccine. Headaches, body ache, tired, sore arm, slight difficulty breathing, and slightly faster heart rate. Those didn't really concern me since i took it as the vaccine is working like it?s supposed to. but starting yesterday when i woke up until this moment i?ve had a really weird pinching feeling by my heart and the side of my rib cage on the left side of my chest. that?s the only thing scaring me now since my other side effects have already gone away.

Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Weakness-Medium, Additional Details: Patient became light headed and may have fainted. Pt stated he felt as if he had to vomit, but never did. BP and pulse taken, Normal 125/74 and pulse at 58. Pt has previous history of vasovagal response to vaccines. Total duration until patient able to walk on own 20 minutes.

Pt developed hives to arms, legs, chest 15 minutes post vaccine. Given Benadryl 50 mg PO with no improvement after 30 minutes. Hives continued to appear and pt c/o headache, left arm pain. Pt taken to ER at medical center. Per mother of pt, he developed SOB, tight chest after arrival at ER and was given Epipen x 2 dose and oral steroids. Admitted overnight for obs and d/c 4/25/21. On 4/26/21, developed hives again and taken with ER.

Black spots on tongue, jaw, inside of lip, red pin-dot rash on knees and elbows, platelet count of 2 (yes TWO), and bruising.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Hypotension-Severe, Systemic: Seizure-Severe, Additional Details: pt had a series of seizures (3+ as montiored by a np), low bp and confusion. was taken to hospital

A few minutes after receiving their dose the patient was standing when he fainted and fell to the floor. Patient was on the floor for several minutes, receiving assistance from staff members and a pharmacist to get into a chair and check his status. He was sitting in the chair for a few minutes conscious when he began to faint again. Patient was splashed with water to keep him awake and monitored closely. Patient said he felt fine, 911 was already called and the ambulance took the patient to receive stitches for the blow to his chin when he fell.

Chest pain 2 days after COVID vaccine. Midsternal cramping, pressure-like associated with shortness of breath. Pain resolved, but then returned later in the evening when lying down to go to sleep. Symptoms - chills, fever, shortness of breath, chest pain COVID 19 vaccine related myopericarditis cannot be ruled out

4/29/21 3:30 PM - Vaccine Administered, right arm soreness and fatigue throughout rest of day 4/30/21 12:00 PM - Woke up, fatigue, body and headaches, fever, chills, chest pain and tightness throughout day, intermittent naps 10:00 PM - Fell asleep 5/1/21 11:00 AM - Woke up, chest pain and tightness persists, other symptoms minimized 9:00 PM - Check into ER, underwent series of tests (blood work, EKG, etc.) - EKG showed serious heart problems 11:00 PM - Medevaced to second hospital 5/2/21 12:00 AM - Underwent cardiac catheterization, showed inflammation around the heart 1:00 AM - Sent to ICU bed to recuperate and heal from catheterization 9:00 AM - Given Colchicine, Ultrasound admininstered showing still lower than normal heart activity Mid-morning/mid-day - Given metoprolol 12:00 PM - Moved to regular bed, symptoms somewhat improving Rested 5/2/2021 6:30 AM - diagnosis of Myopericarditis , 9:00 AM - Given colchicine and metoprolol, symptoms reduced 11:00 AM - Discharged

Pt was given immunization and told to sit in front of the pharmacy for 15 minutes. He was given a card with the time stating when he could leave. He did not wait. He and his mother walked to the produce section of the store. About 5 minutes after he received the vaccination I was notified by management that our pt had passed out in the produce department. When I got there the patient was sitting in a chair and drinking a bottle of water. He acknowledged that he did not sit as I had asked and as he was walking he began to feel dizzy and started to sweat. His mom said he got pale and then passed out. I waited with him for a few minutes until his color had returned and he said he was feeling much better.

Patient developed fast heart rate, chest pain - seen by PMD who admitted patient to hospital cardiac scan showed Myocarditis. Symptoms started 5/1/21

patient was sitting in a chair in the waiting area the 15 minutes when he fainted from the chair after 12 minutes. was nauseous and light headed still after 5 minutes. call 911 and paramedics checked him out. patient refused to go to hospital. mom took him home

Approximately 2-3 mins after the injection, patient can to the pharmacy jittery, and stating he couldn't see and felt dizzy. Stated his pulse was felt low. Patient became pale and stated he has ringing in the ears.

Pt was waiting in 15 minute waiting area. Was doing fine then went unconscious-fainted, went to the floor slowly from the chair. Woke in about 15 seconds. Negative for head injury. Slightly nauseated, -HA, + shaking. Recovered, then -HA, -Shaking. HR was lower than his normal HR. Offered food/drink and patient was able to do this. Patient reported feeling better. Offered to call for a ride home, but patient denied, reporting that he felt "100% better".

Pallor, diaphoresis; cool and clammy; dizziness syncope; bradycardia; nausea and clear color emesis; Vital signs :BP- 102/60; 118/78; 116/76 . P-60; 70;76. Resp-16-20 .O2 sats 100%. treatment provide supine position elevation of lower extremities. Cool pack to head and back of neck . Client asymptomatic upon release. Skilled instructions provide to refrain for use on influential substances , as well not to be under the influence with 2nd dose appointment. Verbal understanding noted.

pt was very nervous before the vaccine, he was okay right after he received shot and commented it was not bad. After vaccine he was sitting in post vaccine area he got up and said feels very light head. I came out of the pharmacy to direct him back to chair while holding him , he started fainting we sat him down. Eye was rolling and unconscious his mom kept calling out to him . His color was pale. We called 911. he was conscious mom gave him gatorade he vomited right away but said he is feeling better. I kept rubbing his back. He said he was nervous all day and had not eaten .

Patient started having chest pain on Friday night. The pain increased throughout the night. The next morning we took him to the emergency room. He was admitted to the hospital and remained there until Monday afternoon.

Patient presented with chest pain approximately 15 hours after the 2nd Moderna COVID-19 vaccine. Workup was significant for an elevated troponin, sed rate, CRP, and D-dimer. Cardiac MRI revealed myocarditis. Cardiac CT was negative for coronary disease. Treated with colchicine, metoprolol, and ibuprofen.

c/o of nausea & lightheadedness 10 minutes fafter receiving vaccine. Slowly fell to the floor & fainted. Did NOT hit head. LOC for about 10-20 seconds. Upon arousal, alert and oriented x3. BP 84/59m HR56, pale and diaphoretic. 911 called. Repeat BP 103/65, HR 72. Ambulance arrived. Transported to ED.

After the patient received his shot and instantly he began to sweat, felt thirsty, looked pale in color, unable to hear clearly and vision was blurred. He never completely fainted or fell on the ground . He felt no pain and his temperature was normal at 96.8F. After 10 minutes the patient symptoms started going away. When the paramedics arrived they cleared him to leave.

Vasovagal reaction, patient was lightheaded and sweating, he remained consciousness and was placed on the floor in a supine position. Remained After about 15 minutes he was able to resume a sitting position and had no other problems. He was able to leave with parents

FAINTING. PATIENT HADN'T EATEN ALL DAY AND WAS VERY ANXIOUS. SAT IN CHAIR, HAD A PROTEIN BAR AND WATER AND ISSUES RESOLVED.

Immediate light headedness 1 minute post administration progressing to chest pain and tightness along with abdominal pain/cramping approximately 2 minutes later. EMT's contacted. Checked patient's blood pressure which had dropped to 96/50 mmHg. Provided water to patient 2 minutes later to re stabilize cardiovascular stability. Chest pain and lightheadedness ceased within 1 minute after providing 16 ounces of water. Checked blood pressure again which returned to 110/69 mmHg. EMT's arrived approximately 20 minutes after administration and patient was assessed. Blood pressure noted at 126/70 mmHg. Patient was allowed to go home with slight, residual abdominal pain.

19 year old patient came to pharmacy with dad to get first dose of Moderna Vaccine. Questionnaire was completed online with no's to all questions. Patient was sitting in booth and seemed comfortable while getting vaccine, but immediately after started to lean towards wall and faint. Patient's father and I supported patient so he didn't fall and injure himself. Patient was nonresponsive for about 5 to 10 seconds before he became responsive. He was able to sit by himself after about 1 minute of support from his dad. Patient was given water and waited 15 minutes in the booth while being monitored. He seemed to be himself after about 5 minutes. During those 15 minutes I talked to patient's dad about patient's medical history. He may had 1 seizure when he was younger due to ADHD medication but test results did not confirm it as a seizure. He also passed out one time in high school while watching biology movies with blood. Discussing this incident with the father and patient, we agreed this patient seems to have suffered from syncope due to fear of needles. I gave his father my business card and told him to call me if the patient reported any symptoms after leaving or if he had any questions whatsoever. I let them know I would be reporting this to VAERS and encouraged him to follow up with his PCP about this incident.

A lot of chest pains, so much they had to take pain reliever, hot and sweaty (fever), very tired, slept most of the next day. Symptoms started approximately 11 1/2 hours after vaccine.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: PATIENT LIGHTHEADED AND PALE AFTER ABOUT 10-15 MINS AFTER VACCINE GIVEN. PATIENT WAS RESPONSIVE. PATIENT WAS GIVEN ORANGE JUICE AND AN ICE PACK UNTIL EMT ARRIVED. EMT ARRIVED AND PT BLOOD PRESSURE WAS LOW. PT TAKEN TO NEAREST ER FOR FLUIDS.

Patient was admitted to the hospital with myopericarditis. Presented to the ER with chest pain. He was admitted for trending troponin levels and monitoring for arrhthmia/cardiac function. Troponin peaked at 10.8 on 5/15.

After having the shot, hedeveloped left arm pain and did develop some lymphadenopathy in his left axillary region. He was dealing with nausea and dizziness, and the following day, he went to work, although he was feeling a bit ill. While at work, he was found to have a fever, so he was sent home. He has been having hot and cold flashes since then. He has had a poor appetite. He has had a dry mouth and trouble sleeping. One day prior to admission, he then developed a chest pain that became constant and persisted, so he came into the emergency department on 05/19/2021 for further care. He has developed myocarditis after receiving the first of his Moderna Coronavirus Disease 19 vaccines.

He started with fever and chills on the evening of the day he received the vaccine, Also severe pain in lower sternum, emesis \over the next 2-3 days developed abd pain of lower abd, cough, resp distress, waves of fatigue and hyperventilation, on 5/10 noted full body rash which was itchy, last fever was on 5/13/21, on 5/12 had blood shot eyes, 5/14 - peely skin on palms and face and felt thightness in face

ADVERSE OUTCOME: patient experienced tonic clonic seizure not sustained minute after injection He told our staff this happens every time he has blood drawn or an injection? Dr. in office aware at time of vaccination and present and documented below. Came in for COVID-19 vaccine. 10 minutes after shot (L) deltoid. He was sitting and said to me he was feeling dizzy and immediately he had convulsion and became pale. We called 911. It lasted 1-2 minutes. Dr. came to see him, he had irregular heartbeat, feeling very tired and weak BP (L) arm 100/60 at 4:15pm. 2nd reading after 10 minutes (L) arm 112/78 p-64. He mentioned he has same reaction after injections, or blood draw. He did not want to be taken to hospital. Pt left at 5:00 with his aunt. He is visiting. When I entered the the patient was having convulsion, clonic phase, stiffening arms and legs. The consciousness came back in 1-2 minutus; he could communicate with me. He said he could breath fine. His heart rhythm was still irregular. Blood pressure was checked. He could not walk because he was too tired. 911 called. 911 cleared patient, BP and heart rate regular and stable per staff. Discharged with family member ambulating on his own, alert and oriented. Plan: must see PCP neurologist. NOT to receive second vaccine unless has complete diagnostic work up and clearance. Should have second injection vaccine in a monitored hospital setting with paramedics.

Sharp chest pain on left side 1 1/2 days after 2nd vaccination. Ibuprofen or Tylenol did not relieve pain. Worsened 2nd day. Called Dr and was told to go to emergency. Went to Urgency Room. Considered ?chest wall pain?

Patient's father called us to report that he developed chest pain and was admitted to CCU at hospital. His father reported that his troponin was elevated. I called the hospital and told the resident that he was vaccinated on May 20 with Moderna. I asked him to complete a VAERS, since I don't know if that happened I'm submitting this too.

My heart was having sharp pains, I thought I was having a heart attack. It lasted for about 1-2 hours. The pain was mild. It continued slightly for days after. Like it would have very mild sharp pains.

Two nose bleeds in two days. The first one lasted 10 minutes and there was a large coagulated chunk after 30 seconds. The second lasted one minute and was started by me merely lightly scratching the inside of my nose. I could count the number of nosebleeds I?ve had my whole life prior to getting vaccinated on one hand.

The patient received his vaccine and 5 minutes later complained of feeling dizzy. He was instructed to sit and before we could help him into a chair he lost consciousness and fell. His fall was somewhat controlled by the technician. I then assessed the patient and determined he had a vasovagal episode and lifted his legs, he returned to consciousness within 10 seconds of raising his legs. I then allowed the patient to lie on the floor for approximately 20 minutes after which he felt better and returned to sitting . He then sat for about 15 more minutes until a family member was able to arrive. The patient reported no other adverse effects other than dizziness, lightheadedness, some trouble hearing and tingling fingers.

Patient became delirious, angry, and confused almost immediately after the second vaccine. He began throwing up at the sight or smell of food. Symptoms intensified throughout the day and he was taken to urgent care around 8:30-9pm on that same evening. EKG showed ?Pericarditis? and a CK level of 1,459. he was in ER overnight and admitted to the hospital on Friday, May 14th.

Patient passed out within 45 seconds of vaccine, convulsed for 5 secs while unconscious. woke up with in a minute, vomited after 3 minutes. He was able to say his name and address. BP 116/69 Pulse 68. patient said that this has happened before after an unknown booster at age 17. Only ate french fries earlier today. Was able to stand after 5 minutes. Put cool paper towel on neck, ate fruit bar and drank water before leaving

Developed acute onset chest pain and shortness of breath on 5/11 with nausea/vomiting x1. He didn't have any prior systemic symptoms, URI symptoms, rashes, and was in his usual state of health. Other ROS was negaitve other than longstanding right shoulder pain without weakness.

Patient received Moderna Covid-19 vaccination at 10:50 AM on June 2, 2021. Within 10 minutes patient describes being shaky. Patient was given orange juice. After 2-3 minutes patient described chest tightness which progressed into left arm pain during our conversation and was not improving. 911 was called. As paramedics arrived, approximately 11:30-11:40 AM, patient began to complain of trouble swallowing but no trouble breathing. Paramedic checked patients heart and patient started to develop hives. The paramedic gave the patient diphenhydramine and then was taken to the hospital for treatment.

Patient started having generalized body weakness and fatigue few hours after vaccination on 05/22/2021. He subsequently developed chest pain on 05/23/2021 which progressively worsened and resulted in his presentation at the emergency room on 05/25/2021. While in the ED, Troponin was elevated at 17.22. EKG done had revealed ST elevations with PR depression. Cardiac MRI done showed myocardial edema involving the mid/apical lateral wall suggestive of acute myocarditis/inflammation. Patient received a loading dose of Colchicine and Ibuprofen as anti-inflammatory agents. Troponin was trended and peaked at 23.60 and slowly down-trended to 1.84 on 5/28/21 and he was subsequently discharged to follow up as outpatient.

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

Dizziness/ dizzy; Weakness/ very weak; Seizures; Fainted; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of SEIZURE (Seizures), SYNCOPE (Fainted), DIZZINESS (Dizziness/ dizzy) and ASTHENIA (Weakness/ very weak) in a 19-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 07-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-May-2021, the patient experienced SEIZURE (Seizures) (seriousness criteria hospitalization and medically significant) and SYNCOPE (Fainted) (seriousness criteria hospitalization and medically significant). On 16-May-2021, the patient experienced DIZZINESS (Dizziness/ dizzy) (seriousness criterion hospitalization) and ASTHENIA (Weakness/ very weak) (seriousness criterion hospitalization). The patient was hospitalized on 07-May-2021 due to SEIZURE and SYNCOPE, then on 16-May-2021 due to ASTHENIA and DIZZINESS. The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, SEIZURE (Seizures) and SYNCOPE (Fainted) outcome was unknown and DIZZINESS (Dizziness/ dizzy) and ASTHENIA (Weakness/ very weak) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. Description: During the day of the injection, at 5 to 10 minutes, the patient fainted and had seizures that required hospitalization. Also, on 16 May 2021 the patient required hospitalization again because of the dizziness and weakness. The patient was still dizzy and was very weak. The patient had a consult with a neurologist and who told that the symptoms were probably becasue of the vaccine. Other treatment information included unspecified pill for dizziness at the hospital. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Acute myopericarditis: chest pain, presenting w/ EKG findings of pericarditis and elevated troponins; improved w/ pain medications and supportive care; no significant complications at time of report (patient remains admitted for care coordination)

After experiencing the expected side effects, such as fever, chills and body aches, I woke up the next day (two days after my second dose of Moderna vaccine) at 5:50 a.m. because I experienced chest pain and shortness of breath. I am concerned it may be myocarditis, and I have not seen a medical professional for this. I recovered after two days but sometimes experience pangs of chest pain time to time.

Patient received vaccine series at a separate facility. I do not have access to this information. He reported receiving Moderna dose #2 on Tuesday, June 8. Within hours, he began to have chest pain, shortness of breath, general body aches and fatigue. Chest pain was worse with deep breath and worse with supine position. On Friday, June 11, he presented to The Clinic at with these complaints. He was noted to be in evident severe discomfort, though not in respiratory distress. Vitals as follows: pulse 82 and regular, BP 139/68, respiratory rate 20, temperature 99.2 oral, SaO2 98% on room air. Exam was notable for absence of a pericardial friction rub. Lungs were clear to auscultation. he had no rashes and no remarkable tenderness of the body to palpation. Extremities were without edema. There was no sign of clinical heart failure or cardiovascular insufficiency.

Received vaccine on 5/19. Felt feverish, unable to take temperature x 5 days. On 5/22, developed cough with bloody sputum. That evening, patient experienced chest tightness, chest pain, and felt like his "air sacs were on fire." Patient reports that symptoms resolved after walking around and improved by the morning of 5/23. Feelings of feverishness persisted through 5/23. Cough resolved on 5/25.

Increased Heart palpitations, feeling of chest tightness, tightness In heart, pain/squeezing in heart, shortness of breath and slight vertigo. Symptoms increase when I take my Buspar or medical marijuana

Got vaccinated on May 22 on a saturday at store/pharmacy with Moderna. This was the second dose of the vaccine. I use a smart watch to monitor my health 24/7. I noticed an unusual elevation in my heart pulse after the first vaccine but that went away in a few days and I was back to normal. After the second vaccine I had the usual expected symptoms of headaches etc which went away the next day. After receiving the second dose on saturday I experienced unusual chest pains on monday which lasted for a few while and I was fine the rest of the day. It was tuesday when things got worse. I had a very sharp chest pain which I had never experienced and it continued till I took Alegra. I thought it was heartburn but when I went to the hospital they did my EKG which showed some abnormalities. I was then diagnosed with Pericarditis. After staying in the hospital for 4 days. I was discharged with anti inflammatory meds. I hope to have a full recovery in a few weeks.

While driving home from the vaccine chest felt weird. Got home told my mom, went upstairs and felt bad discomfort on my upper left-side and middle of chest. Sharp pain kind of on the left-side of rib cage below arm pit. Took a several days for it to go away.

Left sided chest pain, shortness of breath, exertional tachycardia, radiating chest pain to the back x 7 days. Treated with rest, Medrol Dose pack and improved over 3 days. Diagnosis from cardiolgist -myocarditis

Fever the morning following vaccine then development of chest pain. Found to have elevated Trop levels and ST elevation on EKG. Elevated CRP, Sed Rate and Cardiac MRI consistent with Myocarditis.

Extreme chest pain, fluttering rapid heartbeat. Went to HCF and was transferred to another Hospital in by ambulance for pericarditis and myocarditis on 6/22/21 and kept two nights - released home on 6/24/21.

Systemic: Fainting / Unresponsive-Mild, Additional Details: patient fainted immediately after receiving vaccine, seemed slightly disoriented initially upon waking up, felt nauseous, but symptoms rapidly improved after drinking water and eating crackers and remaining seated. Patient called mom to pick him up so that he was not at risk driving home alone.

Chest pain beginning 6/29/21, positive troponin, diagnosed with possible post-vaccine myopericarditis.

Today May 11th, 2021 patient presented to to receive their initial Covid-19 Vaccine (Moderna). Prior to receiving the Moderna Vaccine, patient was asked how they do with vaccines patient states, "I do okay with them". Immediately after receiving the Moderna Vaccine patient expressed that their heart felt like it was beating hard and slow. The Nurse immediately began to palpate patient's pulse. Once pulse was felt patient began to display signs of syncope. The nurse immediately began to provide support to the patient and transferring patient to lowest position possible. While providing support and assistng patient to lowest position possible, patient experiences full syncope. Patient resume consciousness seconds later after experiencing full syncope. Patient has now been placed in lowest position possible with assistance of patient's mother and nurse. Mother then expresses patient has experienced similar episodes of syncope with previous Vaccines. Patient is provided an ice pack and is placed on back of patients neck and forehead, vital signs of pulse, oxygen and blood pressure are taken and monitored. Patient initial vitals while in lying position with legs elevated are, Blood Pressure of 120/78, Oxygen of 99%, and a Pulse of 60. Patient is responsive and states "I am sorry for not telling you that I have done this before". Patient remains in lying position for twenty minutes prior to transitioning to a sitting position. Once patient is placed in a sitting position vital signs are obtained. Patient's vitals signs while in sitting position are, Blood Pressure of 128/78, Pulse of 72 and Oxygen of 99%. Patient is provided water and chips at this time. Patient remains in sitting position for five minutes. Patient is then asked if ready to stand and patient states "yes". Patient is then assisted to a standing position and vitals signs are taken once more. Patient vitals at standing are, Blood Pressure of 116/76, Oxygen of 99% and Pulse of 74. Patient is asked how are they feeling and patient states "I feel better" Patient is offered a wheel chair but refused to use. Patient is asked when ready we can try to walk. Patient expressed they are ready to walk. Patient is initially assisted during first few steps. Patient then states "I am okay" and can walk on their own. Patient is asked to continue to walk and gait is monitored. Patient displayed steady gait. Lead was notified of the incident.

Immediate vasovagal response. States this is common with shots or blood draws. BP dropped as low as 63/37 and HR was 47; 98% RA. Upon awakening, which was instant, he was diophretic but alert. He was able to take food and water and recovered his BP to 112/73, HR 62; 98% RA.

Started feeling sick (light headed, anxious, felt like he was coming down with illness and chest pressure) on 518, by 6am on 6/19 he woke up crying with massive chest pressure, we took him to urgent care at 12:30p, immediately sent to ER due to abnormal EKG, admitted in ER with more tests & blood work taken(troponin was 1300) so he then was send via ambulance transport to cardiac unit at Hospital where he spent the night and on 5/20 they did a battery of tests to figure out what his diagnosis was. Confirmed a minor heart attack caused by a cardiac embolism. Echocardiogram showed minor heart damage. He was prescribed a ZIO patch to wear for 2 weeks resulting in no issues. Dr confirmed this event was Covid vaccine related.

Patient developed chest pain c/w myopericarditis, troponin elevated. transferred to tertiary care facility

Within 1 minute of receiving vaccination, patient became lightheaded and passed out. Patient regained consciousness within 1 minute of passing out. Upon regaining consciousness patient reported a headache, dizziness, shakiness, and nausea. The patient appeared pale. The patient was given water and peanut butter crackers. After 30 minutes patient returned to normal and was able to leave the pharmacy on his own.

Patient had jerking motions, passed out and fell on the floor. sweating, discoloration of face. 911 was called, and pt was taken by ambulance to hospital

The patient started with Chest Pain this a.m. (7-16-21). The patient received the vaccine on 7-13-21. The patient reports fever since 7-15-21.

Pt is a 19-year-old male with past medical history of hyperlipidemia, obesity who presents this hospital on 7/19/21 for chest pain and shortness of breath following administration of COVID-19 vaccination Moderna X 4 days. Patient noted to persistent substernal chest pain radiating to left upper extremity present upon exam at its worst 3/10 relieved with Advil and aspirin for which patient was taking daily following a COVID-19 vaccination Moderna first dose 7/15/2021. Patient stated pain persisted despite taking over-the-counter analgesics and had difficulty breathing today thus transported himself to the emergency department for further evaluation. Patient d admitted to subjective chills without recorded temperature, myalgias without rash, difficulty swallowing, palpitations, orthopnea, PND, increased weight gain, abdominal pain, nausea vomiting or diarrhea. Patient prior allergic reactions. Patient denied history of MI, TIA, CVA, thromboembolic events. Significant family history of mother MI and Graves' disease.

Orthostatic hypotension leading to unconsciousness, Shortness of breath, dizziness, headache, fatigue

The patient was fine immediately following the injection. I left him for about 5 minutes to get his immunization card. When I returned he was very pale and sweating profusely. He said he felt very dizzy and was quite frightened. I reached out to hold his arms and ease him to the floor when he fell backwards unconscious in the chair. I was able to keep him from falling to the ground and I called for help. He returned to consciousness after about 10 seconds and I applied a cold compress to his head and neck. He began feeling better rapidly and was able to drink water and rest comfortably. He was able to leave the area without further issue or need for medical attention

Pt was given COVID vaccine, and then went to waiting area chair. Shortly after he got up and requested water while standing at the consultation window at which time he then fainted. He fell with his back in an upright position, falling against the wall of the window and coming down to a crouched position. I immediately came out to him and he got water, at which time he was responsive and ok. He had no complaints of any pain but did not recall the actual passing out. He remarked being adverse to needles and wasn't surprised it happened. Shortly after he felt better and was up in a chair. After some time he then was continuing to feel well and left the pharmacy under his own power.

Vaccine was administered and within 30 seconds patient fainted. Patient recovered quickly with minimal intervention. Patient was observed in pharmacy for approximately 30 minutes after administration until he indicated he was feeling well enough to leave.

patient became light headed after the shot, remained conscious, but slid to floor after the shot after walking and turned white. After he ate and drank something, he reported to be fine and in good health

Pt came to hospital 07/26/2021 for his first COVID-19 vaccine accompanied by his girlfriend. Pt completed appropriate paperwork. LPN reviewed paperwork with pt and gave pt Moderna vaccine Lot# 027B21A expire 09/18/2021 at about 1000 in Right Arm. Pt proceeded to the lobby with girlfriend. At about 1010 pt was witnessed falling from chair in lobby. Staff activated the emergency response protocol crash cart and 02 tank was brought to pt side within a few seconds. Staff called 911. On assessment pt was lying supine in lobby breathing normal and pulse WNL diaphoretic and pale. RN noted that pt eyes where rolling back. Pt head was supported, few seconds later pt came was awake. BP was checked 138/82 in left arm. Breathing WNL and HR WNL. Pt states "I was afraid this was going to happen I had this happen about 5 yrs ago with a booster shot". Pt girlfriend stated that he turned to her and stated I don't feel good and he leaned back into the chair then fell onto the floor bottom first then onto left side then onto back. Pt states he is not hurting anywhere other than where he got his shot. Pt was then assisted to the sitting position on floor. pt stated he felt better just week pt then was assisted to the chair. While sitting in chair pt was diaphoretic and pale pt was given a cold bottle of water and a cool wet paper towel. Pt continued to improve after that. EMS arrived at 1020. EMS got vitals and pt signed EMS document refusing transport to hospital. EMS left at 1027 Pt girlfriend called for a ride because he was driving. Pt back to normal by the time his ride got here at 1043 last vitals WNL BP 126/80.

A few minutes after patient received the Moderna vaccine in his left shoulder, he reported that his left arm was numb down through his 'pinky' finger (although he was able to move it). He subsequently reported that he felt tired, he developed a headache, he had some stomach cramps and began to get nauseous. He did not ever vomit during this period. His blood pressure was monitored and found to be elevated initially at 173/121 (with a pulse of 69). His blood pressure was monitored over the course of just over an hour. It varied over this period but was elevated. The pharmacist in charge determined that patient was not able to go back to work. Patent stated that his girlfriend with whom he lives was off work today and could stay with him. He was advised to call 911 if he started feeling worse. Patient was driven to his home by a co-worker. Through the course of the day, contact was made with Patient and his girlfriend (per his authorization). He ate and then slept for some time. Upon awakening, he vomited for awhile - but "not alot". The numbness in his arm started subsiding. The headache maintained. They had no way to check his blood pressure. At 3:36pm he indicated he was "doing somewhat better" but the nausea was not any better.

After receiving vaccine, pt walked into the post vaccine observation room located outside the door of the vaccination room. Pt. sat down in chair, went to put his head down towards his knees, then patient slid out of chair and onto the floor. This RN was immediately at the patients side, and pt. immediately responded to his name. Pt. insisted on standing up against this RN's advice, and got back into the chair. Pt stated he didn't know what happened, so I explained to him that he had fainted. His mother and father were present. Pt stated he ate no breakfast today. Pt. states he has no health concerns, allergies, or issues. Pt.s stated that he is very afraid of needles and thinks he was just nervous. BP readings: 09:45 90/75 HR 60, 09:50 90/75 HR 60 10:00 BP 113/72 HR 65. Pt stated he was feeling fine. Pt. released to go home w/Parents at 10:30. This RN called this pt. to f/u at noon today, and patient stated he was feeling good and thinks he was just really nervous. Pt. thanked this RN for the phone call and call was ended.

Patient sitting in observation area following 1213pm vaccine administration. At 1215, 2 minutes after vaccine, patient complained of chest pain and shortness of breath. No hives or swelling of lips or throat noted. + periorbital edema. No cough or wheezing or stridor. No local reaction noted on L deltoid. Rapid Response called and pt transported to Emergency Department (ED). Cardiac workup, CXR negative. Pt given IV Benadryl and IV fluids. Symptoms resolved. Pt discharged from ED at 2:50pm same day.

Patient developed pleuritic chest pain 5 hours after the injection, which lasted less than 1 day and resolved.

Myocarditis; Acute onset of chest pain; Soreness of the arm; A spontaneous report was received from a physician concerning a 20-year-old, male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced soreness of the arm, acute onset of chest pain, and myocarditis. The patient's medical history, as provided by the reporter, included asthma, and allergy to egg, peanut and tree nuts. Concomitant medications reported included dupilumab, montelukast, budesonide / formoterol, cetirizine, albuterol and epinephrine. On 29 Dec 2020, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20A) intramuscularly for prophylaxis of COVID-19 infection. On 26 Jan 2021, prior to the onset of events, the patient received their second of two planned doses of mRNA-1273 (Lot number: 028L20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 26 Jan 2021, after receiving the second dose of the vaccine, the patient reported soreness of the arm for 3 to 4 days. On 30 Jan 2021, the patient presented to the hospital with acute onset of left sided chest pain. The physician reported that the patient developed myocarditis. Consent for Safety to follow up was received. Treatment for the events, as reported, included patient's concomitant medications of dupilumab, montelukast, budesonide / formoterol, cetirizine and albuterol. No additional treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The event, soreness of the arm, was resolved on unknown date. The event acute onset of chest pain and myocarditis was not resolved at the time of this report.; Reporter's Comments: This case concerns a 20 year old male with medical history of multiple allergies, who was hospitalized with serious unexpected events of chest pain and myocarditis and a non-serious unexpected event of pain in extremity. The chest pain and myocarditis occurred 33 days after first dose and 4 days after last dose of mRNA-1273. Based on the current available information and temporal association between the use of mRNA-1273 and the start date of the events, a causal relationship cannot be excluded.

Patient developed fever on day 8 post-vaccine followed by tachycardia, dyspnea and chest pain. Elevated troponin in the ER. ED echo confirmed pericarditis with likely myocarditis.

20 YOM with prior COVID vaccine Dec 2020 presents 4 days after COVID vaccination (First dose) with constant substernal chest pressure, ST early repol vs elevation in ST segment and troponins 11. Onset of chest pain occurred 3 hours after covid vaccine-- 5/10, constant, not positional. Transferred to cardiology inpatient for suspected myocarditis. No prior troponin obtained given prior covid illness.

Chills and bodyache following the #2 of moderna. Pt is tachycardic. Otherwise unlabored breathing. Steady gaits. 20 yo M w/ no known chronic medical conditions, p/w frontal HA, dry mouth, myalgias, fatigue, and nausea since last night. Received the COVID vaccine yesterday afternoon. No photophobia, vomiting, diarrhea, abd pain, cough/congestion, CP, SOB.

Patient appeared pale and not well, and stated "I feel sick, dizzy and like I am going to throw up". Patient accepted PRN medication for his discomfort, 4oz of Gatorade, and 8oz of water.

PATIENT PASSED OUT WITHIN 5 MINUTES OF RECEIVING THE VACCINE AND WAS OUT FOR APPROXIMATELY 1 MINUTE BEFORE COMING TO. PATIENT CLAIMS TO HAVE THE SAME THING HAPPEN TO HIM AFTER HAVING BLOOD DRAWN. PATIENT REMAINED LIEING DOWN FOR APPROXIMATELY 5 MINUTES BEFORE MOVING TO A SITTING POSITION WHERE HE STAYED FOR ABOUT 30 MORE MINUTES. HE THEN GOT UP AND WALKED AROUND BEFORE CALLING FOR A RIDE HOME.

The patient took the first dose of the moderna vaccine around 10 minutes into the post observation time he become dizzy and fell to the floor. The patient was pale. 02 sat was between 78% -96 %. Oxygen 10/L per minute was administered. EMS services were called.

Light-headed, fading vision, caused fainting post vaccine. Patient fell to the floor and had come back within seconds. Patient was evaluated in place for 1 minute and recovered. Patient was escourted to a chair and talked with a watcher for 15 minutes.

Patient complained of left hand numbness around 15 minutes after receiving injection. Patient is alert, responsive, only other complaint is palpitations. Denies ShOB, chest pain, throat tightness. Both the numbness and palpitations are not new, have been happening intermittently and is being evaluated for these symptoms. HRRR no murmurs, CTAB no wheeze, MMM, BP 142/98 with pulse of 64. Numbness mostly resolved after a few minutes. Extended observation time by 15 minutes past original time. No further issues.

Patient had vaccination and placed in observation area. Patient had syncopal episode post vaccination. Was seen fall down and hit head and had seizure activity that lasted less than 10 seconds. Patient had brief postictal phase without loss of bladder or bowel control. After a few seconds patient was able to relay his name and was alert and oriented to time and place. Evaluated patient for bodily harm, after finding none moved patient to medical area. Took vital signs and called for transportation to hospital. Medical transport came and after evaluation asked to take patient to hospital patient refused transportation. Patient refused going to hospital and left AMA. Of note, Patient has a history of syncope post injection that was failed to inform us. He mentioned he was afraid to needles like most patients report. Patient said it has happened before after flu shot along with syncope and seizures.

Patient received vaccine. Had patient sit in waiting area to monitor for adverse events. A couple of minutes later, I heard the gate rattle and rushed over to lower him to the floor gently. I called out to employee and customer to call 911. Then he woke up probably within 30 seconds. I had him continue to lie there and talked with him. He set up once for a couple of minutes and said he still felt light-headed so i had him lay back down and continued to talk with him. Then paramedics came in and took over. They placed him on a stretcher and took him, while he was still conscious while leaving.

Patient reports routinely having spells of syncope with injections and still insisted on receiving COVID-19 vaccination. Gave injection into left deltoid. Had patient scoot up to table in immunization room with both legs fully under the table just in case there was an issue. I set the timer for 15 minutes and left him in the immunization room with his girlfriend, who also received a vaccine. A few moments later the girlfriend asked for our help stating he was feeling like he was going to pass out. I went into the IMZ room and checked with him. At the time, he was sweaty with a rapid hearbeat. I instructed him to take some deep breaths and went to get a cold paper towel to apply to his head. When I returned he had passed out, not responsive but still breathing, in his chair and his girlfriend was holding his head in her hand. We gently lowered his head to rest on the table while another associate called 911 per girlfriend's request. He began moaning a few moments later and was able to talk to us. He was very hot and sweaty, light headed and breathing rapidly. We applied a cooling pack to his forhead as he continued to lie his head on the table. He then said he might feel more comfortable lying on the floor. We assisted him to the floor, elevated his feet on a chair and placed his head on a roll of paper towels. At that time the paramedics showed up and said his blood pressure was fine and he was just having some hyperventilation. The paramedics got him back up in the chair and his girlfriend got him some apply juice. After about 30 minutes he was talking fine, shaking had stopped and his breathing a temp went back to normal

Patient fainted moments after vaccination. Staff helped move him from the chair to sit on the floor. He came to within a minute of fainting episode. He refused to lay down, but remained seated on the floor for a few minutes and was given a glass of water. Stated he felt fine and noted he had had a similar reaction years ago to a shot in his buttocks. Staff had him remain seated in the waiting area for 30 minutes to monitor for any other reaction.

While in observation, patient reported feeling nauseous and was mildly diaphoretic. Vilas taken, 95/58 bp at the time. Patient then began to complain of chest pain. Vital signs taken again, as vital signs were being taken, pt reported relief from both nausea and chest pain. pt observation extended to 30 minutes. @ more vitals completed, all within normal limits. Pt refused further evaluation by md. Patient left facility with no complaints and a steady gait.

Patient received first Moderna vaccine in sequence and about 10 minutes after passed out or lost conciousness for a few seconds.

Patient is a 20 y/o Male received the MODERNA vaccine on 24 Mar. He started developing substernal chest pain the day after his vaccination. Presented to the clinic with worsening chest pain and was in severe pain upon presentation. ST elevations noted on lateral leads with depression in anterior leads with elevated troponins. Had CT, echo, and cath which showed mild inflammation and normal cardiac cath. Patient diagnosed with myocarditis.

Patient fainted few minutes after receiving the vaccine. EMS was called and patient was treated on site. Patient was not transported to the hospital.

Pt. states that he became hot and dizzy while experiencing tunnel vision. A friend with the pt. stated that he fell out of the chair he was sitting in but did not hit his head on the floor. EMS and an on-scene Dr. made immediate pt. contact. It was determined that the pt. experienced a syncopal episode. He was already regaining consciousness upon arriving at his side. Vitals were taken and pt. recovered over time. Pt. signed an AMA and was taken home by a friend.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: approx 2-3 mins post vaccine states feeling hot, sweaty, and anxious. States previously fainted after injection. 1458 Assisted to lie on carpet in vaccination area. legs elevated on chair. States feeling better now. 1510 BP 117/74, P 93. Lungs clear to auscultation. Heart rate reg. No edema, pain or redness at vaccination site. enc to drink water. 1515 Assisted to sit in chair x 10 mins. 1526 Amb. in store. 1535 States he will leave to go home now. Home in stable condition.

Patient reported stating feeling nauseous, lightheadedness, paleness, dizziness, and had trouble seeing to observation nurse, at 1116 AM. Vaccination nurse went to notify charge nurse on patient status. Vital signs included T 96.1, o2 99, RR 16, B/P 106/76, and HR 52 at 1116 AM. Supervisor on site notified the doctor via telephone at 1144 AM. Reassessed at 1126 AM second set of vital signs includes T 96.1, o2 98, RR 18, B/P 94/74, and HR 77.Currently patient does not display any s/s of distress or discomfort third set of vital signs includes T 97.0, o2 98, RR 18, B/P 116/86, and HR 78. As per MD patient is stable and can go home, clear to leave observation area. Patient instructed to contact HCP and/or go to ER if displays s/s.

Patient received Moderna vaccination (Lot # 044A21A) on 04/05/2021 at 1015 in the right arm and was escorted to Observation by the Escort Team. RN assessment findings are as follows: Patient is awake and alert, oriented to person, place, and time. Patient is responsive to all verbal commands. Upon checking out of observation at approximately 1034 patient reported chest pain. Patient is sitting upright in a chair. Patient stated that after he received the vaccine and sat in observation, he started to feel chest pain to his mid sternum. Patient?s blood pressure is 120/80, pulse 79 and O2Sat 98% room air. Patient was given 2 bottles of water. Section Chief, at the ICP of the patient at 1046. Staff called on the phone because the radios were not working properly then called Incident Commander (IC). RN was notified that patient is complaining of chest pain. 1047 Patient assessed by RN. Patient is a 20 year old with no past medical history, patient sitting in an upright position awake, alert and oriented X3, answers questions appropriately. Patient denies allergy to any medication or food. Patient verbalized he did not eat breakfast prior to vaccination. Patient stated he started to experience chest pain after he received the moderna vaccine when he got into observation. Patient rates pain 4/10 which has remained the same since he?s been in observation. Pain does not radiate, no diaphoresis or change in color noted. Patient denies using any illicit drugs or has taken any medication in the past 24 hours. IC, aware and called 911. 1055 Patient?s blood pressure was s rechecked: 122/68, pulse 70, O2Sat 98% room air. No sign of distress noted. 1059 Patient was placed in a wheelchair and brought to the other side of the room away from other patients for confidentiality and privacy. Patient awaiting EMS.

about 5 minutes after vaccine pt asked for a bandaid due to some heavy bleeding at injection site. He then asked for water. When I brought the water to him he was very pale and said he felt like fainting. We had him lay down and elevate feet which helped him feel better but was still hot so I applied a cold ice pack on head to help him feel less hot. After about 10-15 minutes he felt better and stayed with us for about 45 mintues until he felt well enough to drive home. I checked on him about 2 hours later and he was feeling much better.

Patient experienced lightheadedness and became pale with sweating a few minutes after receiving his vaccine. The patient was given water and also accepted some orange juice. upon drinking the fluids , he started to feel improvement in his symptoms , however still noticed feeling dizzy. His parents requested a medic come to check him out. The medics evaluated the patient's vitals including blood pressure and blood sugar which were within normal limits so they released the patient to go home.

he fainted for 1-2 seconds; palpitation; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of SYNCOPE (he fainted for 1-2 seconds) in a 20-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Neutropenia. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced SYNCOPE (he fainted for 1-2 seconds) (seriousness criterion medically significant) and PALPITATIONS (palpitation). On 05-Mar-2021, SYNCOPE (he fainted for 1-2 seconds) and PALPITATIONS (palpitation) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. No treatment information reported. Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.

After recieving his Moderna vaccine the pt devoloped pallor, complained of being light headed and that his thorat felt "weird". I checked the pt's pulse, it was normal. He complained he was feeling worse, I instructed him to stop drinking water and to lay down and elevate his legs. I had a staff call 911 as the pt was complining he was having trouble breathing. The paramedics showed up before I could check his blood pressure. They checked his vitals then motiored the pt for 15 minutes. They then cleared him to leave when he felt ok.

5 minutes after receiving vaccine, patient lost consciousness, vasovagal reaction. Sternal rub applied, patient aroused, A&O x 4, diaphoretic, pale, stated did not eat or drink fluids today, denied SOB, itching, swelling, chest pain, HA, dizziness. Patient laid supine with feet up. Vitals supine: B/P: 114/73, HR: 99, SPO2: 97% RA., lungs CTAB, no adventitious heart sounds. 5 minutes later, manual HR: 53, 5 minutes later HR: 58. Patient provided private room, laid supine, given oral water, snacks and breath coaching. 15 minutes later: B/P: 101/65, HR: 50 supine. Patient continued to lay supine, denied all symptoms. 40 minutes after vaccine: B/P: 105/62, HR: 56 manual, SPO2: 99% RA. Patient monitored for total of 1 hour, final vitals: B/P: 112/74, HR: 54 manual, SPO2: 98% RA. Patient stated feeling better, is an athlete. Per consult with MD, patient may go home, rest, fluids, & f/u with PCP. Advised patient to make appt with PCP and discuss 2nd dose. Also advised if develops SOB, facial swelling, hives to go to ER. Patient verbalized agreement.

Pt fainted and became diaphoretic. HR in the 60's, BP 140/80, SPO2 100%. Had pt lay down for 15 minutes, provided water and a granola bar, and had client sit another 15 minutes. HR remained in the 60s/70s, SPO2 remained stable, and BP was 125/70 after 30 minutes. Client reported feeling back to baseline and went home.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypotension-Mild, Additional Details: pt experienced lightheadedness and blurry vision x 10 min after covid inj which resolved without any intervention

Pt received COVID-19 vaccine @ 1422 and reported feeling lightheaded, dizzy and tingling at approximately 1430 in 15 minute waiting parking lot B/P 80/40 HR 66 O2 stats 97% appeared pale -encouraged to lie his seat back and rest for a few minutes. B/P received approx. 20 later and was high to 112/62 lying and 118/64 sitting --Major assessed pt and encouraged him to seek medical attention --encouraged him not to drive himself-- pt called friends to come pick him up -- he seems to have had a near episode encouraged to have had 2nd dose at a medical clinic or hospital -- monitored for approx. 5 minutes (1430-1518./m,n1

The patient fainted at around 1:10pm (for less than<5 sec.). Per father, son has a history of fainting with vaccines. The patient was reclined on chair and I waited until the patient was completely responsive. No treatment necessary. Symptoms subsided, and patient left the store/pharmacy after more than 30 minutes of wait time.

Lightheadedness- pale - appeared dazed- HR 59 B/P difficult to hear- pulse weak - monitored for approx. 30minutes BP high to 90/60 and HR 66- 02 Sats are 100% encouraged fluids and a meal- he was smiling, joking, feeling better when he left the site

Shortly after receiving dose 1 of Moderna covid vaccine patient became sweaty and dizzy. After getting patient to sit down it was found his blood pressure was low at 75/45 then taken again 1 minute later at 98/54. He started improving after receiving water within 5 minutes of symptom onset.

Patient fainted, lost consciousness momentarily, became responsive right away when RPh went to administer care. Patient complained of dizziness. Patient sat with head down for approximately 20 minutes at which time he stated he was feeling better.

Pt received vaccine and was seated. I went back to pharmacy and realized the patient had fainted. By the time I got to the patient he had regained consciousness. I gave the patient 2 cold packs and told him to take off his mask. I also gave him a bottle of water and a glucose tablet.

Partially lost smell; Partially lost taste; Headache; Short time "everything come black"/ short time "black down"; Sore arm; Night time sweat; Short time "lost control of muscle of neck"; Dizziness; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Short time "everything come black"/ short time "black down") in a 20-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No reported medical history). On 10-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Short time "everything come black"/ short time "black down") (seriousness criterion medically significant), PAIN IN EXTREMITY (Sore arm), NIGHT SWEATS (Night time sweat), MUSCLE DISCOMFORT (Short time "lost control of muscle of neck"), DIZZINESS (Dizziness) and HEADACHE (Headache). On 11-Apr-2021, the patient experienced HYPOSMIA (Partially lost smell) and DYSGEUSIA (Partially lost taste). On 10-Apr-2021, LOSS OF CONSCIOUSNESS (Short time "everything come black"/ short time "black down") had resolved. On 11-Apr-2021, NIGHT SWEATS (Night time sweat), MUSCLE DISCOMFORT (Short time "lost control of muscle of neck"), DIZZINESS (Dizziness) and HEADACHE (Headache) had resolved. At the time of the report, PAIN IN EXTREMITY (Sore arm), HYPOSMIA (Partially lost smell) and DYSGEUSIA (Partially lost taste) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications use was unknown. No treatment information was provided. Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

syncope, lightheadedness, dizziness, clammy skin followed by unresponsive, shallow breathing and shallow pulse. Appeared to be in shock

Patient started to feel chest tightness and tingling in his left arm. It then started to travel down his left leg. His arm was cold and numb at one point. He was concious but very confused and could not think straight. He had someone drive him to the ER. They did a CT scan, EKG, and other routine lab tests and all were normal. They attributed it to the vaccine.

patient was nervous after the injection-stepped out of the immunization room and sat in chair- felt light headed and passed out for about 5 seconds

At 5:00pm. Blood pressure was elevated to 137/91, No temperature noted even though he felt hot and clammy. Gave him water, and put legs on a pillow and he lay down At 6:30 he began to feel sweaty, clammy and included nausea. These episodes continues until about 8:30pm when he started to feel a bit better After a night of sleep that was restless and about 6hr long woke to feeling better but tired.

symptoms fever, chills, and fatigue first occurred 4/9 shortly after receiving shot, and lasted until 4/13 on 4/10 vomiting and temporary blindness after exercise occurred. the blindness episode did not last longer than 2-3min, but was described as complete vision loss and occurred 1-2min after intercourse. on 4/14 an incident of ?blacking out? occurred during prolonged intense exercise

. He received his second Moderna vaccine on 04/15th. He did have localized pain in his arm and the following day, had some headache and neck stiffness. Yesterday evening around 5 o' clock he developed left chest pain that has persisted. It has waxed and waned, but not disappeared. It reached an intensity of 7/10 prompting him to get a ride to the emergency room for evaluation. He was found to have myocarditis, with troponin elevation to 37 ng/mL, and globally reduced ejection fraction 45%. His care is ongoing.

Vasovagal syncope induced from anxiety. While waiting in post vaccine observation while sitting, patient fainted briefly while still in chair. Mother braced him until I and my staff could assist. Elevated legs with another chair and provided and ice pack and bottle of water. After 5-10 minutes, the patient was fine and left without any issues.

Several minutes after receiving 1st dose of Moderna patient fainted and slid from chair onto floor. He was unresponsive for approximately 15-20 seconds and then regained consciousness. Pharmacist immediately took his blood pressure and it was 112/56. Patient stated that he was ok and had no trouble breathing. His grandmother accompanied him and they did not wish to call EMS. Patient was monitored for another 45 minutes and blood pressure was checked every 15 minutes where is was 122/64, 106/72, 107/78. After 45 minutes patient said he felt fine and wished to leave. Pharmacist accompanied patient to his car and grandmother drove him home.

Patient had vasovagal syncope ( due to anxiety) after being vaccinated roughly 5-10 minutes afterwards while sitting in post observation area. His mother was with him and propped him up from falling out of the chair until I and my other staff could assist. Propped his feet up with another chair, provided and ice pack and a bottle of water. Patient was fine after sitting for an additional 5-10 minutes.

He is a 20 year old male in the observation area, presenting intermittent right chest pain longest duration 15 minutes, given ASA 81 mg then chest pain resolved then cp came back again after 5 minutes. Vital signs stable. No SOB or angioedema. No comorbidity. No history of cardiac problem. Planning to send patient to ED for further evaluation. Called attending Dr. per protocol and recommended patient to go to ED for further evaluation and stable to go by private car. Paramedics transport not indicated as of this time given vital signs stable. Pt sent to ED via private car. stable and no distress upon discharge.

Felt dizziness and lightheaded about two minutes after receiving shot. I passed out and when I woke up I was struggling to regain consciousness control of my body as I was having a seizure.

Patient had bowel movement after waking up and going to bathroom. He fainted, calling for help to his parents on his way down to the floor. Parents found him on floor cognitively responsives but not moving body (He does not remember anything after coming to kneel on floor). Parents found him clammy. Mother called 911 and was instructed to keep him lying on floor. He complained of being cold but was sweaty. Blanket placed over him on floor and kept there until EMS arrived. Patient c/o nausea. They got him into rolling chair and was going to leave when he had another episode of dizziness, clammy and nausea. EMS transported him to hospital. Blood work was done with no abnomalities noted. Upon discharge he complained of headache. Nausea dissipated upon eating and some ginger ale. Patient had previous had "covid arm" with first injection but no other complaints.

Admission HPI: Right-sided chest pain began 2 days prior to admission (3/19) after getting out of car, without identifiable trigger. Pain was sharp, pleuritic, and worst with movement; didn't feel it when still. Pain not responsive to ibuprofen or heating packs. Reported 30-60 seconds of self-resolving heart racing during ocular migraine which has been his baseline for years. Not associated with SOB (at rest or with exercise), palpitations, presyncope, or syncope. No viral URI symptoms, N/V, or rash. He did receive his 2nd Moderna COVID vaccine about 1 week PTA, followed by 36hrs of fevers, chills, and body aches. Given persistence of pain, Patient asked his parents to present to urgent care. In UC, he was noted to tachycardic with CXR with bibasilar atelectasis and b/l effusions, per report. Given continued tachycardia, decision was made to transfer to ED to r/o PE. In ED, tachycardic to 104-116 and tachypneic 22-26. Had one episode of tachycardia to 182 iso ocular migraine. Endorsed chest pain but points to R middle abdomen when asked where worst. Exam was unremarkable. He received 1 dose of morphine which reduced pain from 10/10 to 0/10. Labs notable for leukocytosis (14.61), thrombocytopenia (422), elevated d-dimer (1.56), and elevated CRP (5.6). Otherwise normal chem and coags. COVID/RVP negative. CXR unremarkable. CTPA showed scattered PEs in b/l lower lobes with small pulmonary infarct in RML. No evidence of right heart strain. Heme was consulted who recommended starting him on lovenox and sending lupus anti-coagulant. Cardiology was consulted who recommended EKG, BNP, and troponin, all of which were normal and reassuring against right heart strain. ECHO was therefore deferred to the AM. The decision was made to admit. Upon arrival to the floor, Patient was tachycardic 114 and tachypneic to 22, otherwise stable vitals. He denied any pain since morphine. Denied any unexpected weight loss; reports that car ride was short. Mom reports that Patient has been less active d/t cold weather and baseball being on hold. Denies family or personal history of clots. Last seizure ~13 years ago. Hospital Course: (3/21 - 3/22) Patient was admitted to the hematology service. He was therapeutically anticoagulated with LMWH injections and his anti-Xa level prior to discharge was 0.92. (goal 0.5-1.0) Lower extremity ultrasound with Doppler showed patent veins and no evidence of DVT and upper extremity ultrasound showed no evidence of DVT, though there was potential evidence of collateralization seen in mid and distal third of right subclavian vein and left internal jugular vein. Since this was an unprovoked PE, a full thrombophilia workup was sent and will be followed up by the outpatient hematology clinic. Cardiology consulted regarding possibility of right heart strain and the tachycardia during migraine episodes. Echocardiogram performed on 3/22 was technically limited but showed no gross abnormalities. The cardiology team requested a repeat echo scheduled outpatient for 1-2 months after discharge.

Patient fainted a few minutes after receiving first dose of Moderna. He regained consciousness with 15-20 seconds. His blood pressure was taken at time of incident and was 112/56. He was monitored for 45 minutes after the event and blood pressure was taken every 15 minutes. He had no trouble breathing and recovered from the incident with no issues. He left with his grandmother and she did not wish to call EMS. Pharmacy called mom the next day to follow up and she stated that patient was doing fine other than having a sore arm.

patient lost concoiusness briefly. he said it happens with vaccines. he had also not eaten all morning.

PATIENT RECEIVED VACCINE 9:58AM. AT TIME OF VACCINE INDICATED HE HAD NOT EATEN THAT MORNING, BUT THAT HE HAD NOT BEEN DIZZY FROM VACCINES IN THE PAST. WHILE SITTING IN POST-IMMUNIZATION AREA, PATIENT LOST PASSED OUT AND COLLAPSED FROM CHAIR TO FLOOR. REGAINED CONSCIOUSNESS SHORTLY THEREAFTER. BLOOD PRESSURE WAS TAKEN AND WAS 118/80 WITH PULSE OF 112. PARAMEDICS WERE CALLED AND UPON EXAMINATION, PATIENT'S BLOOD SUGAR WAS 62. PATIENT STABILIZED AND WAS ABLE TO LEAVE UNDER HIS OWN POWER. INDICATED THAT HIS NECK WAS A LITTLE BIT SORE

Patient had a vaso-vagal like / syncope-like reaction. His color drained from his face and he head was kind of limp, he responded to questions with great difficulty. He never lost consciousness. He stated like the room was fading away. We got him into the consultation room and had him lay down on the floor with his feet on a chair, to which he stated he felt better. The color came back to his face. He responded quicker to all questions and steadily improved. Next we moved him to legs straight, then sitting against the wall to sitting in a chair. Then he went back out the waiting chairs with his father.

Pt. experienced a near syncopal episode within 5 mins of receiving COVID #1 vaccine. Felt sweaty, light headed and like he might pass out. Cold compress to neck, vitals completed as follows. Vitals as of 12:45 were BP 138/89, P68. O2 98%, @13:03 BP 123/90, P69, O2 99%. Pt had driven 30 mins at ~12:30pm for his appt. Pt ate 2 eggs at ~7:30am. He had an early lunch of turkey sandwich and apple at ~10:30am. Was given 4.6oz apple juice box which he consumed rapidly. Received 2nd juice box and crackers. Pt has history of essential tremor, diagnosed ~ 2yrs prior. Pts father picked him up to drive back, Instructed to rest and report to on clinic, UC or ER if he became symptomatic. 2nd dose on 5/20.

Patient had the common/expected fatigue/myalgia/low grade fever following the 2nd COVID vaccine. Then, once this resolved, he developed chest pain and shortness of breath. He was admitted to the hospital and found to have pericarditis with elevated troponin and mild/nonspecific EKG changes. He had echocardiogram, CT angio coronary, and cardiac MRI as part of evaluation. He was treated supportively with NSAIDs and discharged with only mild residual pain.

He passed out after the vaccine and fell to the floor. He has a history of syncope with previous blood draws and vaccinations.

4/22/21 - body aches 4/23/21 - intermittent chest tightness 4/24/21 - "super tight" chest pain, sought treatment in Emergency Room

Vaccine administered around 10:20AM; RPH chatting with patient for several minutes before vasovagal response (with possible seizure activity) ~10:23AM. 911 was called and patient was given ammonia smelling salts under the nose, stabilized in a supine position, and monitored in the patient immunization room until the emergency medical technicians arrived around 10:45AM.

PT PRESENTS TO PHARMACY FOR 2ND MODERNA VACCINE ON 28TH DAY. PATIENT RECEIVED VACCINATION THEN IS MOVED TO MONITORING SECTION ON PHARMACY WHERE HE SAT FOR APPROXIMATELY 1 MINUTE. PATIENT AT THAT POINT VERBALIZED THAT HE WAS FEELING DIZZY. PT THEN PROCEEDED TO FAINT. PHARMACY STAFF SAW THAT HE WAS GOING IN AND OUT OF RESPONSIVENESS, AND 9-11 WAS CALLED..

Patient passed out in store was attended to by store manager and was taken by ambulance to the hospital.

Immediate malaise. Later in the day, eye puffiness. Next day with malaise and blurred and transient loss of vision (2-3 sec). Sweating and presyncopal without syncope. Later the second day feeling well, except mild malaise.

Patient has had swelling at site of injection for 10 days. For the last 3 nights he has been having chest pain, back pain and shortness of breath with dizziness.

Patient waited his 30 minutes in clinic due to an adverse reaction to codeine. He left and went and to lunch. He then returned to the clinic because he stated he was not feeling well. He reported concerns with his lungs and heart rate.

Came into the ER with complaints of sudden-onset palpitations and tachycardia. Received COVID vaccine 3 days ago (2nd Moderna Covid vaccination). Was found to be in AFib with RVR. Was given adenosine 6 mg x 1, then 12 mg x 1 en rote via EmS with no change to heart rate. When in the ER, his heart rate was 189. He was initially started on Cardizem drip. Admitted to CVU. Cardiology was consulted. An echocardiogram was ordered which did not show any significant abnormalities. No further workup recommended at this time. Hemodynamically stable for discharge. Recommend following up with primary care 2-4 weeks post discharge.

A few weeks after the vaccination, I was sitting in one of my college classes and out of nowhere my heart rate increased significantly and I felt extremely lightheaded/panicked. Within 5 minutes I felt normal. Throughout the next week I had several similar episodes and experienced chest pain frequently. I have never had these symptoms before.

Passed out; broke his wrist; Extremely dizzy; Nauseated; This spontaneous case was reported by a patient family member or friend and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out) in a 20-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion medically significant), WRIST FRACTURE (broke his wrist), DIZZINESS (Extremely dizzy) and NAUSEA (Nauseated). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out), WRIST FRACTURE (broke his wrist), DIZZINESS (Extremely dizzy) and NAUSEA (Nauseated) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events ( loss of consciousness, dizziness and nausea), a causal relationship cannot be excluded. Based on reporter's causality the event of Wrist fracture is assessed as unlikely related to mRNA-1273..; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events ( loss of consciousness, dizziness and nausea), a causal relationship cannot be excluded. Based on reporter's causality the event of Wrist fracture is assessed as unlikely related to mRNA-1273..

Admitted 72 hours after 2nd Moderna dose with acute onset chest pain, EKG changes, positive troponin and elevated CRP. Coronary CT ruled out coronary disease. Transthoracic echocardiogram revealed EF 55-60% with inferior wall hypokinesis. Findings on cardiac MRI consistent with acute myopericarditis.

Approx 5 min after receiving vaccine, pt felt faint and nauseous, was pale and sweating. Helped pt to lie flat on floor with legs elavated, applied cool compress to forehead. Pt stated feeling better immediately. After a period of time, helped pt back to chair to wait with companion.

Patient feeling faint. Pt states he has issues with getting injections,"turns pale.' Recorded. Seen by EMS. Pt. discharged home at 16:00 p.m.

Pt reports that he felt lightheaded and thirsty. Stood up to go get a drink of water and in the process had syncopal episode. LOC lasted approx 5 seconds. Pt had not eaten breakfast prior to coming in. Pt was moved to a bed, hydrated, and monitored. Advised him to contact PCP.

12 minutes after injection - local itching/redness. 30 min. after vaccination anaphylaxis with multiple organ involvement - skin injection site and uvula swelling and eyes itchy. Patient had angioedema of throat with swallowing difficulty. Had mild asthma/wheeze. Also had tachycardia and light headed when trying to sit up. Patient given Epi 0.3 ml IM, Benadryl 50 mg IM, and Pepcid 20 mg PO. Transported to hospital by EMS for 4-6 hour observation. Patient responded well to epi.

patient lost consciousness about 30 seconds after receiving the vaccine. Initially I treated it as a syncopal episode and was just trying to wake him up but he began to shake (seizure-like) after about 15 seconds. I could not rule out anaphylaxis so I administered a dose of epinephrine via epipen. Patient regained consciousness approximately 5 to 10 seconds after epipen. EMS arrived approximately 10 minutes later and took patient to the hospital for further observation. Patient vomited on ambulance ride but did not lose consciousness again. Patient reportedly fine after being administered fluids but reports no memory of ambulance ride or even being vaccinated.

Patient was sitting down after receiving the injection. After about 5 minutes he felt dizzy and lost consciousness for about 10 seconds but then regained consciousness. 911 was called and paramedics came to take pulse and blood pressure which were both normal. Patient chose to not go to the ER and his mother came to pick him up.

I ran a fever, was in cold sweats all night long, vomited, and had an extremely high heart rate. I have honestly never been so sick in my life but it did settle out a bit. Now I just feel exhausted and have a headache. I've been feeling better and better but I felt as though it was worth reporting.

Five days after receiving dose 1 of the Moderna COVID vaccine, this 20 year old man developed a spontaneous coronary artery dissection affecting his LAD and left circumflex arteries. This caused a ST elevation myocardial infarction. Pt received prompt stenting. His troponin peaked at 16,083 ng/L (high sensitivity test). He recovered well.

severe chest pain on 05/10/2021, labs noted with elevated troponin and elevated CRP, diagnosed and treated for acute

patient was standing to go to waiting area and fell backwards, hit floor very hard. Called 911, took vital signs, ice to back of neck, elevated legs/feet bilaterally. Patient conscious after approximately 30 seconds. Was oriented to person, place and time

The night that I got the vaccine I got inflammation in my lower spine. I lost feeling in my lower legs. I could still move my legs, but they were numb. There were also a few moments of pain but mostly numbness. It lasted for two days. I was taking Ibuprofen and icing my lower back and the feeling slowly returned to my lower legs. The numbness was in both legs all the way to the hip. I also had lower back pain which went away at about the same time as I regained the feeling in my legs. After the second dose of the vaccine I had severe shaking and I passed out.

Patient is a 20 y.o. male with no significant past medical history presenting with acute burning retrosternal chest pain and diaphoresis, found to have diffuse concave STE with PR depressions and reciprocal changes in AVR, along with significant troponin elevation (peaked at 8K), c/f STEMI, LHC therefore pursued on 5/13 which revealed clean coronaries. TTE also with pEF and no WMA. Of note, pt recently received 2nd dose of Moderna COVID-19 Vaccine, myopericarditis therefore considered, CRP elevated at 45, subsequently started on high dose ASA + colchicine therapy. CMR also pursued and was noted to be unremarkable. Pt without return of presenting chest pain.

At 1:50 PM the patient stated that he felt lightheaded, sweating, high heart rate, nausea; Vital signs = BP 118/68 BS73, HR-90, Res-20; Treatment cold water, laid on the ground, ate a banana, called EMS. The patient was checked by EMS. The patient stated that he was ok. He refused to be transported. He stated that he was ok. He left the site at 2:28 P.M.

patient fainted after receiving first dose of moderna. we placed an ice pack on his neck. he was recovered fully within 15 minutes.

patient received 1 vaccine, went to sit in waiting area for 15 min, about 3 minutes into it he passed out and fell over. We went out there and he woke up. Sweating alot. called ambulance and they checked him out and let him go.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium

Patient with onset of sharp chest pain 1 day after second vaccination. Patient diagnosed with myopericarditis and admitted to the hospital for further evaluation and management. Patient with improved symptoms, but placed on several medications for continued management of inflammation.

Stood up to go to the observation chair after getting vaccine. After sitting down at observation area, heart rate seemed to drop/become abnormal, and I began to lose hearing, and vision began to get fuzzy. The pharmacist accompanied me as I was experiencing symptoms, talking me through things. I then began to get profuse cold sweats, after which I asked for water. After drinking a bottle of water and not moving for about 15 minutes, everything turned to relative normalcy. I was able to walk home afterwards.

Patient described feeling very hot all of a sudden and then they passed out. Patient was lowered to the ground and was responsive within seconds. Patient had a history of passing out once before after a vaccine administration. They had received other vaccines since without issue. Patient was given a cool compress and felt better within a few minutes. Patient waited for extra time once they were able to stand up and felt good.

Began night of vaccine, arm was warm , woke up 05/18/2021 L arm was in pain and hot... , later that night he felt nausea.. chest tightening , SOB , pain was intermittent and becoming progressively worse. 05/19/2021 - Underneath his L arm the swelling has increased, with pain and warm. Chest tightness and SOB is intermittent.

The patient received his second dose of vaccine in his left arm at 4:24 pm. He did not report any prior history of syncopy. He was walking towards the EMT/Cot area and, at 4:28pm, experienced a syncopal like episode and began to fall to the floor. He was caught prior to hitting the floor by his father and EMT. The EMT guided the patient to the cot. RN's responded. Pt was alert and oriented at time of RN arrival to scene. Pt was assisted supine position, with legs elevated. AN ice pack was applied to base of his neck and pt was provided with juice and crackers. He reported to RN that he has a history of syncope and that he faints when he gets shots. Pt vital signs were monitored for 10 minutes and pt was monitored by EMT x 20 minutes. Pt left facility at 4:50 PM with his father, denies any pain, sob or discomfort.

Shortness of breath, elevated heart rate, pneumonia, fever, diagnosis of heart failure, hospitalization and prescription of drugs to address

I had chest pain for about five days after receiving my second dose of the vaccine. It felt like intense and sporadic heartburn. I went to the ER on the third day of experiencing the pain, during which they performed an EKG and bloodwork in order to determine whether or not it was a heart issue. There were no significant results and the pain subsided two days later.

2-day history of progressive chest pain, 2 days after receiving his second dose of the Moderna vaccine.

Patient became dizzy, nauseous, and had difficulty seeing approximately 15 minutes after his vaccine. Checked patients blood pressure which was low 70s/50s mmhg initially, patient remained conscious the entire time. He had no trouble breathing or swallowing. Patient was given a cold water and stated this helped. after initial BP reading EMS was called. Patients BP gradually rose and was 110/74 mmhg when EMS arrived. Glucose was also tested and was 101. Patient was feeling much better and declined transport to the hospital.

Patient begin to feel faint about 5 minutes after receiving vaccine. He became very pale and fainted briefly (less than 2 minutes). Patient sat and waited at the facility for about 30 minutes after regaining consciousness. He regained his color and was able to leave.

As with the first shot, I was very fatigued and achy. A day or two after the shot I began having pain in the left side of my chest. It was a tight feeling that made it difficult to breathe. The pain only got worse and after a couple of days, I decided to go to the emergency room as I feared I was having some kind of heart attack.

Patient recevied COVID vaccine and while waiting in lobby became lethargic, clammy, discolored, and was unconcious for about 30 seconds Mother states first vaccine he did not get a reaction just was sleepy. Stated he had Leukemia and has been in remission for the last 10 years.

Patient mom says that son has tightness in chest when he breathes in and feels short of breath. Started sometime this morning.

developed myalgia, chest pain, fever chills, came to Emergency department found to have Right bundle branch with elevated troponin

Patient was sitting in the observation area after his vaccine and his companion alerted us that he had fainted. He slumped to the side for a few seconds, we held him up and he came to rather quickly. He said he had felt dizzy. He had some water and sat for about 20 more minutes until he felt back to normal.

Patient received his second Moderna COVID-19 vaccine on 6/5. Approx 5-8 hours after the vaccination, he developed severe chest pain, which has remained constant since that time. No fevers. No shortness of breath. No sick contacts at home. No h/o prior vaccine reactions. Presented to the emergency department on 6/8 due to persistent chest pain; found to have diffuse ST elevations on EKG and elevated troponin to 2.1 concerning for acute myopericarditis. Admitted to the children's hospital for work up and treatment. Remained hemodynamically stable throughout stay. Troponins peaked at 2.8. Echocardiogram showed normal cardiac function. Patient was started on 3 week course of ibuprofen for treatment of pericarditis. Cardiac MRI performed; initial read showed myocardial and pericardial inflammation. Awaiting final read at this time. Patient hospitalized for two days and sent home with close cardiac follow up.

Patient became pale, had chest pains, difficulty breathing, vomited, red spot formed on tip of tongue. 911 Was called. Patient was helped to the floor and a he was no longer vomiting. He was feeling better with chest pains relieved and no difficulty breathing. The red spot remained on his tongue and he was very pale. Paramedics came and he went to the hospital.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient lost conscious on his way out of the store down aisle 2. Mother screamed for help. When I went over patient was alert and responsive. Asked patient and mother if they prefer I call an ambulance, both declined. Patient states no history of syncope after injections. Had him transition from lying on floor to sitting on floor, then sitting on chair, and then eventually standing on his own. Patient stated he felt fine and was ok to go home.

The patient reported SOB, chest tightness, sweaty, nausea, dizziness. The symptoms were reported 30mins after vaccine administration. We checked blood pressure 151/91 and pulse <100. The EMT checked vitals again and everything was in range, The patient went home with mother and she will take him to hospital if needed.

On Monday April 12 I had terrible chest pain and it was very hard for me to catch my breath. I tried to get up and walk and became very dizzy. I was then taken to the hospital and my mom stated that while in the car I had a loss of consciousness. Doctors at the hospital came to the conclusion that it was a heart attack but after following up with the cardiologist then he thought I may have myocarditis. Unfortunately I have a pectus excavatum that is being repaired and the mri couldn?t confirm the myocarditis due to the metal in my chest.

I get sharp pains in my chest that do not feel like other pains I?ve had before. It is different from heartburn or acid reflux. I happens at random times. It usually lasts for a few minutes, sometimes longer, and then goes away.

HISTORY OF PRESENT ILLNESS: This is a 20-year-old male with past medical history of asthma, who was brought to ED by ambulance for nausea, vomiting, generalized weakness, and fever. The patient received his second dose of Moderna vaccine 10 days ago. The patient is experiencing symptoms of nausea, vomiting, fatigue, poor p.o. intake for the last few days. He was at ED 4 days ago and had a negative workup. The patient had a fever with T-max of 103 at home. He also had 2 episodes of emesis in the last few days. He denies any diarrhea, chest pain, abdominal pain. He complains of headache. He denies any blurred vision or neck stiffness. At hospital, the patient was given 4 L of fluid and had multiple blood tests. Even echocardiograms were unremarkable. The patient is unable to ambulate because of generalized weakness and dizziness.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Less than 5 minutes after receiving vaccination pt reported feeling lightheaded. During observation patient lost conciousness for <1min. Patient awoke with chills, sweating, and continued lightheadedness. These symptoms abated during observation and after 30 minutes patient was sent home for rest in a quiet dark room.

Patient fainted during the 30 minute observation period. Patient was sitting in a chair and slumped over, but did not hit their head or fall. Pt regained consciousness quickly, was taken to a room to lay down and was given gatorade. They were observed for 30 minutes with no issues, vitals went back to normal quickly.

Vaccine was administered to patient. He had a history of fear of needles, fainting, etc. Approximately 5 minutes after administration, patient did faint with possible seizure activity. Paramedics were called. No further adverse events were observed. Patient was conversational and walked out on his own power.

Initial symptoms at 12hr post-vaccine typical chills & aches & nausea.; duration 6 hr. At 24hr mark, chest pains started with palpitations. Worse with exertion. Subsided and returned. Sought treatment at 48hr post-vaccine. Clear ekg, chest xray, and chest ct. Aspirin 325mg calmed the symptoms.

Chills, Restlessness, Nausea, Headaches, Shortness of breath, Dizziness, Muscle and joint pain, chest pain

reported COVID negative 4/14 where he was admitted for myocarditis 3 weeks after COVID-19 vaccine. F/U with cardiologist on 4/28 with diagnosis of myopericarditis.

Chest pains since day 4 of receiving second dose of Moderna COVID-19 vaccine. On June 4, 2021 went to Health Clinic for physical; conducted EKG and was slightly abnormal. Within twenty minutes of leaving the Clinic, RN from Clinic called and advised the cardiologist reviewed the EKG and recommended going to emergency room for a blood draw and heart enzyme test.

Chest pain developed later on the same day as his 2nd Moderna COVID-19 vaccine dose. He presented to the emergency department on 6/27/21. Other symptoms, including body aches, headaches, and fatigue resolved prior to presentation. The chest pain resolved completely by 6/28/21, the day after presentation. He was given ibuprofen for pain management. He was monitored on telemetry without significant events as of the time of this report. He was being treated for a presumed diagnosis of myocarditis secondary to the Moderna COVID-19 vaccine.

Atypical chest pain, elevated troponin, suspected myocarditis. Inpatient observation for 24 hours; serial troponins, EKG, Echo, pain control (toradol/Naprosyn).

presumptive MIS post vaccine; 2 weeks of headaches, rash, fever to 103, sore throat on 6/26 in ED at hospital platelets 69K; atypical lymphocytoes 0.71; covid PCR neg; ESR 15; CRP 8.6

Development of pleuritic, positional chest discomfort, friction rub on auscultation, ECG with diffuse ST elevations, elevated CRP consistent with a diagnosis of acute pericarditis

He had the vaccine on 05/12/2021. It started at 1 am, he had a pretty normal night, he went to bed and woke up vomiting, that continued through the night, the vomiting continued, he had a head ache, he called me and told me that his stomach really hurt, I told him to check his blood sugar, he also had hot flashes, chills, and body aches, but mainly he had vomiting, then the next day 5/14/2021 he was getting more sleepy and less responsive, his friends tried to give him water and different things, his blood sugar went up, his friends took him that afternoon to the ER because he started not responding to me, his friends would tell me he was sleeping, so they took him to the ER, they found that he was very dehydrated, they were giving him fluids and did blood work, he was very unresponsive when he arrived, he could not answer his questions, he had a friend that was there that told them he had the vaccine, the blood work said he had a very high white blood cell count they were worried he had sepsis, they found his kidneys were not working ok, because his levels were very crazy and chest pain and severe stomach pain, and he had pancreatitis, they ruled out a heart attack, he then was admitted because he was in DKA, diabetic keto acidosis, like a result of his type 1 diabetes that got flared up because of all his reactions. They admitted him to the ICU and he was there until 05/16/2021 and basically they were just giving him fluids, potassium and other things to help his body calm down and stabilize his blood sugar. He was released and he still continues that his heart hurts but doctors say that these things resolve after a while.

Cardiac arrhythmia, tingling in head, brain fog, dysautonomia, light sensitivity, tachycardia with any exertion.

Patient Experienced pain when receiving the vaccination and started shaking/fingers and fingernails started to turn blue. Recorded temperature was 97 and gave patient orange juice. Patient stayed in store for about 20 minutes and felt better. Shaking resolved but finger was still blue. Patient's father took son to medical facility afterwards.

My son got the second vaccine shot at work and he works I don't know the lot number or any of those types of numbers

After receiving his vaccine, pharmacist advised for the patient to sit down in a chair for 15 minutes for observation. 5 minutes after receiving his 2nd Moderna vaccine, the patient passed out in the chair for approximately 5-10 seconds. It was observed by our employee that he made a gurgling sound and a weird body movement, similar to a seizure. His eyes were closed and his body is sluggish on the chair. He was able to open his eyes back up and realized what happened. He was conscious, alert, and able to answer any questions after the event.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Shakiness-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: Patient approached pharmacy and appeared normal/healthy. Vaccine was mixed/prepared/given proper protocol. Patient sat down after vaccination and within 5-10 minutes he fainted face forward from a seated position. He regained consciousness within 30 seconds of fainting. He then vomited within minutes after he sat up after fainting. A nurse practitioner was in store shopping and stopped by to read his blood pressure (135/76) then the EMT arrived within a minute of the blood pressure reading.

He received Moderna vaccine #2 on 7/9/21 @ 5:30 pm at Pharmacy. Pt states he woke-up on 7/10/21 around 7am and reports he started having, fever, soreness, and extreme fatigue. Symptoms continued into next day, and he started with chest pain /discomfort. Pt reported to hospital on 7/13/21 for further evaluation and treatment. Pt was seen in ER, had elevated Troponin of 17, negative D-Dimer, and abnormal lab results. Chest x-ray was normal, EKG and ECHO performed. Pt started on re. treatment of Colchicine 0.6mg, po, BID, Ibprofen 800mg, po, Q8hrs, and Pantoprazole 40mg, po, daily. Pt scheduled to f/u with Dr. on 7/28/21

I administered patient's first dose of Moderna vaccine. While waiting the 15 minutes, patient started feeling funny and got very pale. His mom alerted us and we went outside the pharmacy, put the patient's feet up on another chair, administered 50 mg of liquid diphenhydramine, and got the patient an orange juice. The patient's color started to return and he waited another 15 minutes. The patient stated that he hadn't eaten much that day and that he has experienced this type of reaction with other vaccinations. I called the patient's mom later that day to check on the patient and she stated that he was feeling back to normal.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

The patient fainted immediately after receiving the vaccine. The patient was fine within a few minutes. Patient was sweaty and anxious for about 10 minutes total. Patient remained in immunization room for a total of 30 minutes and was fine before he left. Patient has previously fainted when receiving other vaccines as note on his informed consent paperwork and as discussed with pharmacist.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: pt fainted after receiving second dose of vaccine; lack of food in stomach plus cannabis inhalation earlier in the morning

7/19 patient presented to ER and was admitted for generalized edema, elevated BNP, tachycardia, DM, and anxiety. Acute CHF, cardiomyopathy, and apical mural thrombus. Patient was diuresed, placed on heparin drip and anticoagulants, insulin adjusted. Echo performed. Labs.

Patient stated that he didn't feel well then his pupils dilated, his eyes rolled back in his head and he seized for approximately 15 seconds. Afterwards his pupils remained dilated and fixed until he regained consciousness. Patient was assisted to the floor where we waited for paramedics to arrive. The patient stated he was okay and refused to go with paramedics.

Itchy eyes. Resolved with 25 mg benadryl. Sore arm for three days. Chilly off and on for three days. Still some tired on third day. Does not know if this is related, but an old boil site started bleeding off and on and has not stopped.

around 0900 pt reported feeling light headed and was diaphoretic. pt appeared pale. given water. vs taken. temp 98.9 PO, heart rate 69-76, RR 18-22, 02 sat 98%. after about 10 minutes and 2 bottles of water pt felt better, color resumed to normal. pt asked to wait the full 30 minutes.

14 days post vaccination developed: chest pain, back pain, paresthesia of bilateral upper extremities. CXR, EKG and Lab work done. Symptoms not disabling yet present; musculoskeletal pain in upper extremities with paresthesia

pt presents with mid epigastric chest burning x1 hour after breakfast, 21 yo M w/ no known chronic medical conditions, presents w/ 2 hours MEG/central chest burning. Initial a/w mild SOB and LH; by time of my eval, LH/SOB had resolved and CP was 4/10. Pts sx completely resolved w/ GI cocktail. No exertional sx. No recent infectious sx. VS w/o acute abn. Well-appearing, NAD. Normal CV exam; no edema. LCTAB. PT transferred for troponemia.

c/o subjective fever with dizziness and sweating. Temperature, tmax 100.0F (A) at home. Pt received 2nd dose of COVID Vaccine at 0930 02Feb2021. Patient is a 21 year old male who presents to ED with subjective fever, dizziness, sweating and papitation 8 hours after receiving his second Moderna vaccine. He denies any chest pain, no shortness of breath. He doe shave some nausea, but it able to drink fluids well. No other significant PMH.

I obtained my booster shot on my left deltoid at 2:30 PM 2/4/2021. I had slight soreness in my arm til 8:00 which the soreness disappeared. Around 2:00 AM, I was awakened by a pounding headache, fever of 102, and my upper left chest (unilateral between the midline of my left chest and the axillary region) started to hurt. I took Tylenol 1000 mg at 3 and took a hot bath (recommended by friend who also displayed a fever and headache). After a while, my fever began to lower but my headache and chest pain did not disappear and I could not sleep until 7 AM. I woke up today (2/5/2021) at 10 AM with a fever of 101.4, another pounding headache, and still unilateral chest pain. I took another 1000 mg of Tylenol around 10:30 AM and it only helped with the fever. I went back to sleep and slept until 4 PM. I understand that the fever and headache are normal symptoms but my chest pain does not seem like muscle soreness. It doesn't hurt when I touch it, it comes and goes every few seconds, I have 4 or 5/ 10 on the pain scale for most of the pain but it turns into 6 or 7/10 occasionally (10 being the worst pain). What does help with my pain when it is 6 or 7/10 is when I clench my chest really hard like I am flexing it. It is a sharp pain that stays for a few seconds before it disappears and it feels like a deep pain. I didn't want to take Tylenol again because I am about to max out (can only take 2 more capsules until 2:00 AM because it states not to take more than 6 capsules in 24 hours, and each capsule is 500 mg) (Also, the Tylenol does not help with the pain so I am only taking it for my fever.) I was wondering if anyone else reported this and if this is an adverse side effect. This has not cause any issues regarding my breathing but just pain.

21 yo M w/ no known chronic medical conditions, presents w/ 2 hours MEG/central chest burning. Initial a/w mild SOB and LH; by time of my eval, LH/SOB had resolved and CP was 4/10. Pts sx completely resolved w/ GI cocktail. No exertional sx. No recent infectious sx.

10 epistaxis in the course of one month. Abnormal for myself. No other side effects I feel generally well.

Complain of not feeling well directly after vaccination. Became pale in face and hands. Vomited. Vital signs within normal range. No other complaints. Monitored for 30 minutes. Color returned and patient felt better. Left with father under own accord.

Vaccine was Moderna COVID-19 Vaccine EUA 4 days after receiving the vaccine, two hours after I woke up, I began to have mild chest pain in the center of my chest. After that, the pain started to grow and grow until it was extreme pain, at around an 8/10. The pain radiated from my chest to the undersides of my arms. After two hours of pain, it started to subside and eventually was gone. There was no pain for the rest of the day. The next day, two hours after I woke up again, the mild chest pain returned. Still in the center of my chest, the pain grew into extreme pain again. This time however, it was slightly to the right and as the pain progressed it moved right until after two hours it went away again. The treatment I got at the Urgent Care was an EKG and they told me to go to a hospital. At the hospital, I got Toradol, aspirin and propanolol. My initial Troponin levels at admission to the hospital were 900 and grew to 1300. It lowered for a time, but at the last check, it rose again to 1420 after not getting Toradol for at least 12 hours.

Started with pain in the abdomen then spread upwards into chest. Serve pain around ribs making it hard to breathe. Vomited and symptoms went away for ten minutes. Pain came back gradually in same spots. This was cyclical occurance and then just stopped.

3:42 pm Pt received vaccination, stood up and c/o of feeling light headed, dizzy and body tingles. He became diaphoretic, pale and warm. Vaccinator put ice pack to back of neck, brought to recovery area in wheel chair VS 120/78, HR 81 reg, resps 16 regular non labored, 96% O2 sat. gave water to hydrate. no c/o N/V Monitored for 30 min Pt state he felt better, tingles diminished, color came back to face, no more diaphoresis. Provided reassurance. Encourage hydration. V-safe site. Ok'd to leave site. RN 3/9/21 - called pt to check condition he stated he is doing very well. RN

"Moderna" Adverse vaccine reaction possible as began 12 hours post second COVID vaccine dose on Friday. A ER note was generated in a T-Con on a patient who got their 2nd Covid Vaccine and began experiencing chest pain approx. 12 hours post vaccine. Patient did not report to the ER until 28Feb21. It was discussed that he has myocarditis v pericarditis, elevated D-Dimer of 770, swollen lymph nodes, and elevated Troponin. Patient was transferred to Research Medical Center due to no available beds. Patient was referred to a Case Manager and Cardiology. The patient completed a follow up appointment with 509 MDG on 9Mar21 and reported Dull pain that has been affecting sleep. Cardiology reports shows Troponin was elevated to 9.1 decreased to 4.2 and back up again to 13.4. Cardiac revealed late gadolinium enhancement, possibly representing myocarditis and then at discharge possibly myocarditis.

I almost fainted the night after my shot. I had vaped cannabis prior at around 1:00am, and probably re-dosed at around 3:00AM, before falling asleep at around 4:30AM. I had a harder than normal time falling asleep that night, and I didn't sleep very well. At around 6:00AM I woke up and walked to the bathroom, feeling pain in my anal region. As I started to sweat profusely, I recognized that I was likely about to faint, so I pre-emptively lied down on the floor of the bathroom until I felt well enough to stand up. I don't remember exactly how long I was on the floor but most likely a few minutes. I then had a bowel movement, still feeling pain in my anal region but to a lesser degree, and then drank some water and went back to sleep at around 6:30AM.

Pain at injection site (began at 6pm 3/12, resolved around 8am 3/15) Fever (began at 11pm 3/12, peaked at 102.0F at 3am 3/13, and resolved at noon 3/14) Fatigue, muscle pains, nausea, chills (began around 3am 3/13, resolved around 5pm 3/14) Chest tightness / difficulty breathing (began 9pm 3/13, reduced intensity on 3/15)

The patient informed the vaccinator that he passes out during any immunization, TB test and blood draw. The patient passed out approximately 5 minutes after the vaccine. We laid him on the floor and elevated feet for 7 minutes then patient wanted to sit in a normal chair.

Immediately after injection I had soreness and several notable heart palpitations followed by mild dizziness and mild difficulty breathing accompanied with dry mouth. This subsided after a short while (within 15) minutes after I left the vaccine location. I arrived home and felt fatigue and a slight headache develop. The headache has since stopped. I also experienced some chills. No fever as of yet. Soreness at injection site is moderate.

Patient complained of dizzy spells, and fainted. He bit his tongue while experiencing a possible seizure. No prior history of seizure disorder. Parent was called right after the student experienced adverse reaction. Vital signs taken B/P 128/88, Pulse - 80, Pulse oximetry - 99 %, temperature was 97.4. Patient had not prior history of COVID-19, not taking any medications, no hypertension. Patient became alert 30 seconds afterwards.

Patient fainted within 5 min of vaccine administration. Fell on the floor face down. Lost consciousness for a few seconds. He was saying he felt very dizzy and sweaty once he regained his consciousness, Pt was taken to the hospital by EMT

PT COLLAPSED AND FELL ON THE FLOOR FACE DOWN ABOUT 5 MINUTES, AROUND 9:35AM AFTER GETTING 1ST DOSE OF COVID VACCINE. PT WAS TURNED OVER WITH THE HELP OF A SAMARITAN WHILE WE CALLED 911. PT HAD SEVERAL SEIZURE EPISODES. PT REGAINED CONSCIOUSNESS AND BECAME RESPONSIVE AFTER ABOUT 2 MINUTES. PARAMEDICS CAME AND TOOK OVER. PER PT, NO PRIOR HISTORY OF SEIZURE OR MEDICAL CONDITION. PT CAME FROM 10 HRS NIGHT SHIFT (2 DAYS IN A ROW) TO GET HIS VACCINE. DAD WAS INFORMED PER PT'S AUTHORIZATION ABOUT INCIDENT AND HE SAID HE WILL BE ON HIS WAY. PT TO BE TRANSPORTED TO A NEARBY HOSPITAL PER ONE OF THE PARAMEDICS.

Syncopal episode that occurred within 15 minutes of vaccination that appeared to be vasovagal. Patient recovered after rest and hydration and food intake. Discharged to home. No additional injuries noted.

A spontaneous report was received from a consumer (United States) concerning a 21-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced fell out of the chair and passed out/Loss of consciousness, fell out of the chair and passed out/Fall, may have been a seizure but unsure/seizure. The patient's medical history included psychological problems. Concomitant product use was not provided by the reporter. On an unknown date, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch number unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, after the injection he "fell out of the chair and passed out". The reporter stated that she heard it "may have been a seizure but unsure". She reported the male was obese. The events passed out and seizure was considered as medically significant. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events fell out of the chair and passed out, may have been a seizure but unsure was unknown at the time of this report.; Reporter's Comments: Very limited information regarding these events has been provided at this time. Further information has been requested.

Pharmacy staff was alerted by patient's girlfriend that he had passed out. I went to the waiting area where she was propping him up in a chair. Patient was not responsive and completely limp. Together we lowered him to the floor where he quickly began to regain consciousness and tried to sit up. Patient was fairly alert within 1-2 minutes. Patient was given water, ice packs for the back of his neck and forehead, and ED was called. Patient stated he was feeling much better and did not need EMS, but due to store policy they were called. Patient relayed a history of fainting after receiving tattoos, that was not notated on his form. Patient remained on floor until EMS arrived about 20 minutes later and checked on patient. Patient's heart rate and BP were taken by EMS laying down, sitting, and standing and was cleared by EMS to leave.

8:00 woke up very tired and decided to stay in bed and rest. 11:00 When woke up again I felt sick to the stomach and had the urge to throw up. While rushing to the bathroom I lost consciousness and fainted. Hit my face against the tub and the wall. My nose was bleeding and went to the emergency room. 11:45 in the emergency room they took blood samples, a head scan and put me on an I.V. for 45 minutes.

My left arm was sore starting a few minutes after the vaccine. This soreness last through that night. When I woke up the next day, my arm was extremely sore and I was very dizzy. Additionally, my pulse felt fast but my heartbeat seemed to have less strength. My breathing felt more shallow like I wasn't getting as much oxygen from the air that I breathed in as I should. For the first two weeks, the dizziness was very strong. Now, at the three-week mark, it is more manageable and life is somewhat returning to normal. I visited an ENT doctor and their diagnosis was that my dizziness was not being caused by a preexisting medical condition. Their prediction was that I would be fine, though looking back, I downplayed the severity of my vertigo. At its worst, I felt that, when I went for a walk outside, the surface was the Earth was violently spinning through space, with me stuck to the surface. It felt paralyzing. My body felt almost stuck in shock. I was afraid I would be stuck with this dizziness for the rest of my life since it was so long-lasting. Now, I am taking ginger pills and am watching my sodium intake. I feel better but am extra vigilant about taking ginger and not stressing myself too much. I do not plan on getting a second shot since some of my symptoms mirror those of anaphylaxis.

Pt fainted immediately after receiving vaccine. Regained consciousness after 15-20 seconds. Got patient to floor and feet elevated. Monitored blood pressure until it returned to normal.

After receiving the vaccine while in the observation area patient's vision started getting blurry and he started feeling dizzy. (about 10 minutes after vaccine) He walked back to talk to us, while pharmacist was asking him questions he swayed and fainted. Pharmacist caught him and lowered him to the floor. Called 911 and paged MIC. Pharmacist stayed with the patient who gained back consciousness and placed him in recovery position until paramedics arrived.

Patient stated he started to feel unwell a few minutes after the vaccine, then started to feel light headed, nauseous, dizzy. He reported he felt like he was about to pass out, he felt he had dry mouth and was thirsty. To provider he appeared pale and sweating. He was instructed to sit in chair and lean forward with head down towards knees. He was provided water and his blood pressure was taken. The first reading was 89/66 pulse 74. He stated he was not sure what his normal pressure was, but was usually low. He also stated that he had a light breakfast, and didn't really drink much that day. After his pressure was taken he reported to feel slightly better, and was observed for another 25-30 minutes. After this time passed, his blood pressure was taken again, and reading was 102/74 and his color appeared better, and was more alert. After a few more minutes, he said he felt much better. He also had eaten crackers at this time. He was provided v-safe form again, and encouraged to sign up for follow-up, and to continue to monitor closely any symptoms for at least the next 6 hours.

Blood pressure and heart rate sky rocketed immediately after shot-did not come down and after an hour went to the ER- was in the ER for 8 hours with continued symptoms. This is a young man with no precious hx of this. Hospital would not entertain the idea this was related to the vaccine. Was discharged with instructions to return if worse in the AM. Continued high blood pressure and heart rate for another 24 hrs. Swollen lymph nodes by the next day. Blood work in hospital showed immune response happening but again hospital would not attribute to vaccine.

Patient passed out roughly 5-10 minutes following vaccine while seated on a planter; witnessed by store employee. Hit his head causing a small laceration above the right eyebrow which was cleaned with alcohol and bandaged prior to EMS arrival. The patient experienced dizziness and numbness/tingling in both hands/arms. He was able to tell RPh his name, the year, and knew where he was. Paramedics were called to assess his condition. Per patient and mother, only underlying condition is anxiety and only medication is zoloft.

tunnel vision for a bit which then went away; felt like fainting; tinging in his toes and left arm and fingers.; This spontaneous case was reported by a consumer and describes the occurrence of TUNNEL VISION (tunnel vision for a bit which then went away) in a 21-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031A217) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No reported medical history). On 02-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, the patient experienced TUNNEL VISION (tunnel vision for a bit which then went away) (seriousness criterion medically significant), PRESYNCOPE (felt like fainting) and PARAESTHESIA (tinging in his toes and left arm and fingers.). At the time of the report, TUNNEL VISION (tunnel vision for a bit which then went away), PRESYNCOPE (felt like fainting) and PARAESTHESIA (tinging in his toes and left arm and fingers.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Treatment information were not reported.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Pt Fainted shortly after receiving vaccination. Pt came for a moderna covid vaccine with his friend, both first doses. Pt said he "fainted recently" from a shot where he fainted "for a couple minutes" according to his nurse, and he was sure it was psychologically induced by anxiety. He said he was more mentally prepared this time. After I gave the dose to him and his friend, he got lightheaded and slowly started losing consciousness in his seat after a few minutes. Pt was alert and responded to our questions. I quickly stepped out to give the pt a bottle of water, and upon coming back to the IMZ room, his friend said he urinated himself. He was less responsive, but still alert. I notified the technician. He started to turn pale and felt more cold. He pulse was weak. I encouraged the pt's friend to keep him alert while we call EMS. I reminded the pt to keep breathing. The technician called EMS, and I stayed with the patient to kept him calm, but alert until EMS arrived. Pt slowly felt better after a few minutes (color return, and temperature normalized). Pt said he was okay, and he was able to walk. EMS arrived and tested blood sugar; he was within normal range. Pt did not need EMS service, and went home with friend.

The patient passed out after 10 minutes after feeling really hot and sweating. He became conscious in less than a minute and was feeling okay.

Post vaccination; patient seen unconscious on the floor for 30 seconds. Vitals taken at 1105am Pulse 59 BP 109/67 RESP 19. At 1120am reassessed Pulse 84 BP 111/74 RESP 18. Patient is stable and released from the facility accompanied by friend

Client passed out while seated in observation falling to the right side of the chair and onto the ground Client landed face down on the floor and was turned over onto his side first before being flipped onto his back Client?s head did hit the ground Client reportedly appeared to be having a seizure when he was turned over Multiple people were present to assist client including nurse and EMT At12:09, LVN called 911 and relayed information to the dispatch While on the phone, nurse went to get an Ambu-bag because staff present reported that the Client stopped breathing but had a pulse Upon bringing the Ambu-bag, the Client had already regained normal breathing pattern and no longer needed assistance breathing . Ambu-bag was present but was not used Client was assisted into a wheelchair and taken to the private recovery area. Physician, nurse, and EMT were present Client was alert enough to answer questions Client began to vomit / dry-heave for a short moment Client asked EMT about transport billing and was informed that he might possibly get a bill but that he had the option to choose not to pay it At 12:20, Vitals taken BP 155/112, Pulse 64 Client informed of the need to be further evaluated at the hospital Client verbalized multiple times that he did not want to be transported even after speaking with the physician Physician suspected that the client had some underlining reason that he did not want to disclose regarding his refusal to be transported At 12:25, Vitals taken BP 135/83, Pulse 58, O Sat 97% Blood sugar reading 104 Client reports no pain in the head, no nausea Client reports that he did not eat anything prior to coming At 12:31, Ambulance arrives EMT briefs paramedic regarding the incident and the client?s history Paramedics questioned client Client signed form and verbalized that he did not want to be transported and felt well enough to leave Client called his brother to drive him home At 12:41 Client was wheeled in the wheelchair to the car Client informed of selfcare and instructed to go to the hospital / ER if symptoms worsen or headaches develop Client informed to let further vaccine administrators know that he passed out in the past and needs to have the injection lying down Client verbalized understanding Client?s brother drove him home

Patient fainted 5 minutes after receiving first dose of Moderna COVID-19 vaccine. Experienced low heart rate (96/53 100) and shortness of breath. Patient given water and monitored for an hour checking oxygen levels and blood pressure. EKG given, showing slight abnormality. Patient felt better, recommended to contact PCP and see cardiologist for follow up.

At the pre-counsel stage, the patient said that he was a little nervous about getting this immunization, but wanted to go ahead and do it. I counseled him on the immunization and sent him into the booth to get the shot. Technician administered the vaccine and then told Technician that he felt a little nauseous. Technician told him to stay seated. A few seconds later the patient passed out and started slipping down the chair. Technician grabbed him from behind and called me over to assist. I yelled for Staff to call 9-1-1 and a code white. I held him from the front and Technician held him from the back and we slowly lowered the patient to the floor. Technician sat behind the patient to hold him up while I assessed the patient and tried see if he was responsive. The patient was breathing and had a pulse, so I patted him on the face and chest to see if he would become responsive. After about 15 seconds, the patient became responsive and confused. He asked what happened and if he got the shot yet or not. After talking to the patient for a moment he said he was fine, but needed to vomit. I gave him a trash can and he vomited. We gave the patient some water and sat with him on the ground for a few minutes until the paramedics arrived. The paramedics took the patient's vitals and the patient said he felt fine and declined going to the hospital. We had the patient sit in the observation area for another 30 minutes. He said he felt totally fine and was ready to go home.

pt experienced what appeared to be a vaso vagal episode. pt had fainted in his seat and was attented to by ems staff. pt was wheelchaired out to hall way for evaluation. pt vitasl were taken at 205pm bp 76/45 hr 55 spo2 96% rr 18. pt admitted to presvious experience whengiving blood. pt complained of tension in chest. pt was placed on 4 lead ekg and found to be in what appeared to be normal sinus rhythm. pt vitasl wre taken again at 2:15pm bp 105/67 hr 65 rr 18 spo2 100% ra. pt was "feeling better" and was able to walk out of vaccine clinic unassisted.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Redo: Pt was waiting for 15 mins observation, he felt dizzy and fainted and fell to the ground and hit his head. Called ambulance, temp. was 97.2 bp 120/71. pt gained concious right away and stood up. I assisted pt to lay back to the ground and raised his leg to a chair. ambulance came, checked blood sugar was 80. took him to hospital.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient received his moderna shot on april 15 at around 3:50pm, and was seated for observation for 15 minutes. Patient felt dizzy and fainted and fell to the ground and hit his head. I ran to him and he gained concious within few seconds and stood up. I helped him to lay back on the floor and raised his leg on a chair. At 4:02 Temprature was 97.2 & blood pressure 120/71. Patient was responding & mention he fainted also few days ago when he had blood drawn for some blood work. Ambulance took over

Patient presented to ED with chest pain 10/10 at about 16:48 . Aspirin 324 mg chewed at 17:51. Stat EKG done, STEMI discovered, patient went to cath lab for intervention at 17:20. No recreational drug usage noted. Patient admitted to ICU following procedure for continuing care.

Syncope: Patient became pale and was unable to answer questions roughly 2-3 minutes after receiving the vaccination. Shortly thereafter, his head rolled back and he slumped in the chair for ~10 seconds before regaining consciousness. After awaking, he regained his senses rapidly and was able to state his name and the date. I requested he remain in the area for an additional 30 minutes for his safety. He agreed.

After injection approximately ten minutes later complained of chest pain and cough. Further described feeling like something sitting on his chest. EMS on site performed EKG which showed normal sinus rhythm. Patient continues to c/o chest pain and pt was transported to hospital for further evaluation

While giving the patient his first vaccination, the needle was not properly secured to the syringe and the two parts separated while giving the vaccine. He got at least part of the dose, but we discussed giving him a second shot so he could receive the full dose. The patient seemed fine so I went to draw up the next dose, and as I was doing that, he started to get a little pale and said he was not feeling well. I gave him some water and sat with him while he was in a chair. He then began to fall forward and was unconscious. I caught him before he hit the ground, laid him down on his side, and he woke up fairly quickly after. We did not administer the rest of the dose and the patient waited around the pharmacy for 30 minutes, but he stated he felt much better with no concerns fairly quickly after the reaction.

Patient felt faint around 5 min after vaccination. He was sweaty, pale, and dizzy. He was given water, peanuts, and a fan. . Patient laid flat on the ground for 15-20min and began felling better. He left on his own shortly after that.

Patient has significant history for syncopal and near syncopal episodes when getting injections and blood drawn. Patient experienced syncopal episode today and was asissted the ground. Patient denied any complaints and signed a refusal of care.

Patient was sitting in the waiting room alert and responsive after his vaccine. Suddenly while he was sitting in the waiting room His eyes began to roll back into his head, his head dropped and his body tensed up and he began to shake. The event lasted approximately 30 and then the patient became alert and oriented again. When he became alert again he seemed very sweaty and pale. Nurse Practitioner took blood pressure and it was 100/58. Paramedics arrived on scene approximately 5 minutes after and transported him to the hospital.

Approx. 3 mins post vaccination, pt fell forward from chair and hit the floor with his head and lay unconscious for less than 10 seconds (maybe 5 seconds). Upon shaking by RPh, pt opened his eyes and looked at her and said "I'm okay. I don't know how I got here." He reported no dizziness before or after fainting, and said he felt fine. Paramedics were called, arriving after 15 or 20 minutes, during which pt was alert and oriented.

Patient developed fever after vaccine and chest pain for 2 days. Findings concerning for acute pericarditis

Patient received vaccine in left deltoid and immediately responded which looked like a short seizure, losing consciousness shortly, then upon shaking responded by waking back up. Within the next few minutes the patient did the exact same thing and again responded after shaking by waking back up. Patient felt hot, weak and nauseous for quite a long time, he eventually vomited and thought he felt a little better. We called EMS and they responded by checking him over (B.S. 79 and Blood Pressure initially 87/60 but a repeat reading was 105/74 and patient felt well enough to decline a trip to the hospital. Patient was still feeling weak, so we observed him for over 2 hours and he took some water and drank some gatorade. After a bit we had him call his mother to drive him home. Patient was standing when we had one of our interns take him to his mother's car.

Systemic: Fainting / Unresponsive-Mild, Additional Details: During the 15 minute observation period after recieving his vaccination, the patient fainted. Patient was conscious, given some water, and told to lay down for the rest of the observation period. No emergency responders required.

Dizziness and Extreme weakness (to the point walking was difficult) Numbness Burns Muscle pains Mental foginess

Patient fainted 10 minutes post vaccine while waiting the 15 minutes in our observation area. He fell out of the chair and hit his head on the floor. He sustained a left frontal abrasion. He was alert and oriented x 3, no neck pain, pale, able to move hands and legs. Ambulated to private car to be taken to the ER for evaluation and r/o concussion.

Approximately 10 min after receiving the vaccine pt started feeling nauseated. Pt stood up to go to the bathroom and had a syncopal episode. Pt landed face first onto the hard floor. Pt was treated by medics on scene and was taken into a private waiting room. During further assessment pt had another syncopal episode with his hr dropping into the 40's. Pt became pale and diaphoretic. Pt transported to ER via ambulance

First night - fever, headache, pain, chills, sweats, etc. Midnight of day 2, chest pain, shortness of breath, sweats. Went to hospital at 8:15am. Was diagnosed with pericarditis.

Patient presents to ER with chest pain, worse with deep inspiration, lying flat or leaning forward. Pain is better when sitting up straight. Vomiting x 1 episode. First Moderna shot on 4/9/21. Chest pain started on 4/11/21. On 4/14/21, pain was worse, so came to ER. Patient admitted to hospital, cardiology consult, pulmonology consult. Patient is treated with colchicine 0.6mg twice daily, NSAID and metoprolol 25mg twice daily. Follow up with cards in 2 weeks. Much improved on day 2.

Light-headed, diaphoretic, briefly lost consciousness. Provided snack, water. Did not eat prior to visit.

Patient received COVID 19 vaccine and was in waiting area after administration, about 5-10 minutes after administration he fainted while sitting on chair in waiting area, fell off chair and hit head on floor. Very Brief LOC. Was pale, EMS was called to check on patient - while EMS was speaking to patients he fainted a second time (they caught him) - was taken to hospital for further evaluation as a precaution, do not know results of that evaluation. Patient admitted eating little and drinking little water that day.

Woke up with severe chest pain and chills, couldn't continue laying down had to go outside. Pain lowered to mild within 3 hours

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient reported that he felt bad at the end of his 15 minutes seated observation time. He reported that he felt light-headed/dizzy, had some nausea, had red dots in visual field, and he appeared pale. Patient was encouraged to stay seated. He consented to transitioning to lying down on a couch and hydrating with a water bottle. BP was within normal limits. He did not faint. After ~15 minutes of lying down he felt recovered and normal. Patient was able to walk out fine with his friend.

Vasovagal response. Several minutes after receiving this dose, the patient became very light headed and dizzy. He got warm, sweaty, and pale. He said his vision went black for a minute or two. Once he laid down and put his feet up, he began feeling better. His vision was back to normal and he was no longer dizzy. After laying on the floor for several minutes, the patient sat up for another few minutes before going home. Paramedics were called by management. They checked his vitals during this time, but did not provide any treatement.

The following morning I had a fever and felt achey overall. However later in the afternoon that day my fever had began to subside but my chest began to feel constricted. There was a constant pressure in my chest and then waves of extreme construction and pain would come and go where I felt unable to breathe and felt intense pain all over my chest and upper body.

After the second shot (4/21/21) I had a common reaction, fever, aches and felt really unwell the day after. The next day the only symptom I had remaining was lung/chest pain. The discomfort as not subsided any since the day after I got the shot (it had been over a week and a half), if any it has worsened slightly. It hurt most when I exhale and relax. It is a tight feeling in my mid chest.

Pericarditis, treated with standard dose colchicine (0.6 mg 2x day), ibuprofen (600 mg 2x day) , and pantoprazole (1x day to prevent ulcers from ibuprofen). Pain resolved over the course of about 2 months.

Pt fainted and fell from chair hitting the floor. Vital signs were taken and were elevated. Pt was assessed, and pt became alert immidetly after ending up on the floor. He did not complain of pain anywhere, vital signs started to trend towards within normal limits. No medication was given. pt left indepently with normal walking gait and partner waiting outside. Pt was educated on when to seek urgant care.

Patent received the shot, was given a 15 minute timer until it was safe for him to leave, He went out and sat in the waiting room until his time was up. Approx, 10 minutes later I heard a noise and looked over at his and noticed he was started to fall out of his chair. He then became as stiff as a board and I held him in place until he came to. He was seemingly scared and not aware of his surroundings. He said that he was feeling better but was still light headed. He was given an icepack and water and took his mask off. He looked pale. He started to feel better and left approx 10 minutes after this happened. He told me that he was feeling dizzy before he passed out.

Pt was sitting in chair being monitored after vaccination, when he fainted, fell out of chair and hit head on floor. He came to after falling to floor. He was assessed by Nurse Practitioners and monitored for 45 minutes. Ice pack was placed to small abrasion on left forehead. Orthostatic vital signs were WNL. He was neurologically intact without any further symptoms and released to room mate who picked him up from vaccine clinic. Pt states that he remembered feeling a little light headed and was going to ask for some water when he woke up on the floor being assessed by staff.

Client stated he did not like needles and did almost pass out last time he got a vaccine. Client was given moderna vaccine in left deltoid and was asked to stay seated, but the client said he felt fine, that it was a small needle so he was allowed to walk to the waiting area and went to get a snack also. About 5 min after this I was called to the client as he was being lowered to the ground by his sister and MA with department. The client was unresponsive for about a min. We raised his legs and he regained consciousness soon after, and was able to open his eyes and talk. About 3 min later client sat up on the ground, no other injuries per the client. A few minutes later he got himself up and sat on the bench. Still a little pale and diaphoretic. About 30 min after receiving vaccine he felt much better and said he was ok to leave and go back to work.

This is a very pleasant and healthy 21-year-old with history of migraines with aura who presents to the ER 2 days after receiving his second Materna vaccine with complaint of chest pain, myalgias and fatigue. Patient reports normal postvaccination myalgias and fatigue for the last 2 days but had onset of left-sided chest pain that radiates to his upper back and is worse with deep inspiration, some positions and movement of his left upper extremity. He denies cough, shortness of breath or rash. He is low risk for pulmonary embolism with PERC score negative for PE. Screening EKG showed a sinus rhythm with elevated J point in anterior-lateral leads, ? ST elevation in 1 and AVL w questionable reciprocal changes in leads 3 and AVF. Patient went to CXR. Clinically very low risk patient for STEMI from CAD. ? Myocarditis or pericarditis? No hx of stimulant use or early CAD in family. Upon reevaluating the patient, clinically he seems to have musculoskeletal chest discomfort, worse with palpation and movement of LUE. Repeated EKG - showed more definative ST elevation through anterior and lateral leads with reciprocal changes in 2, 3, AVF. Slight ST elevation in AVL. ? Pericarditis vs myocarditis. Will call cardiac alert. Evolving EKG changes. Discussed with ED physician and Interventional Cardiology, we agreed, patient likely has acute myocarditis clinically. Very low risk for CAD. Gave aspirin and heparin. They will evaluate him. Labs coming back... wbc 17.4, normal chemistry. Sending off CRP, ESR. Troponin pending. Patient and family appreciative and understanding. 1710 - Follow up call from cardiology. Stat echo normal wall motion. With elevated CRP and mild trop 1.6, patient has myocarditis with pericarditis. Dr very appreciative for the detailed history and physical. CP free. Holding off on cath lab.

Patient received his Moderna vaccine and immediately (10-15 seconds) appeared to be seizing. His muscles were tensed, tonic clonic, he was pale, hot to the touch, and excessively sweating. However, the fire department reported it as a syncopal episode. The fire department paramedics came and monitored him until his family came to pick him up. His pulse was 57, blood pressure was 102/54, respirations 20, glucose 116, pulse of 96. Patient denied treatment to the hospital and requested to go with his parents. His dad is a physician.

21 yo M presented with near syncope, pale, diaphoretic, difficulty breathing. EMS eval. BP 108/70, HR 165, 4-lead. Pt care transferred to responding EMS unit, Pt transported to local hospital emergency room for continued treatment.

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

Mildly sore arm, onset within an hour of injection Fatigue, onset around 4 p.m. Insomnia, first noticed when trying to sleep at 8:30 Nausea, onset around midnight which gradually worsened but has since become mild Chills, onset around midnight Mild chest tightness, onset around 2 a.m. Headache, onset around 3 a.m. which gradually worsened

About 5 minutes after receiving the vaccine, he walked up to the in window stating that he felt his vision was diminishing. Then immediately he swayed and fainted. He came around quickly and paramedics were called. The paramedics assessed him and left without transporting him.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient felt lightheaded and was with girlfriend who then sat down in the chair and passed out for a few seconds maybe 10-20 seconds then came to ems was on the way, gave water to the patient and the told me he had nothing to eat all day asked if a banana was ok to give hime he said yes. ems came and took vitals. after 15minutes of monitoring he waive additional treratment and left on his own

Patient fainted after receiving vaccine. Patient also had a similar fainting reaction to a Tdap vaccine 4 years ago. Fainting episode was brief, patient was moved to a lying-down, legs-elevated position with cold compress applied to forehead, and quickly recovered.

PATIENT FELT LIGHT HEADED. MOTHER WAS PRESENT WITH HIM. SHE CAME UP TO THE COUNTER TO LET US KNOW BUT THEN HE IMMEDIATELY FAINTED AND FELL TO THE GROUND FROM HIS CHAIR. 911 WAS IMMEDIATELY CALLED. PATIENT GAINED CONSCIOUSNESS WITHIN NO MORE THAN 1 MINUTES. HE WAS AWARE, ALERT, AND ORIENTED (PATIENT CONFIRMED HE DID HAVE BREAKFAST THAT MORNING). HE WAS CLAMMY AND SWEATY. HE EXPLAINED THAT HE USUALLY EXPERIENCES THIS TYPE OF FAINTING EVENT WITH NEEDLES. PARAMEDICS ARRIVED ON THE SCENE AND EVALUATED PATIENT'S CONDITION. PATIENT'S BP AND EKG WERE WNL. PATIENT REFUSED BLOOD SUGAR TEST D/T NEEDLE PHOBIA (HE SAID HE DID NOT WANT TO PASS OUT AGAIN), AND HE DECLINED GOING TO THE ER.

He had Moderna vaccine #2 on 5/13/2021. The day after the vaccination he had fevers and chills. Two days after his vaccination (5/15/2021) he developed mild midsternal chest pain. This worsened and on 5/16/2021 he felt like someone was sitting on his chest. This pain was worse with deep breaths and radiated to his shoulders. He sought care at an urgent care clinic where EKG unexpectedly showed diffuse ST elevations. He was referred to the ED where he had an elevated troponin and there was concern for myocarditis. TTE done showed a normal ejection fraction and normal heart valves. He denies recent illnesses. He denies recent sore throats or skin infections. He works in the hospitality industry but denies known recent COVID-19 infection. Since admission he was seen by cardiology and was started on colchicine, indomethacin, and protonix. Telemetry has been reassuring. He reports feeling much better.

Approximately 5-10 minutes after vaccine was given patient stayed in store but shopped around and passed out in the aisle while shopping. He quickly came to and did not hurt himself in the fall. EMS was called and arrived. They evaluated the patient and the patient's blood pressure was low. They administered an IV and took the patient and not to a healthcare facility.

Pt experienced nausea, vomiting,, and heartburn after vaccination on 4/27. He awoke on 4/30 with chest pain, intermittent-radiating to his back at times. His troponin level was elevated, he was admitted for treatment of myopericarditis. He stayed for 7 days inpatient and was discharged home on 5/7/21.

Patient experienced a near syncopal episode within 5 minutes of receiving the vaccine. He was seated in table in the back of the room of the Observation area. He had been put there as during his first COVID vaccine on 4/21/2021 he fainted and went to the ER. He has been suffering from mild concussion symptoms since 4/21 such as headaches and fatigue. His vitals at 9:15 were BP 138/88, HR 102, O2 Sat 97%. ARNP assisted pt. with an ice pack to his forehead and assessed mental status. He was alert and oriented x 3, no neck pain, pale, no disturbed vision, able to move hands and legs. He had eaten ~8 oz of yogurt and a peach at 8:45 just prior to the vaccine at 9:10. While with us he drank 6 oz of apple juice followed by vitals of 125/76 and pulse of 74 along with O2 Sat of 99% Student is a graduated senior at the University where he received both vaccines. He is originally from out of town and will return there in 6 days. He remained with us for 40 minutes. He was released to walk home with a friend (~ 3 blocks) and rest for the remainder of the day. Spoke with pt. 3 hours later and no s/s, no negative reaction-feels well

Patient presented high fever around 5pm the day of the vaccination. He continued with high fever and joint pain all Friday. He then presented with respiratory difficulties and chest pain when lying down on Saturday morning. He noticed that pain was less intense if he was seated upright. Pain became more intense around 10pm Saturday night. He was taken to am Emergency Room and was determined after evaluation that a cardio evaluation was granted due to abnormal labs and EKG results. Patient was transferred to secondary hospital. He was admitted for further evaluation and treatment.

PATINET PASSED OUT A FEW MINUTES AFTER THE MODERNA SHOT. NO TREATMENT NECESSARY. PATIENT DID HIT HEAD ON SHELF BUT WITH FINE AND BREATHING FINE. AMBULENCE CAME, CHECKED HIM OUT, AND THE PATIENT WENT HOME.

Patient experienced syncope about 5 minutes after recieving vaccine. he fainted fell to the floor bumped his head then got up immediately later and reported to pharmacist around 7:40. Patient was asked to sit down, given water and powerade for fluids and electrolytes. after 20-30 minutes patient vomited. 911 was called immediately after. first responders came in 10 minutes around 8pm and took vital signs and questioned patient. patient refused to go with them stating he felt better. patient left pharmacy around 8:30 pm 5/12

Patient was given vaccine. He did not state he was scared of needles. i asked him to have seat outside pharmacy for 15 minutes to observe him. His friend with him said he passed out in the chair sitting down.We called 911 and I went to assess him and spoke to him and touched him with no response. He proceeded to slide out of chair and I brought him to the floor and laid his to the side. He twitched and eyes fluttered. I then injected him with epi-pen thinking he may have been having an allergic response. His skin was white. After injection his coloring came back and slowly started to speak.He was able to form sentences. Police and EMS came and assessed him within 10 minutes and took his blood pressure. He was coherent and coloring resumed on patients face. Patient stated he had a little of tingling and mentioned he passes out occasionally after giving blood. Patient was released and aunt came to store and did not seek any further medical attention even though ems wanted him to get checked out. Blood pressure continued to rise and EMS believes patient had vasophagal syncope.

Pain and tenderness at injection sight almost imediately. Muscle pain within first hour. Dizziness, weakness, loss of consciousness, nausea, and vomiting approximately 10 hours after injection.

2 days after 2nd Moderna vaccine, patient felt heaviness in chest, went to hospital, diagnosed with myopericarditis

Day 4 (April 30) After 2nd vaccine dose: chest pain started and continued through the night. . Day 5 (May 1) after 2nd dose: chest pain intensified. Visit Urgent Care where EKG abnormal, chest X-ray okay. Sent to ER on basis of abnormal EKG. At ER (still day 5 (May 1) after 2nd dose) echocardiogram normal. EKG abnormal. Blood labs showed elevated Enzyme Troponin (7-8ng/ml). Admitted to hospital. Started colchicine 0.6 mg 2x/day. Troponin levels continued to rise and elevated to 12 ng/ml within 24 hrs from start of meds. Took another 36 hrs to bring Troponin down to 6 ng/ml. Sent home May 3 where continued Meds.

This is a 21 year old male who had his first dose Moderna vaccine on 3/18/21 (lot#001B21A) and second dose on 5/9/21 (lot#024C21A). On 5/13/21, the patient presented to the emergency department with complaints of shortness of breath, chest pain, 'sharp shooting pain going up my leg/thigh,' pain 5/10, and nausea. Onset on 5/12/21. The patient has a history of a recent ED admission on 4/24/21 for abdominal pain, felt to be related to a recent diagnosis of hepatic stenosis, biliary sludge (unrelated to the 5/9/21 ED visit, however notable; discharged to home to f/u with established surgeon). The patient stated that this may be related to chronic anxiety. ED provider determined that acute chest pain was likely due to anxiety and/or a vaccine reaction. The patient was discharged to home with instructions to f/u if needed. No additional chart documentation available since discharge.

For the next few days after I received the second dose of the vaccine, I experienced muscle and body aces, fatigue, and a low grade fever. About 3 days after getting the vaccine I woke up at about 2 AM on the 18th with severe chest pain, the other side effects had subsided at this point. I ended up going to the ER after about a half hour of the pain not going away. They ran a Troponin blood test and foinf my levels to be high. They also tested me for Covid which came back positive. They ended up doing an ultrasound of my heart, using a catheter to take a look at my arteries, a chest xray, a CT scan, and an EKG. The final diagnosis was myocarditis of the heart. I had to stay in the hospital for a few days while my heart stabilized. I was given orders to only participate in light exercise and to take it easy for now. I have a follow up visit with the cardiologist in about a week frok now. It was also found out through testing that I may have Wolf Parkinson's white syndrome.

Fainted approximately 5 minutes after administration of second vaccination. Time of unconsciousness was approximately 2 minutes. Patient stated no previous history of fainting.

Patient experienced chest pain and tachycardia after covid 19 moderna #2 vaccine on 5/22/21. pt had temp 100.4 after vaccine and the following night had left chest pressure and palpitations so he went to the ER. Pt had nl labs, ECG- sinus tachy, right axis deviation , nl cxr and neg- covid 19 test. pt palpitations and pain resolved while in ER. Pt had second episode of chest pain on night of 5/24/21 but did not go to ER

Fever rush(up to 38.2 Celsius for a night) with severe muscle pain and fast heart rate(110+ bpm). Began after the second dose from 01:00 to 06:00.

Patient fainted after he got his shot. It took about 10 seconds for the patient to be oriented. Patient was with older brother who said he was not surprised(he expected it) since it happens when he get shots or anything with needles. But he is also fine after a short period. No epipen given and no EMS called

The patient was administered the first dose of the Moderna COVID-19 vaccine. Immediately after the injection, the patient lost consciousness in his seat and slumped over. He was caught by the pharmacist, then briefly seized before regaining consciousness. Upon regaining consciousness, the patient complained of feeling hot and dizzy. Emergency medical services were called and they arrived within 5 minutes. In that time, the patient appeared to have mostly recovered and was comfortable leaving after being cleared by EMS. The patient was referred to their physician for guidance regarding the second dose of the vaccine.

Situation: 21M had an appointment for 2nd dose Moderna (Lot# 007C21A) today. Shortly after being vaccinated, patient started to feel dizzy and eventually complained of chest pain. Background: Patient has NKDA and allergic to pollen and dogs. Denies PMH. The Moderna vaccine was administered at 11:56AM. Pt came to the observation area at 1205. Pt started to feel dizzy and told girlfriend about it. Juice and crackers provided. Pt consumed 2 juice boxes and crackers. Pt felt better initially then started to feel dizzy and shaky again. Assisted to gurney and took to room 7. Assessment: 1215 VS 98.8F, 127/77 (94), 62, 98% RA, 16 and dizzy. Continue to give more juice and water. Pt started to feel better. 1220 Pt looked better, feeling better, conversing to girlfriend, and playing with phone. Manager at bedside talking to pt and gf. Pt stated that he didn?t eat nor drink today. Pt woke up and went straight to the vaccination clinic. Pt does have hx of anxiety episodes. Girlfriend also reported that patient became dizzy after first dose of Moderna but did not disclose to anyone.

Systemic: Fainting / Unresponsive-Medium, Additional Details: patient passed out from chair about 5 minutes after dose given. I was helping an intern get her 1-9 information into the ipad. There was another vaccine patient waiting in a chair, she immediately came and got me, I rushed to the patient to bring him back to consciousness. I shock his shoulders and he started to come back. Staff team members were extremely helpful. They came right away with water and help to assist with anything the patient needed. Patient stated that he felt hungry.

Patient received first dose of Moderna covid vaccine. About 5 minutes after vaccine the patient experienced syncope and fell to the ground. He did was aware, but a little dizzy when I got to him. My partner called 911 and the paramedics took the patient to the hospital.

Patient received 1st dose of Moderna vaccine around 1445 on 4/6/2021 after waiting in the waiting area for about 13 min he got up and spoke to EMT stationed at the first aid and asked if 'he was supposed to be feeling this way' and then he had an episode of syncope - the EMT caught him and lowered him into chair. He was also very pale. EMS were called around 1516 patient's VS were BP 92/52, HR 42, R 10, 02 95%. When EMS arrived they attempted to do orthostatic BO his seated BP was still low (I don't have reading) and when they stood him up he got woozy again so they seated him. The decision was made for him to be taken to ER by EMS Transport. Patient denies any medical history or NKDA. Tr

The patient developed myocarditis several days after receiving the vaccine. He was admitted to hospital and observed for several days before discharge in stable condition.

Patient received first dose of Moderna vaccine. He was sitting in the observation area and after about 10 minutes, he fell over and onto the floor. He said he hasn't ever passed out from vaccine before. We gave him some water and after a few minutes, he got up and sat back in the chair for another 20 minutes. He said he was fine and didn't feel the need for any medical treatment or ambulance.

fevers, chills, HA, CP, vomiting x2, ED presention 4/22. Tx with ibuprofen, colchicine, famotidine, metoprolol. Discharged on colchicine/ibuprofen and metoprolol. Resolution of sx over next few days.

Patients mother called. Her some began having symptoms (I believe she said) the day after the vaccine. Fever, feeling under the weather. Began having chest pains and shortness of breath. He was admitted to the hospital 2 days after vaccine. An EKG was performed showing the patient was experiencing mini heart attacks.

PT DID FINE IMMEDIATELY, ATER VACCINE WITHIN A FEW MINUTES HE PASSED OUT, FELL OUT OF HIS CHAIR AND STARTED SEIZING. I RUSHED OUT OF THE PHARMACY PUT A SOFT PAD UNDER HIS HEAD AND PREVENTED HIM FROM HITTING IT ON THE FLOOR. I TOLD A CUSTOMER TO CALL 911, SHOTRLY AFTER PATIENT WOKE UP AND ASKED US TO CALL HIS PARENTS. ANOTHER CUSTOMER DID THAT AND THEN THE EMS ARRIVED. THEY CHECKED ALL HIS VITALS WHICH WERE WITHIN NORMAL LIMITS AND HE CHOSE TO NOT GO WITH THEM. HIS SISTER PICKED HIM UP TO GO HOME. PT STATED HE HAD NOT EATEN THAT DAY AND HAD TAKEN IBUPROFEN BEFORE ARRIVING.

Increased heart rate and pounding at times, high sensitivity to caffeine and current medication (Concentra)

Patient had and uneventful COVID 19 infection in Dec 2019. Recovered quickly and completely. Had Moderna Vaccine April 29, 2021 with only a temporary low grade fever as the side effect. Underwent his second Monderna vaccine June 6, 2021 and 2 days later developed a high grade fever and severe chest pain. Admitted to the hospital and had a positive troponin I to 18. Also COVID SARS 19 PCR positive on admission. Cardiac Cath showed normal coronaries with non thrombosis. Cardiologist confirmed acute myocarditis due to troponins, chest pain, and segmental wall motion abnormalities by Cath and echocardiogram. ID has been consulted and confirmed diagnosis as well.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Patient reports that they did not eat or drink anything all day prior to receiving vaccination in the early afternoon. Suspect that dehydration or low blood sugars may have contributed to syncope event. Patient become unresponsive for about 60 seconds with pulse. Patient had returned to stable vitals within 10 minutes of event.

patient felt lightheaded then fainted for a few seconds. ice packs used and drank water, came back to consciousness.

Nose bleed everyday sometimes difficult to stop and happens one to two times a day since he rcvd the shot.

Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

AFTER GETTING HIS 1ST DOSE OF MODERNA VACCINE, PATIENT SAT IN THE OBSERVING AREA. AND WITHIN 2 MINUTES OF RECEIVING THE VACCINE, PATIENT HAD A SEIZURE LIKE SYMPTOMS FOR 1-2 SECONDS AND HE FELL OFF THE CHAIR. HIS MOTHER WAS THERE TO CATCH HIM. I CAME RUNNING OUT TO ASSIST. HE REGAINED CONSCIOUSNESS ALMOST IMMEDIATELY AND REMEMBERED EVERYTHING THAT HAPPENED. BUT HE TOLD ME THAT HE FELT VERY DIZZY. I HAD HIM LAY DOWN ON HIS SIDE. HE WAS ALSO SWEATY. HE LAY ON THE FLOOR FOR THE NEXT 10 MINUTES, DURING THAT WHOLE TIME HE WAS ALERT AND AWAKE. ONCE HE FELT BETTER AFTER 10 MINUTES LATER, HIS MOTHER TOOK HIM HOME. WE DIDNOT HAVE TO CALL AN AMBULANCE FOR HIM.

My left testicle began to have random shooting pains that were slightly uncomfortable and after a few weeks of that pain progressively getting much worse and the shooting pains happening more frequently one night my entire scrotum (including my right testicle) began to hurt so bad and for such long periods I went to the emergency room. I had an ultrasound done as well as tests for STDs and STIs and had no structural damage in my testicles nor any sexually transmitted problems. It has gotten somewhat better but there is still some general discomfort in my scrotum. While it was at its worse my scrotum was somewhat swollen (which it still is slightly), very red, and looked as if there were numerous blood clots on the surface of my scrotum.

Chest pains (tension and pressure), nausea, loss of appetite, fatigue, shart left arm pain non muscular lasting for weeks.

About an hour after getting the shot, the skin on my right arm was flushing before going numb. Then my shoulder went partially numb and it's still numb/frozen as of 2:20 am 26/June/2021. Over the course of nine hours from when I got the shot, starting at around 1 hour after, I started to get symptoms, which as of right now are still here. After my skin started acting up, my blood pressure dropped and my heart was pounding extremely hard in my chest and felt tight. My muscles have been going between losing muscle tone and being locked up extremely hard. I've been dizzy since about 3:00 pm 25/June/21, and it has progressively gotten worse to where I feel like I am going to pass out if I stand up. I have chills that make my chest tighten up and cause angina. I have been feeling very faint since around 9:00pm. I've had a mild headache since around 2:30pm, and have been feeling like I am falling since about 1am. Breathing takes manual effort. I have been feeling dissociated and nauseous since about 6pm and cannot remember much from after 6pm. I am not sure whether it is a medical emergency or not but I can't afford to go to the er.

The patient received his second shot of Moderna vaccine on 6/14/21. That night he felt ill with headaches, fever and nausea. On Friday morning (6/18/21), the patient developed a 15-minute episode of chest discomfort. He described it as a moderate midsternal chest soreness radiating to his left arm at rest and worse with a deep breath, not positional. That same evening, the patient had an even worse episode of the same chest discomfort prompting his trip to the emergency department. The patient was admitted to the hospital with an elevated troponin level. He was started on colchicine and ibuprofen.

21 year old male who presented to the Emergency Department on 6/11/21 with chief complaint of left anterior chest pain. The patient received the second dose of Moderna COVID-19 vaccine on 6/9/21. The patient's troponin was elevated upon admission to the hospital. The patient remained hospitalized from 6/11 - 6/14/21 and was then discharged to home. The patient was provided with colchicine and NSAIDs during hospital course. Cardiac MRI report read as likely myocarditis on 6/14/21.

developed heart pain down both arms; myocarditis, every time his heart beat it hurt and he felt pressure; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDITIS (myocarditis, every time his heart beat it hurt and he felt pressure) and PAIN IN EXTREMITY (developed heart pain down both arms) in a 21-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 22-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-May-2021, the patient experienced MYOCARDITIS (myocarditis, every time his heart beat it hurt and he felt pressure) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced PAIN IN EXTREMITY (developed heart pain down both arms) (seriousness criterion hospitalization). The patient was hospitalized for 3 days due to MYOCARDITIS and PAIN IN EXTREMITY. At the time of the report, MYOCARDITIS (myocarditis, every time his heart beat it hurt and he felt pressure) and PAIN IN EXTREMITY (developed heart pain down both arms) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Blood test: high (High) high protein numbers. In 2021, Electrocardiogram: abnormal (abnormal) diagnosis of myocarditis. In 2021, Scan: abnormal (abnormal) diagnosis of myocarditis. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments. No treatment information was not given. No concomitant medication information was provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was not applicable. Very limited information has been provided at this time. Further information has been requested. Reporter did not allow further contact; Sender's Comments: Very limited information has been provided at this time. Further information has been requested.

Patient felt dizzy and lightheaded shortly after administration. He states that he often works himself up over medical issues. BP dropped to 86/60 at one point. EMS was called and took over situation.

Unfortunately, minimal information recorded in records. Patient got vaccine at outside facility. Presented to hospital and diagnosed with myopericarditis.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium

received Moderna COVID-19 vaccine on 6/28 and since 6/29 has had worsening chest pain with shortness of breath, but it was most notable yesterday. He went to urgent care , and had an EKG, with the results being abnormal. He reports it feels better when laying down and is exertional. He had chills, abdominal pain and myalgias, headache.. impression is myocarditis likely related to the vaccine.

Felt diaphoretic, looked pale and not feeling well after immunization. Placed on a litter. Vital signs WNL. After laying down and observed for 30 minutes total, felt better and okay to be released.

sharp pain in left chest when breathing in and moving pressure in right chest low energy in whole body feeling of being overwhelmed shortness of breath pain under ribs and stomach that comes and goes hearing sounds in ear when swallowing

PATIENT HAD SYNCOPY 15 MINUTES AFTER RECEIVING VACCINE. THERE WAS A FEW SECONDS OF CONVULSION BUT PATIENT regained consciousness right after, breathing was normal. patient was alert and not disoriented. no medical treatments were given.

Patient experienced dizziness, fainting, sweatiness, and blurry vision 10 minutes after receiving the vaccine. Pharmacist asked patient to sit down and remove facial covering. Pharmacist took blood pressure, first reading was 104/56. Pharmacist offered patient water to drink and continued to monitor patient's symptoms for 40 minutes. Pharmacist took another blood pressure reading and the results were 129/73. Patient stated he no longer feel dizzy or feel fainting. Patient's father took patient home. Pharmacist called patient 2 hours after he left pharmacy. Patient stated he has severe headache. Pharmacist advised patient to take one Tylenol and eat some snack.

Patient received 2nd Moderna vaccine 06/04/2021 through his college. Around 06/30/2021, patient started having upper respiratory symptoms and sought care on 07/10/2021. At this time he had EKG changes and was scheduled for an ECHO on 07/13/2021. Patient received ECHO on 07/13/2021 and STEMI alerted from ED. Taken to cath lab after ECHO showed acute systolic HF. LHC to work up anterior STEMI, acute systolic heart failure and cardiogenic shock. RRA access. Acute thrombotic occlusion of the distal LAD and the D2. Temporary mechanical circulatory support was placed using an Impella. Patient was transferred to another Medical Center, cannulated and is now status post LVAD and temporary RVAD. Hypercoagulable work up is in process.

Fever and chills day after vaccine with cough and chest pain and fatigue. Similar to first but less upper respiratory and more chest pain and fatigue

presented to the emergency room with symptoms of chest pain. He received Moderna covid vaccine on Tuesday and since then he has been having symptoms of myalgias and chest pain. He mentions that the chest pain is substernal, gets worse with deep breaths. It gets worse when he lays on his back. And feels better when he sits up. He also had subjective fevers. When he presented to the emergency room he was having crushing chest discomfort with a troponin level at 10 and was referred for an emergent coronary angiography with concerns for acute coronary syndrome. Diagnosis/Impression: Acute myocarditis after Covid vaccination: Based on positional changes and pleuritic nature of the chest pain. Given troponin level left hand and ongoing crushing chest discomfort he was emergently taken to the Cath Lab where he does not have any significant coronary artery disease or thrombotic occlusions. LV gram shows hyperdynamic LV systolic function. At this time his symptoms are consistent with myocarditis.

Patient sat outside of pharmacy in a chair for approximately 5 minutes. He started to look not so well. Went to bring him back into consultation room and he passed out. He laid down on the floor for 10 minutes or so. Gave him some water and animal crackers.

Myopercardis; heavy tightness in chest; maybe difficulty breathing; weak; chest pain; tired; This spontaneous case was reported by a consumer and describes the occurrence of PERICARDITIS (Myopercardis) in a 21-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 22-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-May-2021, the patient experienced CHEST DISCOMFORT (heavy tightness in chest), DYSPNOEA (maybe difficulty breathing), ASTHENIA (weak), CHEST PAIN (chest pain) and FATIGUE (tired). On an unknown date, the patient experienced PERICARDITIS (Myopercardis) (seriousness criterion medically significant). At the time of the report, PERICARDITIS (Myopercardis), CHEST DISCOMFORT (heavy tightness in chest), DYSPNOEA (maybe difficulty breathing), ASTHENIA (weak), CHEST PAIN (chest pain) and FATIGUE (tired) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 24-May-2021, Electrocardiogram: inconclusive (abnormal) inconclusive. No treatment information was reported. No concomitant medications were reported. On 24 May 2021, the reporter stated the patient's father noticed the patient had chest tightness and maybe a difficulty breathing, was weak and tired. The patient's father took the patient to the hospital. The patient was diagnosed with myopericarditis and was being followed by a cardiologist. Company Comment: This is a 21-year-old male patient with pericarditis and myocarditis among other events after receiving mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 24-Jul-2021: Follow-up information received on 26-JUL-2021 contains significant information new event Myopercardis is updated.; Sender's Comments: This is a 21-year-old male patient with pericarditis among other events after receiving mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Patient blacked out while sitting during the observation time. He hit his head in the fall and was observed having some convulsions.

Fever, chest pain, cough, headache, chest tightness, shortness of air and fatigue. Symptoms began about 5pm on 1/6/21. Came to the emergency room on 1-7-21. Negative for COVID per PCR test.

Blurred vision, difficulty breathing (pale skin/blue lips), profuse sweating, muscle fatigue, headache. This lasted about 15 minutes. Until severity went down. Followed by 20 minutes of profuse sweating and headache. I thought I was going to die

5 minutes after vaccine patient complained of dizziness and became diaphoretic, pale, and clammy. BP 74/48, HR 42 bpm, O2 92%. Water and snacks were given. At 10 minutes post vaccine HR was 52 bpm and O2 was 96%, patient is alert. At 15 minutes post vaccine BP was 90/50, O2 99%, HR 86 bpm and very talkative, states he is feeling better.

Chest "burning", faint wheeze left lower lobe on lung exam Treatment: Solumedrol 125 mg IM. Albuterol nebulizer 2.5mg/3mL Symptoms resolved after treatment

pt developed fever 102, chills and body aches evening of vaccine. Mon am (2/1/2021) awoke with chest pain. Came to ED for evaluation, diffuse ST elevation in all leads, troponin elevated 4.1, 2nd trop 33. echocardiogram with EF 50% pt currently being worked up for pericarditis, ACS with plans for heart cath in am

STARTED WITH BODY ACHES ON DATE OF VACCINATION WITH POSSIBLE TEMP. ON FRIDAY (2 DAYS POST) PT. WOKE UP WITH JAW PAIN AND SHORTNESS OF BREATH.

Low count platelets; Convulsions after vaccination without lose of consciousness; A spontaneous report was received from a pharmacist concerning a 22-year-old male patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced convulsions without loss of consciousness and low platelet count. The patient's medical history was not reported. Concomitant medications were not provided. On 28 Dec 2020, the patient received their first of two planned doses of mRNA-1273 for the prophylaxis of COVID-19 infection. On 28 Dec 2020, after getting vaccinated, the patient immediately started to experience tremors and shaking all over his body which was described as convulsions without losing consciousness. On 05 Jan 2021, the patient had a blood test that showed a low platelet count. No treatment information was provided. Action taken for the event was not reported. The outcome of the events, convulsions without loss of consciousness and low platelet count, was considered unknown.; Reporter's Comments: This case concerns a 22-year old male patient. The medical history is not provided. The patient experienced a medically significant and unexpected medically significant event of Convulsions without losing consciousness immediately after receiving their first of two planned doses of mRNA-1273 (Lot unknown). Additionally, the patient experienced an unexpected non-serious event of Platelet count decreased. Based on the current available information and temporal association between the use of the product and the onset of the events, a causal relationship cannot be excluded and the events are considered possibly related to the vaccine.

Nausea, light headed, hot flashes, oxygen level decrease, blood pressure decrease, heart rate decrease, temperature decrease. All in cycles of 10 minutes on, a few minutes off. Was put on oxygen, sent to hospital in ambulance, and given 2 bags of fluid through an IV

After about 15 minutes the subject asked to use a pulse oximeter, reading normal. Then said it was like looking in a tunnel. We asked him to sit an d applied an ice pack to the back of the neck. At the time this provider did not know the patient had a seizure disorder. He slid to the floor with full tonic clonic involvement. His head and neck were protected. 911 was called and an ambulance. After about 3 minutes the subject regained consciousness. He did not wish to be checked out at the hospital. He signed a release and his mother picked him up

Patient got lightheaded and clammy. Eyes rolled to back of head about 3 minutes after injection. MT assessed pulse, slow but steady. RE got BP cuff and took BP. 1st BP reading was 146/96 with pulse of 59. Sat O2 was 100% Staff went to get patient water per patient request. Resident claims he 'lost hearing' for a small time period. BP reading at 1147 was 148/91. SS, CNP, was summoned to vaccination area to assess patient. Spoke with patient / family. He has had similar reaction before after knee surgery. Patient feeling better. CNP requests continued observation until DBP is below 80. BP reading at 1153 is 135/79. Patient released from observation and left vaccination clinic.

One minute following vaccination, patient hunched over and fainted. Nursing staff lowered patient off chair and onto floor, raised patient feet above heart level. Patient woke 15 sec later and sat up slowly. Patient given juice and granola bar. Patient observed for total of 50 minutes. Patient vitals remained within normal limits throughout observation period. Patient released after reporting feeling better and all symptoms diminished. No other severe symptoms or concerns noted during observation period noted.

Patient reported "feeling sick", and reported feeling dizzy, nauseous, chest tightness, and chills. Patient temperature was 100.1. Patient accepted PRN medications and inhaler.

Moderna COVID-19 Vaccine EUA The patient was in his usual state of health until he received his second dose of the Moderna COVID-19 vaccine on Tuesday 2/23. He had previously had no side effects from the first dose other than soreness at the injection site. After the 2nd dose, he noticed arm soreness at the injection site more quickly than before. 10-12 hours later, he noticed headache and subjective fever, which was relieved by Tylenol. On Wednesday he woke up with subjective fever and chills, and felt sternal chest pain during deep breathing and attempted cough, but did not notice any effect from positional changes. Other than attempting to cough to elicit pain, he did not experience any other symptoms such as runny nose, coughing, sneezing, congestion, shortness of breath, palpitations, abdominal pain, diarrhea, or dysuria. The following day, he noticed that the chest pain was more severe and persistent throughout the day. The pain location would vary from the sternal area to the left side of his chest. The intensity of pain would vary between a 2-3/10 to 7-8/10. When the pain peaked, it would be accompanied by feelings of fever, chills, and brief headache, and he felt that the pain would "spread" across his chest. The pain would persist for a variable amount of time but then eventually disappear before returning. The pain was not affected by deep breath, position, or analgesics (he took an ibuprofen at around 2 AM when he couldn't sleep). After he fell asleep he was not woken up by pain. On Friday, he pain continued to be intermittent, and peaked during a work meeting. At that point he told his boss and an MD co-worker, who recommended that he presented to the ED. The EKG that was obtained in triage showed sinus tachycardia widespread ST elevations, PR depressions, with reciprocal changes in aVR. At this time he was continuing to experience chest pain. After getting a room in the ED, he no longer felt pain. He received a 2nd EKG showing improvement in ST elevations in some, but no all leads. He received ibuprofen and he continued to feel no symptoms. He was found to have a troponin elevation of 8.84 that peaked to 11.2. Transthoracic echo showed no motional wall abnormalities, normal EF, no pericardial effusion. He was admitted to the CICU out of concern and workup for myopericarditis.

0936 vs 92/60, 58, 20, 98%. Pt c/o ringing in both ears, tightness in head and skins were pale and diaphoretic. Pt denies any SOB, rash, hives, dizziness. Pt?s father is here with him and is his driver. 0946 vs 120/82, 69, 20, 97%. Pt is feeling a bit better. The ringing in the ears and tightness to head is gone, BP has increased and skins are drying and color is returning. This is his first vaccine. Pt did not want any further medical attention/paramedics called. Pt and father were advised to call 911 if any further symptoms occur after leaving site. Pt is feeling back to normal with skins W/D, no other symptoms.

No reaction occurred from time of administration (0830) to 1600. Intense emesis and stomach pain then began. Patient self-administered 100mg IM hydrocortisone. Blood pressure monitored via home monitor quickly decreased and heartrate increased. At 2000 on 3/2 EMS was engaged and brought patient to Hospital Emergency Department. At emergency room patient was diagnosed with acute adrenal crisis and given multiple doses of hydrocortisone 50mg and promethazine 12.5mg. At least three 1000ml NS boluses were provided in ED. Blood pressure continued to drop; lowest noted was low 80s/30s. Admitted to cardiology unit for continued observation and steroid/antiemetic support. Patient remained admitted 3/3 and was discharged 3/4 following adequate fluid resuscitation and transition to PO steroids.

I had upper body aches and heart palpitations. This lasted about a month. I went to a walk-in clinic and they told me that they have seen the same reactions in Covid shots in other individuals . My AST and ALT levels were elevated. The PVC lasted about a month and upper body aches lasted about a week.

Patient was sat in the front of the pharmacy to wait 15 min after vaccination. Patient agent with him came to the counter and stated patient was not feeling well. Patient was pale, sweating, and feeling nauseous. After 3 minutes (approximately 8 minutes after vaccination), patient started to vomit on himself and was given a basket. Gave Ice pack to place on neck, shoulder, and head and gave cold wet cloth to clean up vomit. Proceded to make patient wait an additional 15 minutes and patient started to feel better and was given okay to leave.

On Thursday, March 11th, 2021 approximately 3:10 pm, Patient received his first dose of Moderna Vaccine (Lot number: 003A21A) in his left deltoid Patient received the Moderna Vaccine. After which he sat in the designated medical observation area for 15 minutes. Approximately five minutes later around 3:15 pm, Patient experienced syncope, fell out of his chair, hit the left side of his forehead on the ground. Due to the fall, he experienced a mild abrasion on the left side of his forehead, which led to bleeding. The Physician?s Assistant rushed to aid Patient who was lying on the ground in a supine position. Emergency Medical Services (EMS) - Fire Department and ambulance were called immediately and approximately five minutes later EMS arrived. During the time frame prior to EMS arrival, the Physician?s Assistant asked numerous questions to Patient to assess his condition. She asked Patient if he could breathe and he responded ?yes?. She asked Patient if he was short of breath and he responded ?no?. She asked Patient if he felt like his throat was closing and he responded ?no?. At this point, an Epinephrine pen was not used. Patient was alert and the Orient x 4 questions were asked [(1) Who are you? (2) Where are you? (3) What is the date and time? (4) What just happened to you?]. Patient also denied head pain, neck pain, nausea or chest pain. Staff performed a limited neuro-exam and was deemed within normal limits. Patients Glasgow Coma Scale score was 15 Patient mentioned that he has a phobia of needles and something like this has happened before when he was ?young?. Patient initially did not want an ambulance to be called. It was explained to him that it might be in his best interest to call EMS due to syncope and abrasion on his forehead due to the fall. Patient also mentioned that he only consumed two cookies and coffee for that day. When the EMS arrived (about 5 firefighters), they interviewed him and performed a blood pressure test. His sitting blood pressure was 130/82. One of the firefighters assessed his spine and Patient denied cervical, thoracic, and lumbar tenderness or pain. The firefighter assessed Patient's glucose level, which was a bit difficult to obtain in the first initial efforts, with the glucometer reading ?error?. The firefighters eventually were able to obtain a reading on Patient's glucose and it read 86. Patient was able to stand on his own, and a second blood pressure test was performed; his standing blood pressure reading was 145/89. EMS gave Patient gauze to address his head wound Patient initially refused to go to the hospital, but per EMS protocol, fluids needed to be administered. Patient entered the ambulance and was taken to the hospital by EMS.

Patient became very hot and sweaty after dose. He felt light headed and had to lay down. He was given a glucose tablet and Gatorade. He did not have any symptoms of anaphylactic allergy. Emergency responders came and took his blood pressure and blood sugar. Both were a little low. He was not taken to the hospital, he walked out of the pharmacy with his parents

Lightheaded 10 mins after injection. no LOC. Walked to guerney. Appeared pale. able to converse at all times. 14:35 BP 150/59 P 76 and regular, O2 sat 99%. given water and juice and crackers and felt better within minutes. no other complaints or severe adverse reaction sxs. States he did not eat or have fuids since early in day. 14:43 116/64, P 72, O2 sat 100%. 14:50 119/67, P 68 O2 sat 100% 14:55 had cookies. sitting up. 1504 "back to normal". good color to skin. able to stand and ambulate without dizziness 117/71, P 66 and regular, O2 Sat 100%. Discharged home, ambulatory in very stable condition.

Extreme light-headedness and pallor. Subsided within 15 minutes. The following day: injection site soreness and general fatigue.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient indicated to having had previous fainting episodes. Had a bruise around the right eye after fainting.

Patient fainted and fell to the ground from a sitting position. Pharmacist instructed family member to call 911 as patient's eyes were open at time of lost consciousness. After about 10 seconds patient regained full consciousness and was able to sit up and drink water. EMS arrived to assess patient's vital signs and reported no issues except patient had somewhat low blood sugar. EMS instructed patient to stay hydrated, rest, and eat.

Reports he felt dizzy and bilateral hands tingling few minutes after the vaccine injection Patient got out of his car and fell s/p dizziness. Bruises on arms and redness at the back of head. No hematoma Alert and Oriented x 4 BP: 108/87 HR; 99 Sp02: 96% Fingerstick: 95 Seen and transferred to ER for evalualution

Pt received the first of the two-series COVID vaccination at 1512. Once in observation area, pt became unresponsive shortly after sitting down. This provider was called over by staff to pt, which was noted to have become unresponsive while sitting in the chair. Pt remained in the chair, did not fall or injure self. Upon arrival to patient, he was noted to have severe diaphoresis, prominent pallor, with shallow, slow breathing, no cyanosis noted. His head initially fell back and head was aligned/adjusted to maintain an open airway. This provider was speaking to the pt and performed a sternal rub to elicit a response, pt remained unresponsive and with eyes closed. Pt remained in this state for approximately 10 seconds. Pt noted to suddenly have some muscular rigidity to arms and torso and in order to prevent injury upon possible onset of seizure activity, pt was lowered to the floor by this provider and RN . Once on the ground the pt was relaxed and opened his eyes. Pt was immediately verbally responsive and asked if he passed out. Pt was able to sit up and was assisted into the wheelchair. Pt moved to treatment area where vitals and blood glucose were obtained. (@1525 BG- 104 mg/dL, VS BP 116/72, HR bradycardic @51 bpm, O2 sat 95%). Patient responses/speech was clear and pt was oriented to self, place, time and situation. Pt stated that he felt nauseated upon sitting in the observation area and admitted that he only had a coffee today, nothing to eat all day and attributed this as the cause of his reaction. Pt verbalized that he would not respond to the hospital with the paramedics and was encouraged to at least call someone to take him to the hospital. This provider spoke with the patient?s mother and explained the events. The patient?s mother stated that the patient had febrile seizures when approximately 4 years old, associated with asthma exacerbations; but pt was evaluated with a neurologist and there were no abnormal findings. Pt admitted that he has a similar syncopal episode after washing a laceration and seeing his finger bleeding. Pt states this was a few years ago and witnessed by his father that told the patient he initially fainted and then became momentarily rigid before responding appropriately (similar to today?s events). Ambulance - arrival @1536 report given and pt stated he was feeling better and declined further evaluation in truck and also declined transport to ED ( departed at 1545). Pt?s overall condition, appearance, including color was much improved. Pt denied any allergies or medication history. Past medical hx of febrile seizures at approximately age three and four, childhood asthma and one syncopal episode as an adult. Pt girlfriend arrival and she agreed to drive patient from the vaccine clinic. Pt and girlfriend were both provided with an explanation of the many concerning causes of syncope and the necessity for further evaluation in the Emergency department to rule out any underlying conditions. Both patient and girlfriend verbalized understanding and although they still declined to respond to ED directly from the clinic, both did agree to respond to ED if any changes in mental status occurred. Pt lives alone, but agreed to stay with parents and family in order to have others watch him for any changes. Pt was advised to followup with PCP and made aware that an provider would contact him tomorrow to check on his status, understanding verbalized and agreed with plan of care. Pt in no acute distress, awake, alert and oriented. Color within normal limits for and departed facility with girlfriend at 15:56, steady gait noted. Patient?s appointment for second dose was cancelled and will need to obtain clearance prior to second vaccine dose.

Patient received vaccine was fine while sitting. When patient stood up and was walking to the door he passed out. BP was 117/74 prior to EMS arriving. When EMS arrived he was placed into a chair and BP was lower initially. After sitting for about 10 minutes his blood pressure returned back above 117/74.

Around 11:30pm I started to get chills and my teeth started to chatter. At the same time my body was shaking slightly. I was laying on the couch during the start of it for the above events, this lasted for about 20+ minutes. Then I tried to get up to go to bed. I was shaking very badly at this point, teeth chattering a lot and I was very cold. I tried to use the bathroom and I couldn't even stand still to use the bathroom. My chest was also tightening and it was hard to breathe. I went to bed to lay down and I was practically hyperventilating for about 15 minutes at a time and I would stop for a minute then it would start up again. I tried to go to sleep but I couldn't because I couldn't breathe and my chest was closing in, it felt like. I called my parents in and they sat with me and gave me ibuprofen and benedryl. I started to feel better after about an hour. During that time, though, my body was extremely hot (but no fever) but I was still cold and had the chills. My head also was hurting like a headache and my eyes were really hot too. It was hard to get air and if I sat up I would get dizzy.

Patient with severe dizziness and intractable nausea/vomiting. Upon admission to the ED last night his platelet count was 9. He has a subconjunctival hemorrhage OS and frank hematuria, besides the epistaxis. Pinpoint erythematous lesions noted on his forearms. No other bleeding noted. ADAMTS13 level confirms TTP . Patient now on day 4 of PLEX treatment.

Syncope. Pt fell backwards as he was leaving immunization room for waiting/observation area after receiving first dose of Moderna COVID-19 vaccine. Episode lasted roughly 15 seconds at which point patient regained alertness. It was determined no epinephrine etc was needed. Pt was observed following episode until he was clearly okay to leave on his own accord, and no further medical attention would be necessary. Discussed follow up with PCP post event and to discuss appropriateness of receiving second dose. Out of an abundance of caution, contacted patient later in the evening (about 1.5 hrs later) at home to check up and make sure he was still okay.

Within 3 minutes of being escorted to our waiting area and starting the timer, patient made a complaint of sweating. within moments patient was heavily perspiring and lost all color. Flushed and confused. Pt starting asking "how long have I been here?". then while being escorted back to our vaccine room patient experienced a brief syncope. He fainted and was escorted to the ground. Increased pulse and continued confusion. Patient was placed in supine position with ice packs on face and nape of neck. EMS was called. we stayed with patient until EMS arrived and took over. Patient declined going with them to the hospital after his evaluation and was cleared by EMS to leave.

5:10pm - Patient complains of dizziness, sweating and headache. 5:11pm - evaluated by onsite EMS and NP; VS 90/60, p 62; 98%. Offered water, cool cloths to face and neck 5:32 pm - VS 107/70 P 70; Sat 99% . Patient stated he felt better after cooling off and drinking water. Discharged to home. Dizziness, and headache have improved.

Patient had fallen out of chair approximately 5 minutes after being vaccinated and showed signs of having seizure (jerking motions) for approximately 30 seconds. We rolled patient on his side while he was having seizure and rolled him onto his back when he stopped seizing. Patient regained consciousness and was profusely sweating. Fire department showed up to take over. They had questioned patient on his medication history and whether he had a history of seizures. Approximately 15 minutes from then, the paramedics arrived and preformed vital check on patient and deemed patient unwell to leave on his own accord. Patient was then transmitted to hospital.

pt received 1st dose, reported felt like passing out and stood up from the chair. Patient fell backward, hit a door, and landed on the floor. Momentary loss of consciousness (about 5-10 seconds) but recovered quickly. Pt was unaware he fall initially. Initial BP standing was low, was sweaty, skin was flush. After laying down BP 124/90. O2 set 98%. HR = 69. Provided water and rest. Review of system by physician shows no neuro deficit, and deemed to have recovered 40 minutes post fall.

The patient fainted shortly after the vaccine. Patient stated that this has happened twice in the past with other vaccinations. He feels this had nothing to do with the vaccination its self.

Patient immediately felt light headed and notified immunizer. He then quickly fainted. Pharmacist and technician carefully lowered him from the chair to the floor and laid him on his back. Pharmacist quickly checked for a pulse and removed his mask. Patient came to within 10 seconds and pharmacist then elevated his legs using a chair. Patient remained laying on the floor for 10 minutes and then felt ready to sit up. After sitting up, patient was given a cold water to drink and a snack, and remained under pharmacist's supervision for 30 minutes. Patient then felt back to his normal self and felt confident he could safely leave the pharmacy.

Patient described chest pain, requested transfer to ED due to complex medical history. Patient was treated with benadryl and "discharged quickly" per patient

pt said he did not like needles, no adverse reactions in past, no issues in past. After vaccinated, gave him a minute to breathe, said he was feeling ok, then asked him to proceed to our observation area for the 15 minute post monitoring. After he sat in chair, witnesses said he rolled to his right side out of chair. He was completely conscious when attended to him immediately after him passing out. He stated he does not remember passing out. Had him lie on floor for 5 minutes, got him some water, he sat up for about 15 minutes. she took him home when he felt he was ready which was about 25 minutes after the dose was administered. Gave call 5 hours later, and said he felt much better and was doing an online class

Chills for 2-3 hours of duration following 5 hours after vaccination, nausea, The following morning: 10/10 non-radiating chest pain of pleuritic feeling, tingling in limbs, syncope, SOB Tachycardia(108 bpm)

Approximately 10 minutes into his 15 minute monitoring period, the patient became syncopal and rolled onto the floor from his chair. He was responsive within 10 seconds. Patient was monitored for a longer period of time and fully recovered.

Symptoms: - loss of sight (blackout) - weakness - cold sweats - ringing in both ears - comparable to low blood sugar reaction - pale skin Time Course until symptoms dissipated ~10 minutes Course of action: - returned to pharmacy and notified staff - sat and placed head between legs - remained with pharmacist for approximately 5 minutes - drank water and Poweraid - then moved to chair outside pharmacy and sat for 45 minutes continuing to drink poweraid - walked around store for about 15 minutes - notified staff that I was feeling better - left store

22 Y male with past medical history of environmental allergies presents with a chief complaint of abdominal pain and nausea/ vomiting. He states that on 4/7 he had some nausea and one episode of non bloody nonbilious emesis that morning. He had previously received his first dose of the Moderna COVID vaccine on 4/6. He states this morning he awoke and had significant nausea and abdominal pain and then had approximately 10 episodes of non bloody emesis that eventually became bilious. He did have some diaphoresis. He states that he eventually did have some chest pain that he attributed to all of the vomiting. He went to urgent care and did receive Zofran but this did not alleviate his symptoms. He denies shortness of breath, cough, fever, chills, diarrhea, melena, hematochezia, genitourinary symptoms, or other pain. He states that he has been having a few episodes of loose stools, but did not have any bowel movements today. In urgent care CT was performed and was suspicious for pneumomediastinum within the partially imaged lower chest and a CT esophagram was recommended. Patient presented here for CT esophagram. He is admitted for further treatment, and required a three day admission with IVF, and IV narcotics and antiemetics to control his nausea and Abd symptoms. He denied dyspnea. On 4/11 the patient was tolerating a diet and stable to dc home.

became clammy and pale in color initial b/p 91/63 and pulse 63 called MD for assessment water oven and crackers B/p 99/48 after siting for additial 30 minutes bp/ 99/64 MD advised client to follow-up with doctor.

BLURRED VISION WEAKNESS , BLOOD PRESSURE 110/70 HEAR RATE 84, RESP 18 COLOR PALE , PATEINT WENT BY WHEEL CHARI TO FIRST AID RESTED FOR 1 HOUR BEGAN TO FEEL A LITTLE BETTER DURING THIS TIME DRANK SOME WATER AND WAS BEING PICKED UP BY FRIEND DID NOT DRIVE HOME ADVISED IF HAD INCREASING SYPTOMS OR RESP DISTRESS TO GO TO THE ER , VERBALIZED UNDERSTANDING

Pt experienced syncopal episode while in observation post vaccination. Vital sign stable. Pt denied shoirtness of breath, swelling of mouth, or difficulty swallowing. Pt reports previous syncopal episode during medication administration.Pt reported hitting head. emergency services called. Emergency services evaluated pt. Pt refused medical transportation. Pt left self ambulating with another person proving transportation. Recommended pt seek further medical evaluation and to contact primary healthcare provider.

Patient complained of dull chest pain with pain score 3 of 10. No radiation. BP 124/80, SpO2 98h, HR 74 and respirations 18, awake and oriented x3. Evaluated by Internist, EKG ordered with results meeting criteria. Likely underlying panic attack. EMS activated and taken to the ED. Called 4/15 but no answer. Mailbox full and unable to leave message

arrived to post observation after his first dose of Moderna. Pt stated he was dizzy. Pt appeared pale. Pt was A+Ox4. Medics were called and initial BP was 88/40. Pt states hx of syncope after shots. Pt was given juice and water and was able to speak during his entire time in post observation. Pt began to state he was feeling better but just wanted to sit for a while. Pt was clammy and states "I knew this would happen". Pt BP and HR rose to WNL. Pt standing without dizziness. EMTs released Pt at 1650 to continue monitoring a bit longer. 1630 Vitals BP 88/40 HR 50 RR 18 O2 sat on RA 98% 1635 VS BP 90/50 HR 70 O2 on RA 99% 1640 BP 108/62 1645 VS BP 112/60 HR 72 O2 Sat on RA 98%

pt was here to get his Covid-19 vaccination. He fainted about 2 minutes after administration. Pt notified associate, associate and pharmacist moved pt from the seat to the floor. He then sat on floor for a few moments until he was feeling better. He was given water and then was waiting for his fiance to come drive him home

Patient fainted shortly after receiving second dose of Moderna Covid vaccine. When I approached the patient he was laying on the ground and very pale but still breathing. I rolled him onto his back and elevated his feet and asked him to keep breathing and try to stay calm. I asked someone to grab him some water and someone else to run to the pharmacy and grab the pharmacy manager while I monitored the patient. I asked if I could help him sit up to drink some water and he accepted. After sitting up I asked if he had eaten and if I could get him something to eat. He stated he hadn't eaten all day and that he had a panic disorder and felt like he was having a panic attack. I asked if he had medicine he needed to take to help him feel better, he stated no, he needed to just wait it out. Then he told me he felt like he was going to throw up and I got him a waste basket that he threw up in right away. I asked the patient if he hit his head or if he wanted us to call an ambulance; he stated no to both questions. The pharmacy manager arrived and sat with the patient for the next half hour or more until he felt better. He stated that his dad was going to take him home now that he felt better. Some store staff had us fill out an incident report and the pharmacy manager walked the customer out to his car where he said he would call and find his dad.

Around 3 pm on 4/14/21, I started to feel very tired and I started to get a headache. Around 6 pm, I started to experience lower back pain and my legs began to throb and my whole body became very sensitive to touch. I took tylenol or ibuprofen every 4 hours for the rest of the night. This went on until Thursday 4/15/21, when the dizziness and throbbing headache started. Every time I would stand up I would become off balanced and need to hold on to something. I was still experiencing the lower back pain, leg throbbing and skin sensitivity but the dizziness and headache became much more intense. Around 9:30 pm on Thursday, I felt like I was hallucinating and was experiencing euphoria along with a fever. I did not sleep the night of 4/15 into 4/16. I was sweating profusely with a throbbing headache that would cause spinning when I would stand up. Around 3 am on 4/16, I fell asleep until around 4:30 am when I woke up in a pool of my own sweat. The body aches, leg pain and skin sensitivity went away along with my fever. Throughout Friday 4/16, I had a throbbing headache and was dizzy with no relief. This continued into Sunday 4/18 when I started to feel some relief. My headache was pretty much gone but the dizziness is still very much there. I have also an experienced elevated heart rate and respirations throughout the last 5 days.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient felt dizzy/light-headed within 1-2 minutes of receiving his 2nd dose of Moderna vaccine on 4/18/21 at ~12:30pm. Patient stood up from the waiting area, walked approximately 20 feet to the pharmacy window to request assistance where he fainted and hit his head on the counter ledge. He has a raised bump (approximately 2 inches wide) on his right temple above his eyebrow. Patient remained conscious, received water/juice/granola bar & was monitored by the RPh for an additional 30-40 minutes.

Approximately 3 to 5 minutes after immunization, patient was observed in a waiting room chair unconscious, unresponsive and not breathing (respiration was not immediately observable or recognizable). Patient was carefully and quickly placed in a supine position on the floor. Pulse was present but the patient was completely unresponsive. Respiration was not observed. EMS was immediately notified. Pharmacist and staff prepared for resuscitation and utilization of Epinephrine if needed. Patients face was flushed, arms became flushed and the patients skin became moist. After approximately 45 seconds in the supine position the patients eyes opened and he became responsive to auditory communication. Respiration became reestablished. BP was recorded at 130/91 with a pulse of 91 BPM. EMS arrived on scene and provided further evaluation. After an additional 5-10 minutes, patient was completely conscious and coherent. Patient indicated that he had a similar experience in a grocery store over 1 year ago that was unrelated to immunization and was attributed to dehydration. Patient refused additional medical care or transport to ED. Patient was released to a friend who drove him home. Patient was observed 1 day later picking up his car from the pharmacy and has recovered. Patient was advised to seek additional medical evaluation to assess the root cause of this event.

Patient had full syncope episode approximately 15 minutes after receiving the vaccine. Patient was able to arouse quickly. Vital Signs: 1320: BP-124/73 P-74 R-16 Pox-95% 1328: BP-114/77 P-84 R-24 Pox-97% No trauma sustained in fall. Patient alert and orientedx3. Patient remains very pale and weak. Transported to Emergency Room via ambulance for further assessment.

Patient presented with severe chest pain x 2 1/2 hours, found to have EKG changes consistent with strain, dramatically elevated troponin to 13.2, ultimately peaked at 15. No pericardial fluid, diagnosed with myocarditis, treated in healthcare facility.

Developed fatigue, back pain, chest pain, nausea and vomiting the morning after the vaccination. On Saturday 4/17, I awoke feeling some better. Performed my daily routines uneventfully other than just not feeling 100 percent. By that evening the chest pain returned. On 4/18, I awoke with severe chest pains. I then presented to the ER where was presumed I was having a heart attack vs. acute pericarditis/myocarditis.

Symptoms: Extreme pain immediately after injection at site, closely followed by racing heart and winded and dizzy, followed by sweating, blurred vision and confusion. Don't remember hitting horn to alert officials. Got out of car, dizzy and stumbled. Blacked out and fell to pavement. Don't remember falling, woke up with extreme mind cloudiness, drowsiness, and hands were numb to touch but felt extreme pressure on palms. When pressure subsided, finger tips felt inflamed.

Patient fainted in car 10 minutes after receiving vaccine. Misunderstood standard waiting procedure. Felt tired at first and pulled over/parked and called parents. Short-lasting symptoms, just felt exhausted an hour and a half later.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: after receiving the Moderna Covid 19 vaccine, the patient passed out in the chair. When I got to him, he was unresponsive, but within seconds he became alert. He said he had a history of passing out after medical procedures (when seeing a md after finger surgery). He layed down for about 20 minutes, then sat back in chair. About 30 min after passing out, he said he was dizzy and passed out a 2nd time. He became alert after about 10 seconds. He was here about 30 more min then felt ok and left.

Patient received the first Moderna vaccine. After receiving the vaccination and while waiting 15 minutes, the patient became extremely light-headed and passed out out of the chair. Patient immediately regained consciousness and was helped back into chair by myself and his brother. Patient was still dizzy. I immediately told one associate to call 911 and another associate was able to call for management. Afterwards, I told an associate to go grab the patient a water and some hard candy to elevate his blood glucose. I confirmed that the patient has not had seizures in the past. The patient stated that he had not eaten very much today (just a smoothie) and wasn't adequately hydrated. I stayed with the patient the whole time until the paramedics arrived and were able to test his vitals. The patient was eventually cleared to go home and went home with his brother.

Pt started feeling dizzy, eyes rolled, lost consciousness for a few seconds, lethargic, nauseous, pale, low BP

Myocarditis; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of MYOCARDITIS (Myocarditis) in a 22-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced MYOCARDITIS (Myocarditis) (seriousness criteria hospitalization and medically significant). At the time of the report, MYOCARDITIS (Myocarditis) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. Patient developed myocarditis 48 hours after receiving his first Moderna COVID vaccine. The patient is still in the cardiac ICU in stable condition and improving. Treatment of the event was not reported. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.

patient received 1st dose at 10:30 am and within 1 to 2 minutes by 10:32 am patient fainted/ experienced syncope. He came back to within the following minute and was able to speak to us. He was given water and said he then felt better. 911 was called immediately upon snycope and the paramedics responded about 6 minutes later. Paramedics observed that his blood pressure was 126/78 and heart rate was 60. temp was 97.2 degrees F. Paramedics looked him over for signs of allergic rxn of which he had no rash or itching. He was able to speak and walk normally by then and refused medical treatment at the hospital.

client received 1st Moderna COVID-19 Vaccine. Client was leaving observation room after fifteen mins when he informed RN he was feeling dizzy. RN had client sit down and began taking vitals. 15:52 vitals: blood pressure 142/84; pulse 64; oxygen 98%. Per client had only an orange all day and no water. RN gave client water. Client informed he would stay an additional 30 mins for observation, client agreed. PHN arrived, client sitting in chair, alert and oriented. Per client no relevant medical history, no medications and no history of allergies. Per client does not follow up with provider and unsure if he has history of high blood pressure. 1557 vitals: blood pressure 138/96, pulse 73, oxygen 98%. Per client starting to feel better. 1602 vitals: blood pressure 141/88. pulse 74, oxygen 98%. Client denied chest pain, shortness of breath, blurry vision, or headache. Client aware blood pressure high. Vitals: blood pressure 146/85, pulse 62, oxygen 98%. Per client headache, pain 1/10. PHN advised to get primary doctor to follow up on high blood pressure. ER precautions also given. Vitals at 1624: blood pressure 143/78, pulse 63, oxygen 98%. No complaints. Last vitals at 1637: blood pressure 139/77, pulse 64. Client left facility with steady gait at 1640.

Pt received the vaccine in l-deltoid area and within seconds lost consciousness. After being unconscious for roughly ten seconds, pt was arousable by calling his name and lightly shaking him. Pt was seated during his loss of consciousness, was caught by the nurse administering the shot, pt did not hit his head or suffer any trauma. Pt was assisted to a stretcher, given water to drink and his vital signs were monitored. Upon initial assessment, pt was A&O x 4, GCS 15, blood pressure 88/60, pulse 58, pupils equal and reactive to light, lung sounds clear, respirations 16 and non-labored. Pt denied ever fainting before, denied any allergies, medical history, denied taking prescription or over the counter medications, and denied birth defects. Pt was reassessed after about 5 minutes of initial assessment. A&Ox4, GCS 15, BP102/68, PR 78, PEARL, LS clear, RR 16 non-labored. Pt was continuously monitored for 30 minutes and advised to follow up with his primary doctor for an assessment of new-onset syncopal episode. PT's mood improved and was reassessed for vitals before leaving the clnic. A&0x4 GCS 15, BP 118/80, PR 84, PEARL, LS clear, RR 16-non-labored, PT released from care and exited the site with no further findings.

Patient was given their first dose of the Moderna COVIDvaccine. Within 1 minute, the patient began having a seizure (jerking, eyes rolled back in the head, head went limp, and his body stiffed up), and then went unconscious.

Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnoses include: severe sepsis, pneumonia, toxic shock, and myocarditis.

About 5 minutes after receiving his 1st moderna covid vaccine, patient fainted and began to convulse briefly (less than 1 minute). Patient was seated the entire time and did not experience any known injuries. Paramedics were called and stated vitals were normal. Patient followed up with a physician that said the reaction was due to vasovagal syncope. He felt fine afterwards and followed up a few hours to say he was ok.

pt tipped his head back and then fell & caught himself ( maybe fainted for 2 seconds) extremely white, clammy, sweaty, light headed. sat with him and he drank water ,for 15 minutes friend brought him home.

Customer fainted after his 1st Moderna covid-19 vaccine. He felt dizzy then fainted on the floor. There was no head injury. We called paramedic and they came checked his BP and asked him to sit on the chair and relax for 30 minutes. He was not admitted to hospital. He finished his 30 minutes observation period then went home. Before leaving pharmacy, He mentioned that he faint when having blood drawn at doctor's office. Unfortunately he did not tell us this before the vaccine and he selected NO on the Var question that asks about reaction after receiving a vaccination including fainting or feeling dizzy.

Pt with history evan's syndrome and chilblain's lupus with stable platelet count x 5 years. 48 hours post vaccination first dose pt had routine platelet count found to be 15k. Since that time he has had three hospitlizations for refractory thrombocytopenia. He has received extended high dose prednisone, rituximab x 4, cellcept, IVIG x 2 and NPlate. Currently still refractory. No other cause identified. Planning for Eltrombopag admin

Patient has had history of fainting following immunization when he was "little" but hasn't had a reaction recently except for when doing a blood draw. Patient anticipated that if there were an issue it would happen immediately. Patient was for a few moments after administration and was moved from our immunization room to the patient waiting area. About 10 minutes after administration patient fainted and fell from chair to the floor. Patient came around after a few moments and was breathing and had a pulse throughout this time. When patient started to feel better he sat up and waited on the floor for about 10 additional minutes prior to standing up. Patient was feeling better at this time and was able to leave the pharmacy area.

fainted twice; hypotensive; head injury; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (fainted twice) in a 22-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Autism. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced SYNCOPE (fainted twice) (seriousness criterion medically significant), HYPOTENSION (hypotensive) and HEAD INJURY (head injury). At the time of the report, SYNCOPE (fainted twice), HYPOTENSION (hypotensive) and HEAD INJURY (head injury) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. However, Further information has been requested.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. However, Further information has been requested.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient waited in post vaccine area for 15 mins post vaccine. After about 10 minutes the patient fainted from where he was seated in his chair onto the floor and another customer described him as "rigid". He came to after less than a minute. Patient was kept for observation for 30 minutes and given water. He stated he has had fainting spells in the past and that he felt fine. His mother came to pick him up.

Myocarditis Symptoms: CHEST PAIN, UNSPECIFIED(R079). Patient presented for care early April with chest pain. However, he had chest pain that started approx. 1 week after vaccine. He is now under care with cardiology at . Pending diagnosis is myocarditis post 2nd dose of Moderna COVID Vaccine.

Presented with left neck, chest and upper extremity weakness, pain and burning that started on 5/1. Stroke protocol followed and alteplase given 5/2. By morning of 5/3 all symptoms had resolved.

Headache; Chills; Vertigo; Nausea; He threw up for about 20 minutes; He feels odd here and there; Random onset on backpain now, in the lumbar area; He almost passed out; Heart beat was 130; Fever of 100.6; This spontaneous case was reported by a non-health professional (subsequently medically confirmed) and describes the occurrence of LOSS OF CONSCIOUSNESS (He almost passed out), HEADACHE (Headache), CHILLS (Chills), VERTIGO (Vertigo), NAUSEA (Nausea) and VOMITING (He threw up for about 20 minutes) in a 22-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 046B21A and 037A21B) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (He almost passed out) (seriousness criterion medically significant), VERTIGO (Vertigo) (seriousness criterion hospitalization), NAUSEA (Nausea) (seriousness criterion hospitalization), VOMITING (He threw up for about 20 minutes) (seriousness criterion hospitalization) and TACHYCARDIA (Heart beat was 130). On 20-Apr-2021 at 10:00 PM, the patient experienced HEADACHE (Headache) (seriousness criterion hospitalization) and CHILLS (Chills) (seriousness criterion hospitalization). On an unknown date, the patient experienced FEELING ABNORMAL (He feels odd here and there), BACK PAIN (Random onset on backpain now, in the lumbar area) and PYREXIA (Fever of 100.6). At the time of the report, LOSS OF CONSCIOUSNESS (He almost passed out), HEADACHE (Headache), CHILLS (Chills), VERTIGO (Vertigo), VOMITING (He threw up for about 20 minutes), TACHYCARDIA (Heart beat was 130), FEELING ABNORMAL (He feels odd here and there), BACK PAIN (Random onset on backpain now, in the lumbar area) and PYREXIA (Fever of 100.6) outcome was unknown and NAUSEA (Nausea) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Apr-2021, Body temperature: 100.6 (High) 100.6. On 20-Apr-2021, Heart rate: abnormal (abnormal) Resting heart rate was 130. Additionally irregular heartbeat reported.. Patient got to the hospital where he was given pain medication and medication for vertigo. He was in the hospital for 6.5-7 hours.When he was discharged nausea went away and it took him 48 hours after ER visit to feel normal. Concomitant medication information not provided. Action taken with mRNA-1273 in response to the events was not applicable. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to US-MODERNATX, INC.-MOD-2021-114588 (E2B Linked Report).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. US-MODERNATX, INC.-MOD-2021-114588:dose 1

Patient received a Moderna vaccine at another facility on 05/12/2021. On 05/13/2021, he had chills, fatigue, and myalgias. These symptoms resolved on 05/14/2021. However on 05/14/2021 at 10 AM he developed pleuritic chest pain. He was admitted to hospital on the evening of 05/14/2021 with dramatic elevations in high-sensitivity troponin to 1700 and EKG with diffuse ST elevations and PR depressions, concerning for myopericarditis. He was initially treated with ibuprofen and colchicine. We have ordered an echocardiogram and a cardiac MRI. Workup and treatment are ongoing.

Patient lost consciousness for under one minute. When he lost consciousness his blood pressure dropped and he fell forward (didn't hit the floor). He was given water to bring up his blood pressure and cool rags to cool him off.

nausea, chest tightness, fever, diarrhea, vomiting, hot and cold flashes, mile severity, came on suddenly after second dose, resting with moderate improvement, lethargic, moderate appetite

Tightness in chest, pain in chest, and shortness of breath. Started late May 13, subsided enough to get some sleep. Awakened by the pain and shortness of breath around 7:30 am May 14. Unable to get out of bed. Called 911 for ambulance. Patient was taken to Hospital Cardiac. EKG showed ST elevation, thus L & R Catheterization was performed. Negative for MI, but diagnosed with Pericarditis, kept overnight in hospital and prescribed Indomethacin (Indocin) 3 times daily for 14 days. Released from hospital May 15. Recovery continues at home.

Approximately 5-10 minutes after receiving injection patient became faint and collapsed while browsing store. Did not appear to hit his head or significantly injure himself in any way but reported headache and some confusion on regaining consciousness. Slowly moved to sitting position and allowed to recover.

Patient fainted after receiving his first dose of the Moderna vaccine. He was very nervous and breathing hard before the vaccine because he is afraid of needles. After receiving his vaccine he was standing in the vaccine area with the woman he was with. The woman was also receiving a vaccine. He was still very nervous about needles and I suggested that he wait in the post-vaccination area so he didn't have to witness the woman receiving her vaccine. While walking to the post-vaccination area the patient fainted. After fainting he woke up right away. Another pharmacist and a technician immediately went to check on him and assist him. Patient thinks that he fainted because of his fear of needles.

Pt fainted twice immediately after vaccine. Blood pressure and heart rate both dropped. Paramedics were called. Pt taken to hospital for evaluation. According to pt mother at 2:00 this afternoon, pt is fine.

Patient had received the vaccine and was sitting in the monitoring area when he fell face first off the chair. He hit his head on the floor and was not conscious for a period of 10-15 seconds. Patient came to and had significant bleeding from nose and mouth, paramedics were called to the scene. Pharmacist helped patient to a seated position and patient was given bottled water and an ice pack. Paramedics came in and took over care of patient within approximately 5 minutes

Felt lightheaded, dizziness, then leaned back passed out and was unresponsive with convulsions for 5 seconds then started responding again. Couldn't see for 15 seconds then threw up. After fluids and crackers waited for 20 minutes and then was fine.

Chest pain turned out to be myocarditis. Was hospitalized for a 2-3 days were I received treatment to lower heart rate and inflammation. Discharged on March 1st with little chest pain and prescribed Colchicine for 3 months to continue to lower inflammation.

Received second dose on Saturday, woke up on Tuesday at 5 AM with chest pains. Went to the emergency room around 4PM Tuesday, transferred to another hospital, diagnosed with myocarditis, and treated and monitored there for 2 days and then discharged. On medication for the next 3 months due to condition.

Systemic: Abdominal Pain-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: AFTER RECEIVING THE VACCINE, AROUND 3PM, PT SEEMED AOX3, AFTER ABOUT 5 MINUTES, PATIENT BECAME EXTREMELY PALE AND BECAME EXTREMELY FLUSHED, AND WAS PERSPIRING. PATIENT CONCOMITTANTLY BECAME NAUSEOUS WITH ABDOMINAL PAIN, AND HEADACHE, AFTER WHICH (~5MIN) PROCEEDED TO VOMIT. PATIENT LEFT STORE AFTER ABOUT 30 MINUTES AFTER HE BEGAN TO FEEL BETTER. SPOKE WITH PT BRIEFLY THIS MORNING (5/24/2021) AND PT STATED HE IS FEELING MUCH BETTER, AND HAD NO ADDITIONAL S/Sx OF VACCINE REACTION.

Patient is 22 year-old, admitted to the Cardiology 3 Emergency Department with acute myocarditis shortly following the receipt of his 2nd Moderna COVID-19 vaccination. He has a remote history of acute pericarditis (01/12/2014) following viral illness, which was treated with high dose ibuprofen 800 mg t.i.d. At that time, he presented with retrosternal chest pain worse with laying down and fever/myalgia, rigors and chills (T 103.3°F) with laboratory findings consistent with leukocytosis 17.3, elevated inflammatory markers (CRP 43, but normal ESR 12) with a negative influenza screen. ECG demonstrated diffuse ST wave elevations in leads I, II, aVF, V1-V6. He had resolution of symptoms with NSAID treatment. On this occasion, he presented with non-radiating retrosternal chest pain not responding to Ibuprofen 800 mg. At the ED, ECG demonstrated diffuse ST elevation, troponinemia 629/725/712/1319, elevated inflammatory markers (CRP 38.2, ESR 19). He had normal D-dimer and SARS-CoV-2 PCR was undetected. A cardiac MRI was obtained that demonstrated patchy subepicardial enhancement in the mid-apical lateral-anterolateral myocardium, suggestive of myocarditis. EKG showed diffuse ST elevation. He was treated with Toradol and fentanyl for pain management with improvement of symptoms. He was then admitted to Cardiology 3 for further evaluation and management. Upon admission, Infectious Disease was consulted given the novelty of his presenting symptoms and findings. Extensive evaluation including connective tissue cascade, respiratory viral panel and tick bone panel have not yielded any significant findings. They suspected this could be related to his recent COVID vaccine given that there have been reports of myocarditis that have occurred following COVID-19 messenger RNA vaccinations, though it is not clear whether there is a definite cause or effect. Moreover, the association of myocarditis and the messenger RNA COVID-19 vaccinations appears to be controversial, not supported by recent FDA reports. All in all, the Infectious Disease team recommended no specific therapies, but the case should be reported as a possible adverse event associated with the recent Moderna vaccination to VAERS. The center where the patient received this vaccination should make this report. Emergency Management Director was notified to report the event. They also felt that it may be reasonable to avoid the Moderna and perhaps even the Pfizer messenger RNA COVID-19 vaccination in the future to be conservative. While inpatient, his troponin level continued to trend up and peaked at 1707. An EKG was repeated and showed improvement in ST elevation from his initial EKG with no other acute changes. His case was discussed with Dr., who felt that a steroid taper would be appropriate. Additional chest pain was treated with PRN Ibuprofen 600 mg QID. After initiation of steroids, troponin markedly improved to 706. Due to his history of impaired fasting glucose, his blood glucose levels were monitored q.i.d. While slightly elevated, he did not require any sliding scale insulin while inpatient. We will plan to have his primary care provider assess his glucose level at his follow-up visit. Additionally, while receiving NSAIDs and steroids, his blood pressure was elevated to the 150s to 160 systolic. He was initiated on Coreg prior to dismissal. He was dismissed on 04/29/2021 given improving troponin and no concerning arrhythmias on continuous telemetry monitoring. He will follow up in the Cardiomyopathy Clinic in 3 months with a repeat cardiac MRI and stress ECG. We have recommended the patient to avoid heavy lifting or strenuous activity for the next 3 months until seen by the cardiomyopathy Clinic. He was provided with education and a letter delineating work restrictions.

Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.

Mayocarditis; started as a feeling like I had a very bad viral infection on 5/18. Then 5/20 I started getting intense chest pain and went to Hospital where I was admitted for 5 days. They observed my condition and gave me Ibuprofen, Motrin, and Colchicine. Released on 5/25 once my fever broke.

Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Severe, Additional Details: On 5-28-21 the patient was given the COVID vaccine, following the vaccine he passed out. When the patient came to he said he must have gone to sleep. The patient stated he passed out the week before and thought it was due to not eating. EMS checked vitals, and all vitals were good. Pt refused to go to the hospital, he left with his wife and she drove. I told the patient I would follow up with him via a phone call to see how he was feeling. I called pt at 5 pm on 5-28, he stated he was fine

Three to five minutes following vaccine administration patient was collapsed to the ground then immediately got up and sat on the floor. When I got to him he was sweating and his arms were twitching. Even though he was alert, he was struggling to straighten his arms. I made a 911 call and then administered one dose of epipen then within a minute he thanked me for the epipen and he said he is feeling much better. Finally the paramedics came in and asked him if he still wants to go for further checkups. He agreed and left the store with the paramedics.

Patient is a 22 y.o. male with no previous cardiac history, no known cardiovascular risk factors, and no significant past medical history. 2 days ago he received his second dose of the Maderna Covid vaccine. Yesterday he reported flulike symptoms with fever to 102 degrees, generalized myalgias, and fatigue. He awoke at 2 AM this morning with sharp somewhat diffuse substernal pain unrelated to activity, inspiration, exertion, position, without radiation or associated symptoms. He took Tylenol which eventually caused the pain to decrease in intensity. He called his family, discussed it with his girlfriend, did some online research, and came to the ER for evaluation where his EKG demonstrated anterior T wave abnormalities and his high-sensitivity troponin came back elevated at 16,072. His pain is now fully resolved, he is being admitted to the hospitalist service, and cardiology consultation was requested. June 6, 2021

Basic symptoms two days after second dose. On the third day (May 3rd) was experiencing chest pain. Hospitalized for two nights. Had echocardiogram and MRI imaging done. Diagnosed with myocarditis.

Severe chest pain started Thursday evening, May 27th. Chest pain lasted throughout the night but went away. Friday, May 28th chest pain came back at 10:00am and progressively got worse. Chest pain was localized in the mid- sternum region.

PATIENT WAS ADMINISTERED HIS FIRST DOSE OF THE MODERNA COVID VACCINE AND APPEARED TO BE FINE AFTERWARD. HE MOVED FROM THE IMMUNIZATION BOOTH TO A SEAT OUT IN FRONT OF THE PHARMACY, AND A FEW MINUTES AFTER HIS VACCINE HE PASSED OUT AND FELL OVER OUT OF THE SEAT. A CODE WHITE WAS CALLED, BUT THE PATIENT REGAINED CONSCIOUSNESS QUICKLY AFTER PASSING OUT, AND WAS MOVED BACK INTO A SEAT WITH ARMS. HE TOOK A FEW SIPS OF WATER AND APPEARED TO HAVE MOSTLY RECOVERED, BUT THE PATIENT LOST CONSCIOUSNESS IN THE SEAT AGAIN A FEW MINUTES LATER. EMS WERE CALLED TO CHECK OUT THE PATIENT, BUT WHEN THEY ARRIVED HE APPEARED TO HAVE MOSTLY RECOVERED AND SHOWED NO MORE SIGNS OF PASSING OUT AGAIN. EMS CLEARED HIM TO GO HOME AND ADVISED HIM TO GO TO THE ER IF HE HAD ANY MORE ISSUES LATER.

22M hx asthma recieved Moderna dose #2 on 6/10. Within 12 hrs developed shortness of breath, and chest pain. Presented to this hospital's ED in this setting. On arrival he was not exhibiting symptoms of asthma exacerbation. The chest pain improved with sitting up and leaning forward.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient got up from observation to ask for a glass of water. On the way back to his seat, he fainted into the aisle and fell to the floor. Upon hitting the floor he immediately woke up and was profusively sweating. The patient was taken out by the EMT after 911 was called. Patient said he felt fine and back to normal after waking up and that he has fainted due to vaccines before.

Approximately 10 min into the post-vaccination waiting period, patient collapsed out of his chair. Patient stated that he started feeling hot and dizzy and that's all he remembers/

I have had a cough, sore throat, and some chest pain for almost 2 months. This all started a few days after my second shot of the Moderna COVID-19 vaccine on May 5, 2021. I went to an UrgentCare on May 24th, and the nurse told me "this is happening to everyone... it's just something going around... it will go away". A week later, I went somewhere else and got Amoxicillin. I took Amoxicillin for 7 days and it did not resolve my cough. My primary doctor is currently not seeing any patients for "respiratory-related illnesses".

Patient was fine until about 5 minutes post immunization, when he fainted. He was unresponsive for about 8 minutes. We wet his face with some water, laid him down on floor with feet up on chair, checked pulse, called 911. They checked vitals and after he was awake he made the decision to not go to hospital. Patient left with parents to go to their doctor.

myocarditis; NSVT episodes; chest pain; This literature-non-study case was reported in a literature article and describes the occurrence of MYOCARDITIS (myocarditis), VENTRICULAR TACHYCARDIA (NSVT episodes) and CHEST PAIN (chest pain) in a 22-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MYOCARDITIS (myocarditis) (seriousness criteria hospitalization prolonged and medically significant), VENTRICULAR TACHYCARDIA (NSVT episodes) (seriousness criteria hospitalization prolonged and medically significant) and CHEST PAIN (chest pain) (seriousness criterion hospitalization prolonged). The patient was hospitalized from sometime in 2021 to sometime in 2021 due to CHEST PAIN, MYOCARDITIS and VENTRICULAR TACHYCARDIA. At the time of the report, MYOCARDITIS (myocarditis) and VENTRICULAR TACHYCARDIA (NSVT episodes) was resolving and CHEST PAIN (chest pain) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, C-reactive protein: high (High) 4 (Values are expressed as the multiple of the upper limit of normal for each laboratory's reference range).. In 2021, Ejection fraction: abnormal (abnormal) 53%, inferolateral hypokinesis. In 2021, Electrocardiogram: abnormal (abnormal) Inferior, anterolateral STelevation. In 2021, imaging: abnormal (abnormal) Edema, delayed enhancement. In 2021, SARS-CoV-2 test: negative (Negative) negative. In 2021, Troponin: high (High) baseline-1327 (Values are expressed as the multiple of the upper limit of normal for each laboratory's reference range). and high (High) Peak-1433 (Values are expressed as the multiple of the upper limit of normal for each laboratory's reference range).. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered MYOCARDITIS (myocarditis), VENTRICULAR TACHYCARDIA (NSVT episodes) and CHEST PAIN (chest pain) to be possibly related. Discharged in stable condition. Treatment information not provided. Company Comment : Based on current available information and the temporal association between product sue and the start date of the events a causal relationship cannot be excluded.; Sender's Comments: Based on current available information and the temporal association between product sue and the start date of the events a causal relationship cannot be excluded.

Myocarditis; Heart rate increased; Chest pain; Inflammation; This case was received via VAERS on 15-Jun-2021 and was forwarded to Moderna on 15-Jun-2021. This regulatory authority case was reported by an other health care professional and describes the occurrence of MYOCARDITIS (Myocarditis), HEART RATE INCREASED (Heart rate increased), CHEST PAIN (Chest pain) and INFLAMMATION (Inflammation) in a 22-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Feb-2021, the patient experienced MYOCARDITIS (Myocarditis) (seriousness criteria hospitalization and medically significant), CHEST PAIN (Chest pain) (seriousness criterion hospitalization) and INFLAMMATION (Inflammation) (seriousness criterion hospitalization). 26-Feb-2021, the patient experienced HEART RATE INCREASED (Heart rate increased) (seriousness criterion hospitalization). The patient was treated with COLCHICINE for Inflammation, at an unspecified dose and frequency. At the time of the report, MYOCARDITIS (Myocarditis), HEART RATE INCREASED (Heart rate increased), CHEST PAIN (Chest pain) and INFLAMMATION (Inflammation) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Feb-2021, Angiogram: not provided (Inconclusive) Not provided. On 26-Feb-2021, Chest X-ray: not provided (Inconclusive) Not provided. On 26-Feb-2021, Echocardiogram: not provided (Inconclusive) Not provided. On 26-Feb-2021, Heart rate: increased (Inconclusive) Increased. On 26-Feb-2021, Lipids: not provided (Inconclusive) Not provided. On 26-Feb-2021, Metabolic function test: not provided (Inconclusive) Not provided. On 26-Feb-2021, Troponin: not provided (Inconclusive) Not provided. On 26-Feb-2021, Urine analysis: not provided (Inconclusive) Not provided. On 27-Feb-2021, Full blood count: not provided (Inconclusive) Not provided. On 27-Feb-2021, Metabolic function test: not provided (Inconclusive) Not provided. On 27-Feb-2021, Troponin: not provided (Inconclusive) Not provided. On 01-Mar-2021, Echocardiogram: not provided (Inconclusive) Not provided. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not provided. Patient received treatment to Lower Heart rate and Inflammation. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

After recieving the shot, I waited the 15 minutes and felt okay then. Maybe a little nervous thinking I COULD possibley be unlucky few and have a bad adverse effect. However on the drive back home, calmly singing along to my music, I all of a sudden felt an increase of heart rate. I could still drive fine, but my head had a radiating feeling and it's almost like I got a random adrenaline rush. My heart rate must've been 150+ bpm. It lasted for 20ish seconds and started to go away as I slowed my breathing. Not sure if it was a direct effect of the vaccine or my mind...as I had never gotten such effect on me.

Patient fainted for about 30 seconds. Recovered fine no issues. Per patient normally happens after receiving vaccinations

Mentioned wanting to kill himself; three voices in his head; Completely lost, he would not know who he was, where he was; Chest pain; Stomach pain; Hand pain/feet pain; Shaky feelings; Knee pain; Body ache; This spontaneous case was reported by a consumer and describes the occurrence of SUICIDAL IDEATION (Mentioned wanting to kill himself) and HALLUCINATION, AUDITORY (three voices in his head) in a 23-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hydrocephalus, Down's syndrome and Convulsions. Concomitant products included OXCARBAZEPINE (OXCARBAZEPIN) for an unknown indication. On 12-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Apr-2021, the patient experienced SUICIDAL IDEATION (Mentioned wanting to kill himself) (seriousness criterion medically significant), HALLUCINATION, AUDITORY (three voices in his head) (seriousness criterion medically significant), FEELING ABNORMAL (Completely lost, he would not know who he was, where he was), CHEST PAIN (Chest pain), ABDOMINAL PAIN UPPER (Stomach pain), PAIN IN EXTREMITY (Hand pain/feet pain), NERVOUSNESS (Shaky feelings), ARTHRALGIA (Knee pain) and MYALGIA (Body ache). The patient was treated with IBUPROFEN (MOTRIN [IBUPROFEN]) for Pain, at an unspecified dose and frequency and PARACETAMOL (TYLENOL) for Pain, at an unspecified dose and frequency. At the time of the report, SUICIDAL IDEATION (Mentioned wanting to kill himself), HALLUCINATION, AUDITORY (three voices in his head), FEELING ABNORMAL (Completely lost, he would not know who he was, where he was), CHEST PAIN (Chest pain), ABDOMINAL PAIN UPPER (Stomach pain), PAIN IN EXTREMITY (Hand pain/feet pain), NERVOUSNESS (Shaky feelings), ARTHRALGIA (Knee pain) and MYALGIA (Body ache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Scan brain: normal (normal) normal. Patient prescribed anxiety and sleeping pills that the physician did not recommend that he take. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Unlikely, that the events are related to the vaccine due to existing comorbidities. This case was linked to MOD-2021-235268 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Unlikely, that the events are related to the vaccine due to existing comorbidities.

ON jULY2ND-jULY 4TH FEVER, CHILLS, NAUSEA, VOMITING, BODY ACHES,. OVER THE NEXT FEW DAYS HE DEVELOPED CHEST PAIN, PALPITATIONS. CHEST PAIN WITH DEEP BREATH., LEFT HAND AND ARM WITH NUMBNESS, TINGLING

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild, Additional Details: He felt lightheaded, tried to stand up and get the pharmacy staff's attention, then fell. He said he doesnt remember the fall. The pharmacy staff helped him to sit up and he asked for water. He felt sweaty and clammy, asked the pharmacist to hold his hands. The LVN came over to check on him and started taking his BP, he then felt nauseated and threw up. The pharmacy called 911, the EMT came and every thing checked out normal. The LVN called his family and he is resting in the LVN's room.

Went to the hospital after passing out 3 times a few hours after receiving the 2nd dose. Then experienced rapid heart rate and anxiety episodes reoccurring on and off for 3 weeks after receiving the vaccine.

7/6/2021: Hemoptysis, ringing in ears, felt like fainting, shortness of breath -- Right Lower Chest Pain -- EMS called 7/7/2021: ER evaluation showed Acute Pulmonary Embolism --- > Admitted to hospital--- > IV Heparin --- > Xarelto. Also IV Rocephin + Azithromycin. Blood Cultures Negative x 2. EKG Sinus tach 103. Light Hemoptysis continued x 3 days. Venous Duplex Bilateral Lower Extremities Negative for DVT. 7/10/2021: Bilateral Upper Extremity Venous Duplex Negative. 7/12/2021: Discharged Home

1st Shot(5/3/21): Soreness in arm, Fatique 2nd shot(5/31/21): Soreness in arm, Fatique, headaches, developed a cough a week later which lasted about a week. Adverse event (7/6/21): Started coughing and spitting blood around 5:00pm. Coughing persisted throughout the evening. At 6:00am I told my mom I was having a problem. around 6:30am my body went numb, loud ringing in my ears, and broke out into a cold sweat, so we called 911. The paramedics arrived and checked me out, and they believed I was okay. When they left we decided to go to the ER. Admitted on 7/7/21-7/12/21

Right after receiving a shot I asked the patient to have a seat for 15 min, about a min later patient fainted, syncope, on the chair for about half a min. While I was calling 911 he became conscious and refused ambulance. While already being conscious pt started to sweat. I was told after that he didn't eat since the day before. A person who accompanied him gave him orange juice and chocolate. In about 10-15 min pt returned to normal. Another 15 min and he left.

patient received moderna vaccine at 12:15. at approx. 12:20 patient stated that he "felt weird" patient appeared pale, diaphoretic, and complained of losing hearing and blurred vision. we sat the patient down and took his vital signs and called 911 at 12:20. Patients blood pressure was 88/42, heartrate was 55 BPM, SPo2: 99%. Patient never lost consciousness and was talking to us throughout the entire event. Retook vital signs at 12:22 BP: 88/55 HR: 53 Retook vitals at 12:25 to BP :94/54 HR: 57 O2: 99%. At 12:30 Ems arrived, and assessed patient, patients mother was called at 12:25 to notify of event, patient declined going to the hospital. Patient stated he would wait for mother to arrive and leave with her. Mother arrived and drove patient home at 1:00 pm Patient stated before leaving HD that he didn't eat any food today but he felt a lot better.

Patient experienced a hard time breathing while in the waiting room, after receiving his first dose of the Moderna COVID vaccine. He approached the pharmacy counter and was gasping for air. Pharmacist and tech helped him to the waiting area so he could sit. Upon quick evaluation, patient was pale, sweating and panting. Pharmacist immediately gave him epinephrine 0.3mg injection, and the store manager called 911. After a couple of minutes, patient was able speak and breathe easier. Patient regurgitated and stated he felt much better. The ambulance arrived 15 minutes afterwards and the paramedics checked his vitals (good pulse and blood pressure). Patient was then transported to the local hospital for observation.

The day after the shot, the patient experienced severe headaches, fatigue and nausea. This lasted one day. The 2nd day after the shot patient was feeling better and went to work. While there he had one episode of fainting where he was unconscious just momentarily. Pt slumped and DID NOT hit his head. Followed up with healthcare provider. Provider felt things were good and told pt to return if anything changed.

pt fainted 5 minutes after dose, had high temperature. had to have 1 shot of 0.3mg epipen, used ice packs to cool down temperature. pt regained consciousness after 10 seconds, was able to answer questions, was pale looking. called 911, was taken to hospital by paramedics for further testing

Patient described dizziness, decreased heart rate (67 bpm). Thought may be anxiety driven but had patient put feet up and wait an additional 15 minutes. Lasted less than 30 minutes, patient stated fine and left clinic shortly after 30 minutes.

Patient fainted after receiving vaccine/ Pt was monitored in observation chair for 15 minutes, blood pressure, and heart taken within normal limits/ Patient stated he wasnt concerned because this happens to him everytime

Patient was found unconscious and smelling salts were used. He did return to consciousness. Reported feeling nauseous and dizzy. Vital signs were taken by EMS. Escorted to ambulance for observation, vital signs were retaken. Decision was made to transport to ED.

PT RECEIVED VACCINE, 30 MINUTES LATER EXPERIENCED LIGHT HEADEDNESS AND FAINTED AT CHECKSTAND. DID NOT HIT HEAD

Acute myopericarditis Chest pain developed 24 hours after vaccine administration. Presented to emergency department 48 hours after vaccine administration. Symptoms resolved after an additional 24 hours (72 hrs after vaccine) with administration of ibuprofen three times daily.

Approximately 10-15 minutes after receiving dose of covid vaccine case reported he had the sensation is throat was "a little sore and if felt like it was beginning to swell. No observed obstruction in airway. Had own epi-pen and this supervisor also had available but he declined at that time. Consented to oral elixir of bendryl 50 mg po which was given. He reportedly felt tachy Pulse rate 96. Case reported last time he needed epipen he felt pain like needles in throat area. Continued to observe. Case reported sensation of swelling was dissipating within 15 minutes. Continued to observe an additional 40 minutes. Had case call for ride home since he took bendaryl. Also had case call his physician to notify him of reaction. Case departed clinic about 11:50 breathing WNL. Girlfirend escorted him home. Instucted to call 911 and administer epipen if symtpoms worsen or return. Contact caste 5:30 pm at home he reported he has continued to improve. No throat swelling, but has slight sore throat. He will continue to have girlfriend stay with him. His physician called back and provided the same instructions.

Patient had vasovagal type reaction at 1:59 PM . Appeared pale, felt faint and complained of facial tingling . BP was 164/81 P 102 . Rechecked after 10 minutes. BP 134/84 and P 81. Symptoms resolved after 20 minutes and patient left . Writer attempted contact with client later that day and left messages on 1/29/21 and 1/30/21 . Spoke with patient on 2/2/21 and he reported no further symptoms.

Contractor presented for Dose 1 of Moderna Covid Vaccine. At 1100, contractor reported headache. PMH: undiagnosed hypertension, heart palpitations. VS 1100 BP 129/67 HR j55 02sat 99% RA VS 1118 BP 138/83 HR 55 02sat 99% RA 1215 BP 148/75 HR 53 02sat 100% RA 1144 Headache resolved, reports lightheadedness 1155 Reported nausea 1215- all symptoms resolved. Contractor left observation area accompanied by his supervisor.

left upper chest pain that began after vaccination but worsened over 4 days, prompting a visit to our , where there were concerns for myocarditis. He was ultimately transferred to a local hospital for further care.

Chest pain, started the same day as the vaccine. Seen in ER 4 days later since symptoms had not alleviated.

On 2/7/2021 at 3:00 am he started with fever of 99 then went up to 102.9. He reports he had chills, weakness, body aches, and an elevated blood pressure. He went to MC. Blood was performed but results unknown. He was diagnosed with a vaccine reaction. He was given Tylenol while in the ER. He was told to continue taking antipyretics. HE was discharged from the hospital and will have to follow up with PCP concerning elevated blood pressure.

Moderna COVID-19 VACCINE Fever, chills, cough, sweating overnight and then loss of taste and smell the next morning. Soreness at the site of the injection. Extremely fatigued. Tmax 100.5 Bodyaches, Headaches , Nasal congestion, Shortness of Breath, Chest Pain. Four days after 2nd Moderna vaccination his loss of taste and smell is still affected. His left arm soreness still persists. Bodyaches and fatigue still persists. Headaches comes and go. Nasal congestion persists Resolved Shortness of breath,Chest Pain, Fever and cough

Patient fainted right after receiving the vaccine. He waited 30 minutes after and drank water, then was fine.

PT EXPERIENCED NAUSEA, HA, FATIGUE 1 DAY POST VACCINE. REPORTS HE FELT BETTER 2 DAYS POST VACCINE AND WENT FOR A REGULAR WORK-OUT WITHOUT COMPLICATIONS. PT WOKE-UP 3 DAYS POST VACCINE WITH CHEST PX, SOB, FATIGUE. HE CALLED 911 AND WAS BROUGHT TO HOSPITAL VIA AMBULANCE. PT HAD UNREMARKABLE EKG INITIALLY, LABS DRAWN. INITIAL TROPONIN 4.7, EKG REPEATED WITH SOME MINIMAL ST ELEVATION, 324MG ASA GIVEN. COORDINATING TRANSPORT TO ANOTHER HOSPITAL WITH CARDIOLOGY SERVICES, TROPONIN REPEATED AND FOUND TO BE 10.8 WITH GLOBAL ST ELEVATIONS ON EKG. PT TRANSPORTED TO HOSPITAL FOR PRESUMED PERICARDITIS. AWAITING UPDATES ON PT CONDITION TOMORROW.

Patient fainted post injection. He stated that he had anxiety and felt like his blood sugar might have dropped. EMTs checked him over and patient declined treatment.

Vaccine administered at 0939. At 0945 patient passed out in the observation area. Nursing staff responded to the situation. Patient woke up within one minute. VS upon regaining consciousness were as follows: BP-98/74, HR-74, O2 -98. Pt and his parents verify that he has had fainting spells in the past when getting a vaccine or seeing blood. Pt confirms this has happened at least 5 times in the past. Pt moved to a more private observation area. Pt given water and sat under observation for several minutes when he reported feeling unwell again and asked to lay down. Vital signs taken again at this time (0955) and were as follows BP - 94/55, HR - 50, 02-98.

Patient felt synope/fainting. Onsite EMS was called vitals BP 108/66 BG 108 99% O2 room air HR 58. Patient was treated and released agianst medical advice.

Became diaphoretic, pale, clammy, faint B/P 111/71, HR= 50 Stated feeling dizzy, ringing in ears, unable to remain alert/focused. LOC intermittently for several seconds for about 10 minutes total time

While technician finished administering the vaccine , patient had seizure like reaction that lasted for about 15 seconds . Patient immediately gained consciousness and had no recollection of what happened. He waited for 30 minutes and totally fine. Prior to giving the shot, patient checked the box for feeling dizzy after vaccinations, when I inquired about it , he said that was years back and he had no issues with any vaccines that he has taken. He take flu vaccine every year.

My son had the shot and 3 hours later passed out on the bathroom floor. I called 911 and paramedics evaluated him, all vitals were normal and he felt ok 5 minutes later.

Patient passed out and slid out of his chair while waiting after receiving his vaccine. The fall was witnessed by NP and aid was provided, immediately. Patient was laid flat on the floor and his Covid mask was removed. Patient returned to conscious state <5 seconds after onset of event. BP was checked while laying down (130/76 HR 80) and patient was given water and a pillow. Patient was allowed to sit after 5-7 mins but began to get dizzy, again. He was taken by wheelchair to clinic and allowed to lay on an exam table. A snack was provided and NP remained with patient until he was d/c'd at 10:05 am. His d/c BP was 128/78 (HR 65). Patient was reminded to alert staff to this event with his next vaccination.

patient received 1st dose of Moderna Covid 19 shot around 3pm on 3-15-21 and did not feel well right after. patient sat in the rx waiting room chair and asked for help. RPH went out and patient said he felt very very dizzy and that his whole body tingled. Patient stated this has never happened before. patient was given water and proceeded to shortly lose consciousness. Ambulance was called and they fully checked him out and said all vitals were fine and that patient could leave whenever he felt OK to do so. Patient ended up sticking around in pharmacy waiting area for around 1 hour in total and then left around 4pm, stating he felt much better and was fine to drive home.

Diffuse blanching maculopapular rash on face, chest, neck, arms, and palms of hands. 9cm (L)x6cm (W) red patch on left upper arm near injection site.

diaphoresis, pallor, chest tightness Narrative: Patient states that he started to feel unwell almost immediately after the vaccination. He became pale and diaphoretic. He was able to consume some bottled water prior to initial set of vitals being taken. He denied pruritus, swelling, dizziness, lightheadedness, SOB, nausea. +chest tightness and palpitations. Denies having any sort of prior similar reaction to vaccination and any known allergies to medications or other substances in the past. O: 1st set: BP 79/45, HR low 40s, RR 10, SpO2 97% on RA Exam significant for distress, pallor, diffuse diaphoresis (soaking through shirt/shorts), alert/oriented to person/place/time. CV: bradycardic, regular rhythm, no murmurs, b/l radial/pedal pulses 1+. PULM: CTAB, no wheezes/rhonchi. Neuro: no focal deficits. EMS was called 2/2 concerns for immediate allergic reaction. He notes he may have not eaten ecough today and politely declined CBG. Also politely declined IVF. He was able to slide safely to the floor and politely declined assistance (staff were ready in support), in Trendelenburg as much as possible with feet elevated on a chair. 2nd set of vitals: T98.4, BP 121/64, RR 11, HR 50s, SpO2 95% on RA Exam significant for: continued diaphoresis, improvement in pallor, continued A/O. Answers to questions linear and appropriate. No focal neurological deficits. Provided 2x rice crispy treats, which were consumed w/o issue. 3rd set of vitals: BP 144/82, HR 63, RR 10, SpO2 98% on RA Exam significant for: improved diaphoresis, vast improvement in pallor. Mental status/neuro exam unchanged. Fire arrived, repeat vitals reassuring (BP 131/77, HR 63 SpO2 100% on RA), EKG on monitor w/o arrhythmia and appeared to be NSR. A/P: 22 yo Veteran with immediate reaction to vaccination, concerning for immediate allergic reaction vs vasovagal reaction. Stabilized quickly with minimal intervention.

Lightheaded, blurring of vision . Paleness , diaphoresis Hypotensive and bradycardia. Shock . Remained awake BP 58/30 Pulse 40 / min Immediately sent to Emergency Department

Vasal Vagal response. Vitals 72/24 initial and 102/58 at D/C. Placed pt in Trendelenburg No SOB, some dizziness and diaphoretic. After B/P more stable sat pt up pt was able to walk after 15 minutes without any difficulty. Dr. and Dr. assessed patient and ok to go home.

Patient felt faint, dizzy within 2 minutes of receiving first dose of Moderna Covid-19 vaccine. Appeared very pale, slow to respond. Called for medical assistance. Dr. responded. Patient found to have pulse of 68, complained of tightness of chest. 911 called - EMS responded. Patient given oxygen and taken ED with father., 12/01/2020. Dosage No: 1.

Patient (nursing home employee) was given his second dose of the Covid 19 vaccine today (March 24,2021) during a routine nursing home vaccination clinic. Patient was given his second dose at 8:35 am and at 8:39 am he was complaining of shortness of breath, chest pain, as we as pain in his extremities. Patient stooped in chair and lowered to the ground. Epi Pen 0.3 mg was administered by the attending pharmacist, at 8:41 am and the ambulance was called. HIs vital signs were taken: Blood pressure 123/77, Oxygen 99%, pulse ranged from 104 to 111 bpm. Patient complained of pins/needles feeling in extremities, his arms (both left and right) were contracting, and his pupils were dilated. He was given 4 L oxygen, and the ambulance arrived at 8:58 am.

Approximately 10 minutes after vaccination, patient experienced a seizure. EMS was on site and tended to pt immediately. Seizure subsided quickly. Per EMS, patient's blood sugar was "low" and BP was also "low". Ambulance was called. Within a few minutes, patient was awake and able to converse, Was taken to the ED by stretcher.

LOC @ 3:55 post vaccine while standing and was guided to ground by staff. Patient denies thinners. No deformities /head trauma noted. Patient a&ox4 upon discharge. Pt was vaccinated at 3:51 hours and discharged at 4:15. Patient stable and no complaints at discharge.

Patient received his first dose of Moderna COVID vaccine at 17:51 and reported at 18:04 that he had a tingling feeling go down his arms to his fingers, then felt light-headed and dizzy. Nurse noted he appeared pale and diaphoretic and took vital signs at 18:07 BP-105/50, P-85, R-18, O2-99%; 18:13 BP-124/59, P-63, R-18, O2-99%; 18:20 BP-142/62, P-81, R-16; 18:30 BP-137/85, P-81, O2-99%. At that time he reported feeling much better and was able to leave the vaccine clinic. RN did suggest f/u with Primary care provider about symptoms

brief episode of vasovagal syncope - onset approximately 5 minutes after vaccine administration, lasted approximately 1 minute, resolved without intervention

Syncopal episode that occurred within 15 minutes of vaccination. Patient recovered after rest and snacks. No injuries noted from fall. Discharged to home after evaluation and monitoring.

Faint; Migraine; Dizzy; Disoriented; Joint pain; Fatigue; Muscle pain; Nausea; Slight fever; A spontaneous report was received from a consumer concerning a 23 year old, male patient, who experienced faint (syncope), migraine, dizziness, fatigue, disoriented (disorientation), joint pain (arthralgia), muscle pain (myalgia), nausea, and slight fever (pyrexia). The patient's medical history was not provided. Concomitant products known to have been used by the patient, within two weeks prior to the events, included allergy medication unspecified. On unspecified date, the patient received their first of two planned doses of mRNA-1273 for prophylaxis of COVID-19 infection. On 10-FEB-2021, the patient received their second of two planned doses of mRNA-1273 (Lot number: 013L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 10-FEB-2021, after vaccination, the patient experienced faint, migraine, dizzy, fatigue, disoriented, joint pain, muscle pain, nausea and slight fever. Treatment for the event included Ibuprofen and Excedrin. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. The event of faint was considered recovered. The outcome for the events of migraine, dizziness, fatigue, disoriented (disorientation), joint pain (arthralgia), muscle pain (myalgia), nausea, and slight fever (pyrexia) was considered unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Patient was waiting for a 15 minute observational period. During the observation he started experiencing dizziness, light headedness and loss of hearing. Patient stood up to notify observation staff of his symptoms and had a syncopal episode and was moved to a cot. Patient soon regained consciousness and observational staff took a first set of vital signs with BP 128/72, O2 97% and strong pulse of 108 Bpm. Patient continued having dizziness for approximately 10 minutes after the event occurred. Onsite medical staff offered an ambulance transport to a nearby medical facility and patient reused against medical advice. Medical staff took a second set of vital signs with BP 124/76, O2 99%, strong pulse 78 BPM. Medical staff took patient out on a wheel chair and patient had a relative drive him home.

Patient indicated on consent form that he had never had a reaction after receiving a vaccine before. Pharmacist on duty administered vaccine to patient. Patient walked from the vaccine administration location to the waiting area and sat down. Pharmacist heard a loud thud, and customer yelled "call 911" 911 was called, and patient was given a pillow under his head, and a blanket covering his body. He was unconscious for about 5 seconds, then came to. He was able to answer questions correctly like his name, and what year it is. Management came to help and take care of patient also. EMT arrived and took patient's BP and blood glucose levels. EMT recommended a snack because patient had not eaten yet today. Patient was given cheetos and water. EMT stayed to monitor patient until his vitals returned to normal. Patient told EMT that he has fainted about 8 times previously after giving blood, but never after receiving a vaccine. Came to pick him up so he did not have to drive home. Patient stated he had chipped his tooth when he fell from the chair.

Chest pain 3 days after shot. Troponin I was elevated, referred patient to cardiology. Had cardiac catheter, suspected mild myocarditis. Initially treated with NSAIDs and colchicine during encounter for suspected pericarditis since troponin came back later that day (had to be shipped to hospital). Now treatment includes no strenuous activity for 6 weeks, no travel for 3 months. Follow-up with cardiology in 3 month for reevaluation.

About a minute after the vaccination, the patient's head fell to the side, and he was unconscious. He seized for less than 1 minute. He was placed on the floor at which point he regained consciousness. He felt warm all over his body and fatigued. About 30 minutes later, he was still fatigued, and when he went to stand, he felt lightheaded again. He was taken to the hospital in an ambulance.

Patient informed the pharmacist that he had needle phobia. He was doing fine during the immunization but fainted 2 minutes after. his face turn red and feel heated. He was moved to the floor for better support with his feet elevated. Pharmacist accessed his breathing and applied cold compresses to the neck. offered cold water to drink. Patient rested in the room for about 15 minutes and returned normal and left pharmacy.

5 minutes after the shot, I began experiencing severe hot flashes, sweating, paleness, and vasovagal syncope. This continued for 10-15 minutes while the fire department and physician on site checked my vitals. After being laid down at roughly 10 minutes after the shot, I began to regain consciousness. An ambulance was called, but was not needed.

Patient had syncope symptoms and gave ice pack and asked him to put his head between his legs to help with the dizziness, took BP and was normal and found out he was pre-diabetic so I gave a coke in case it was low sugar, he felt better 30-45 mins post-vaccine and returned to work, he came back after 5 minutes feeling cold and spinning, so we called EMS and asked him to lay down with feet elevated and covered him to try to keep him warm. EMS arrived and conversed with patient, took vitals, and recommended him to go home and rest as he was finally feeling better; overall, it took roughly 3 hours for symptoms to completely fade.

Pt fell faint. Anxious about vaccine. Did not hurt his head. Landed on his buttocks. No complaint of headache, dizziness, chest pain or shortness of breath. Patient alert, awake, oriented. Vital signs were taken, 11:20 blood pressure 113/82, heart rate 76, spO2 98%.

Pt stated to be a bit nervous about receiving his initial vaccine for covid. He said he sat down at 2:51. He said he did not recall passing out just waking up. Vital signs were taken to know pt baseline. All vital signes were wthin norma limits. He stated to feel a little sweaty and hands be a bit cool. He became more talkative with staff and more contrfitriblwe. Pt left after feeling better and safe to drive home. He was encouraged to bring someone else with him next time.

pt slumped in chair and fainted about 5 minutes after vaccine, was unconscious for about 10 seconds, came to suddenly, very disoriented. Very sweaty and continued to drift in and out of consciousness. No sign of andioedema or swelling of any kind. He was able to communicate mostly, just very drowsy and disoriented. EMT was called and was assessed. He refused going to hospital, remained at store for about 45 minutes after incident. Went home with family still somewhat dazed.

Patient fainted, Blood pressure of 90/50, heart rate 50, patient sweating, very sleepy, feeling cold

Pt was noted to be sliding/falling our of chair to his right side. Patient appeared unresponsive. Pt was hoisted down to the floor (by this RN) and placed in Trendelenburg position. Pt?s eyes were noted to be open with some snoring respiration sounds. Pt?s facemask was removed. Pt then became arousable, confused about circumstances, and what had happened. Pt reports he believe he fell asleep in the chair. Pt was able to ambulate out of the facility without assistance after an appropriate amount of time. Patients vital signs were recorded during the event.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Additional Details: felt unwell, fell out of recovery chair and hit head. Patient monitored on floor with feet elevated until rescue came and took patient to ER and was monitored. Went home same day and returned to work the next day, feeling better

Pt was observed to be slumped over in chair approximately 7min into waiting post vaccine in waiting room. np alerted. Breathing , appeared to have fainted. Pt started to have jerking entire body movements as staff trying to get pt to wake up.... pt noted to have spit in mouth on lips and was making grunting noises as jerking . Staff assisted pt safely to floor. Epi retrieved but as came back to pt. And pharmacist also present w NP pt was breathing , slowly coming to , no swelling noted so then it became more clear poss vasovagal response ... in the beg it was unclear so Ems was activated . Pt continue to stay w clinic for an hour waiting on ride . Pt had declined Ems . Pt vitals pulse 55-65.... coloring better initially very pale . Mother came and reports that it gets nervous and has passed out before after blood draw but not a shot.

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

Pt received the vaccine at 7:15pm and was told to wait in the observation area for the required 15 minutes. The pharmacist started to walk back to his station when he heard a thud. He turned to look at the patient and they were face down on the ground. The pharmacist put his hand on the patient's shoulder to check if they were okay. Patient had urinated and left a puddle on the ground. When the patient awoke, they stated that they were okay except for a sore head. The pharmacist checked their head for any scrapes, bruises, or bumps. None were found and the patient was asked to wait in a chair for an extra 25 minutes. Personally monitored for 5 minutes for additional syncope then had their companion stay close to them. After waiting for 30 minutes, the patient said they felt fine and asked to leave.

Client fainted in the post-vaccine monitoring area at 12:57. The left forehead made contact with the floor. LOC for 5-10 seconds. PHN responded right away and advised client to remain laying on the floor while EMS was called. Vitals were WNL and client was coherent upon waking. Oriented x3. Fire EMS and hospital EMTs both responded and determined that client was OK. Offered client transport to ER for further evaluation but client declined. Discussed s/sx of concussion and when to seek treatment over the coming days. Continued to monitor client in first aid room -provided ice and water. Advised to call emergency contact for a ride home - client declined. Discussed importance of monitoring for concussion. Also discussed s/sx of allergic reaction. Client reports that he faints frequently, especially when receiving injections and other medical treatments. Advised client to request to receive 2nd dose laying down . Client remained on site for an hour and remained coherent and oriented. He called his mom and reports his mom and girlfriend would meet him at home but that he had no concerns and felt "normal".

On 4/15 at 1:50pm my injection arm started getting very itchy. I have a sore located 3 inches next to the injection site. Approximately 1 minute after it began to itch I got very hot and nauseous, approximately 30 seconds later I was unconscious and beginning to seize. I was unconscious for about 1 minute. When I awoke I couldn?t see anything, my entire body was numb and in pain. I couldn?t move my fingers. I was rushed to the ER but by the time I was seen I was fully coherent and fine.

Pt received 1st dose of COVID-19 Moderna vaccine at 1:15 PM. While waiting in observation, pt got up to go to restroom at 1:35 pm and fainted. No injury noted. Pt assisted to sitting while in the restroom area, alert and talking. Upon assisting pt to standing, pt fainted a second time in the hallway. Assisted to wheelchair, noted to be diaphorectic but alert and talking. Taken by wheelchair to ER with mother accompanying. Mother reports that the patient had a phobia of needles as a child and has done this before. Call to dad later that evening when unable to reach pt by phone. Dad reports that pt was released without incident. Diagnosed with syncopal episode.

Patient received COVID-19 vaccination (Moderna) at 12:04pm. He sat at the table for observation period ?stood up and turned, stated he was feeling nauseated, took a step forward and then fainted forward onto a different table. Staff responded and lowered him backward onto the floor. Vitals assessed ?BP 100/62, P 72, O2 SAT 98% on room air. Ice pack applied to forehead; patient sweaty but responding, stated hands tingled but no other complaint. Breathing regular, not labored. Admits he had a similar reaction to a vaccination about 3 years ago ?does not recall type of vaccine but agreed not life threatening reaction. Denied having any allergies that he is aware of. Admits he did not eat recently. Patient stated he did not hit his face when he fell onto the table, denied physical injury. Assisted to sit up while on floor for a while, then to stand and sit back onto a chair. Given bottle of water and granola bar. Orthostatic blood pressure checked at 12:25pm ?sitting blood pressure was 110/72 and standing 108/62. Patient stated feeling well; had him wait out a 30-minute observation period rather than 15-minute period. Walked out of building with staff and his sister; encouraged sister to drive them home, and for him to eat.

Patient received COVID-19 vaccination (Moderna) at 12:04pm. He sat at the table for observation period –stood up and turned, stated he was feeling nauseated, took a step forward and then fainted forward onto a different table. Staff responded and lowered him backward onto the floor. Vitals assessed –BP 100/62, P 72, O2 SAT 98% on room air. Ice pack applied to forehead; patient sweaty but responding, stated hands tingled but no other complaint. Breathing regular, not labored. Admits he had a similar reaction to a vaccination about 3 years ago –does not recall type of vaccine but agreed not life threatening reaction. Denied having any allergies that he is aware of. Admits did not eat recently. (to Continuation Page)Additional information for Item 18: Patient stated he did not hit his face when he fell onto the table, denied physical injury. Assisted to sit up while on floor for a while, then to stand and sit back onto a chair. Given bottle of water and granola bar. Orthostatic blood pressure checked at 12:25pm –sitting blood pressure was 110/72 and standing 108/62. Patient stated feeling well; had him wait out a 30-minute observation period rather than 15-minute period. Walked out of building with staff and his sister; encouraged sister to drive them home, and for him to eat.

23 YEAR OLD admitted to hospital with chest pain and elevated troponin (5000). Had received second dose of Moderna vaccine 4 days prior. Myalgia and fever from vaccine were resolving when chest pain and dyspnea started. Normal angiogram, no coagulopathy, normal platelets, normal echo. Pain resolved.

Chest Pains that lead to hospitalization. Found an elevated troponin related to myocarditis. Ongoing evaluation

Per patient, he developed chills, subjective fevers, body aches few hours after the vaccine on 04/15. Also developed chest discomfort that progressively got worse over the next 1-2 days which prompted him to visit the ED on 04/18. He was found to have troponin elevation with diffuse J-point elevation. He received aspirin and was started on heparin drip. Chest pain completely resolved by the next day. Coronary angiogram was negative. Cardiology attributed stroke elevation and chest pain to myocarditis secondary to vaccine. Echo was normal with no evidence of pericardial effusion.

The patient developed fatigue, malaise, skin allodynia, fever (103.5F) and took acetaminophen and ibuprofen. The fever resolved but he was diaphoretic. He also had a headache, vomiting, then lost consciousness overnight and had a tonic-clonic seizure lasting 10 minutes. He was brought to the emergency department and had 2 more seizures there which was controlled with lorazepam. He was admitted to the hospital and started on broad spectrum antibiotics (acyclovir, ceftriaxone, and vancomycin). On 4/11/21, the patient was extubated and improved symptomatically, and antibiotics were narrowed to doxycycline. He was then discharged on doxycycline and levetiracetam.

Pt fainted, fell off his chair onto the floor where he was convulsing. He then regained consciousness shortly after. Sweaty, clammy, pale, did not remember what happened. Asked "what happened?". 911 was called, the paramedics came. Took vitals. They administered IV fluids and wheeled him out on a gurney in a neck brace.

While monitoring post-vaccination a woman yelled from her car window that ?he? fainted. Upon arrival, it was noted that a young man in the passenger seat was slumped with his head on his chest and unresponsive. It was witnessed that the passenger stiffened and started shaking as if he was having a seizure. The nurse was called. It was noted that the shaking lasted just a few seconds and he then relaxed and opened his eyes. Once the RN, received call that there was a person having a seizure, 3 nurses went to the scene. Once RN arrived at the car the patient was awake and alert. The patient was assessed, and he was able to answer questions. History of the patient from the mother revealed that he has responded to other vaccines in the past by having a vagal response. RN noted that there were no signs of patient being postictal. Patient was alert, oriented and stated that he was feeling better. EMS arrived and assessed patient and noted that he was in no distress. Patient denied transport to ED. RN educated patient on importance of reporting this to nurse prior to next vaccination.

patient almost fainted in waiting area. technician had to catch him before he fell. He was feeling woozy , We gave him some water and candy and he started feeling better and father came to pick him up . pt also stated this happened before with other injections,

NSTEMI likely caused by Myocarditis starting with intermittent chest pain on 3/6/21 that was treated with aspirin and carvedilol QD.

vasovagal response, passed out with pulse in the 30's; Patient placed on floor, 911 called, ER doc responded, patient transported to ED

Patient had seizure event minutes after administration. Staff immediately called 911. Fire truck and ambulance arrived within minutes. Pharmacist attempted to administer epinephrine but failed. Seizure event lasted for approximately 30 seconds. Patient passed out but regained consciousness within a few seconds. Once patient regained consciousness, staff questioned patient about his whereabouts. Patient was able to answer questions about his name, date of birth and whereabouts.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient recieved the vaccine (sitting) and was instructed to sit for 15 minutes post vaccination.After about 5 minutes, patient stated that he was feeling light headed. Patient was seated when he fainted and was out for about 12-15 seconds. Patient came back and was able to speak with us.We provided him some water and called the EMT's. EMT's looked after patient/checked vitals and everything was okay. Patient states he has a fear of needles. Called patient a few hours after the incident to check

Syncope 5 minutes following vaccine administration, Gave the patient water and monitored for additional signs or symptoms. ambulance was called but no further treatment required. Patient recovered shortly after syncope

2nd vaccine administered 4/17 and on 4/19/21 he started to have chest pain not relieved by Tylenol and presented to ER with high Troponin.

Patient appeared to have syncope about 5 minutes after receiving the Moderna vaccine. Patient became responsive about 10 seconds later. About 5 minutes later patient had another syncope episode and became responsive about 10 seconds later. Patient's mother and 911 were called. Paramedics arrived and took patient's vitals. All tests performed were normal. Patient's mother arrived and took patient from the pharmacy. Patient stated that he had not eaten since the day before.

After sitting about 15 minutes, patient said he felt lightheaded. He was pale and a little clammy. Gave patient water & stayed with him, because "he might faint". Blood pressure was taken. Initially was low, subsequent readings improved. No Epipen was given. He was talking & seemed to be improving. He was nervous, so 911 was called. He was much better by the time the EMTs arrived. The entire event including EMTs was @ 20 minutes. He felt well enough to shop in the store after.

Pt received first dose of Moderna covid vaccine and during observation period of 3 minutes, pt stated "I feel funny in my chest and a little shortness of breath." VS taken= P-102, BP- 149/98, RR- 20. Skin warm and dry. No n/v noted. No c/o AP or numbness to hands or legs. Mother with pt. Notified lead RN, LVN of situation and wheeled downstairs to facilities urgent care.

After providing the Moderna vaccine, patient passed out going forward in slow motion and head was resting on table, then immediately started seizure-like action putting him in an upright position and I put my arms out to keep him from going forward and then he opened his eyes and came to. After talking to him while in observation, he mentioned that it felt like he was out for 5 minutes even though it only lasted for about 10-15 seconds. He mentioned that 12 years ago this happened (someone had thrown a rock and it hit his hand and when the nurse went to clean it, he went cold and when he came to it was exactly how it was after getting the vaccine). He only recalls feeling cold. When patient was about to leave, I suggested to him to reach out to his PCP to see if it's ok to give his 2nd dose with us or if he should be observed in a clinic setting. I did a follow up call a few hours later and he is doing fine.

Patient experienced syncope. We brought him to the immunization room and let him sit with the lights off. We gave him a snack and water, as well as a blanket and a cool towel. He recovered in about 15 minutes.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Additional Details: Approximately 5 minutes after getting Moderna Covid Vaccine, pt complained of chest pain, throat tightening and shortness of breath. I Administered Generic epinepherine auto injector to his right thigh, and within minute or two, his breathing normalized but pt still had throat tightness. EMS arrived at that point and examined the pt and transported him to local hospital.

Pt alerted Oberving NP that he felt unwell. His BP was 88/68. He fainted-head slumped down and lost conciousness, his body spasmed one time and NP lowered him to the floor. He regained conciousness and we continued to monitor him and vital signs. BP returned to 133/84 and pt was transported to ER.

Within 5 minutes post-vaccination, the patient began to feel dizzy and requested some water. He looked pallid, felt cold and clammy. I helped the patient out of his chair and onto the floor. I retrieved an instant cold pack and prepared it. When I returned to the patient 45 seconds later, he said the coolness of the ground helped. He did not feel dizzy anymore but his fingers were still tingling. I gave him the cold pack to place behind his neck and provided him a bottle of water. I had him lie prone for another 5 minutes. When I re-assessed, he was no longer feeling any negative symptoms and he no longer looked pale nor felt clammy.

Pt reported feeling light headed, clammy and pale. Placed in semifowler's position, given a bottle of water to drink and felt better. VSS and within acceptable parameters.

Extreme fatigue, pain in the arm, then swelling in the area around eyes, red-eye, and swollen red eyelids, then the onset of rapid heart rate, difficulty breathing, extreme exhaustion, and low energy first onset of massive grand mal seizure occurred approximately 24 hours after injection.

patient passed out 15 minutes after receiving shot. fell out of chair onto floor. helped up and sat in chair. pt was pale, tunnel vision and could not answer questions. gave some water and a granola bar because patient had not eaten since night before. called squad, pt refused treatment. stayed for another 30 minutes until determined ok to leave on his own volition.

23-year-old-male presented for a Moderna COVID-19 vaccine. The patient was seated with his feet planted firmly on the floor. Immediately following vaccination, the patient had some blood running down his arm. I reached for a cotton swab to apply pressure and stop the bleeding, but the patient began to faint. I immediately positioned myself next to the patient; and held his head and arm to keep him in a sitting position. The patient regained consciousness after about twenty seconds. I began talking with the patient to ensure it was only a fainting spell. The patient was groggy but became clear-headed after about a minute. Upon further discussion, the patient stated this happens every time he sees blood, has bloodwork done or receives vaccines. The patient recounted a time when he cut his hand at work and fainted immediately. The patient was doing deep breathing exercises immediately after regaining consciousness. When asked, he said it helps him focus. I asked the patient if he wanted us to call anyone to pick him up but he refused. The patient was advised to remain seated, and we would transition him to the waiting area once he felt stable enough. After about 5 minutes the patient was helped to the waiting area (from our counseling room about 10-15 feet away). I advised him to remain in the waiting area for 30 minutes for further monitoring. The patient was offered juice, water and a snack but declined. After the 30 minute waiting period, the patient was clear-headed and appeared to be in the same state as when he arrived for the vaccine.

client notified medic he wasn't feeling well after receiving 1st dose of Moderna vaccine. he appeared pale and diaphoretic. He vomited x2. Local EMS called. he was evaluated and refused transport via EMS. his condition improved and he was released.

on 4/30/21 at 3:37 Patient received his First dose of Moderna vaccine lot #047B21A 0.5 ml to his left deltoid. Patient stated that he pass out with Any shots. He denies any known alergey with any vaccination . However, after patient received the vaccine, at 3:40 pm he became very pale, diaphoretic, Vs: BP 90/60, Pulse 66, resp 18, o2 sat 97% on room air, patient placed on the floor with his leg Elevated.Immediately patient voiced that he is feeling much better on the floor. At 3:50 Vittal signs rechecked which showed improvement BP 100/70, Pulse 72, resp 18, o2 sat 98% on room air, patient color returned to baseline, no further diaphoresis noted. At 4:00p Patient voiced no further complain. Vs: Bp 120/80, Pulse 72, O2 sat 98% , resp 20. Patient released home accompanied by family member post 30 minutes observation also writer recommended patient to follow with his PCP or if symptom persisted to seek emergency help. He verbalized understanding.

Patient fainted after receiving his dose of the vaccine. Pharmacist was alerted by another customer that patient fell out of his chair. Patient was responsive as soon as pharmacist arrived. Patient states he does not think he hit his head. States he has fainted from needles in the past, but failed to inform pharmacist on VAR sheet. Patient denied emergent medical treatment and left 15 minutes later with his father.

Approx. 5 minutes following vaccine administration the patient developed a transient loss of consciousness resulting in a fall causing a small abrasion to his left forehead. The patient regained consciousness immediately. He was alert and oriented. No witnessed convulsions were reported. He denied any further neurological symptoms. He reported that he did eat breakfast. He denied symptoms of anaphylaxis or severe allergy symptoms. By this time, paramedics arrived and the his blood pressure (and orthostatics), pulse, blood sugar, pulse oximetry, EKG findings were all within normal limits. He refused to be taken to the Emergency Room as well as treatment for the head abrasion. There were no physical signs of fracture. The patient ambulated out of the clinical without difficulty, accompanied by his girlfriend. S/sx of concussion were discussed w/ patient and he or his family members are instructed to call 911 should he development further syncope or other neurological symptoms.

Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: Patient received the vaccine and fainted 3-5 minutes later. Patient was standing when he fainted and upon fainting fell down backwards and hit his head on the floor. Paramedics/911 was called immediately. Patient was unresponsive for about 5-10 seconds. Upon waking up, patient seemed dazed at first, but quickly realized where he was and was responsive to questions. Paramedics took patient's blood pressure - it was low - and patient was taken to emergency room for further assessment/monitoring.

Patient began to feel dizzy with headache almost immediately after receiving vaccine. Patient approached counter to let us know of symptoms and then fainted, hitting his head. Paramedics were called and arrived shortly after. Patient was given ice pack. Patient remained responsive throughout encounter. Patient did not go to the hospital and instead went home with family after paramedics took vitals.

Patient received 1st Moderna Covid vaccination at 645pm, patient was transitioned to waiting area chair. Once seated the patient lost conciousness and slid out of chair to floor for approximately 5 seconds, then regained concoiousness. Patient advised me that he as done this during previous blood draw and immunizations. Patient did not want to seek additional medical attention and in my professional opinion was of sound mind to make that decision. His brother in law was with him and agreed that no further treatment was necessary at that time. Monitored patient for approximately 25 minutes and patient left under his own power.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Weakness-Mild

patient started feeling light headed in the chair after the vaccination, then he started to faint and fall out of the chair. our cashier caught him, we then got him onto the ground. he was very pale, sweaty, nauseous, and dizzy. he fainted a second time while sitting on the floor. we got him a garbage can in case he got sick, and an ice pack and bottle of water to help cool him down. after 10 minutes he stated he felt much better, and he went back into the chair. we asked him to wait another 15 minutes to make sure he was okay because he had to drive himself home. after that period of time i took his blood pressure and it was normal. he said he was going to go get something to eat here in the store before driving and he would come back to let us know if he started feeling sick again.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient slumped on chair at observation area within 5 minutes of vaccination but quickly regained consciousness when rph attempted to assist patient. Patient did not hit the ground and was unconscious for less than 30 seconds. patient urinated on self. blood pressure reading was 107/75mmhg and temperature was 97. Patient was monitored for more than 30 minutes afterward and left with a family member.

Pt had a syncopal episode 1-2 minutes after vaccination. He denies any prior hx of syncope or near syncope. Initial BP 90/60 and HR 46, SP02 99%. Repeat BP 100/68, HR 64. Pt recovered after 20-30 minutes of observation and was driven home.

Patient presented to ER 4/26/21 with sharp chest pain associated with SOB that started the night of 4/25/21. EKG suggestive of pericarditis. Troponin I peaked at 11 and trended down to 6, TTE showed normal EF, no structural abnormalities and no pericardial effusion. patient was observed overnight, did well, discharged 2nd day on Ibuprofen 600 TID PO for 2 weeks. chest pain persisted for two more days and now completely resolved off the NSAID.