Pfizer

Patient felt light hearted approximately 3 minutes after vaccination, and regained consciousness within 15 seconds. Patient has a history of passing out with all vaccinations. Patient was treated by laying down, providing water and juice, and graham crackers.

Patient was in observation area and started feeling dizzy with difficulty to see 10 minutes after vaccine administration and decided to go from sitting on chair to sit and then lay down on floor on top of her jacket. Observation room clinic staff noticed and notified RN lead. Patient was attended to and noted that she was alert and oriented c/o dizziness. Patient transferred from floor w/ assist to wheelchair and then to side observation area where her VS were obtained: 0850 BP 79/39. HR 62, O2sat 100%. Mom accompanied patient and stated patient did not eat this morning. Patient given water and crackers. VS 0853 BP 98/56, HR 71 and O2sat 100%. Patient stating that vision is better, continued eating and drinking. VSS 0855 BP 99/64. HR 68,O2sat 100%. Patient stating vision much better and dizzy feeling gone. Patient stood up and did not experience any symptoms, walked to observation room with mom and RN and continued to sit for an additional 10 mins. Patient left with mom at 0915 stating she is back to normal. Encouraged to have patient eat and drink prior to next vaccination appointment.

Felt anxious and lightheaded. Given crackers and juice. Observed 30 minutes. Felt better and mom drove home.

PT REPORTS FEELING LIGHTHEADED,DIZZY,NAUSEA AND SWEATY. NOTED TO BE DIAPHOREETIC AND PALE. DENIES SOB, DYSPNEA OR ITCHING. PATIENT IS ON THYROID MEDICATION AND TOOK A DOSE IN THE MORNING VS; O2 SAT 97% HR 83 PT ENCOURAGED TO LAY FLAT W FEET RAISE. ENCOURAGED TO DRINK WATER AND EAT BEFOR COMING TO THE NEXT APPT. PT HAD NOT EATING BEFORE COMING THIS MORNING. PATIENT FELT BETTER AFTER A CULE OF MINUTE. PT INSTRUCTED TO NOTIFY OBSERVATION TEAM IF SYMPTOMS WORSEN

Approx 6-7 min after receiving vaccine in left arm. Patient's mother expressed concern about her daughters reaction. She complained of headache, stomachache, weakness in her legs and her eyes rolled back in her head and her head dropped.

IMMEDIATELY AFTER GETTING THE COVID VACCINE, PATIENT BECAME VERY DIZZY AND LIGHTHEADED. THE IMMUNIZER OBSERVED THE PATIENT FOR NEARLY 45 MINUTES TO AN HOUR TO SEE IF SHE WILL FEEL BETTER. BUT THE PATIENT COMPLAINED THAT THE SYMPTOMS WERE GETTING WORSE. WE REFERRED THE PATIENT TO GO VISIT THE URGENT CARE CLINIC NEXT DOOR AND SEE A PHYSICIAN. LATER, THE PHYSICIAN, TOLD US THAT HE TREATED THE PATIENT WITH PROMETHAZINE AND ONDANSETRON BUT THE SYMPTOMS WERN'T IMPROVING. HE ORDERED MECLIZINE 25MG CHEWABLE TABLETS AND THE PATIENT'S MOM CAME IN TO PICK UP THE MEDICATION. THE PA THINKS IT IS PSYCHOLOGICAL RATHER THAN AN ANAPHYLACTIC SHOCK SINCE ALL THE VITALS WERE NORMAL.

Patient complained of feeling lightheaded and dizzy. EMT called and vital signs stable. BP 92/50 HR 77. Patient refused stated she was feeling better and refused to transport to hospital.

Patient received in RN triage area, post-COVID vaccination administration. Patient being observed for 15 minutes as recommended per CDC guidelines and facility policy on post-vaccination RN monitoring. Patient sitting in chair and reported feeling dizzy/lightheaded, blurred vision, ringing in the ears, patient noted pale, clammy, and diaphoretic, patient reporting feeling short of breath. Rapid response called. 14:05 Vitals: 75/34, HR: 54, 97% Patient placed on gurney, in the supine position. Patient and mother denies adverse reactions to vaccinations in past. Denies any medical history besides asthma. 14:10 Vitals: Bp: 105/53, Hr 83, 100% on 2L. Patient now denies any dizziness/lightheadeness, blurred vision, ringing in ears, and shortness of breath. 14;15 BP109/65, HR: 72, O2: 100%. COVID vaccination fact sheet and discharge information provided to patient on D/c from clinic, patient advised to review. Verbalized understanding. Appointment for 2nd COVID vaccination provided to patient. All questions and concerns addressed. Advised to follow up as needed. Patient departed with mother at 1435 symptom free.

after vaccine, patient felt very dizzy, and pale. she was sitting in chair. she was responsive and talking but patient's mother wanted us to call 911/. Paramedics took her vital signs and she was good.

approximately 30 seconds after patient received this vaccine she fainted and fell to the floor. She regained consciousness but then began to vomit. Symptoms were short lived and 9 hours later she seems to be fine.

headache, lightheadedness, fatigue, and a fever of 100.4 - site of vaccine has a slight redness/tenderness (mom reports mild - consistent with vaccine localized reaction). Sxs have persistent through from 5/16/2021 to 5/18/2021, temperature has slightly improved at 99 with Motrin, but headache/fatigue persisting, and then patient woke 5/18/2021and vomited x 1. day 3 with slightly elevated temp, persisting headache, fatigue, and new onset sx of vomiting today. Motrin for fever, fluids, rest, and monitoring at home.

Patient at the clinic for their first COVID-19 Pfizer vaccine today. Patient, sister and their mother were scheduling their second dose appointment when the writer heard a "thump" on the ground. The writer turned around to see the patient laying on the ground underneath a chair on her stomach with her eyes closed and not responding to voice command at approximately 1520. The writer and another nurse immediately rolled the patient to her side, a nurse moved the patient's hair from her face and the patient began to open her eyes. Patient began to become alert after less than 30 seconds of the episode. Patient remained laying down for approximately 2 minutes and stated she was embarrassed. Patient began responding to verbal commands and questions. Patient then began to go from a sitting and then to a standing position. Patient and her family escorted to the recovery room and assessed, refusing wheelchair transport. Patient's mother stated no history of this adverse event previously. Vitals taken x2 (See flow sheet). Nurses performed a head-to-toe focused assessment. Patient A & O to person, place, and time. Pupils equal and reactive to light. Patient asked "what day is it" and responded " The 18th." Patient asked "where do you go to school" and responded appropriately with school location. Patient asked "what is your mom's name" and responded. Patient asked "what is your name" and patient responded with her name. Patient asked "how old are you" and responded "12." Nurse assessed the back and both sides of the patient's head and witnessed no bumps, bleeding, or swelling. Nurse noted redness and slight swelling on the right eyebrow approximately an inch in length. No laceration or bleeding noted. The patient's mother touched the site and the patient stated that it hurt. Nurse advised the patient to place an ice pack on the site and the patient declined. Patient denies any neck pain, headache, nausea, dizziness, lightheadedness, or trouble breathing. Patient skin warm and pink. Nurse offered ice, animal crackers, and juice and patient declined. Nurse offered EMS evaluation to patient mother and the patient's mother declined. Patient's mother and the patient educated on the s/s of a head injury and allergic reaction and instructed to call 911 or go to the nearest ER. Patient and mother also instructed to follow up with a PCP and inform them of today's episode at their next visit. The patient and the patient's mother also instructed to ask to be given the vaccine in the recovery room for the second dose at the next appointment. Patient and family remained at the clinic for 30+ minutes. Patient stated that she felt ok and the patient's mother stated she felt ok to take the patient home. Patient left in the company of her mother and sister in stable condition without transport assistance out of the clinic. Patient's mother informed that a VAERS report will be filed and that they may contact her for further follow-up.

Patient got anxious then dizze and nauseated 1 min post vaccination Provided water and crackers Discharged to home

Pt feeling dizzy & faint post vaccination (BP 101/64; HR 88; RR 16). Assisted to observation. VS stable (BP 103/65; HR 88; RR 15). No respiratory distress. Resting in bed quietly w/parents at bedside. Assessed at bedside by NP. Pt states she is ok & wants to go home. No discomfort & discharged pt home in stable condition.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Vomiting-Mild, Additional Details: Patient passed out within 30 seconds of receiving the Pfizer COVID vaccine. She was out for about 15-20 seconds, during which time she had a couple spasms. After that, she woke up, was aware that she had passed out, then threw up once. She waited with her mom for 30 minutes after that, but felt fine during that period.

Pt c/o weakness, HA, dizziness, and Nausea. BP 121/76, HR 112, RR 22 -- > HR 98 -- > 108/62, 90. Patient stable and released from vaccination site.

child became unresponsive, clenched teeth, unable to stand alone, vomited, eyes dilated, unable to speak, headache, called 911 was transported to the hospital emergency room

Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Patient fainted and immediately regained consciousness. Father broke her fall but she may have hit her head on a shelf so we called paramedics to check her out. She declined to go to the hospital and paramedics cleared her to go home. She was instructed to go to hospital if any signs of severe reaction or concussion.

On 5/15, at 4:00pm while in the shower, patient had a pre-syncopal episode with dizziness, and heaviness in her arms and legs. Before she fell I was able to assist her to a sitting position. Her skin was pale and clammy, pulse thready 90bpm, bp 80/50. Symptoms improved after 15 minutes. On 5/21, at 10:00am was outside at a school sports activity. She began to feel slightly dizzy. She ran a short race and the dizziness was worse. She was pale, hr 120, bp 100/60. She drank fluids and rested but still felt unwell and a headache started so she came home. The headache evolved into a severe migraine with several episodes of vomiting. She also felt heart palpitations, which is unusual with her migraines. Hr was 100 and regular. Bp 100/60. Discussed with pediatrician, who patient had seen 5/20. Appointment scheduled with cardiology 5/26

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: she was nervous, after shot felt nausea, lightheaded, and vomited up some water.

Patient fainted after receiving 1st dose of the Pfizer vaccine. Once vaccine was administered in the pharmacy area, patient moved to the waiting area near one of the aisles. She was in the aisle with her father when she fainted, and father brought her to one of the nearby chairs where she sat down. Patient was conscious and stated she was feeling dizzy, no other symptoms, and did not want us to call 911. She drank some water and remained seated for 30 minutes. Pharmacist checked on her every 10 minutes to make sure she was still feeling okay. Patient stated that she was "really nervous" to get the vaccine. She denied feeling any other symptoms, and after sitting down said she was feeling better.

Reported feeling like she was about to pass out, emesis.. Seen by Medics. Left in stable condition at 10:27. Recorded by RN.

Systemic: Fainting / Unresponsive-Severe, Additional Details: upon exiting vaccination room pt fell forward. it is unknown if she fainted or tripped, mom was standing behind her and was unsure as well. pt bumped head and had a welt on her upper right eyebrow, also her nose began to bleed. ice pack was given/applied to head/eye, paper towel given to stop nose bleed. also water/starburst given. 911 was called. dispatchers came and quetsioned if she felt dizzy when she left room to which pt responded no, ambulance took pt.

reports dizziness. denies any difficulty swallowing and/or other s/s. at 1604, c/o difficult swallowing- transferred care to EMS. EMS administered epi & called for transport, 1611- mother agreeable; 1616 pt. reports feeling better- symptoms resolved.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium

Complained of being light headed, diaphoretic Vital Signs: BP 108/72 HR 104 Resp 20 O2Sat 97 Skin Signs: Diaphoretic Circulation: Cap refill <1sec Respiratory: Breath sound clear bilaterally Initial Treatment: Moved patient to triage, placed her in supine with feet elevated. Offered water and snacks. 3:04 PM Vital Signs: BP 108/61 HR 108 Resp 20 O2Sat 98 Skin Signs: Warm and dry Circulation: Cap refill <1sec Respiratory: Breath sound clear bilaterally Vital Signs: BP 104/64 HR 90 Resp 18 O2Sat 98 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Notes: Patient stated she was feeling better after 10 min. Advised patient to seek medical attention if symptoms re-occur or worsen. Home with parent.

Patient was given vaccine and felt fine right after. After awhile a customer came back and alerted the pharmacy that she had fainted and was in one of the aisles with her mom. she did not injure herself in the fall. We had her lay on the floor and took her blood pressure which was slightly low. We had her stay laying down until she felt better and her blood pressure increased. After about 25 more minutes she felt well enough to leave the store with her mom.

AE: Diaphoretic, nervous, dizzy( at 4:01pm) Treatment: no medication was given. patient was under observation. Outcome: symptoms resolved with observation and patient was sent to POV/Home.

AE: light headed, slight ringing in the ear(resolved), dizzy (at 10:40 am) Tx: n/a, just food and drink Outcome: juice, crackers helped resolve AE. pt was discharged home.

Episode of syncope after receiving the covid vaccine. Secondary injury to back of head after falling out of chair. 3:05 PM Vital Signs: BP 118/62 HR 92 Resp 18 O2Sat 98 Skin Signs: Warm and dry Initial Treatment: Initial impression: altered mental status, shallow breathing, pupils Perla. Patient regained consciousness and was able to respond to questions. Patient was placed in a wheel chair and taken to triage area. Vitals taken. 3:20 PM Vitals: BP 116/82 HR 82 Resp 16 O2Sat 98 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Denies nausea. AOx1 No longer feeling 'shaky'. Very sight swelling at the site of head injury. Ice pack in place. 3:35 PM Vitals: BP 116/66 HR 78 Resp 16 O2Sat 99 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Home with mother with CHI instructions.

Patient felt dizzy after couple of minutes of receiving the vaccine.; This is a spontaneous report from a non-contactable consumer (patient). A 12-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot Number: EW0185), via an unspecified route of administration at right arm on 19May2021 (at the age of 12-year-old) as unknown, single for COVID-19 immunisation. Medical history included allergies: Cashews. Patient other medical history was none. The patient's concomitant medications were not reported. Facility where the most recent COVID-19 vaccine was administered was other. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 19May2021, patient felt dizzy after couple of minutes of receiving the vaccine. Treatment was not received for the adverse event. Due to event Doctor or other healthcare professional office/clinic visit. The events were assessed as non-serious, did not result in death, not life threatening, did not cause/prolonged hospitalization, not disabling/incapacitating, did not cause congenital anomaly/birth defect. The outcome of the event was recovered in May2021. No follow-up attempts are possible. No further information is expected.

Client received her first dose of the Pfizer Covid-19 Vaccine (lot # EW0185 exp. 08/2021) at 11:28 AM. The client was brought to the EMT station by lead RN stating that the client was feeling "dizzy? at 11:46 AM. The client was a 12-year-old female alert and tracking with her eyes and appeared anxious. The client had a chief complaint of lightheadedness. The client stated that she ?began to feel lightheaded? after her initial 15-minute observation had completed. This was the client's first dose of the Pfizer Vaccine and she stated reluctance to receive her first dose. The client denied any allergies and her parents stated that the client had a history of unspecified behavioral disturbances that require her to see a therapist. The assessment revealed no hives, swelling, discoloration, shortness of breath, or other signs and symptoms of anaphylaxis. The client denied a headache or wanting to throw up. The client refused to have her vitals taken by EMTbut agreed at 1150 to remain lying down until she felt better. The client was encouraged to drink water while she waited. After 15 minutes and drinking a bottle of water, the client stated "I feel all better" but "I think I'm overthinking this" and stated that she was now experiencing a ?headache?. RN asked the client?s parents? permission to speak to the client. RN came over to reassess the client and that client finally agreed to have her vitals taken at 1208: 148/84 blood pressure, Pulse 94, 100% O2 on room air, Respirations 16, alert and oriented to person, place, date, and event. The client revealed to RN that she was experiencing anxiety from her vaccination but became much calmer after discussing her concerns further. Client also revealed that she engages in acts of self-harm but has no intent to end her life. The client's last set of vitals at 1216 were 128/76 BP, HR 96, O2 100%, Resp. 16. The client then stated that she was ?ready to go? after her last set of vitals. Lead RN asked to speak to client?s mother in private. Lead RN provided mother with crisis hotline. Mother informed lead RN that client was in therapy and already seeking help. The client's parents were instructed to seek emergency care if a significant allergic reaction occurred later in the evening and were provided with all relevant vaccine-related information by RN. The client departed at 1220 in a positive disposition with her parents.

dizziness BP: 80/40 P- 62 o2-99% pt. is adviced to drink water. transfer patient to gurney feet side elevated. BP: 100/58 Pulse 64 Patient feels better and resolved the symptoms. after 15 mins. BP:106/60 Advised patients father to consult with primary physician before 2nd dose. Patient left for home with parents after observation.

Patient reported feeling dizzy and was not verbally responsive for 10 seconds after receiving vaccine, and then vomited. Patient's pulse was faint, but became palpable once patient started talking again. Patient was breathing spontaneously. Patient reports last meal at 10am (7-8 hours prior vaccine administration), and anxiety to needles. Mother reports that patient faints with vaccine administration. Patient was taken to a cot to lay for 15 minutes and instructed to slowly drink sips of water in case of vomiting. Patient's symptoms resolved 15 minutes after laying supine. Instructed patient to go to ED if symptoms worsen.

Patient experienced vertigo and nausea about 5 to 10 minutes after being vaccinated. She was given water and observed for another 30 minutes, after which she was feeling better.

developed a rash whole left arm; Feeling dizzy; dizziness was kind of severe dizziness where felt like everything was moving around; weak; Shaking; Chilling; Does not feel ok; half an hour lying down; This is a spontaneous report from a contactable consumer reporting for their daughter (patient). A 12-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 at 12-years-old intramuscular, administered in arm left on 16May2021 (Batch/Lot Number: EW0177) as 1st dose, single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that within 5 minutes after taking the vaccine on 16May2021, the patient started feeling dizzy, weak and little bit of shaking, chilling. Dizziness was kind of severe dizziness where felt like everything was moving around her. They took her to urgent care center because she does not feel ok after half an hour lying down there. The doctors were there and they gave medications as an injection of Promethazine 25 mg temporarily at first and also gave Ondansetron 4 mg and prescribed Meclizine 25 mg three times a day for 5 days as needed (treatment). The patient got the reaction at 1145 am within five minutes feeling dizziness. After 30 minutes waiting were advised to take her to the urgent care. She was prescribed Promethazine 25mg, Ondansetron 4mg, Meclizine 3 times a day for next five days. Reports adverse event (unspecified) still maintains. Then later developed a rash, whole left arm on an unspecified date. Therapeutic measures were taken as a result which included injection of Promethazine 25 mg temporarily at first and also gave Ondansetron 4 mg and prescribed Meclizine 25 mg three times a day for 5 days as needed. The outcome of the events was unknown.

Patient was administered first dose of Pfizer vaccine, and went to waiting area to wait with her father. About 2 minutes after receiving the shot she lost consciousness and pharmacy staff called 911 for EMTs. She regained consciousness approximately 1 minute later; stated she was a little short of breath. Pharmacist asked her to state her name (was coherent and aware) and asked her to take a breath normally; she was able to do so and could breathe normally with no difficulty. Her father laid her on the floor because she was still light-headed, but could breathe normally. EMT arrived very shortly after and began taking her pulse, checking her pulse-ox, and blood pressure. Pulse was on lower end, blood pressure was around 80/50, pulse ox normal. She was taken to ER per her father's request for further examination.

5 mins after being on the observation area patient experienced a feeling of dizziness while being with her mother, she fainted but didnt fall as she supported her body, mother expresses that something similar happened recently when she went to obtain blood work for her ab test. Also fx hx of vasovagal sx as per discussion. Denies any chest pain, no sob, no HA, no palpitations. Pt was transfered via wheelchair to the medical stretcher area and was observed and lie down in supine position with elevation of her legs for 30 mins. Patient left home without further episodes and stable, VS at time were 100/64 HR 67 Dr and EMS were at the site. Medical Advised provided

After receiving vaccination, syncopal episode while sitting in the chair. Mom held child from falling to the ground and slowly placed her on the floor. LOC for less than 2 minutes. Alert and talking, ice pack to forehead and fluids offered. Placed in wheelchair and sent to med evaluation for further evaluation. Mom present at all times. VS taken 104/80 HR 72 Resp 16, diaphoretic with c/o's of lightheaded and foggy feeling. Lying on cot with Gatorade/water offered. Pt has never passed out with a vaccination in the past, had carrots for breakfast and little fluid intake. Very anxious with getting the shot. Discussion with mom & pt. importance of hydration eating when the next dose given, it will be in the med evaluation area lying down. Pt alert an ambulatory with 1/2 Gatorade and 1/2 eater prior to discharge with mom. Discussed s/s of reaction and call pediatrician with any further concerns. Verbalized understanding, discharged ambulatory with mom.

About 5 minutes after the shot, patient's mom said that she didn't feel good. Patient was dizzy, sweaty, nauseas and really hot. The arm that got the injection was also really hot. I had the patient lay down, and gave her an ice pack for her neck/arm. After a few minutes patient said that she felt better. I had her lay down for about 5 minutes. She then sat up and said she was much better. Wasn't dizzy or nauseous anymore. Arm felt better too. I had the patient sit and wait in total 30 minutes. Mom wanted to leave sooner but I asked if she wait so that we could make sure she was ok. THey waited 30minutes and left . patient was fine.

Systemic: Fainting / Unresponsive-Severe, Additional Details: PATIENT WAS GIVEN A PFIZER COVID 19 VACCINE INSTRAMUSCULARLY. IMMEDIATELY AFTER BAND AID WAS PLACED, PATIENT APPEARED TO BE FROZEN FOR SEVERAL SECONDS AND WOULD NOT RESPOND TO MY QUESTION. MOM ASKED QUESTION AND HELD PATIENT, AT WHICH TIME THE PATIENT COLLAPSED AND HER EYES ROLLED BACK. SO SHE PUT IN A SUPINE POSTION AS I RAN AND CALLED 911. PARAMEDICS ARRIVED TO THE SCENE AND MONITORED HER VITALS FOR NEARLY 30 MINUTES. THEY OFFERED TO TAKE HER TO THE HOSPITAL BUT PATIENT'S MOM DECLINED.

light headed, headache, dizzy, vomiting ,sore throat, ,hard to swallow, weak, felt like someone sitting on her chest lost sense of smell and taste. Taken by medics to local hospital, , Placed on IV , GI cocktail, chest x rays 2 views, EKG,

Got lightheaded,nauseated and pale after standing after vaccination. Remained alert and oriented after falling. Her father caught her before she hit the floor. Vomited a small amount after sitting up. Remained a&O x4. b/p 110/62 pso2 99% heart rate 70. Monitored then released with her father@1320. Informed to seek medical attention for any further problems.

Patient with history of vasovagal syncope. Patient took the vaccine at 0817 and felt light headed. Patient did not lose consciousness, however felt light headed and leaned toward her mom. Patient was laid down, given ice, juice/water and snacks. Patient was observed for a little while until she felt better, then went home.

Upon getting up, patient experienced brief spike in fever (felt very hot to touch), unsteadiness and fainted. Temperature after fainting was 100 and patient was sweaty, fatigued and had 'wobbly' legs. About 5 minutes later, fever subsided and patient has generally recovered.

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

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: I gave the COVID vaccine to pt in her left arm. Within 10 minutes, her mom asked me to come back there. I came and her daughter was very sweaty and feeling very dizzy. I asked one of the techs to grab her some apple juice and an ice pack. I had one of my techs call 911. As I said that, the daughter's mom started to pass out on me but I caught her. She passed out for less than a minute and then she was feeling better. I put ice packs on mom too. Paramedics took over

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: I gave the COVID vaccine to patient in her left arm. Within 10 minutes, her mom asked me to come back there. I came and her daughter was very sweaty and feeling very dizzy. I asked one of the techs to grab her some apple juice and an ice pack. I had one of my techs call 911. As I said that, the daughter's mom started to pass out on me but I caught her. She passed out for less than a minute and then she was feeling better. I put ice packs on mom too. Paramedics took over

Pt felt dizzy. Had a syncopal event. Recovered after 15seconds. VSS 118/79, HR 76, RR 16. Pt provided water and snack. Pt had not eaten. Pt stayed an extra 15mins/ Pt stable and discharged from vaccination site with mother.

About 5 minutes after getting the second Pfizer vaccine she collapsed in produce section in front of the Pharmacy. When I saw the patient she lying on the floor and was responsive but filling dizzy. I got her some water and we had her lying for few minutes before we slowly started getting her up on the chair. When she set down she started feeling syncope again and almost collapsed again. we got her again lying down on the floor until paramedics came in about 5 to 10 minutes

did well acted right, felt right up until 5 AM this morning (6/4/21), she woke up throwing up over and over again, she couldn?t keep even a dissolvable Zofran down. > I immediately contacted her Hematologist and he told me to take her to the E.R. > blood disorder, ?Hereditary Spherocytosis? came to life, flared up. >got extremely sick, where she could not walk or stand by 8:00 am this morning, when we arrived at the E.R. she had to be placed in a wheelchair because she was so weak. > Fluids, Pain medicine, Motrin, and nausea medication were given, plus rotating cool rags on her head to get her body temperature down. > CBC, was off the charts, she has developed Anemia and was diagnosed this morning. > blood pressure dropped to 91/42. > I spoke with two hematologist on top of speaking with the 2 E.R. Doctors. >reached over 110% immunity if not more. > Both Hematologist I spoke with plus the E.R. doctors determined she was at 100% immunity with just the first dose. > Due to her reaction her Oncologist/Hematologist are communicating with other hematologist in the U.S. about a reaction of a ?12 year old pediatric patient with Hereditary Spherocytosis?, further research will begin according to the Director of Onoccologist/Hematologist in the next few weeks to help other pediatric patients with Heriditary Spherocytosis in the U.S., the main point of this research is determining that one dose of Covid vaccine reaches 100% immunity vs 2 doses which would be equivalent to ?2 doses plus 2 booster shots of Covid vaccine? to someone with hereditary spherocytosis. > > After 8 hours of going through this, she was able to walk and stand. She was back to her old self. > If you can please reach out to CDC and let them know about a 12 year olds patient with Hereditary Spherocytosis reaction to second dose of Phizer Vaccine.

Patient became lightheaded; dizzy following injection. Patient was laid down on floor with legs elevated on chair. Patient was given water. Patient's mother did not disclose that patient has dizzy, syncope eoisodes with previous injections/blood draws. Patient recovered on floor [25 minutes]; then in chair for 15 minutes; then standing for 10 minutes. Patient was walked out to car with HR Support staff and mother.

Situation: , had an appointment for 1st dose Pfizer (Lot#: EW0187) today. Shortly after receiving the vaccine, the patient experienced 30-40 second syncopal episode and became dizzy. Father was able to assist patient. Pt did not eat this morning. Already had a box of juice prior to syncopal episode. Pt placed on a gurney and moved to room 6. Pt was pale and dizzy. Background: patient has NKDA and demies PMH Assessment: @0740 ? VS 114/75 (87) 72 97.0F 100%RA @0743 ? Denies dizziness. Drank a box of juice and ate crackers. Pt stated that she is feeling normal. @0748 ? sitting VS 109/60 (84) 71 16 100%RA Standing VS 100/60 (77) 78 16 100%RA @0750 ? Pt able to ambulate around the room. No SOB noted. NO s/sx of distress noted. Pt feels back to baseline and wants to go home. Father is confident in taking patient home. Recommendation: Encourage increased fluid intake and plenty of rest today. Encourage to follow up with PMD if symptoms persist and to let vaccinators know about syncopal episode during next dose appt. Pt and father verbalized understanding. Pt ambulated with family towards private vehicle.

Patient became extremely lethargic. Vision was very blurry. Blood pressure registered 89/64 with pulse of 72bpm. Patient unable to move extremities

A few minutes after her vaccine the patient became dizzy, clammy, and nauseous. She said she felt she might pass out so we got out a yoga mat and cushion for her head so she could lie down. We took her blood pressure which was 102/71 with a pulse of 65. We elevated her legs and gave her a cold pack for her neck and wrists. After watching her for about 30 minutes she felt better and left with her mother.

After administration, spoke with parent for approximately 10 minutes in the administration(counseling) room. While speaking with parent, my back was turned to the patient. Patient fainted, hit the wall then started to slide down the wall of the counseling room.I was able to guide her to the ground without injury. She awakened almost immediately and stated "did I go to sleep?" Patient did not appear upset. Remained in the floor for approximately 5 minutes. Provided a cold Sprite beverage. Patient drank and was soon able to arise with assistance. Observed for approximately 10 more minutes. Parent and child left soon afterwards with no ill effect observed.

Patient had her #2 Pfizer vaccine 6/7/21. 6/8/21 pt describes waking up with mild headache and fatigue. Standing at bathroom sink brushing her teeth felt nauseous, then fainted. Woke seconds later when MOC (who heard "thud" of pt hitting ground) roused her. Pt woke with mild TTP at back of head assuming she hit her head on a door knob. During drive to The Hospital ER, pt reports drinking some juice started feeling a little better. Upon arrival, they advised Urgent Care instead of ER and again provided a juice box. The Hospital Urgent Care drew blood for BMP, performed EKG, and PE noting only abnls to be hyperglycemia at 166 and TTP at L occiput. Pt was dischg'd to home in good condition. 6/9/21 she woke with a slight headache that is since resolved despite walking to lunch in 90+ degree heat and working at library. MOC reports her complexion has returned to normal today (was pale yesterday). Pt reports she has been hydrating very well since visit. Currently pt reports feeling 100%.

pt reports feeling light headed with mild nausea, after 1st pfizer vaccine dose. Similar occurrences with previous injection according to dad. Skin mildly pale, spit up a small amount, denies any recent injury, denies pain, dad denies loss of consciousness, skin warm & dry on discharge. BP 112/67 HR 94 O2 sat 100%. Left ambulating with her dad.

Patient received the Pfizer COVID vaccine dose 1 (lot EW0187, expiration 06/28/2021) at 1413. Patient reported to RN at 1423 that he was experiencing dizziness about 5 minutes after vaccination that lasted 2 minutes. Client denied experiencing dizziness at the time that RN responded. Vital signs taken at 1423 by EMT and were as follows: O2 99%, pulse 92, blood pressure 112/78, respirations 14. Client denied associated weakness, shortness of breath, itchiness, swelling in throat or tongue, chest pain or any other symptoms. Medical conditions include: ADHD. Per Mother, medication include: concerta daily. No reported allergies. Client reports he had eaten lunch about 2 hours prior to vaccination. Per Grandmother, client get nervous when he is goes to his medical appointments. RN advised Grandmother to inform the client's Mother that the client's provider should be notified. Furthermore, RN advised Grandmother of signs of when to contact 911 or go to the Emergency Room. Grandmother verbalized understanding. RN informed client and grandmother that they would be monitored 30 minutes from start of symptom reporting. At 1436, vital signs: O2 99% RA, pulse 90, respirations 14, blood pressure 116/80. At 1455 vital signs: O2 99%, pulse 89, respirations 14, blood pressure 114/80. Patient left walking with steady gait. EMT assisted client and grandmother to the car.

Unclear if patient loss consciousness. Directly following vaccination, patient was speaking to her mother and setting timer on her phone when she fell back on exam table. I heard patients head hit the wall next to her as she fell back. Mother by her side at time and she did respond to mother speaking at this time. Vitals: SpO2 97%, B/P 97/60, HR 63 Patient alert and speaking at this time. States she "feels okay", color good, vitals remain stable. Mother reports that following HPV vaccine the patient did feel dizzy but did not pass out. Patient remained for 30 min observation while examined by a RN.

Patient received her 1st covid vaccination. She wanted to walk around and shop during her 15 minute post-vaccine monitoring period. She stated she was dizzy and notified her father, who was able to get her to the ground safely. I (the pharmacist) was notified; when I approached her she was sitting up with a cold bottle of water. I verified it was not an anaphylaxis reaction, then offered a seat and ice packs to cool down. She stated she was dizzy and nauseous. dad sais she was anxious about the vaccine. After sitting for 15 minutes, supervised by the pharmacist, she said she felt better. She was bale to stand and walk out of the pharmacy.

right after receiving 2nd shot of Pfizer covid vaccine pt was felling weak, nauseated. she could not stand up by her self. she was breathing and talking ok.

After the second dose she had immediate pain at the injection site and over the next 24 hours she developed: A fever of 101.4 severe abdominal pain and chest pain that made her feel like her heart was being pulled out painful electric shocks down her neck and spine that made her walk hunched over numbness and swelling in the arm she got the shot pain in her fingers and toes that turned white and were ice cold to the touch Over the next 2.5 months her abdominal, muscle and nerve pain became unbearable plus she developed new symptoms: Fatigue gastroparesis, nausea and vomiting Eventually she couldn?t even swallow food or liquids without immediately spitting it up. An itchy rash on her arms peeling skin on her feet Her menstrual cycle lasted a month with large clumps of blood She had unexplained painful cysts vision problems headaches erratic blood pressure and heart rate memory loss, mixing up words and brain fog Dizziness, fainting and then nonepileptic seizures that we suspect were from lyrica verbal and motor tics loss of feeling from the waist down, muscle weakness, abnormal gait and eventually she wasn?t able to walk at all urinary retention From the day she got her 2nd dose to today we took her to the ER nine (9) times and she was admitted to the hospital a total of 3 times totalling 2 months. The last time she was admitted to the hospital she could not walk, was unable to feel or move below her waist, threw up anything she tried to eat or drink, had tachycardia and her blood sugar was at 47. Once she got an NG tube and was stable they transferred her to Inpatient Rehabilitation and she was just discharged on June 1st. Today she is able to walk with a walker and take care of herself but she still has little to no feeling below her waist. She still has an NG tube for nutrition and continues to have GI and urinary retention problems.

On 6/8/2021 patient c/o fever to 102.5 then at 1:15 PM woke up from a nap with upper left chest pain described as burning. Parent treated with Tums and ibuprofen and pain lasted about 8 hrs. Also c/o nausea but no vomiting. Had dizziness earlier in the day but not when she had chest pain. No shortness of breath or palpitations. All symptoms resolved by the morning on 6/9/2021. Parents did not seek medical attention until 6/15/2021 when they learned about possible myocarditis as a vaccine side effect. Patient is currently asymptomatic but is not able to seek medical attention today. Recommended to go to nearest UC or ER to check a troponin and ECG.

Patient was nervous about getting the vaccine. Patient felt dizzy as she stood up and started to faint. Her mother and I caught her to lower her to the ground and she came back out of it before we even got her to the ground. She became pale and sweaty.

Patient was siting at the waiting area after about 10 minutes receiving first Covid19 Pfizer shot. Mom reported to pharmacist staff that patient turned pale and felt dizzy. Pharmacist suggested patient to drink water and continued to rest while pharmacist monitored patient. Pharmacist tried to take patient's blood pressure but pharmacy didn't have the right cuff so she was unable to obtain patient's blood pressure. Patient then was sweating and mom continued to give her water while pharmacist checked patient's temperature (recorded 94.6'F). Few minutes later, patient vomited. Mom gave patient water after she was done vomiting. Patient reported she felt better afterwards. Patient was monitored for about 15 minutes and she was able to walk herself and left the pharmacy waiting area with mother. Pharmacist suggested mother to call doctor for follow up advice.

10:20 - client feels dizzy, sees spots, layed client down on the floor with elevated feet on the chair. NP called, EMS called. 10:21- EMS and NP arrived. 10:22- b/p- 106/69, hr- 98, o2- 100%, Awake, alert, and oriented, pallor present. Laying down with lower extremities elevated on chair, continued to monitor. NP assesses pt symptoms and capillary refill. Pt stated she felt fine at the time. !0:27- Vitals taken laying down. BP- 101/66, P- 89, O2- 100%, continued to monitor. 10:30- pt is moved to sitting position on the floor. BP- 98/57, HR- 104, O2- 100% encouraged fluid intake. Pt verbalized feeling better. Team continued to monitor. 10:35- Pt assisted to chair, BP-102/67, HR- 101, O2- 98%. NP continues to assess. Pt verbalizes feeling fine. 10:38- pt denies dizziness and seeing spots. HR-97. Continued to monitor. 10:39- assisted pt to standing position. BP- 94/54, HR 80, O2-97%, pt states she feels dizzy, pallor on upper extremities. Pt is immediately assisted back to the floor in a lying position with lower extremities elevated. Team continued to monitor, pt remains AOx4. 10:45- Assisted pt back to chair after expressing she wants to sit and feels fine. Encouraged fluid intake. Verbalized feeling better BP- 99/59, HR 94, O2- 98%. 10:50, temp- 96.6 F remains on chair sitting up drinking water and gatorade, team continues to monitor. 10:54- assisted pt to standiong position, pt verbalizes feeling "good," denies dizziness and seeing spots. BP- 99/54, HR- 107, O2- 100% 10:57- Client continues to drink water and gatorade. HR- 96, O2- 100% 1100- Hr- 82, O20 97% verbalizes feeling much better. 1104- continued to monitor and pt verbalizes feeling better without dizziness. 1105- Vitals checked in a standing position, BP100/65, HR-101, O2- 100% 1107- NP and EMS clear pt for discharge. Pt is clear of complications, and ambulated to car with staff and family with steady gait. 10:45

This was my daughter's 2nd dose of the vaccine. After she got up on the morning of the 12th, I heard her in the shower and went to check on her. Her face looked gray and she said that she needed to sit down. After sitting for a bit, she was able to stand up, but then proceeded to fall forward, as if she were passing out. I was able to steady her and sat her back down. Her eyes looked like they were staring off into space. She said that she couldn't see me and everything was "purple and yellow." This lasted a few minutes and then I was able to get her out of the shower and dressed. She then began to regain some normalcy and was fine after that. She ate breakfast and rested. She didn't have any more episodes after that, but I could tell that she wasn't as perky that day. This episode was definitely not normal for my daughter, so I felt that I should report it.

Patient was very nervous about the receiving the 2nd dose. We had a in depth conversation about side effects because she had a headache with the 1st dose. Mom held her hand. A few minutes post, her sister saw that she was slumped over & her eyes had rolled to the back of her head. We tried to wake her up & she was very lethargic. I gave her 2 small bottles of water, pb crackers, 3 hard candies & elevated her feet. Mom said we didn't need to get medical attention. After about 10 minutes she was still very lethargic & mom said yes to EMS when asked again. Another mom came over & helped us lay her on the floor to elevate her feet above her head. Her husband came in & assessed patient. Her pulse was 60 & when he asked her to squeeze his fingers & press against his feet it was week. She told us that she hadn't eaten a full meal since the night before, only had watermelon as a snack. The ambulance came & took her.

1625: Received vaccine. 1626: Pt slumped over in chair and was laid down by myself left lateral. Pt denies loss on consciousness. Moved pt to back area for observation with EMT. 1628: Pt states that she felt lightheaded and nervous but is breathing unlabored without distress. Pt denied previous reaction to the first dose when he received it in the car. Pt's dad stated that she has no prior medical hx. Pt initial VS: BP 108/64, HR 84, SpO2 99%, RR 14. Pt repeat VS was 80/46 pt stated that she was feeling light headed again and that she had some chest tightness. Pt appeared anxious. SpO2 98% HR 64. Pt stated that she was feeling the same way as before she got dizzy the 1st time. Pt was laid on the floor and pt stated that she felt better. pt repeat BP 98/58, HR 78, and SpO2 was still 99%. Pt laid on the floor for approximately 5 minutes and given water and snack. Pt sat up slowly and stated that her chest felt better and ate snack. Pt was kept for approximately 10 more minutes under monitoring. Pt in total was monitored for 34 minutes. Pt was released with father. pt stated that she felt like she was back to normal again. Pt last set of vitals were: BP 116/58 HR 78 SpO2 99. Pt was released to her father.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient waited at pharmacy for 15 minutes after vaccination, then left to go get coffee with her mother. At coffee shop, patient complained of feeling hot then passed out and her head hit the floor. She immediately regained consciousness. We elevated her feet and stayed with her and monitored her until paramedics came. Paramedics assessed and stated that all vitals were good. After sitting for a bit, patient left to go home with her mother. Per patient's mother she had not eaten today.

She was dizzy the day after, but got better in 2 days. However, one week after, she got really dizzy and was diagnosed and being treated for positional vertigo.

Patient is a 12 yr/o child with a history of mobility, pots, factor VII deficiency, scoliosis who presents with chest pain and headache after receiving the second Covid vaccine. Mom reports patient got the second Pfizer Covid vaccine yesterday. After the vaccine the patient had some nausea and dizziness which he occasionally has at baseline. This morning when the patient woke up he was having chest pain with deep breathing and complaining of burning in the chest. Mom reports the patient had a temperature to 100.7 at home. Mom endorses decreased activity level and mom noted the patient to have a heart rate to the 130s at home. Patient endorses chills and nausea without vomiting, no diarrhea. Patient also endorses a poor appetite today. the patient has difficulty describing the exact location of the chest pain, mom reports that the patient has always had difficulty with pinpointing the exact location of pain.

vomited small amt 6 minutes after the vaccination. She also c/o lightheadedness and stomach cramping. is menstruating at present. Assisted lay on Yoga mat with legs elevated. Her VS were taken. Her BP was 100/58, P 65;R18 and O2 sat 99%. stated she felt better after lay on yoga mat. Assisted sit up on Yoga Mat at 1:55PM ; VS taken sitting: BP 90/56; P90: Resp 18 and O2 sat 98%. admit she did not drink much water before she came and her menstrual period is heavy. instructed to drink water and electrical flds provided to her while sitting on mat which she did. Her heart rate went back to 70 and her BP went up to 100/60 sitting. At that time states she feels good and she went back to her chair. Observed for another 10 minutes and she left the site with her mother at 2:10pm completely recovered.

Patient received her vaccine stood to wait for her sibling to receive the vaccine (per nurse administering vaccine). She then passed out and hit her head on the ground from a standing position. (per nurse administering the vaccine, I did not witness this but responded.) Additionally the timeframes listed on this report are close approximations. The patient came to consciousness immediately. However, she had complaints of pain radiating from the back of her head to the front and down her spine. C-spine held. 911 called. C-collar placed on the patient. Patient transferred to the ER. No other symptoms or s/s of anaphylaxis noted.

Patient woke up and complained of a stomach ache and went to the bathroom Patient felt dizzy and complained of a headache. Had then started having a seizure. Patient does not have seizures.

AE: (Chief complain) : Patient was sweaty and dizzy upon vaccine administration. Treatment: Patient was under observation and was offered water to drink. The symptoms resolved after rest and drinking water. Outcome: Patient was discharged to POV/home with her mother.

Patient was a 12 year old female with a weight of 94 lbs who came into the clinic with her father for her second dose of the Pfizer vaccine. During the interview, she stated that she did not have any adverse effects with her first dose. At 2:45 pm, after administering her second dose of 0.3 ml of Pfizer vaccine, I witnessed her having trouble standing up and assisted her back down into the seat. She vomited, was pale and diaphoretic. We elevated her legs up onto a bench and began fluid resuscitation. Her first BP was 71/55 and respiratory rate was unlabored. At 3:00 pm her second vitals were BP: 82/69, RR: unlabored, SPO2: 98, HR: 80. At 3:07 pm her third vitals were BP:83/64, RR: unlabored, SPO2: 99, HR:74. We changed her position from legs elevated to 90 degree angle. Fluids and crackers were still being administered. At 3:16 pm her fourth vitals were BP: 94/76, RR; unlabored, SPO2: 85, HR 67. At 3:30 pm her final vital signs were BP: 96/74, RR: 14, SPO2: 99, HR: 70. The patient was given a total of 60 oz of fluid and 1 pack of crackers. I reassessed that the patient's hemodynamic status improved and her skin was warm and dry. The patient was alert and oriented throughout the process. Her father stated that she no longer looked pale. She was brought to the observation room for another 15 minutes and her father was informed about the progression of her condition. He was informed to refer to her pediatrician if there were any other adverse effects related to the vaccine or changes in her condition.

stomach ache; lethargic; dizzy; 102 fever; This is a spontaneous report from a contactable consumer(parent). This consumer (parent) reported for 12-years-old female (daughter) patient who received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection; Batch/Lot Number: ER8736) via intramuscular on 11Jun2021 at 03:15 in right arm as a single dose for Covid-19 immunization. Medical history was reported as none. The patient's concomitant medications, past drug history and known allergies were not reported. The patient did not receive any other vaccine within four weeks prior to the COVID or any other medications within two weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine; lot number: EW0177) via intramuscular on 16May2021 at 12:00 in right arm for COVID-19 immunization. The patient experienced stomachache, 102 fever and she was lethargic and dizzy at 06:00 on 12Jun2021.The events were reported as non-serious. The patient did not receive any treatment. The patient underwent lab tests and procedures which included body temperature as 102 on 12Jun2021. The outcome of all events was resolved on an unspecified in Jun2021.

Patient slumped over in chair was not feeling well and possible having trouble breathing. We called 911 and they came and checked her blood pressure and blood sugar. All were normal. Patient did not leave with the ambulance. She went home and ate something and was feeling much better.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Medium, Additional Details: hypoglycemic event

With the first dose: Headache (came and went frequently) dizzy(2-3 days) nausea (2-3 days) sore arm (3-4 days) gave ibuprofen for about 2 days and most symptoms went away. She continued to complain about a headache every once in awhile. About a week later I noticed her eyes seemed a little yellow but it didn't seem to get worse and thought maybe she just need to drink more water and get some sleep. After second dose: Bad headache (3-4 days) dizzy and nauseous (3 days) gave ibuprofen for 2 days. Two days after the vaccine she was fully jaundice. Hadn't notice because she was feeling bad from the vaccine so I just let her sleep mostly. Next day we got into see her primary care dr who ordered stat bloodwork and stat ultrasound. That same day she got some blood work back and told us to go to the er because her platelets were really low. At the er they diagnosed her with autoimmune hemolytic anemia, which explained the jaundice. She was admitted and put on steroids. Her hemoglobin got as low as 5 and they cross matched her incase they needed to do a blood transfusion. They were concerned that there was a possibility that her immune system would attack the donor blood since it seemed to be attacking her platelets as well. Luckily the steroids started working and he levels creeped up a little. She also recieved 3 vitamin k transfusions and pain meds. When she was switched to oral steroids and her numbers were still rise they released her. She is still taking steroids and has weekly follow ups with Dr. . We are also in the process of getting a rheumatology referral to see if there is an underlying condition we didnt know about.

Received the injection, she stood up while her other family member got their vaccine. Went to sit down and when the immunizer came around, she was slumped over in her chair and presented with jerking motions. After about a minute, she came to and said that she was really dizzy. We asked if she was okay and asked her to stay for an additional 30 minutes for further observation. She drank some water and ate a snack afterwards. She said she was okay to leave after that and her mother was driving her home.

Within minutes after receiving 1st dose of Pfizer-BioN Tech covid Vaccine 0.3 ml IM, patient complained of dizziness and fell to the ground. Patient was very pale and cold to touch, not being responsive well. Patient was losing consciousness and having difficulty keeping her head up. Patient was moved to lie down on the floor with legs up. Cold water was offered and patient took a few sip. EMS was called. Patients eyes rolled back into her head and lost consciousness/possible anaphylactic shock and not being responsive. Epipen 0.3 MG IM administered. Patient regained consciousness. Nurse practitioner was called and vitals including BP and oxygen level was performed and found to be stable. EMS arrived in few minutes and vitals were checked again by EMS personnel and patient was transferred out to nearby ER. After 3 and 1/2 hours at the ER for observation, patient was discharged.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium

Shortly after vaccination client became pale and diaphoretic and fell from chair possible short LOC, weak, HR 68, BP 79/50

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Additional Details: Mom stated pt felt lightheaded, her eyes rolled back, and fainted for a few seconds. When we observed her, pt was ok but a little shaky. The paramedics came and checked on her, but mother declined going to ER

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patient reported severe dizziness and nausea about 5 minutes after receiving the Pfizer vaccine. She ended up vomiting few times. Patient was given water and crackers. She did not end up feeling better even after resting for 15 minutes. The family called 911 and Emergency services took her to the hospital

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

PATIENT, WAS GIVEN THE 1ST DOSE OF PFIZER VACCINE. FEW MINUTES AFTER THE VACCINE PATIENT REPORTED FEELING DIZZY, PATIENT STATED SHE DID NOT FEEL VERY WELL, AND PATIENT HAS REPORTED HISTORY OF FAINTING AFTER VACCINATION. PATIENT WAS ADVISED TO LAY ON THE GROUND FOR WHILE SHE FELT LITTLE BETTER. HOWEVER SHE STATED SHE FEELING DIZZY, HAS HEADACHE AND REPORTED TINGLE /NUMBNESS IN HER LEGS. AMBULANCE WAS CALLED AND TOOK THE PATIENT. I FOLLOWED UP WITH THE PATIENT,. PATIENT WAS IN OKAY CONDITION, I SPOKE TO THE PATIENTS FAMILY MEMBER THEY STATED THAT THE DOCTOR SAID PATIENT FELT DIZZY DUE TO VASOVAGAL SYNCOPE. NO OTHER SIDE EFFECT WAS REPORTED.

Immediate excessive pain in right arm/ infection site, fever 12 hours after dose 2. Around 24 hours post vaccination, Nieve fainted and hit her head. She did not have prior dizzy or fainting spells. The emergency room physician diagnosed her with vasovagal syncope- fainting: vagal reaction, possibly caused by the pain in her arm. As of 7/3/21, Nieve has not gained again but still feels lightheaded, dizzy, and headache.

12 year old patient received 1st dose of Pfizer COVID Vaccine. After receiving the vaccine and waiting the 15 minutes, the patient and her father left the pharmacy area and began to shop in the store. While walking the patient stated that her stomach was hurting and she felt her eyes "look up and then down" and then she started to fall. Her father was able to catch her before falling and carried her back towards the pharmacy area. Patient was able to walk before completely reaching the pharmacy area. Once she was in the pharmacy area, the pharmacist was about to administer another vaccine heard a member state that she would call 911 for the patient. After then the pharmacy went over to the patient and her father and noticed the patient was sweating and immediately gathered a cool compress and provided care to the patient. Patient stated that she received her shot on an empty stomach and the father went to get the patient food. EMT were called and arrived and asked patient a series of questions in which the patient was able to respond to. After about 30-45 minutes, patient had eaten and stated that she felt better and her and father left the pharmacy.

Patient was vaccinated at 8:48. Her sister was vaccinated at 8:52. The patient was sitting next to her sister when her sister started feeling faint. The sister was evaluated and provided water. It was then reported to the healthcare providers that the sister feels anxious when she gets vaccines and does pass out. While evaluating the sister and providing her water the patient became limp in her chair, dropping her personal items and laid head on her dad who was standing next to her. Upon initial evaluation the patient started having convulsive activity affecting her head, face and shoulders. The patient was lowered to the floor to a safe setting. The convulsions lasted approximately 5-10 seconds. Once convulsions were over the patient was alert and responsive. Her vital signs were HR:92, SPO2:96%; BP:113/78. Paramedics were called immediately and arrived approximately at 9:10. The patient was laying on the floor and paramedics started a complete evaluation; placing the patient onto the heart monitor, and ran another set of vital signs and a point of care blood glucose. Vital signs, monitor reading, and blood glucose were unremarkable. The patient has NKA; No past medical history and is on no current medications. Upon evaluation when the patient was helped from laying to sitting by paramedics she started to feel faint once again. The patient was taken to the hospital for further evaluation.

Five minutes after dose my daughter began to feel dizzy, felt like fainting and blurry sight. We were still at the pharmacy, I asked the pharmacist about her symptoms, about 15 minutes later, she told me she was feeling better, so we left.

Meningitis pain; she woke up and said her face felt funny; pressure on her chest; pressure behind her eyes; muscle pain; she had not slept,; fever; headache; the chills; sore throat; nauseous; Caller states she was assuming hives; inflammation stayed around awhile; body aches / pain through her head and back down her neck; trying to push her eyeballs out and it is really painful; she was slumpy; swelling from the digging and scratching; her hands began to swell yesterday; she was just not feeling right; couldn't walk by herself; lip swelling and numbness; lip swelling and numbness; itching on face, hands and feet / Caller states then her daughters hands and feet began to itch; This is a spontaneous report from a contactable consumer or other non health care professional. A 12-years-old female patient received bnt162b2 (PFIZER-BIONTECH mRNA COVID-19 VACCINE, solution for injection, Lot Number: EW0178; Expiration Date: 31Aug2021), dose 2 via an unspecified route of administration, administered in Arm Right on 08Jun2021 16:00 (age at vaccination: 12 years) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included, meningitis from an unknown date and unknown if ongoing at 7 years old. The patient's concomitant medications were not reported. The historical vaccine include COVID-19 Vaccine on 18May2021 for COVID-19 Immunization (1st dose Expiry Date of Covid 19 vaccine: 31Aug2021, lot EW0168 ,anatomical location: Right arm) and had she had itching on the hands. And other vaccine includes flu shots (she does the flu shot every year) for immunization. The patient experienced Meningitis pain on unspecified date, lip swelling and numbness, itching on face, hands and feet / caller states then her daughters hands and feet began to itch in Jun2021. She has pressure on her chest on 09Jun2021. She had pressure behind her eyes, muscle pain,she had not slept, fever, headache, the chills , sore throat, nauseous, caller states she was assuming hives, inflammation stayed around awhile , body aches / pain through her head and back down her neck, trying to push her eyeballs out and it is really painful , she was slumpy, swelling from the digging and scratching, her hands began to swell yesterday in Jun2021. she woke up and said her face felt funny on 09Jun202. she was just not feeling right and couldn't walk by herself on Jun2021, Caller relays her daughter will be (withheld) . HCP: Caller states she called the pediatrician office and 1 was by phone and she was seen by this provider yesterday and she encouraged her to reach out to us as well. Mom states she was aware of the possible symptoms to occur and her daughter came home Tuesday perfectly fine and went to bed and woke up with the typical symptoms, she had not slept, fever, headache, the chills, sore throat, nauseous and had all the symptoms pretty much. States she didn't have anything weird going on during the observation time the day of the vaccine. Caller relays her daughter didn't have anything weird after her 1st dose. Caller states she took a nap Wednesday about 24 hours after her 2nd dose and she woke up and her lips had begun to swell and she woke up and said her face felt funny and it was itchy. Caller states she was assuming hives. Caller states that there was nothing concerning as it wasn't in that initial 15minutes to 4 hour and that this occurs 24 hours after and that was a concern. Caller states then her daughters hands and feet began to itch and that was kind of along the same lines and said hives and she would itch itch itch and there was swelling from the digging and scratching. Caller states she has numbness in her lip with the swelling. Caller states the other symptoms that are bizarre is more yesterday and it started some on Wednesday she had a pressure in her chest and this was a child, her daughter was very strong, she got up yesterday and tried to do school and had a fever of 102 and Wednesday evening was so sick with symptoms and she still tried. Caller states the pressure in her chest is concerning and told them yesterday and she needed to be seen. States her daughter described it to the doctor that it felt like someone was sitting on her chest sort of pressure and on a scale of 1-10 she was a 7. Caller provides that not at any time did she experience trouble breathing and she never saw her lose or get weird coloring. Caller states she called her doctor Wednesday afternoon and talked to another doctor, that she called the help line after hours as they close 4:30 or 5pm. States she was told it was good news that she did not have trouble breathing but to have it at this point was weird and no one knows what to expect and everyone is different. States she was told to do Benadryl and continue with pain medication for fever and discomfort. Caller states her daughter was miserable the rest of the evening. Caller relays that the swelling subsided and the inflammation stayed around awhile and yesterday she woke up better with no nausea and the common symptoms are better and she still had the fever. Caller relays that at about 9:00 she began to have a problem where she said that behind her eyes she had significant pressure and that scared the caller what with the brain and swelling. Caller states her hands began to swell yesterday, like her lip and her fingers are itchy and swelling and it's constant itching and the pressure on her chest yesterday, that those 3 things freaked the caller out and she called the pediatrician and they said to have her checked out to make sure as nobody wanted to rush her to the ER as she was not struggling to breathe she was just not feeling right. Caller states the pediatrician did her research about heart inflammation and listened to her heart a couple of times and said her best observation for rubbing sounds was she did not hear any. Caller states when her daughter was younger she had meningitis and went through a whole lot with that and caller states she does not immediately rush to the hospital as that brings back emotions with that. Caller states the doctor said she didn't see any immediate distress and would do an EKG or they could wait and see, that she thought the pressure might be like body aches and her daughter had laid in bed all day the day before and had a time with it. Caller states she couldn't walk by herself and she was out of it. Caller states she could do the EKG or wait until today and they chose to wait. States that today she seems better and the only thing today is the continuing pressure behind her eyes that her daughter described as it felt like someone had 2 spoons and was trying to push her eyeballs out and it is really painful. Caller relays her daughter has been through meningitis pain and has pain through her head and back down her neck and the concern is swelling. Caller states it could be a weird reaction and the doctor thinks it is a weird headache she is having and is still doing ibuprofen. Caller relays that her chest is not nearly as heavy today and she has taken Benadryl again for itching and swelling. States the doctor says they don't know what did it because the risk was there and the benefit and don't want to get reactions. Caller states she had no problem with getting the shot, that weird things happen and the pediatrician is saying it can happen but doesn't know. States it is kind of scary. Caller states they checked her out and they checked her oxygen and blood pressure and that made the caller feel better. States that 9:30-10 last night after she got home she was slumpy and her head was hurting and she had chest pressure. Caller states with the hand swelling, that the caller herself went through reaction and hives and the doctor had asked if her daughter had anything new introduced and no nothing was and her daughter didn't seem concerned to share this but after her 1st dose her hands itched and she didn't pay it any mind. States she had no face swelling. Caller states she is wondering if those little hand itches after the 1st dose she didn't tell about till now was that a little bit of a sign that something else was there. States she didn't mention it after the 1st dose and was good to go. States after the 2nd dose she said mommy my hands itched after the 1st dose, her lip didn't swell and she told the doctor it's not conditions on the list of symptoms and she didn't have breathing issues. Caller states it's a non severe reaction and is assuming to dose and said yesterday if she gets a booster what does Pfizer advise. Caller states they have all intention of getting what she needs in the future. Caller states she wants to make sure she doesn't have worse and the lip swelling was freaky. Caller states she thought her daughter was out of the woods after the 20 minutes waiting and was home and then turned. Caller states it was pretty straight forward and knew what the expected symptoms were and they were fine and knew she was having the exact ones on the list and was not feeling well and had a fever. States she was thrown for a loop when others came up and the fact that they were 24 hours out, that she got the 2nd dose 4-4:15 on Tuesday and these evolved well after that time. Caller said they said to report this and her hope is that they can help if someone else has this issue. States when she said she was laying there my hands did itch after the 1st but not like this to this degree. States she never said anything and caller didn't know. States she knows as a parent there are certain questions to ask and warning signs of potential allergic reactions. Caller states she is assuming this is some sort of allergic reaction, not the worst kind but pressure in the chest and other concerns about her heart having some sort of issue she knows have been reported.Caller states that today she could have done the EKG for more information but based on her listening and what she wanted to thinking the body aches and extensive issues with that she is glad she waited. States she was laying in bed at 6:30 and asked her if she wanted to get the EKG and she said she was afraid of going to the hospital and it's not fun but would give answers if there is something else and she laid in bed until 9:30-10 and gave her more Benadryl and Ibuprofen and continued with that for the discomfort behind her eyes and the doctor is thinking it's body aches. States the fever subsided yesterday.Caller states she would like to share that her daughter is a tough kid and tough kids can be taken down too and may not pay attention. Caller states she doesn't over react but she is aware and if she had told her about her hands she would have thought allergic reaction, mild one and brought her to the doctor or at the 2nd vaccine and she didn't say anything until after the fact. Caller relays her daughter has never been through hives and the caller has and has a lot of seasonal and environmental allergies and the caller was that kid. Caller states with her daughter not having seen her lip swell and her eyes started hurting and she started thinking the worst. States the doctor pushed on her and checked her lymph nodes and did a thorough exam that lasted about 30 minutes and nobody knows. States she appreciates all that Pfizer and the other companies have done, that we need this.Caller states her daughter goes to the pediatrician in 2 weeks for her annual check up. States the doctor yesterday said her body responded and had a hard time with it. States she does the flu shot every year and this was weird and she wanted us to know and hopes this report can help. Caller states her daughter is a tough kid nobody knows and today she is better, she has a headache behind her eyes still there.Caller relays that Friday she had her annual eye check up and it's not a vision thing, that was fine until Wednesday and other other stuff and yesterday with pressure and she is sure it's residual and her body adjusting and if she can help with letting other people know.Caller relays if it comes back she is going to do the EKG, that she is not the parent to say it is nothing and will follow through with Pfizer also. Caller states she didn't have anything weird for heart beat and no rubbing sound and no signs and she thinks it was issues from body aches and hopefully she is on the up and up and nobody will have to leave and go to the doctor today. And didn't think because it was not an immediate issue with her breathing and nothing like that and didn't think it would be an issue with a booster. Caller states it could be that instead of sitting for 20 minutes they keep her longer and that when she fills out the sheet if was not an option, she knows there is severe reaction listed, she will make notes and make the person giving the dose aware that she had the delayed what they are believing to be allergic reaction and make sure, that she may never have it again and it could have been her system was so under attack. Caller states she doesn't understand vaccines and knows it's the body's job to do something and she is not reluctant helping her be immune and she understands what to do in the event and doesn't have an epi pen and her daughter has no allergies and no reactions to anything. Caller states she didn't have the worry, that there is always a chance and you worry when something foreign goes in the body that there is a chance to react. Investigations: Caller states they listened to her heart and took her vitals and tests with her fingers checking her eyes to make sure her pupils were dilating correctly and move her eyes with a moving finger. Caller states she doesn't know the medical term but the basics and let them know she was not in dire straights to rush to the hospital immediately. The patient underwent lab tests and procedures which included blood pressure measurement, body temperature: 102 fahrenheit, electrocardiogram, oxygen saturation, vital signs measurement was unknown and unspecified date. Therapeutic measures were taken as a result of lip swelling and numbness, itching on face, hands and feet / caller states then her daughters hands and feet began to itch, pressure on her chest , fever, swelling from the digging and scratching. The outcome of the events was unknown.

Systemic: Abdominal Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Medium, Additional Details: Patient's original BP was 91/57 and second reading was 92/72. She fainted for less than a minute and regained consciousness. She suffered from severe nausea/abdominal pain and vomited. Patient was given water and felt much better after throwing up. She also complained of feeling tired.

Patient came in with her mom to get their first dose of Covid-19 vaccine. Mom filled out form and selected NO for all questions. After receiving the vaccine, the mom was advised to wait in the pharmacy area for 15 minutes for observation. The patient ended up walking away a few minutes after and fainting face down in of the isles. She came to very quickly but was bleeding from her mouth. She bit her lip and was in discomfort. She was given water and her only complaint was her upper teeth "didn't feel right". She was wearing braces. Paramedics arrived and gave a thorough examination. Mom refused transport to the hospital.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient had injection, appeared fine, moved to additional seating area and within 2 minutes had fainted. She regained conciousness immediately but we had her lay flat for approx 30 minutes. Her color returned, and she was talking and recovered. We told patient to report to MD her reaction and obtained pcp info to report as well. Parents advised if any additional interactions to take in to be seen.

Vasovagal reaction to vaccine, dizziness, diaphoresis, pale. Had client lie down and raised legs. Lasted 4-5 minutes. Completely recovered

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: VOMITING ONCE-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hyperventilation-Medium

client became dizzy shortly after receiving vaccine. Patient was placed supine and felt better shortly afterwards. Patient was offered snacks and drink , client accepted snacks and after drinking and eating was able to sit in chair on her own. Client was assessed Vitals obtained at 2:55pm HR 113 O2Sat 98% at 3:13pm HR 75 O2Sat 94%..

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Pt was sitting down during 15 minute post vaccination on a chair when she began to slide out of it. Her grandfather called to us and helped her sit upright. She said all of a sudden she felt really lightheaded and nauseous and then she woke up in her grandfather's arms. her face was pale. she stated she had been "nervous" about getting her shot. after drinking some water and eating a piece of candy, patient regained color in her face and was able to walk out of the store normally.

Approximately 3 minutes after injection, our daughter was sitting next to her mother, her head lolled over the back of her chair and she began to have a seizure. The event only lasted about 45 seconds before she came out of seizing. She had a bright orange ring around her mouth, trouble breathing and vision issues. the pharmacist called an ambulance. These symptoms were mostly cleared up before medical arrived, with only dizziness, disorientation and slight vision issues remaining.

1 day after receiving the COVID #2 vaccine, felt dizzy, body weakness, pain in stomach and head, fever (tactile), 1x vomit - food contents, blood pressure low (unable to recall).

Patient waited 15 minutes at the pharmacy after the dose and left. Mother states that after 10 minutes on the road in the car patient started to feel dizzy and had a visible rash on chest area. They came back to pharmacy where patient seemed to want to faint, we called 911. Ambulance came within 10 minutes and took her to ER.

Within 5 minutes of vaccine administration patient complained about feeling dizzy. Patient became pale, appeared lethargic, felt clammy, dizziness, weakness, and threw up 3 times immediately. Patient was sitting in the chair, ice pack was applied to her neck and head, legs were elevated with a chair. Patient's blood pressure was taken after vomiting and was 60s/40s. Patient continued with the symptoms noted previously. Nurse assessed patient and administered Epipen 0.30mg. Blood pressure was taken again, 100/60, 911 was called and patient was taken to near by hospital, guardian left to meet at the hospital.

The patient fainted approximately 10 to 15 minutes after receiving the vaccine. She and her father walked to the front register and were waiting in line when she fell. We called 911 and monitored her closely until they came. The patient was coherent and talking and said she was not in pain. Paramedics came and took her to the hospital.

Patient was walking around the pharmacy approximately 10 minutes after receiving her first COVID vaccine where she felt lightheaded and passed out into a shelf. By the time pharmacist and technician were with the patient, the patient was awake and oriented. Offered to call 911, both patient and mother refused. Gave patient a Gatorade and a chair to relax before leaving the store. Patient was able to walk out on her own and felt fine.

Patient states she did not eat or drink anything in the morning prior to her vaccine. Crackers and water given prior to vaccine. Vaccine administered at 0730. 0748 patient stated she was dizzy, pale, and had blurry vision. She states she felt a whoosh. She was transported to wheelchair and transferred to observation area. BP 81/34 HR 86 100% RA. Patient drank more water and crackers. Remained pale, nauseous. Denies dizziness/blurred vision. 0751 85/40, HR 68 100%RA. 0756 89/53, HR 60, 100% RA. 0801 100/49, 61, 100% RA. 0807 95/64, 57, 100% RA. Patient denies any symptoms. Educated patient and mother on when to call 911. Patient ambulated without difficulty. Discharged home with mom.

pt started to feel light headed after vaccine. was placed supine and legs elevated. given po drink and food. evaluated by doctor and onsite medics and rn. pt vitals hr 72 bp 121/74 100 02 sat. pt was watched for 30mins in observation and sent home in care of mother

post vaccination patient became dizzy and pale vitals 13/66, 96, 22, 98.6, o2 98..911 called to assess patient on arrival patient was stable remained in observation for 30 minutes-mom reported that patients has a history of having extreme anxiety after any injection which causes her to get dizzy, nauseous, sweaty and at times pass out.

patient felt dizzy and worried of passing out. Patient took a longer rest break and we provided a bottle of water. Patient felt better with a longer wait period and left with her mother of under her own power. Tried to reach out parent to follow up a few hours later but was only able to leave a message.

Pt exhibited an episode of syncope/lightheadedness directly after the vaccination. Counseled patient about the risks of standing after a vaccination. Immediately gave Benadryl to the patient upon initial assessment.

After receiving 1st dose covid vaccine patient became lightheaded and flushed. Patient has mild autism and communication is limited. Laid patient on cot. Vitals stable. Patient drank water and ate crackers and felt better. Patient discharged with Mother

PATIENT REPORT ANXIETY, DIZZINESS, HEADACHE. NO SHORTNESS OF BREATH. SYMPTOM START AS THE PT PULLED UP TO OBSERVATION PT APPEARED PALE. VS ; HR 65 O2 SAT 97% PT INSTRUCTED TO HYDDRATE AND LIE DOWN IN CAR PT STARTED FEELING BETTER AFTER ABOUT 5 MINS PT LEFT SITE FEELING WELL

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Mild

Pt reports dizziness,sweating, Pt was transported to the clinic VS; BP 71/51 PULSE 78 O2 SAT 94% TEMP 98.5 Pt laid down, leg raised and water was offered. VITAL became better VS; BP 101/65 O2 SAT 97%

Systemic: Body Aches Generalized-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: CALLED 911. AMR MONITORED PT FOR 30 TO 40 MINS AND RELEASED HER TO GO HOME AFTER THEY DID TALK TO HER MOM.

Dizzy, anxiety. Drunk orange juice. Improved to normal. Left with her father. Pulse 52 SPO2 96 BP 110/60

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: 13 year old female fainted when sitting during her 15 minute observation. she fainted when her mom was standing next to her. we put her on the floor and raised both of her feet. she became concious after 15 seconds. We gave her water and chocolate. we took her blood pressure and her reading was 95/71 with pulse of 78. we had her sit for an addiotional 15 minutes. After feeling ok she left with her parents.

client had syncope episode after receiving 1st dose Pfizer Covid Vaccine. Client received vaccine at 1336 and was standing next to vaccine station and Father as sibling was receiving vaccine. Within 3 minutes of standing client had syncope episode and hit back of head on floor. RNs responded. PHN called 911 at 1340. Per RN client collapsed and hit back of head, Father tried to hold on but was unsuccessful. As PHN was speaking with paramedics, client regained consciousness. Client stated she remembered feeling dizzy and then woke up on the floor. Client alert and oriented, pale and stated blurry vision. RN elevated legs. Vitals: blood pressure 130/90, pulse 102, oxygen 99%. Father denied any relevant medical history, medications, allergies or history of syncope. Client stated feeling dizzy, denied pain on head or rest of body. Paramedics arrived approximately 1346 and assumed care. After assessment Father signed AMA with paramedics. Client sat in anti gravity chair after paramedics left. EMT stayed with client. Vitals at 1412: blood pressure 120/80, pulse 85, oxygen 96%. Client stated feeling dizzy and head hurts when she moves. Blurry vision resolved. PHN spoke with parents to review ER precautions and advised to make follow up appointment with primary doctor. After sibling was done with observation, client left facility at 1425 with steady gait.

3:55 vaccine administered 4:05 rash on arms- clusters of pinpoint dots. notified staff- diphenhydramine 50 mg given 4:05-4:30 rash spread to chest, neck. face flushed. throat "weird" swollen and lumpy. dizzy. No SOB. EMS called and responded- evaluated BP 130/70, O2 98. Released for private transport to Hospital ED. 4:35-5:00 private transport and seen at ED. 5:03 Epi given IM right thigh. required to observe x4 hours Symptoms resolved and discharged ~9pm

After sitting down after receiving a covid immunization patient appeared to faint. Paramedics were immediately called. After a few seconds the patient was alert and verbal. No signs of redness, local or systemic reaction. Patient's family waited with patient until EMS arrived. Paramedics determined patient was okay to return home and did not require further medical care.

pt fainted after getting the shot. pt was dizzy and pale after the shot. pt blood pressure was normal then dropped quickly to 80/40 per nurse and then came back to normal. pt rested and was given water and candy afterwards. pt walked around store after wards and felt fine and went home with parent.

Fainted within minutes, hot. dizzy. Lasted approximately 15 minutes. Headache appeared about 8 hours later and soreness.

Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Vomiting-Mild, Additional Details: Patient became nauseous and pale several minutes after inject. She was stated she was nervous about injections and felt a little lightheaded and did vomit one time. She returned to normal within 10 minutes and was monitored the whole time.

Client after receiving her vaccine, on the way to the recovery room felt so weak and was supported by her mother before I got there to assist her. She was put on the wheelchair and taken to the rest area where she was made to relax for awhile. vital signs were 98/63, 79, SPO 99% at room air, temp, 96.7,. After resting her are SPO was 99% and respiration even and unlabored before leaving, with the mother. she took the Pfizer vaccine, lot #EW0183, FIRST DOSE.

At 1345, EMT found patient on ground. Patient's mother stated patient fainted and fell face first onto ground from chair. Patient was alert and oriented to person, place, time and situation. Patient stated she felt dizzy before she fainted. Patient reported no history of fainting, eating breakfast, and no chronic conditions. At 1350, patient vitals were blood pressure 124/80 mmHg, pulse 65 beats/minute, and SpO2 95%. At 1349, 911 activated . At 1353, paramedics arrived and assumed care. Patient's mother signed an Against Medical Advice form. Paramedics left scene at 1407. Lead RN educated patient and patient's mother on following up with primary care provider, signing up on v-safe, and signs/symptoms of when to seek emergency care. Patient left observation area with mother at 1409.

After sitting for five minutes after the Pfizer Covid vaccine, patient reports feeling lightheaded and may have had a brief loss of consciousness episode. Per mom, patient's eyes widened briefly before returning to normal. Patient was gently laid onto the ground. Was initially confused, but soon was alert and oriented x 3. Was talking in full sentences. 911 was called. Patient was doing well when the paramedics came.

@3:52pm pt c/o headache, dizziness and nausea. Pt. placed in gurney to restwith HOB elevated. V/S monitored. Vitals: 102/63 BP, P-62, RR-17, o2 - 98% RA Patient had sips of water with relief of nausea noted. Vitals monitored @4:18pm vitals BP: 100/70 , P-73, RR-17, o2 -99% RA @4:20pm - pt. verbalized recovered from symptoms. Pt. sent home. Advised to notify primary MD of recent COVID-19 S/E. #21: pt. stable and sent home

Patient received 1st of dose Pfizer from nurse on duty. Within five minutes patient become dizzy and nauseated. She was barely coherent and blood pressure was low at 66/45. She was laid on the floor to help and paramedics were called. paramedics took her to hospital. she was more coherent and bp improved but still having side effects.

On 5/19/2021 client received her first dose of the Pfizer Covid-19 Vaccine (lot #EW0185, expiration 08/2022) at 12:42. Client was found sitting upright in her chair with her mother and appeared melancholy. Client was a 13-year-old female, alert and tracking with her eyes. Client had a chief complaint of headache at 12:48. EMT and RN responded. Client stated that she began to have a headache a few minutes after her observation had begun. This was the client's first dose of the Pfizer vaccine. Client's mother did not report any allergies or medical history. Assessment revealed no hives, rash, discoloration, shortness of breath or other signs of anaphylaxis. Client described a generalized headache with dizziness and stated that she had eaten breakfast this morning. Airway, breathing and circulation were intact. Client denied pain throughout the rest of her body. Vitals at 12:52 were blood pressure 122/74, pulse 84, respirations 18, O2 100% on room air, temperature 97.6*f, lung sounds clear bilaterally, and client was alert and oriented to person, place, date and time. Client's mother consented to allowing the client to lie down for 15 extra minutes but refused to remain for the entire 30-minute additional observation. Client's mother was instructed to seek emergency care or medical attention if condition becomes severe after leaving vaccination site. Client's final vitals were consistent at 13:07: blood pressure 118/78, pulse 84, O2 100% and respirations 18. Client's mother was provided with all vaccine related information and acknowledged that she already knew what signs and symptoms to look for as she was already vaccinated as well. departed facility with her mother at 13:07 with client's mother stating "I have another appointment."

Sore arm, fever, chills, headache and dizziness. All symptoms resolved within 36 hours except headache and dizziness. Dizziness is the biggest complaint 4 days post vaccine.

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

Event occurred during COVID vaccination clinic of students at School, under direction of Hospital COVID Vaccination team. Syncopal event 5 minutes after injection. Fell backwards striking her head on the floor. Regained consciousness immediately. Pale, diaphoretic, reported lightheadedness and nausea. BP 86/50 HR 116 SpO2 99%. Consumed several ounces water and ice pack to head and neck while in observation. Released to parent after 30 minutes. BP 110/60 HR 90 SpO2 98% skin dry, color pink, denied nausea. Able to ambulate without assist. Presented to urgent care 5/18/21 for concussion evaluation reporting sensitivity to bright lights. Advised by provider to rest, avoid electronics and strenuous physical activity.

PATIENT FELT LIGHT HEADED AND DIZZY AFTER VACCINATION DURING 15 MINUTE WAIT PERIOD. MOTHER SAID HER EYES ROLLED BACK AND SHE FELL AND MAY HAVE HIT HER HEAD BECAUSE HER HEAD WAS HURTING WHEN SHE CAME TO MOMENTS LATER. SHE FELT FINE EXCEPT FOR A LITTLE HOT AFTER THE EVENT. THEY WAITED FOR ANOTHER 20 MINUTES BEFORE MAKING SURE SHE WAS OKAY AND LEFT WITH NO TREATMENT

patient reported feeling dizzy and faint while waiting the 15 minutes. patient was observed and blood pressure was normal

5 minutes after vaccine patient started feeling dizzy and fainted, while body was shaking for 20 seconds. Body then regained consiousness

Pt w/ amoxicillin allergy unknown reaction. Flushing/sweating, dizziness, lightheadedness. Pt had a near syncopal episode post vaccination. Pt has a hx of "passing out" w/ shots. Pt was laid down, given juice, and stable. VSS BP 101/52, HR 74, RR 20 -- > 99/65, 82, 20. Pt stable and released from the vaccination site.

Felt warm, dizzy, nauseated about 5mins post vaccination Given juice, water and crackers at 10:50am Discharged to home

Patient reports swelling at the injection site. there is a small bump noted. Reports pain in the left arm and it is difficult to raise arm due to pain level.

pt reported nausea, dizzines and feeling shaky she denied SOB or dsyonea, she has not had any prior reactiobn to vaccines. she has not eaten prior to the vaccine; pt was encouraged to lie down and hydrate, symproms improved with in 10 min, family was encourged to wait full 30 min prior to leaving and once symptoms resolved

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Pt had dentist appointment the morning of vaccine. After pt got vaccine and was seated in observation area pt got dizzy and passed out and hit head. BP was taken and was 84/54. 911 was called and pt went to ER due to continuous low blood pressure.

13 year old female patient after the administration of the first dose of pfizer vaccine in the observation area she star to feeling dizziness. We take the vitals O2% 98, Blood Pressure 140/90, Heart rate 100. We give 10 more minutes in observation. After 30 minutes the mother patient tell to the nurse that patient suffer to Vasovagal.

Patient received her 1st dose of the Pfizer Covid vaccine around 11:20am, and started feeling bad within about 5-7 minutes of administration. Her grandmother came to the counter to alert me that she wasn't feeling well, patient was lightheaded and just "felt bad". She did say she was nauseous, but was very agitated and had trouble verbalizing what was wrong. She was very hot and clammy, her mother reported that she looked very pale. I went to get a cuff to take her blood pressure, but by the time I got it on her arm, she was slumping significantly in the chair, so we decided to move her back to the clinic room to lay her down and elevate her feet. Her mother and I each took an arm to move her. I thought she may have briefly lost consciousness, her legs were not holding any of her weight, but her head was down, so I couldn't tell if she was alert. We moved her a few more feet into the room and her mother moved to set her down in a chair, she was talking and alert. At this time, her bladder evacuated and she vomited, her mom moved her the rest of the way to the chair. I immediately went back to the room with them and dialed 911 at 11:34am. She was more alert at this time, did not report any difficulty breathing or any swelling or itching of the mouth or throat. She was very anxious/agitated, but she did say that she felt a little better after vomiting. EMS arrived at 11:52, I believe she vomited again before they got here, she did take a few sips of water. EMS left at 12:06pm, the patient and her mother left at 12:07, she was walking on her own, with support from mom.

Pt stated that she felt DIZZINESS and LIGHTHEADEDNESS. I gave her water and had her sit with head between knees with fists clenched. I also gave a cold pack to put on neck . Blood pressure check was 138/93 HR93. I had her sit for 15 minutes. BP recheck 15 minutes later was 125/80 HR 88

15 minutes after receiving the COVID-19 vaccine from Pfizer, the patient became short of breath and dizzy. The EMS was called and she was transported to the ER

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild

Pt received covid shot and after 10 minutes became dizzy. Recovered well after laying on the floor and resting at the pharmacy an additional 15 minutes

Friday, 5/21 around 11:55 she received her first dose. 20 minutes later she complained that it felt like someone punched her in the face, and her left cheek was swelling. She looked woozy, with her eyes closing, and the nurses laid her down on the floor on a mat. Her tongue and throat began swelling, and she was having extreme difficulty breathing. She then could not feel anything from her neck down, like she was paralyzed. The nurse administered an Epipen and EMS showed up minutes later. In the ambulance, EMS administered another Epipen, gave her a steroid and Benadryl and rushed her to the hospital. Once at the ER, she was still having a hard time breathing, and could not feel anything from the waist down and could not move her legs. She also complained about her spine being in extreme pain around the mid to lower back. When her symptoms did not resolve, she was admitted to the hospital for observation and treatment. She had extreme pain in her joints - spine, hips, knees, ankles and toes, if someone tried to move them, she could not move on her own. She also had tingling and numbness that would travel up and down her body - weakness in her arms and legs. The medical staff continued with Bendryl - switched to Adderax, and Motrin and steroids (Prednisone?). She was discharged from the hospital Sunday, 5/23/21 in the afternoon. This morning (Monday 5/24/21) she is still experiencing back and leg pain, weakness and cannot walk with out assistance and it is extremely painful.

Fatigue, shortness of breath, trouble catching her breath, red face, lump in throat, dizziness, when exercising. Took rescue inhaler 5x , but did not see any improvement. Symptoms went away after an hour of rest.

after 20 minutes of the tennis lesson in the afternoon, she felt fast heart beat, light headiness and can't catch her breath. she paused the lesson, sit aside and took few sips of water and rested for about 5 minutes, then resumed the tennis lesson.

About 3 min after getting vaccinated, patient fainted Reason for visit in ER: Near Syncope Diagnosis: Syncope and collapse

Patient received her first dose of the Covid vaccine without a problem. She was reading a magazine in a chair while waiting for me (her mother) to have the second dose in the same room. About 5 to 10 minutes has passed since patient had received her injection. I looked over at patient, her eyes had rolled back and she had slumped in her chair. I ran over to her - her face was very red and she did not appear to be breathing. Her eyes were open but were not focused. I sat her up as straight as I could while the technician who administered the vaccine ran for the pharmacist. This took a few minutes. By the time the pharmacist arrived patient was gaining consciousness but began throwing up (although mainly dry retching). Her face had gone pale. The pharmacist was very helpful - she gave patient some Coke to drink and took her blood pressure, which was low. After 30 minutes of observation we were allowed to leave. The event was very frightening. Patient was very pale for the rest of the day. She had a severe pain in her left arm (and leg) which gradually improved over the next three days. We are very worried about her taking the second dose of the vaccine.

Fast onset of dizziness (head spinning, difficulty walking), nausea, temple pain, stomach pain. Some chest ?burning? sensation.

Almost 15 min after pt received her first dose of Pfizer vaccine, she felt light-headed. Mom who was at side held pt up and called for provider. Provider came over and pt said she had blurred vision and muffled hearing, pupils were dilated. A few seconds later, pt felt better and was able to drink water. Had pt and mother stay a few extra minutes past 15 min for observation time and patient able to slowly stand up and walk out clinic with mom. She did report not drinking water since this morning.

Initial complaint: Feeling faint (holding head), both eyes starting to go black 1046 BP 110/70 HR 60 Said "feeling better" did not eat breakfast. Drank water and ae granola bar, vision improved. 1057 BP 115/72 HR 84 She stated she was feeling better after granola bar and water.

Patient felt faint and dizzy, the pharmacist and the patients mother talked to the patient but the patients words were slurred. Breathing exercises were tried with the patient. EMS were offered to be called but were declined twice. Blood pressure was taken and the patients mother purchased Gatorade to hydrate her.

AE: light headed, dizzy, pale, fainted Tx: n/a, just food and drink Outcome: juice, crackers helped resolve AE. pt was discharged home.

Patient was vaccinated by Dr. As she was handing her dad, her sticker, she fainted. On the way to the floor, she bumped the top left part of her head. No bump or swelling. She states it is tender but not painful. She recovered from the faint immediately with return to full consciousness. A& O X3. She was moved to a lounge chair and laid back for 10 minutes, then to sit position, then attempted stand. On first attempt she still felt dizzy so she returned to a sit for 5 additional minutes. Then she was able to walk on own accord to observation area. She kept ice pack to head the whole time. She had a juice, water, and a piece of candy. She denied other s/s. Dad was offered a copy of incident report but left prior to completion. PHN will mail to family. RN PHN

Dizziness and Anxiety, felt like she was going to pass out. Never lost consciousness, Vital Signs stable

pt was dizzy - after 15 minutes of watching her she complained of a headache she could answer questions but not with any enthusiasm. she was groggy - I got a blood pressure cuff and took three readings and they continued to increase the last reading was 148/120 I suggested to mom we need medical care and offered to call an ambulance - mom said she would take her to the er across the street

PATIENT DID EXPERIENCE A REACTION WITIN 5MINS AFTER VACCINATION WITH PFZIER 1ST SHOT. SHE EXPERIENCED BLURRY VISION, LOSS OF HEARING AND DIZZINESS FOR 15MINS WITH HOT FLASHES. GAVE HER APPLE JUICE AND HAD HER PUT HER FEET UP ON CHAIR. AFTER 20 MINS SHE WAS FEELING FINE AGAIN AND LEFT WITH DAD.

Patient was given the Pfizer vaccine intramuscularly in her left arm. As soon as the needle was withdrawn her eyes rolled over and she slumped in her chair. We ( myself, her mother and her father) where in the process of placing her on the floor when she indicated that she wanted to get up. We placed her back into her seat and her mother proceeded to rub her back. I asked her if she needed anything but she declined. I kept her for observation for 30 minutes monitoring for any signs of shortness of breath, wheezing or swelling of the tongue or throat. No symptoms were observed. I advised her mother to notify patient's pediatrician of the incident and then released the patient.

she is little dizzy; This is a spontaneous report from a contactable consumer (parent). This consumer reported for a 13-year-old female patient (reporter's daughter). A 13-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EW0185; expiration date not provided), via an unspecified route of administration on 15May2021 17:00 as single dose for covid-19 immunisation. Patient's medical history and concomitant medications were not reported. The patient experienced 'she is little dizzy' on 15Ma2021. Patient's clinical course is as follows: It was reported that the patient was 13-years-old and got Pfizer shot this afternoon about 5 o'clock. Now patient stated 'she is little dizzy'. Reporter stated 'And I don't know is it related to that or not I just wanted to ask'. Reported also mentioned that 'Yes. In certain places you get that at 13'. When concern was paraphrased the reporter stated 'Yes'. When information about department was given, reporter stated, "Are they are there now?". Reporter was informed about Pfizer drug safety role and asked for permission to probe further questions, reporter stated, "Honestly I would like to go to site cause it's 12 o'clock midnight here, it's little late". When probed for lot and expiration, reporter stated, "It's not on the card. Oh 1st dose Pfizer, EW0185". Outcome of the event was unknown.

Patient had significant anxiety prior to administration. After administration, initially patient felt fine. A few minutes after patient felt faint , hands and forehead were clammy. Mom was present. Blood pressure was checked, diastolic was slightly high at 90mmHg. Patient's eyes closed for a second but patient was never unconscious. Patient did not fall. Patient did not hit head on anything. Patient was given water and sat there for about 7 minutes. Then patient was walked outside next to Mom and Pharmacy Grad Intern. Patient was not feeling well initially outside but did feel better after a while. Mom refused an ambulance. Mom and patient left at 10:50am and patient was feeling much better

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: Patient sat down in waiting room right after her first COVID shot & seemed fine. She suddenly started to shake & looked dizzy. She said she just felt nauseated. We called ambulance & they checked her vitals & everything was normal. Her mother said she reacted this way to last HPV shot last year. She went home & we called her later in the day & she was feeling fine.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: Patient sat down to wait for 15 minutes then all of a sudden started to shake & looked like she was dizzy. She said she only felt nausea. We called the ambulance & they checked on her. Her mother said she reacted this way about a year ago to her HPV shot. We called the patient a few hours later & she was feeling fine.

Present at clinic w/ dad. Dad reports prone to light headedness. Was very nervous before shot. Reported dizziness, and briefly some 'flashing lights' in vision that quickly resolved. Transitioned from lying on floor to seated to standing. Vitals stable through transitions. Gave juice box. 30 min observation post vaccine. Walked out of clinic.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt light-headed about 5 minutes after vaccine and then fainted. She was responsive again almost immediately, but we called 911 to have her checked out before she left. She did not require further care. EMS advised parent to get her to urgent care if that happens again. She does have history of fainting after dental procedure, also.

Prolonged Fever (over 103), ringing in ears, dizziness, rash over entire body and face. Some soreness in legs but that went away.

Patient had likely syncope. Fainted/felt dizzy after immunization. Patient waited at the pharmacy for 30min until she felt better, then went home.

Patient reported feeling nauseous and light-headed post-vaccination. EMS evaluated her, determined her blood pressure was low, and gave her snacks and water. Patient was driven home by her mother. 6/1/21:10:50am - TC to mom - daughter is doing fine and have no concerns or questions. - RN

About 5 minutes after the shot, the patient was in the waiting area and started feeling lightheaded and dizzy. She was sweating and sounded drowsy and said she couldn't see. She did not report to be hot or itchy. We had her lie down with her feet elevated and she immediately felt better and could see again. She remained in that position for 3-5 minutes before she sat up. She felt normal again at this time.

Passed out. Seizure without shaking muscles contracted and fists clenched. Dizziness. Tingle in arms.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Vaccine given at 4:05pm. Pt's dad reported dizziness at 4:10pm. Pt appeared pale/had pale lips, was otherwise alert & oriented. Rx called 911. EMS arrived ~10 mins later. EMS check vitals & asked pt to go to the ER, however pt was feeling better and pt's dad refused. Pt's dad stated he'll take her to the ER if symptoms do not improve. Pt denied any pain, shortness of breath, palpitations, nausea/vomiting, or rash. EMS escorted pt and dad out of pharmacy.

Pt lost consiousness in chair & staff brought patient to floor. C/O dizziness & fast heart rate. Was nervous & doesn't like needles. BP 102/54; HR 69; RR 18. Pt was provided water; laid in supine position w/extremities lifted. Chest stable & conscious. Alert & able to verbalize name & location. Monitored for 30 minutes. Informed to seek medical attention if sx start again.

Pt accompanied with mother to receive first dose. Pt tolerated well at the time of vaccination. Pt had dizziness and 'feeling hot' while at the observation area. Pt brought back to an exam room to be examined by Dr Dr. and MOP confirmed that this issue was because pt didn't eat anything today. Vitals taken at 1255 are B/P: 91/56, P: 92, SPO2: 100%. Pt states pain is localized to the site of injection and was minimal. Dr. required vitals every 15 minutes for the next hour. Vitals at 1310: B/P: 110/73, P: 77, SPO2: 99%, pt reported no dizziness at this time. Vitals at 1325: B/P: 117/72, P: 79, SPO2: 100%. Vitals at 1340: B/P: 108/73, P: 85, SPO2: 98%. Vitals at 1355: B/P: 111/75, P: 86, SPO2: 98%, pt denies dizziness, pain or nausea. Dr. reviewed vitals taken and assessed pt prior to discharge.

She had her first shot vaccine yesterday June 2, 21 and today she has sintoms off.. nausea, disiness , can't eat , headache, and body illness, has well a lot of pain on the arm and body muscles, and difficulty on breathing..

mom called and came into pharmacy on 6/3/2021 to inform us that daughter was having limited mobility in arm and was not able to raise arm unless assisted by using other arm. mom brought in article and picture of arm marking where vaccine was possibly given

As client exited facility she mentioned to her mom she felt faint. Client was then eased to ground by mom, staff provided chair to elevate feet. Provider and EMS paged. VS#1 BP: 102/50, HR: 89, O2: 99%. Mom reported youth is on her period, hx of fainting at sight of needles, on Prozac 20mg daily in the AM, experienced an anxiety attack immediately proceeding her 1st Pfizer dose. Water, Gatorade and snacks provided and consumed. Client placed in seated position, VS#2 98/59, HR: 81, O2: 99%. Client responded to questions appropriately. Client denied dizziness and light headedness. Client assisted into a chair, VS#3 96/62, HR: 99, O2: 99%. Client assisted into standing position by staff, VS#4 BP: 104/52, HR: 84, O2: 9

Pt c/o dizziness, taken to room for observation, VSS. BP 105/73, HR 101, RR 16 -- > 106/67, 75, 16. Pt given fluids. Upon reassessment, pt denied nausea and dizziness, assisted pt to sitting position. No distress noted. Pt stable and discharged from vaccination site in mother's care.

Pt w/ syncopal episode and dizziness approximately 10 mins after vaccination. BP 105/59, HR 72, RR 16 -- > 110/68, 81. Pt was hydrated and released by provider. Pt was alert and oriented, speaks in full complete sentences, VSS. No facial/mandible/tongue swelling. NO stridor. Pt feeling better. Ambulated with steady gait. Released from vaccination site with parents. Instructed to follow w/ PMD.

PT REPORTS FEELING LIGHTHEADED AND DIZZY IMMEDIATLY AFTER GETTING VACCINATED. PT STATS SHE HAD SIMILAR SYMPTOMS WITH FIRST DOSE. PT DENIES SHORTNESS OF BREATH, SYSPNEA, HIVES ITCHINNESS PT DID EAT BEFORE GETTING VACCINE WAS ENCARAGE TO STAY HYDRATED AND DRINK WATER. INSTRUCTED TO LAY HEAD BACK TO HELP WITH DIZZINESS. PATENTFELT BETTER AS SYMPTOMS SUBSIDED. INSTRACTED TO FINISH 30 MIN OBSERVATION TIME AND INSTRUCTED TO NOTIFY IF SYMPTOMS WORSEN

Patient felt dizzy, ringing in ear, headache within receiving COVID-19 Pfizer vaccine (first dose) within 5 minutes. Ambulance arrived to take patient to hospital.

Shortly after vaccination patient started to feel warm and very dizzy. Said her throat felt funny but no issues breathing. Gave her some water, an ice pack for her neck. Had her return to consultation room and administered 25 mg IM benadryl. Pt felt slightly better but did another 25 mg Benadryl liquid (10 ml of 12.5/5 solution) Patient left on her own and parent was called 3 hours later and she was tired but overall doing much better and feeling fine.

About 5 minutes following immunization, parent came to alert pharmacist that patient was experiencing nausea and light-headedness. Pharmacist observed that patient had a drowsy appearance and her eyes would periodically roll to the back of her head. Patient was also warm to the touch. She was given a cold pack which we placed on her wrists and she said that seemed to help. Patient remained under observation for about 20 minutes before she felt comfortable to leave the store.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT PASSED OUT/FAINTED BUT DIDNT LOSE FULL CONSCIOUSNESS, WAS ABLE TO STATE HER NAME AT FIRST RECALL

"Healthy 13 yo female with no significant PMH. No problem with the Pfizer vaccine dose #1. Today, 7 minutes after she received the Pfizer vaccine, she c/o dizziness. She was pale and sweaty. BP 96/61, HR 82, RR 16 -- > 102/62, 78, 16 She was supported by the nurses. She was alert with her eyes closed. Pt was given water. Pt stable, dizziness resolved. She is at baseline and verbalized readiness to go home. Pt stable and released from the vaccination site with her father."

At 4:30 PM, the patient received the first dose of the COVID-19 vaccine in her right arm at facility. She developed a headache, along with dizziness and pain at the injection site. She also reports that her arm began tingling and felt heavy. She waited for an hour without resolution to her symptoms. Around 5:30 PM, she began having intermittent episodes of shaking her limbs. There was no seizure activity. She reports that she has had these episodes since the beginning of the school year, but hadn't told her Mom. She reports that it mostly happens when taking a test at school. The episodes are worse today since taking the vaccine. Vitals: HR 110 BP 134/75 Sat 99% on RA. An RRT was called and she was taken to the ED.

Patient was vaccinated at 1631 6/3/2021. She came to observation room with many allergies in the past and history of serum sickness. She was to be watched in the observation room for 30 min. She developed nausea and abdominal pain (6/10) She was flushed and itching. 1645 Benadryl 50 mg given per mom's OK. 30 min later she was still the same but with dizziness too. Given gatorade to sip on and vitals taken. 125/76 Mean 95, HR 90, RA pox=97%. Continued to watch with no improvement despite interventions . RRT called ultimately. Patient taken to ER with Mom at patient's side.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: ears felt like they were clogged and difficulty hearing-Medium, Systemic: Hypotension-Medium, Additional Details: Monitored for 45+ minutes. Paramedics came and observed vitals were normal & offered ride to hospital. Pt's mom declined and paramedics walked with patient to car. Called mom around 6:55pm & she said patient felt worse on drive home and she took her to Hoag. They were watiting to be seen. Called again Saturday around 10:30am with no answer.

After injection, during 15 minute observation, member c/o faint like feeling, became pale. Mom states child did not eat breakfast or dinner the night prior. Child placed on stretcher and vital signs monitored. Provided juice and graham crackers. Dr notified. Member improved.

There were no symptoms on the evening of the day of the injection and the morning of the next day. So I went out with my daughter at 3:00 p.m. She and stood in line at clothing store after walking for an hour and a half and then suddenly she felt dizziness and 20 seconds later she lost consciousness. And then she woke up a minutes later while an employee called 911. She was fine and felt well but when we came back to our house, she was tired and slept 15 minute in my car. The next day, my daughter was fine, but after dinner we walk out near my house after 10 minutes she felt dizziness again. She sat there for 10 minutes and she was fine. After that day, there were no symptoms.

Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Mild, Systemic: Tinnitus-Mild, Additional Details: 26hrs after 2nd shot, patient passed out & fell at home & brother caught her. 5 seconds later, she tried to get up but collapsed again & siblings saw her spasming for few seconds before regaining consciousness. She immediately complained of ringing in ears/fatigue/dizziness which resolved 40 minutes later. mother confirmed no history of seizures/fainting. menstruating now

Patient blacked out and fell on the floor. I was alerted to what happened. When I went to investigate what happened she was disoriented and laying on the floor. Afterwards she recovered from fainting and disorientation quickly. She had chills, a sore arm, and general feelings of tiredness and feeling unwell.

Patient became dizzy and generally not feeling well and laid down on the floor. The Pharmacist came out to check on her. She was awake so he called store management over to bring her some juice and he checked her blood pressure. After a few minutes the patient was able to stand up and was ok to leave with her guardian.

patient was lightheaded upon vaccine administration. Treatment: no medical treatment was provided. crackers and juice was provided which made the patient feel better. Outcome: Food and water improved the patient symptoms and patient was discharged to POV/Home.

Patient DOB: 9/29/2007. Received her first dose of Pfizer (LOT#: EW0161 Exp: 8/2021) at 1144 on 6/08/21. PHN noticed patients eyes rolling back. PHN got up and asked mother of patient if patient was okay. Mother stated that patient was feeling dizzy and that she had not eaten breakfast. PHN assessed patient. Patient was pale and diaphoretic. PHN asked patient if she had anything to eat before getting vaccinated. Patient stated she did not eat breakfast. PHN gave patient a snack and juice to drink. Patient finished snack and juice. EMT took patient vital signs. BP: 100/64, pulse: 82, O2: 97%. At 1158 patient stated that she was feeling better. Patient was no longer dizzy and was not diaphoretic or pale. Patient was moved to zero gravity chair. EMT retook vital signs and reassessed patient at 1215. BP: 100/60, pulse: 80, O2: 99%. Patient stated that she no longer felt any symptoms. EMT retook vital signs and reassessed patient at 1225. BP: 100/64, pulse: 73, O2: 97%. Patient stated that she did not feel any symptoms. Patient was educated on worsening signs and symptoms of side effects of the vaccine and when to call EMS or go to the ED/urgent care. Patient left with her mom unassisted and with a steady gait.

CC: headache, lightheaded 14 minutes after vaccine administration. Treatment: no medicine was given. Water and graham crackers improved the symptoms. Outcome: Patient condition improved and the patient was discharged to POV/Home.

Anaphylactic reaction; left cheek started swelling; looking woozy; throat and tongue started swelling; throat and tongue started swelling; having a hard time breathing; from the neck down, she had a temporary paralysis and she could not move./she could not feel anything from the waist down.; whole body was shaking; numbness and tingling all over.; numbness and tingling all over.; extreme pain in her back; When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain.; When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain.; When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain.; very weak; chest was tight.; cannot walk without assistance; itching all over and in her throat; itching all over and in her throat; This is a spontaneous report from a contactable consumer (parent). A 13-years-old female patient received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, 0.3 ML), at the age of 13-years-old , via an unspecified route of administration, administered in Arm Right on 21May2021 11:55 (Lot Number: EW0179; Expiration Date: Aug2021) as 0.3 ML SINGLE for covid-19 immunisation. Medical history included ongoing asthma, Diagnosed as a toddler. Had RSV as a baby. ongoing seasonal allergy, To like grass and pollen. ongoing constipation, Diagnosed about a year ago. allergic to shellfish because she gets sick. She said that it happened when her daughter was 4-5 years old. Whenever she has contrast for a MRI she throws it up. The patient's concomitant medications were not reported. The patient previously took Azithromycin and Amoxicillin and were allergic. The patient experienced anaphylactic reaction on 21May2021 with outcome of recovering, left cheek started swelling on 21May2021 with outcome of unknown, looking woozy on 21May2021 with outcome of unknown, throat and tongue started swelling on 21May2021 with outcome of unknown, having a hard time breathing on 21May2021 with outcome of unknown, from the neck down, she had a temporary paralysis and she could not move./she could not feel anything from the waist down on 21May2021 with outcome of unknown, whole body was shaking on 21May2021 with outcome of unknown, numbness and tingling all over on 21May2021 with outcome of unknown, extreme pain in her back on 21May2021 with outcome of unknown , when they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain on 21May2021 with outcome of unknown, very weak on 21May2021 with outcome of unknown , chest was tight on 21May2021 with outcome of unknown , cannot walk without assistance on 21May2021 with outcome of unknown , itching all over and in her throat on 21May2021 with outcome of unknown. Patient was in hospital from 21May2021 to 23May2021. AE(s) require a visit to Emergency Room. No AE(s) following prior vaccinations. No Family Medical History Relevant to AE(s). No Relevant Tests. Clinical courses as follows: It was reported they wanted her to wait for 30 minutes after her daughter received the vaccine. She said that after about 20 minutes, her daughter said that it felt like someone punched her in the face and her left cheek started swelling. She said that her husband said that their daughter started looking woozy and her eyes were closing. The staff laid her down on a mat on the floor. Then her daughter's throat and tongue started swelling and she was having a hard time breathing. Then her daughter complained that from the neck down, she had a temporary paralysis and she could not move. Her daughter asked if she asked if she was going to die. The nurse gave her an EpiPen and called a ambulance. Her whole body was shaking, probably from the EpiPen, like almost convulsing. She said that they got her onto the ambulance and her daughter was having trouble breathing. They gave her another dose of an EpiPen in the ambulance. They also gave her daughter a steroid and some Benadryl through an IV. Her daughter was rushed to the ER, having a hard time breathing and complaining she could not feel anything from the waist down. Caller said that her daughter was also complaining of numbness and tingling all over. She also started to complain about extreme pain in her back. When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain. Her daughter had numbness from waist down. If they touched her foot she could not feel it. Her daughter was admitted to the hospital and got released yesterday 23May2021. She is still experiencing pain and numbness. The numbness is from the waist down and the tingling was up and down her arms. She said that her daughter was very weak and could not feed herself. They had to give her several albuterol breathing treatments in the hospital because her chest was tight. She was not wheezing, but they could tell it was constricted and treated her with Albuterol. She said that her daughter still cannot walk without assistance this morning. She was treated with Motrin, Benadryl and Atarax, and Prednisone in the hospital. The caller said that her daughter also complained about itching all over and in her throat. The caller said that her daughter did not have a rash though.

Note- This patient did not receive the vaccine at our facility so I do not have further details on the vaccine. 13 y/o female with hx of juvenille arthritis, migraines and anxiety, here for left sided CP, palpitations, fast HR, SOB since 6/8 receiving the 2nd Covid vaccine on 6/6/21. Pt states she is also having some nausea and fatigue. Pt has not taken any medications at home for pain. Pt currently taking methotrexate but no steriods. No family hx of blood clots or blood disorders. Differential Diagnosis: Electrolyte abnormality, dehydration, arrythmia, COVID vaccine reaction, myocarditis r/t COVID vaccine. EKG NSR. negative troponin.

Got very anxious prior because of past issues with tetanus shot (similar symptoms), then felt extremely dizzy, blurred vision, momentarily fainted and then threw up about 3 times in the parking lot

Woke up exactly 12 hours after vaccine with the following symptoms: Fever 99.5-100, red cheeks, shaking, body aches, nausea, headache, couldn't lift her arms much. Symptoms lasted 24hours and as fast as they came on, they went away the same. A severe headache remained the second day.

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

Dizzy; Fever; Headache; Chills; Nausea; This is a spontaneous report from a contactable consumer or other non-health care professional. Reported regarding a 13-years-old female patient received second dose of bnt162b2 (BNT162B2, solution for injection, Batch/Lot Number: EW0165) via intramuscular route of administration and administered in left arm on 06Jun2021 as single dose for COVID-19 immunization. She took the first dose of Pfizer vaccine prior, that was the second shot. The patient medical history and concomitant medications were not reported. Reporters daughter gets the second dose of Pfizer vaccine yesterday (distorted voice) she had a fever, headache, chills and then she was dizzy. reporter called the doctors office he told me it was normal with the vaccine, then today patient called them and the person patient talked to said, because she is dizzy take her to the ER, taking her and they told me to call and report her side effect. It was unknown that Investigation Assessment performed or not. Therapeutic measures were taken as a result of fever, headache, chills, nausea with Tylenol. The outcome of events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Pt complained of dizziness & lightheadedness after 1st pfizer injecction, brief period of syncope today. Skin warm & dry, mom says her daughter has passed out previously after lab work injection. BP 94/63 P68 RR16 O2 sat 100%. Symptoms quickly resolved after a few minutes of laying down. alert/oriented, left with her mom ambulatory/ stated she was feeling better, skin warm & dry, no cyanosis noted per nurse.

During monitoring period post initial Pfizer COVID-19 vaccine, patient experienced headache, fatigue, dizziness. VS 141/97, P-157, O2-99% RA. Patient states she did not eat anything today and drank very little fluids prior to administration of vaccine today. Patient began to experience chills, flushing placed in Trendelenburg position. VS: 132/80, HR 105, 02 99%. Patient remained in Observation area for an extended period of time. Nurse remained with her and Mom for duration of observation. After an hour, VS: 130/85, P- 105, O2 100% RA, stated headache lessened.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Hyperventilation-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: tingling in fingers and toes

She was nervous before receiving the vaccine and felt lightheaded afterwards. While in the waiting room she vomited. She later drank water and after sitting down she recovered.

PATIENT CAME IN FOR VACCINE WITH HER MOTHER. SHE WAS ADVISED TO STAY IN THE STORE FOR 15 MINUTES AND HYDRATE AFTER RECEIVING THE VACCINE. THE PATIENT AND HER MOTHER CHOSE TO LEAVE THE STORE IMMEDIATELY AFTER RECEIVING THE VACCINE. THE PATIENT STARTED TO FEEL LIGHT-HEADED IN THE PARKING LOT. SHE FAINTED. HER MOTHER CAUGHT HER. SHE DID NOT HIT HER HEAD. I WAS INFORMED SHE FAINTED. WHEN I WENT OUTSIDE TO CHECK ON HER, HER MOTHER STATED SHE THAT PATIENT HAD NOT EATEN THAT MORNING AND WAS VERY NERVOUS. THE MANAGER ON DUTY CALLED 911. I RAN BACK IN AND GRABBED A BOTTLE OF WATER FOR HER AND A BOTTLE OF ORANGE JUICE. THE PATIENT WAS SITTING UP AND CONSCIOUS. MANAGER STAYED WITH HER UNTIL 911 ARRIVED. THE PARAMEDICS EXAMINED THE PATIENT AND THE PATIENT WAS RELEASED TO LEAVE WITH HER MOTHER. I CALLED THE PATIENT'S MOTHER SEVERAL HOURS LATER. THE PATIENT WAS FEELING MUCH BETTER AFTER EATING SOMETHING. I ADVISED THE FAMILY TO CALL US WITH ANY FURTHER QUESTIONS OR CONCERNS.

After a few minutes, patient stood up to walk around, and became light headed and fell down. Became pale and sluggish

Headache,dizziness, shoulder ache. Transported to medical screening via wheelchair for evaluation by paramedics. Per medic, vitals within normal range. Left in stable condition at 12:35 p.m. Recorded by RN. Paramedic.

Around 8:30am on 6/16/2021: When she went to bathroom, she felt dizzy and hot, then started to lose hearing. So she was lying down in bathroom ~ 5 minutes. She was fainting (passing out???).

Patient (Female age 13) went to play tennis at 10 AM. Around 10:25 AM she felt very dizzy and had a temporary loss of sight. Her coach gave her some electrolytes and she was fine after that. We are not sure if this is a side effect of the vaccine or not. But she has never had such an episode before. Google says it is due to lower blood pressure.

She woke up Sat with headache, body aches and muscle aches. Around 10:30 pm night she was became dizzy passed out fell down the stairs. I took her to the ER she required stitches (chin) and had some test to rule of chest pain.

Shortness of breath, near syncope, decreased hearing, fever 101.7 degrees F, fatigue, imbalance in standing but dizziness, soreness to right upper extremity( injection site), pallor lips and face Denies palpitation, nausea, headache.

PATIENT STARTED TO SLUMP OVER AFTER INJECTION, DID NOT PASS OUT BUT DID LAY ON THE GROUND WITH HER FAMILY AROUND HER. WE GAVE HER WATER AND MOM FANNED PATIENT. AFTER PATIENT LAYED ON THE FLOOR FOR AWHILE, SHE FELT BETTER. DID LEARN THAT PATIENT DIDN'T EAT ANYTHING THIS MORNING AND WAS QUITE APPREHENSIVE ABOUT THE VACCINATION. PATIENT LATER LEFT WITH FAMILY AND WAS FEELING MUCH BETTER

tired; chest heaviness; asthma like cough; shortness of breath; aches; sweating; shivering; feeling like she was "thinking really weirdly" like she was "dreaming but awake" during the night; dizzy; her heart feels really fast and pulse this morning; fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6am; She was up a lot of the night; headache; This is a spontaneous report from a contactable consumer (Patient Mother) reported for a 13-year-old patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 03Jun2021 09:30 (At the age of 13 year) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included, thrombosis (blood clots but not DVT's), mast cell activation syndrome (mast cell activation stuff especially near her periods), device malfunction, she also has a VP shunt. There were no concomitant medications. The patient previously took first dose of BNT162B2 for COVID-19 immunization. It was reported that Consumer calling on behalf of her 13-year-old daughter, birthday of DOB, who received the second dose of the Pfizer Covid 19 vaccine yesterday at 9:30am. She reports the following side affects her daughter has experienced: headache that started within an hour of getting the vaccine, by lunch she was tired, chest heaviness, an asthma like cough, a little bit of shortness of breath but her pulse ox is 98%, aches started when going to bed last night, sweating, shivering and feeling like she was "thinking really weirdly" like she was "dreaming but awake" during the night, very dizzy, head feels like it has a heart beat in it, her heart feels really fast and pulse this morning was 130 on the pulse ox, right now standing her pulse is 150, fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6am. It was reported that "She was up a lot of the night but did not want to bother us. It was reported that She has a history of "blood clots but not DVT's, mast cell activation stuff especially near her periods and she also have a VP shunt. Reporter want to know Is this an allergic reaction or could it be. Post Covid vaccine is anyone reporting pericarditis or chest heaviness, when would pericarditis occur. The patient underwent lab tests and procedures which included body temperature: abnormal Fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6 am, oxygen saturation: abnormal pulse this morning was 130 on the pulse ox, right now standing her pulse is 150. The outcome of events was unknown.

13 year old previously healthy female presenting with chest pain. Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21). Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Headache-Medium, Systemic: Hypertension-Medium, Systemic: Tachycardia-Medium, Additional Details: patient experienced syncope about 15 minutes after vaccine given...lasted around 30 minutes

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: patient passed out 3 times after giving the vaccine i checked her blood pressure and it was 92/62 i lift up her legs and offerd her the epipen but she refused.her parents tried to convience her to get epipen but she also refused.she spent about half hour in the store and she became good and went to home. i called her after 1 hour and she was fine

13 y/o F with hx of exercise-induced asthma BIB mom for dizziness and chest pain s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses nausea, HA, chest pain and SOB. No fever. Chest pain currently. Pt took albuterol 1.5 hours PTA. Pt usually only needs albuterol with physical activity. NO PMH/PSH. Vaccines UTD. NKDA. Differential Diagnosis: vaccine reaction, myocarditis, pericarditis, costochondritis. After assessment and treatment, pt is well appearing, explained to mom on reassessment symptoms have resolved, no chest pain currently. Explained symptoms likely secondary to vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and fever.

After 15 minute wait period, pt left with mother. When they got outside, pt started feeling lightheaded. Pt's mother brought pt back to clinic, PCT escorted them to exam room and had pt lay on exam table. When NP arrived in exam room, pt was alert, face pale. NP placed cool wet washcloths on forehead and neck. After a couple minutes, color started to come back to face, had her continue to stay lying down for another few minutes. Had pt sit up on exam table for 5 minutes. Mother bought her orange juice, which she drank a little while in clinic. Had pt stand in exam room for 2 minutes. Then they moved to waiting area for another 15 minutes. Checked back with patient and she was feeling ok. Pt left with mother without difficulty. Pt has not had this reaction with any other vaccines. Has passed out at school at sight of blood.

Pt received Pfizer vaccine and walked to observation area. RN observed pt to be fainting with convulsing movements for approx 30 seconds. Pt recovered to full cognitive alertness almost immediately, stated that she had felt dizzy, felt like she was fainting and does not remember what happened after that. Vitals and O2 sat stable, pt did not eat breakfast or hydrate today. Pt denied having symptoms but was transported to ED for further evaluation.

PT DID NOT WAIT FULL 15 MINUTES WAS TOLD TO WAIT AFTER COVID -19 VACCINE GIVEN. UPON LEAVING PHARMACY AFTER APROXIMATELY 5 MINUTES FELT FAINT AND FATHER CALLED PHARMACIST FOR HELP. FATHER WAS ASKED IF WANTS 911 CALLED AND SAID NO. PT WAS TOLD TO LAY ON THE FLOOR ON HER SIDE AND WAS GIVEN WATER AND COLD COMPRESSES BY THE PHARMACIST. WAS ALERT AND COHERENT THE WHOLE TIME. LAYED ON THE FLOOR FOR ABOUT 10 MINUTES THEN WHEN STARTED TO FEAL BETTER PHARMACIST HAD PATIENT SIT UP FOR ANOTHER 10 MINUTES. PATIENT SAID WAS FEELING BETTER AND WANTED TO TRY TO STAND UP. THEN STILL UNDER PHARMACIST OBSERVATION REMAINED STANDING FOR APROXIMETLY 10 MORE MINUTES. WHEN PATIENT FELT FULLY BACK TO HERSELF WALKED OUR OF PHARMACY WITH DAD. TECHNICIAN FOLLOWED THEM OUT TO MAKE SURE EVERYTHING WAS OK AND THEY LEFT. PATIENT DID NOT FEAL NAUSEAS AND WAS AWAKE THE WHOLE TIME. FATHER KEPT URGING PATIENT TO GO BUT PHARMACIST INSISTED ON THEM WAITING AS LONG AS POSIBLE TO MAKE SURE PATIENT WAS FINE.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Additional Details: PT FAINTED 3-5 MINUTES AFTER VACCINE WAS ADMINISTERED.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt. came into the pharmacy to get a 2nd dose of Covid-19 vaccine. 1st dose was on 6/1/21, with a hx of an adverse reaction of dizziness/pale Asked pt & her dad if she was fine after that incident-Pt. states she was totally fine when she got home so wanted to get 2nd dose. Shot was given ~4:15pm, and when I checked pt. if she's ok, she started to pale and told me she was dizzy. Called paramedic ~4:25pm and around 4:55pm paramedic teams walked pt. out, pt. seemed fine, and confirmed she was fine

Syncopal Episode after shower. Patient developed new onset nausea and dizziness and woke up on the floor. She felt unsteady on her feet for a few hours after the incident. Also experienced shortness of breath about 2.5 hours after the incident.

Within minutes of receiving vaccine, pt verbalized feeling dizzy with a headache. Pt became pale and diaphoretic. Pt's lower extremities were elevated, ice pack applied to back of the neck and vital signs obtained. Juice and crackers were given. Within several minutes, Pt verbalized symptoms resolved and was ready to go home. Pt will lie down to receive second dose of Pfizer vaccine.

13 YO F, 84 lbs, presented syncope, pt fainted 2 min after COVID vaccine, pt and mom corroborated that patient had not had breakfast or lunch, this event occurred at 3:30 pm. Patient verbalized being nervous prior to vaccination. Pt could not recall last time she had water. As soon as patient complained of feeling faint, patient was handed a water bottle and blood pressure was taken, reading on left arm was 62/47 83 bpm heart rate, pt was then given a Coca-Cola and a glucose tab. Patient reported feeling better after 5 min, then began complaining that she did not feel well again. Patient then fainted again, I popped an ammonium vial, and 2 ice packs. Took BP again and was 65/50, called 911, called a code white and let store manager know and once paramedics presented to patient, patient BP was 116/75 98 bpm, pt had regained color, and stated she felt better. Mom turned down offer to take patient to hospital, as patient stated they felt better.

1st night couldn't sleep 2nd day headache that wouldn't go away along with dizzy/light headedness 3rd day about an hour after her evening peanut immunotherapy dose of 4 peanuts her skin got very itchy, burning hot, red with some hives. She said her throat felt swollen. A couple hours after a double dose of benadryl and ice packs she began to improve. 4th day she was much better. We spoke with her allergist over the phone, and he said it was reasonable to chalk the reaction up to extra stress on her body due to the vaccine/her bodies response to the vaccine. We only did half her peanut dose. 5th day she was normal.

Patient received COVID-19 shot and shortly after passed out hitting her head on the floor. Paramedics were called to check her out. We did a wellness check patient had a headache but otherwise was fine.

Dysfunctional uterine bleeding causing symptomatic anemia requiring hospitalization and transfusions. Onset of menarche 4/2021. Received first shot 5/18/2021 and 2nd shot 6/8/2021. Third menses onset 6/7/2021. Started becoming symptomatic with DOE, lightheadedness, and pallor 6/17/2021 (day 10 of menses). Hospitalized on 6/19/2021. Still bleeding as of date of this form (7/1/2021)

Patient complained of dizziness and feeling clammy. Patient was given an ice pack. Patient was not able to answer question (What day is it?) and Mom requested that paramedics be called. While waiting for the paramedics patient continued to complain of dizziness, feeling clammy/cold and changes in vison (zig zag lines).Just prior to paramedics arriving Patient was able to sit up on her own, answer questions (What day is it and Who is the President?), but still complaining of feeling cold and vision problems, Paramedics arrived and took Patient to the Ambulance to further evaluate her.

Patient began to feel light headed and like her head was spinning. She proceeded to move to the chair and fainted. She quickly recovered ( less than 30 seconds). She was able to walk to the chair, she felt back to normal after a few more minutes. She was observed for about 20 minutes. When she left she was feeling back to herself.

Fainted for the first time ever. Light-headed, fuzzy and woozy, and fainted while standing outside on the grass, viewing a performance.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: Patient fainted after giving second pfizer dose. After putting on bandaid and explaining to her she needs to wait 15 min she passed out. She leaned forward (thinking she was getting up) and fell to the ground. She hit her head on ground. Her blood pressure was checked twice, the second a half hour after the first and she was still low. She did not feel comfortable walking so we wheeled her out to parking lot and she went to urgent care. Facility filled out report as well since she hit her head.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Mild, Additional Details: pt fell from chair and felt dizzy and fainted .Rph got water and gatorade . she felt better and went home . Rph checkecd on pt .Mom have taled tp pedtricaid . she was much better . no too much concerned

Patient anxious, dizzy, and had syncopal episode while being guided onto the cot. No falls or injuries. Monitored for over 30 minutes. No transport.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium

"Incoming TC from patient's mother, reporting possible COVID-19 side effects / adverse reaction: Mother called to report side effects from daughter's Pfizer vaccine. Patient denies emergency symptoms at time of call. Only reporting side effects from last week. 5/16 1st dose Pfizer @ pharmacy. Reports minor dizziness and body rash. Called PCP, states to take Zyrtec for 3 days. Symptoms gone after 1 day. Advised to take Zyrtec night before and morning of 2nd dose. Patient received 2nd dose at EVC 6/08 Pfizer. 10mins after injection pt reported dizziness and was observed for 30 mins at testing site. Pt was taken later to urgent care by her mother, was also seen by PCP. Pt later developed body rash limited to face, bilateral arms, neck and stomach area. Denies any other symptoms. Urgent care advised to take Zyrtec, symptoms gone after 3 days. Pfizer 1st dose 5/16 Lot# 0177 at pharmacy Pfizer 2nd dose 6/8 Lot# ER8735

Around 7PM on June 19th, she had chest pain and chest pressure. She also had a mild headache. She was taking a walk in the neighborhood and had to come home because she was experiencing shortness of breath and having difficulty breathing. She described it as an electric shock/shooting pain in her chest area, on both sides. I took her (the participant) to the ER. While at the ER, she started to feel experience pain and tingling in her left thigh. It would feel better if her leg was elevated. The leg pain subsided by the 20th. On the 21st, she was taken back to the ER because the chest pain and shortness of breath was not subsiding. They did another EKG which showed no abnormalities. Blood work came back with the same indication of virus/inflammation. They gave her a pain med (not sure of the exact name, but it is used for patients after surgery) and an IV. Also given a prescription for 27ml of ibuprofen with Tylenol in between. Two days later, on the 23rd, she had an appointment with the pediatrician. The doctor checked muscle tone and listened to her chest. My daughter gets fatigued by going up a single flight of stairs. Doctor referred her to a pediatric cardiologist. Later that night of the 23rd, she began to get a tingling sensation in her left arm that went down to her hands and lightheadedness. She was not able to move and had to lay down. Being upright made the pressure in her chest worse and she had to take shallow breaths. I took her to the ER. They did a chest x-ray that showed no abnormalities. Referred her for an echo cardiogram on the 24th. She was doing better after that until July 5th, when the pressure and pain started getting worse again. I took her to the pediatrician again and they referred her to rheumatologist on the 11th of July. The rheumatologist prescribed a steroid medication to calm her immune system. She said her immune system was activated and was inflamed, which is why she was experiencing the shortness of breath and pain. She prescribed her colchicine and Aleve. Since she has started to take the meds, she is doing better but she is still experiencing pressure at a lesser level. The pain is the same level that feels like static shock.

Pt received shot in pharmacy for second covid pfizer vaccine. She sat down for 15 minutes, but then got up and felt lightheadness. However, she continued shopping in store with her family. On the way out, she was still feeling lightheadness and her vision was lessened so she sat down at the food court area. Pharmacist was alerted to come attend to her. Pharmacist suggested that she put her head between her legs and offered wet towel for her neck. After about 5 minutes, she said she was fine to go with her family.

Immediately after the vaccination, patient felt faint, started shaking, and eyes rolled in the back of her head. Patient came to and EMS came to assess her,

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Vaccination was administered, within 10 min patient became unresponsive and appeared to lose conciousness. upon immediate assessment no signs of anaphylaxis were present, 911 was called. pt felt very warm to the touch and lost control of bladder. mother mentioned pt had passed out 7/14 at home but no prior history of any events. no reaction to any previous vaccines. paramedics arrived and took over pt was released under care of mother with suspision of dehydration

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: Patient presented about 10 min after vaccination as lightheaded and nauseous. Patient vomited one time. EMS was contacted, when they arrived the patient's BP was 90/60 and HR was 88 bmp. Parent of patient refused hospital transport after EMS gave all clear, and patient was able to talk, stand, etc on her own. Mother stated that patient was very anxious before and during the vaccine.

Severe nausea; Headache; Dizziness; Can't sleep; This is a spontaneous report from a contactable consumer (parent). A 13-year-old non-pregnant female patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and Expiry date: not reported, age at vaccination: 13-year-old), via an unspecified route of administration, in Arm Right on 23Jun2021 10:00 AM as dose 2, single for covid-19 immunisation administered in Doctor's office/urgent care. The patient medical history and concomitant medications were not reported. Previously, the patient received first dose of bnt162b2 (Lot number not reported), on an unspecified date for covid-19 immunization (age at the time of vaccination: 13-year-old). On 23 Jun2021, several hours after the vaccine, the patient complained of sever nausea, a headache and dizziness. She also cannot sleep, even after taking Advil pm. The treatment was not yet sought but may if this continues or worsens. The patient visited doctor or other healthcare professional office or clinic visit due to these adverse events. The patient did not receive any other vaccines within 4 weeks prior to covid vaccine and did not receive any other medications within 2 weeks of vaccination. The patient was not diagnosed with covid-19 prior or since the vaccination. The outcome of event was not recovered. Information on the lot/ batch number has been requested.

severe nausea; headache; dizziness; cant sleep; This is a spontaneous report from a contactable consumer (Parent). A 13-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: Unknown), via an unspecified route of administration on 23Jun2021 at 10:00 (at the age of 13-year-old), as dose 2, single in right arm, for COVID-19 immunization at Urgent Care Center. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine or any other medications within 2 weeks of vaccination. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration, on an unspecified date, as single dose for COVID-19 immunization. On 23Jun2021, several hours after the vaccine, the patient experienced severe nausea, a headache and dizziness. Patient also reported that she couldn't sleep, even after taking Advil pm. Reporter, stated they did not sought treatment but may if that continues or worsens. Adverse events resulted in doctor or other healthcare professional office/clinic visit. The patient had no COVID prior vaccination and was not tested COVID post vaccination. The clinical outcome of all the events was not resolved. Information on the lot/batch number has been requested.

Systemic: Fainting / Unresponsive-Medium, Additional Details: about 2 minutes after administration of vaccine, patient fell out of her chair. quickly woke up, fully alert, able to speak, no pain, no anaphylaxis. fell on vaccine curtain but did not hit head, no injuries, bruises,or scratched noted or reported. mom mentioned patient was fasting prior to administration. patient reported no pain, no confusion. abulance came and escorted patient out. case number: 2021089124 sheriff's office

Patient got first dose of pfizer on 5/28/21 and 4 minutes after vaccine, started to feel dizzy. Patient did not faint or lose consciousness. Her mother was with her the whole time as well as myself. She felt fine after a few minutes, we gave her orange juice and candy and she was ok.

Systemic: Confusion-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient fainted within 2 minutes after getting her vaccine. Then she recovered then got light headed and vomited after another 20 minutes. Mother states that they contacted patient's pediatrician and was told to monitor her. Patient had diarrhea about 1 hour after shot and is fine 24 hours later.

Site: Pain at Injection Site-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: patient reported signs of feeling faint and lips turning white. temp was stable at 96.7 and breathing was normal. Parents refused 911 so I instructed them to seek medical attention immediately. Parents drove to hospital themselves. Called parents later in the evening and mom said daughter was doing ok and was told px reacted to pain of getting the vaccine and not the actual vaccine and she should continue vaccines series on 8/10/21. All vitals wore normal and she's being monitored at hospital

- Patient received 2nd dose pfizer accompanied by parent and family member. Reported loss of hearing in one ear and reported not feeling well. - Patient ambulated to the observation area and within a few minutes, she felt nauseous. Mother assisted patient to bathroom and patient became lightheaded. - Safety officer assisted patient to wheelchair and wheeled into Special Obs area and put into supine position - Vitals taken every 5 minutes for 15 minutes. Patient was able to sit up afterwards, felt better, and blood pressure was normal before leaving. - Counseled patient to contact PCP if any further reaction or call 911 if emergency.

Patient received her first Pfizer dose at 4:06pm at 4:20 mom brought patient over to me to tell me she was feeling like her neck and leg felt swollen, we all discussed that it could be swollen lymph nodes and they choose to go and check out up front. At 4:30 Mom brought patient back to the pharmacy and said she was feeling strange. Patient said her throat felt weird, she felt dizzy and was having ear pressure, but was not having difficultly breathing. I offered Benadryl and to call 911, Mom denied her needing that at the time. While we were asking patient questions her eyes started to roll and flutter and her head would fall back, but she was alert and talking and stated that she was seeing spots. I told Mom that we were going to call 911 at that time so they could come and check her out. I also go an ice pack and we placed it on her neck, her face was flushed and I took her temperature it was 99.2 at 4:42pm. Ambulance arrived at 4:45pm and they did her vitals and she walked out to the ambulance with them to be checked out. I called Mom at 6pm to check on patient and she was doing much better and did not have to go to ER.

Patient had Dizziness, Nausea and Sweating Beginning immediately after Vaccine was administered. Patient was given an ice pack and after 15-20 minutes felt well enough to leave with her father.

Shortly after vaccination the pt was very anxious and said she felt dizzy. Pt never did past out but was very dizzy and had blurred vision. We laid the pt down and elevated her feet and she was much better. Mom called EMS and the pt was monitored and recovered. I spoke with the mom Sat night and Sun and she was feeling fine. Pt returned on 6/26/21 for second dose and had no reaction.

Began feeling dizzy at about 5:10pm, about 10 minutes after vaccination. Was in seated position. Took to exam room to lay down on exam table. No LOC. Vitals checked repeatedly during observation. Found to be normal. Patient alert and communicating during observation period. No food today (as of 5:18pm). Has had water. Takes fluoxetine 20mg daily, had medication today. Has a history of anxiety. Has a history of dizziness, feels like current episode is consistent with a panic attack. Has a history of a similar episode in which she fainted during a panic attack, went to ER (August 2020). Vasovagal episode. At 5:43pm, the patient continues to appear clinically well with vitals stable, continues to feel a little anxious but overall better. Denies nausea. Dizziness better. Breathing feels better. Respiration rate 20 but slows to normal rate when engaged in conversation, becomes faster when not distracted/engaged in conversation. Patient sat up without difficulty at 5:55pm but became dizzy when trying to stand. Returned to sitting position and waited 5 minutes, brought out to waiting area where cooler. Patient continued to appear improved and distracted with conversation but reported feeling trembling and some dizziness but improved. Anxiety continued to be suspected but also consider hypoglycemia. Unable to locate glucose tabs and glucometer in clinic. Manager went for supplies while observation continued in waiting room. Vitals continued to be normal during observation. Also, noted not to be orthostatic between sitting and standing BP. Blood glucose normal at 97 when checked at 6:40pm. Was offered water and snacks multiple times throughout observation but declined. Provided emesis bag but no emesis observed in clinic stay. Discussion with mom and patient about symptoms which are believed to be due to anxiety rather than allergic reaction. Discussed observation in the hospital vs returning home with close observation and plan to go to ER/call 911 if symptoms worsen. Both mom and patient would like to go home with close observation and a clear understanding of when/if to go to hospital. Patient left clinic at 6:45pm and walked out on her own strength (noted to be standing on one foot several times and not appearing to be dizzy). Vitals normal and patient appeared comfortable and not in any acute distress.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient received Pfizer Covid Vaccine and went to sit in the waiting area. Immediately upon sitting down, patient said she felt dizzy and fell on the floor and bumped her forehead. Patient is responsive and pharmacist observed patient for 30 minutes. Offered to call 911 for the patient, but mother refused and they are going to see their PCP after leaving the pharmacy.

13 year old female previously healthy, no chronic diseases,.10 days after the 1st dose of Pfizer COVID19 vaccine, she developed fatigue, lethargy, paleness and dizziness. She was found to be profoundly anemic and was diagnosed with autoimmune hemolytic anemia; she was also found to have positive high-titer (1:1280) antinuclear antibody (ANA) testing (status prior to vaccination unknown). She was diagnosed with mixed cold/warm autoimmune hemolytic anemia. She received two units of packed red blood cells via blood transfusion and was treated with high-dose corticosteroids (both IV and oral). The anemia has resolved but the patient remains on oral corticosteroids (prednisone).

Patient received Pfizer Covid-19 vaccine while sitting down then transfered to another chair. Approximately 2 minutes after vaccination, the patient witnessed her sister being vaccinated and reported feeling light headed. She progressed to being faint while seated and pale, so rapid response was called. Patient was transfered to to be monitored and discharged home. Patient was noted to have had prior similar events while having blood draws.

About 10 minutes after injection patient became dizzy, diaphoresis, flushed, hypotensive (100/80), drowsy, nausea. Patient was seated and legs elevated. Cool water bottle placed behind neck, blood pressure obtained. She remained in this positi9on for about 15 minutes. No reaction noted at the injection site. When she began to stabilize we offered juice which she took and began to feel better. She was released to go home. I contacted her mother at about 7:30pm that evening and patient was feeling much better

PATIENT WAS NERVOUS ABOUT THE SHOT. AFTER THE VACCINE WAS ADMINISTERED, SHE WAS TOLD TO WAIT AROUND FOR 15 MINUTES. APPROXIMATELY 2-5 MINUTES AFTER, THE PHARMACY STAFF HEARD A THUD AND SAW SHE SLUMPED DOWN ON OUR CHAIR. THE PATIENT CLAIMED SHE IS DIZZY, NAUSEOUS, BLURRY VISION, AND MUFFLED SOUNDS. PARAMEDICS WERE CALLED AND CAME TO CHECK HER VITALS. THE PARAMEDICS CONCLUDE THAT SHE IS FINE TO GO HOME AND REST. PHARMACIST FOLLOW UP WITH THE PATIENT'S MOTHER 4 HOURS LATER AND WAS TOLD PATIENT IS FINE.

Dizziness, weakness in legs, claimed loss of vision by patient. Events occurred ~15 minutes after receiving injection. Patient transferred to emergency department for evaluation

Nausea, dry heaving, felt dizzy at the time of injection. At 09:48: pulse: 98 then 87 Respiration; 16 SPO2: 98%BP: 90/60 Observed and gave water and crackers, at 9:50 she felt much better and discharged home

14 y/o female presented to observation after receiving covid-19 pfizer vaccine c/o of dizziness and expressing syncope after lying down for ten minutes in the vaccination station. Pt V/S as follows; at 1332; 79/49 53 12 and O2 100% RA in supine position with legs elevated. Pt continued to express dizziness. Pt reposition to seating after ten minutes. Pt V/S as follows at 1340; 86/50 57 16 and O2 100% RA. Pt provided water and chips. Pt reposition to standing after ten minutes. Pt V/S as follows at 1350; 76/45 57 16 and O2 100% RA. Pt express feeling dizzy after standing. Pt advised to reposition to sitting. Pt V/S while sitting at 1400 are as followed 85/55 53 16 and O2 100%. Pt then advised to stand and try to ambulate once ready. Pt stands and expressed they felt fine and was ready to ambulate. Pt ambulated thirty feet without assistance. Pt VS after standing and ambulating at 1209 as followed; 84/54 63 18 and O2 100% RA. Mom stated PCP reports SBP of 90 in March via phone. Pt and Pt mother advised to follow up with PCP prior to playing Baseball next day. Pt DC after displaying steady gait after ambulating, eating chips, drinking a full bottle of water Pt stating "no longer feeling dizzy" and VS taken at 1409. Supervisor notified.

Pt c/o of dizziness as the only symptom s/p vaccination. She denied any chest pain, shortness of breath, vision loss, or pain. Pt's mother stated that she previously gets dizzy after vaccinations, and seeing needles. Pt stated that she had a "fear" of needles, but wanted the vaccine anyway. The nurse moved the pt to the private area, and helped her onto the stretcher, where she laid down. After the pt was lying down, the nurse assessed her. The nurse then took vital signs every ten minutes, listened to her lung sounds, assessed the radial pulse, assessed her vision, and mentation. After 15 minutes the pt sat upright with her feet dangled. With the nurse and the mother ten minutes later, the pt was walked down the hall. No issues were noted and the pt was stable. All the vitals were within normal limits throughout the entire time. The previous dizziness was gone, and the mother stated that she looked great. Pt stated a total of 40 minutes and then was safely discharged.

Patient came to the pharmacy with her mother to receive her scheduled first dose of covid Pfizer vaccine. Patient seemed fine after the receiving the vaccine and once I turned around to inform the patient to stay within the premises of the pharmacy for 15 minutes, the patient fell back on the chair and seemed unconscious so her mother and I held her and I had a pharmacy tech call 911 and followed their procedure over the phone until EMS arrived to the pharmacy.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Additional Details: patient's mother told that pt has sickle cell's disease. As rph wasn't unsure the disease's effect on covid 19 vacicne. Rph asked pt to stay in resting area for 30 minutes. Approximately, 25 minutes after the patient got the shot, her mother reported her having allergic reactions. Patient reported as having dizziness, not being able to hear, nausea, and some eye blurness. I gave water, candy, and benadryl. Also 911 called just in case. By the time emergency team arrived, pt was doing fine back

Patient started vomiting after administration of first dose of Pfizer. First dose was administered at 15:16 and patient felt dizzy, c/o of headache and started vomiting right afterwards. Charge RN, ANM, and onsite provider was notified. Moved patient to triage area and her VS were as follow: BP: 96/50; HR: 73, SPO2: 98%. Patient was given a peppermint gum to chew and water. Patient felt better five minutes later. Patient stable, and released into the observation area for 30 minutes. Patient was accompanied by father d/c to home stable steady gait. Pt advised to seek emergency services for any further sx.

After receiving 1st dose covid vaccine patient became lightheaded and nauseated. Laid Patient on cot. Vitals stable. Pt evaluated by Dr . Patient felt better after eating crackers and was discharged with family member

pt fainted roughly five minutes after shot. She came to shortly after and was helped back into her chair. Pt complained of dizziness and numbness in her arms. Blood pressure was taken 79/56. Paramedics came and checked pt out . Pt was released to mom after being given water and sitting for 10 more minutes.

A 14-year-old female received her COVID vaccine. After about 5 minutes of sitting in the chair for her 15 minute observation, her mom said she felt nauseous and like she was going to pass out. She was laid her back in the chair. The patient's mother went to get orange juice. She was pale and her eyes were rolling back in her head. She did pass out for a few seconds, and I checked the patient's pulse and blood pressure. BP 139/58, pulse 53. By that point she was coming back around. After she sat for several minutes and had orange juice and water, she was feeling much better.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild

Approx. 5 min after vaccination patient started to feel dizzy. Technician went to retrieve ice packs and patient fainted. Pharmacist gently moved patient to her side on the floor and brought knees up to her chest while technician called 911. Patient regained consciousness after approx. 2 minutes before EMS arrived on scene. EMS took patient's blood pressure (hypotensive), administered saline drip in ambulance onsite then released patient to parents. Followed up with parents next day, patient was monitored at home and was feeling fine. Per EMS patient most likely was dehydrated. No prior history of event post vaccine.

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

Pt received vaccine while seated and when she stood to go to observation area she experienced syncope and fell supine to tile floor. No LOC, was A&Ox4 immediately. Pale, strong pulses, RRR P 60's, unlabored resp effort. BP not evaluated. Some nausea, no vomiting. Exam of head revealed mild TTP with no open wound, swelling, or depression. Pt responded to rest and required no intervention. Pt was monitored x 60 mins with full resolution of sx and discharged to home in good condtion.

Patient fainted about 10 minutes after receiving first dose of Covid-19 vaccine. She was instructed to remain seated in the waiting room but got up and walked around the store with her parents and felt faint after walking for a minute or two. She passed out and was caught by her dad and gently laid down on the floor. Paramedics were called to check vitals as patient continued to feel drowsy for a few minutes. She was assessed by paramedics and released to parents after checking vitals, blood glucose, heart. She stated she was feeling better after several minutes of sitting or laying down.

Within 10 minutes after the vaccination, there were some body tremors and dizziness, then she lost vision, hearing and ability to speak for a few seconds, followed by difficulty breathing and a feeling of her heart ?jumping out of chest.? Eventually, she recovered, but her right hand (not the injection arm) still has involuntary tremors, which has not gone away.

Approximately 5 minutes after receiving vaccination, patient reportedly became dizzy and stumbled into a floor display in the waiting area. Mother, who was with patient, states there was no loss of consciousness. Patient then sat in chair and after a few minutes stated symptoms began to resolve. Patient stated having a brief period of fuzzy vision. No signs of an allergic reaction were noted. Patient stayed in waiting area for approximately 1/2 and during that time stated symptoms had completed resolved. Patient then left the store.

Patient was given her first Pfizer Covid shot in her LUA at 3:15. After the shot one of the school nurses notice during observation that she stood up and looked lie she wanted to pass out. The nurse accompanied the patient to a nearby cot where she laid her down. The patient c/o lightheadedness, dry fuzzy throat. Patient's extremities were cold to touch, eyes rolling back, hand posturing (stiff and cold), shaking., 62 pulse. No problems breathing or swollen throat. Blood pressure was 119/67 at 3:25 and pulse was 80. Nurse elevated patient legs for about 10 minutes, patient felt dizzy, shaking, apparent panicking eyes still rolling back. She was able to respond to simple commands. Still fuzzy throat. Administer 50mg IM in RUE at 3:34p.m. Blood pressure 116/71 at 3:35. Patient's face cheeks started to look red and warm. Blood pressure 123/76 at 3:39p.m. We called 911 at 3:46p.m. Blood pressure 117/78 at 3:52, temperature 97.5 degrees. Paramedics arrived 3:54p.m. Blood pressure taken by paramedics:142/86, O2 saturation 70%, started oxygen via nasal canula at 3:56. Gave epinephrine 0.5ml IM in left upper thigh. Started IV line at 4:00p.m. Red tonsils, lungs diminished but clear. 4:02p.m. transported by paramedics to Hospital.

14 year old female with a CC of lightheadedness about 8 minutes after her first dose of Pfizer. States she also noted mild nausea. I asked the patient to elevate her legs and she states her symptoms resolved. I also had the patient drink more water at that time. No wheezing, no hives, no toungue, lips, or throat swelling. No vomiting. Vitals signs were stable, oxygen saturation 98%. EMS was not called and mother and patient decided not to go to ED for follow-up as the patient has a history of vasovagal syncope around needles and states this response is normal for her.

Starting at 0300 5/16/21 Pt was awoken with pain in R arm, R arm pit, and along back. Pain kept waking Pt up, she slept fitfully. Pt stayed in bed until around 1300 5/16/21. She had a project for school due- had to video tape making a recipe. She was standing up videotaping the ingredients when she felt very dizzy. Pt then reported that she lost her vision- everything turned black. I had to rush to her to catch her- she had loss of consciousness for about a minute. She was very pale- lips turned blue. She had a pulse the whole time, BP was 117/60- when I checked it about 5 min later. Her temperature on a ear thermometer was 99.7. After she awoke, she was still very dizzy and stayed in bed most of the day. 5/17/21 AM- she woke up for school 0600- and was feeling better. No more dizziness, color was back in her cheeks, was able to eat and left for school.

Client received 1st COVID vaccine of Pfizer (Lot# EW0182). Client reported to feel nauseated and dizzy. EMT responded at 4:18PM and informed RN . Client is accompanied by her mother sitting in the observation waiting area. Client has completed 20 minutes of observation before feeling nauseated and dizzy. At 4:18PM vital signs are BP 97/53, Pulse 56, SpO2 98%. RN consulted Client and mother in regards to ED precautions and common adverse effects of the COVID vaccination. Vital signs at 4:29PM are BP 111/68, Pulse 65, SpO2 98%. Nausea and dizziness has improved. At 4:32PM Client and mother left observation area. Client states adverse effects has resolved. Client left facility at 4:32PM with steady gate.

Vaccination was on Saturday, within 10 minutes of the vaccination, my child reported her ears felt like they were popping, she felt dizzy, tight throat and jaw pain. On site nurses gave her apple juice and crackers. She reported feeling unwell, dizzy, light-headed, jaw pain and short of breath the following day, on Sunday. On Monday, we took her to urgent care for same symptoms - unwell, dizzy, light-headed, jaw pain, short of breath. Rapid COVID test and strep test were negative, EKG was normal. Urgent care doctor says it is vertigo.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Additional Details: 10 minutes after receiving vaccine patient felt lightheaded and dizzy. After being place on her back with legs elevated she started to feel better. Her blood pressure was 101/66. Patient felt better over some time and left feeling fine.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: patient was very nervous about shot, after shot she got lightheaded, so we had her lay down with feet up, she did fine bp normal and hr 82, after laying down she felt better, had her sit up in chair, when she left felt ok

Patient reported "not feeling right", throat is tight, hard to swallow, light headed. Patient was put in the exam room at 6:00pm VS take, WNL. Doctor examined patient, lungs clear, airway clear. No swelling, redness, rash. Patient was given 25mg cap of Benadryl, monitored for 25min. Repeat vitals taken, improvement in HR, otherwise WNL. Patient given prescription for Albuterol inhaler, Benadryl, Loratadine. ER precautions advised to parent

Patient complained of dizziness about 5 minutes after vaccination. Patient was sitting at the clinic lobby with her mother. I assisted the patient inside the exam room to lay down on the exam table. Patients was so dizzy and about to faint. She could hardly get up to the exam table. I instructed her to get up to the exam table one more time. She was able to get up and lay down on the table. Patient did not lose consciousness. Vitals were taken and were stable. Mother gave patient gatorade to drink. Patient stayed laid down on the table for about 10-15 minutes. Mother was watching the patient. Patient was fully alert and no longer feeling dizzy. Patient walked with her mother. My assistant walked them outside our facility.

Systemic: Dizziness / Lightheadness-Medium, Additional Details: Right after immunization patient looked pale and thought she was going faint. This was a near syncope event. Patient did not actually faint. Told her to lay on the ground flat with legs elevated. She was monitored for 30 minutes and felt fine after.

At 15:18 pt reported to observation RN that she is feeling dizzy. Pt noted to be pale, vitals takes at 15:20 are: T: 97.4 P: 75 RR: 20 BP: 138/80 O2: 99%. Pt provided water at her request and feet propped up on a chair. Pt vitals taken again at 15:30 are: T: 98.3 P: 91 RR: 16 BP: 119/74 O2: 99%. Pt reported dizzy feeling subsided. Pt discharged at 15:45 in her mother's care.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Mild

at 3:43pm pt. reported dizziness. pt. placed assisted in gurney and placed in supine position. with BLE. elvauated vitals monitored pt was given fluids and snacks as requetsed Vitals BP 119/72 P-73 RR-18, o2 SAT 99% RA @4pm vitals BP 101/68 P-68 - RR-17 o2 SAT 99%RA

14 Y/O F hx of lightheadness post vaccine, laying supine for 5 minutes before onset of nausea. Provided emsis bag for episode of emsis lasting approx. 3 minutes. road test conducted at 10 minutes after pt stabilized. V/S WNL.

Vaccine Administered: Pfizer COVID-19 Patient reaction: Flushing Pale Skin Nausea/Vomiting Fainting Dizziness Action taken: Antihistamine given. Outcome: Patient recovered. Late charting for 5/17/2021 - 5ml Diphenhydramine given PO 10 minute after c19 vaccine - patient dizzy, diaphoretic, and nauseous. Emergency medication entered and signed.

Patient immediately became sweaty, dizzy,and experiencing hearing loss after receiving her first dose.Patient was seated on floor with elevated legs before she was wheeled back for observation. Patient was visually pale and sweaty.Patient denied any anxiousness before receiving her vaccine. Patient had vitals assessed and was given snacks and juice . Patient was reassessed after 15 minutes and reported feeling better and was sent home with parent. Patient and parent were advised to reach out to family doctor is any late onset of symptoms.

Within first five minutes sudden ringing in ears, nausea, dizziness, sweating. An urge to pass out/faint. Symptoms subsided after 10 minutes.

Patient received vaccine, stood up to walk around corner, then collapsed, hitting her head on floor. An EMT was in the area and stepped in. Pt was unresponsive for about a minute, pulse very weak. 911 was called. Pt was moved into a separate room once slightly responsive, she was very pale and seemed confused and was very nauseated. Her blood pressure dropped to 68/44, but over the course of a few minutes started coming back up. EMTs arrived and took patient to hospital to evaluate.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: Weakness-Severe, Additional Details: patient started feeling hypotensive, sweating, lethargic post covid 19 vaccination. paramedics called due to low blood pressure. patients symptoms resolved gradually and didn't necessitate ER trip.

Client received the 1st or 2nd COVID vaccine (Pfizer Lot # EW0185 expiration 05/22/2021) at 1312. RN vaccinated the client at 1312, the client then told her that she was feeling lightheaded and dizzy. RN alerted and they responded. EMTs alerted PHN at 1315 and vital signs were taken (blood pressure 102/60, oxygen 98, pulse 62). Skin color was appropriate to skin tone, client was alert and oriented. Client?s mother was with her and sated that the client as anxiety to needles and has passed out before from receiving a vaccine. Client stated that she did eat today. She has no medical conditions, no allergies, and is not taking any medications. Client refused Benadryl. At 1320 client stated that she was feeling a ?little better? and was escorted to zero gravity chair when dizziness and lightheadedness subsided. Client given juice which she accepted and drank. Vital signs taken at 1325 (blood pressure 118/74, respirations 18, heart rate 72, oxygen 97). Vital signs taken at 1335 (heart rate 76, oxygen 96, respiration 18, blood pressure 122/76). Client and mother provided education to seek emergency services if life threatening symptoms appear, and to follow up with primary care provider. Vital signs taken at 1345 (oxygen 97, heart rate 82, blood pressure 118/78). At 1347 client stated that she was doing fine and did not have any more symptoms. Client left with her mother at 1347 unassisted with a steady gait.

Pt began to feel faint w/ flushing/sweating in observation area. RNs were waived over by parents. Pt transferred via w/c to observation bay. NO loss of consciousness. Dad at bedside. BP 94/55, HR 51, RR 14 -- > 98/53, 60, 16. Pt feeling much better. Pt stable and released from the vaccination site.

Patient presented to COVID-19 vaccination clinic with mother for first COVID-19 vaccine dose. Patient c/o feeling dizzy post vaccine and vomited x 1. Mother of patient stated that patient always feels anxious and blood pressure increases whenever she is in a medical setting.

Patient fainted and felt dizzy roughly after 10 minutes upon receiving the vaccine. She immediately gain consciousness but could not recall that she fainted and just said she "blacked out". The pharmacy staff took her blood pressure, and said it was low but after monitoring for 10 minutes, it went back to normal. She felt no more dizziness, was able to stand up, walk normally and went home shortly after.

Patient had vaccine and entered waiting area for monitoring period. Started feeling dizzy and started to sit on ground but passed out while transferring to ground. Patient came to confused, pale, sweating and then proceeded to pass out 2-3 additional times. EMS was called as a precaution since patient reported feeling confused, weak, heart palpitations. Patient was advised to remain on the ground while waiting for EMS and was given an ice pack, water, juice and crackers.

Patient got her 1st dose of Pfizer vaccine, was told by provider and mother to sit down for 15 minutes. After awhile patient 's mom came back to pharmacy and alert us patient is fainting. I came to patient and she could barely stood up. patient looked pale. We assisted patient to come to pharmacy sitting area. I measured patient 's bp. BP reading was 60/43 and 70HR. Patient 's mom informed us she has not been drinking or eating breakfast, so they went to grab some snacks while waiting and that was when patient fainted. A by stander called 911 when patient first fainted. EMS came and brought patient to ER for further check up.

Client was feeling "cold." Client was a 14-year-old female sitting upright in her observation chair, alert and tracking with her eyes. Client had a chief complaint of dizziness and feeling cold. Client stated that she began to feel cold and dizzy a few minutes after her observation had begun. This was the client's first dose of the Pfizer vaccine. Client denied any medical history or known allergies. Assessment revealed no swelling, hives, discoloration, shortness of breath or other signs and symptoms of anaphylaxis. Client stated that she felt "cold" and "dizzy." Client stated that her only meal was the snacks provided at the vaccination site. Airway, breathing and circulation were intact. Client's initial set of vitals at 1006 was 116/78 blood pressure, 80 heart rate, respirations 16, alert and oriented to person, place, date and event. Temperature 97.8*f. EMTs present were unable to obtain an O2 sat due to client's nail but client was negative for signs of shortness of breath. Client was asked to lie down until her complaint was resolved. Client was provided with food and was able to eat without difficulty. Client was reassessed every 15 minutes due to her stability. Vitals were as follows: 1011 - 108/78, 84, resp. 14 1021 108/78, 88, resp 14 1029 - 108/78, 80, resp 16. After approximately 10 minutes, the client denied any symptoms and was asked to sit up in an observation chair for the remainder of her observation. Client and her mother were instructed to seek emergency care if signs or symptoms of an allergic reaction occur later this evening.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Nausea-Medium, Additional Details: after getting vaccine, pt felt dizzy/lightheaded. pt has had hx of fainting after getting vaccines due to anxiety. pt was very sweaty/hot. laid pt on the ground and instructed her to put legs up on the chair. provided water stated that was helping. nurse, lpn came and checked pts vitals. while we called 911. ambulance came and took her away. mom came back and said daughter was feeling better and did not go to ER

Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: pt passed out after about 10 minutes while in observation area. dad was next to her and she did not fall. emt were called to check her out and after 1/2 hr pt seemed to be ok

I administered the Pfizer Covid-19 vaccine to the patient (14 year old) she was very anxious, after giving it to her she sat in the post-IMZ waiting area on the chair. Her mother was next to her. In a few minutes she told her mother she was feeling dizzy and started to fall off the chair. Her mother caught her and yelled to us for help. We called code white and 911. She recovered in a few minutes and he gave her an ice pak as she was hot. She sat on the floor with her mother. She stood up after she felt better and sat on the chair and then she got pale again and looked like she was about to faint again. The fire department had arrived and they checked on her. By then she was a lot better. They decided that it was not necessary to call an ambulance and went home. We gave her a bottle of water. I followed up with the mother at 7 pm and she was doing a lot better

1:16 Pt. c/o that she feels faint, also has nausea and vomiting. 1:25 Pt. report feeling better. 1:45 left site. BP 133/66, 81hr, O2Sat 100%1. 1:47 Patient reported feeling better. Mom was advised that if patient (daughter) still experiencing symptoms to consult 911 or family physician. Understanding verbalized.

7 minutes after vaccination, attendee developed dizziness and a purple circle in her vision. She was assisted to a cot, lied down and her feet were elevated. HR 90 BP: 104/58 RR: 18 O2Sat: 100% Temp 98.3. Nine minutes later she was asymptomatic. HR: 90 BP: 110/50 RR: 20 O2 Sat: 100 Temp: 98.2. 10 minutes later still asymptomatic. Assisted to sitting position then vitals taken HR: 84 BP: 112/62 RR: 20 O2 Sat: 98 Temp: 98.2. She remained asymptomatic. Assisted to a standing position, Asymptomatic. Discharged to home with her mother. Able to independently walk out of the clinic.

Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Pt received vaccine, spoke to her shortly after and decided to shop around the store. Shortly after walk pt started feeling light headed, and dizzy and fainted. Mom stated that this had happen to her before. Monitored patient for 30 min, gave water and a snack. Mom decided against calling 911.

Patient immediately felt dizzy, broke out in hives on bilateral arms from elbow up, chest, neck, mouth area, muscle weakness in bilateral lower extremities. Increased heart rate from 110 at lying to standing at 146 bpm. Administered 25 mg of Benadryl By mouth with water. Within 20 minutes hives on face disappeared but remained in all other areas and none of her symptoms went away. Called 911 had her transported on a stretcher in an ambulance for further observation.

Approximately 2 hours after receiving her first covid vaccine, my 14 year old fainted. She was standing in our kitchen at home and became dizzy and started falling backwards. She said her vision was black, she was hot, her head hurt, I could see sweat on her face and chest, and she said she was having tightness in her chest/not able to get full breaths. She didn't totally lose consciousness, but she was disoriented. These symptoms lasted a few minutes, then she felt fine.

Pt c/o dizziness. BP 121/69, HR 68, RR 18 -- > 103/68, 67, 18. Pt reports that she did not drink much water today. Pt given water and juice, laid down/rest. Pt reports feeling much better after laying down. Pt stable and released from the vaccination site.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: PT fainted after receiving the vaccine, she hit her head against a shelf and got bruises. 911 was called to inspect the patient, intial BP was 90/60 and it became 105/60 after about 10 minutes.

Horrible headache on Sunday, tears from pain, took rizatriptan and amitriptyline and did not help, Monday could not lift head off pillow due to headache still there. Started day with 2 naproxen

AE: patient got dizzy, vomited and syncopal walking. No medication was given. food and water improved the symptoms Outcome: patient discharged to POV/Home

Initial complaint at 1353: Lightheaded, hot, cold, headache on right side, diaphoretic to the touch 1406 BP 110/70 HR 64 Denies SOB, tingling throat. Ate at 12 noon fruit and chips 1410 BP 122/72 HR 66 Worsening of headache on right side of head, room spinning. Hot/Cold flashes have passed. 1413 Spinning has stopped. Everything is bright. Clamminess has subsided 1417 R side of face numb. symmetrical grimace/smile 1419 Sitting up. Reports dizziness. Feeling melting down right side face. ***Documentation provided stops here.

Patient developed dizziness and coldness in extremities. She tried walking and fell down, but did not lose consciousness. She then alternated between feeling hot and cold and seeing "blurry spots". I noticed her lips turning white and she said she needed to lie down. I got her water and ice packs since she was sweating. We sat on the floor for about 10 minutes, then she was able to move to a chair for another 5-10minutes and then left the facility. Mom reports that she has been lethargic and napping most of the day. Patient ate a few cheez-its for breakfast and reports that she did not get a good nights sleep last night.

Started Tuesday evening with light headed, dizziness, headache, in the early morning hours pt said she felt as if her right side was going numb & asked to go to the hospital. Later in the afternoon she got worse along with bad chest pain & stomach & started vomitting

Approximately five minutes after the vaccination, patient became very light-headed and nauseated with loss of vision. She was offered water and hard candy while waiting for the paramedics to arrive. She took a small amount of each, but declined anything else from the store. She seemed to be in significant distress and had difficulty moving to the immunization room where she would be out of view from others in the store. Parmedics arrived and checked her vitals and said those looked ok, so they didn't seem concerned. Patient still seemed very unsteady when leaving, but did say that her vision had improved. Patients were advised to keep a very close eye on her.

Dizziness reported ~5 minutes after injection. Water and juice provided, LE elevated. Shortness of breath reported ~45 minutes after injection. After 1 hour of observation at Vaccine Clinic, patient transferred to Urgent Care per family request.

Lightheaded and sweaty 3 mins post vaccination Water was provided, patient rested Patient discharged to home

Participant's mother states her daughter received the vaccine around 3:30pm. PT mother states her daughter felt a headache, felt dizzy and then had a syncope at around 6:00pm. 911 was called. PT mother states they went to the hospital where lab work was done. They told her that her daughter's potassium, iron and sodium was was low. The medical staff said she was excessively dehydrated. Her mother states as for today her daughter gets easily dizzy after she eats, and gets headaches, feels light headiness and I have been IV liquids to give her levels up.

Following routine volleyball practice, patient developed heartburn, lightheadedness, and palpitations. Elevated heart rate noted by this reporter (mom and also RN), called Peds on-call and were directed to ED. Patient was found to be in SVT with heart rate over 250. After several tries, able to reduce HR to 110-120 range with vagal maneuvers, discharged home to follow-up with pediatric cardiology (patient has no medical history). Correlation unknown and long-term effects yet unknown (currently wearing long-term heart monitor with other testing and follow-up pending).

Patient complaints of dizziness and shortness of breathing. Provider on-site assessed the condition of the patient and was experiencing cold clammy skin. Provider recommended to give EPIPEN 0.3 and called 911

Dizzy, fell to ground from chair. BP 128/68 at 12:05. BP repeat at 12:10 is 122/70. Recovered and Father came to pick her up from school.

Patient suddenly fell out of the chair 10 minutes after getting vaccinated and her bridge of the nose hit the concrete. Patient had tonic clonic movements for 5 seconds and regained consciousness immediately, was breathing spontaneously and had a pulse. Patient reported feeling dizzy prior to falling and anxiety over getting vaccinated. Patient was taken to a cot to lay on for 15 more minutes. Patient reported feeling better after laying down. Mother of the patient stated that there is a family history of epilepsy. Informed mother to bring patient to her primary care provider for follow up.

Patient fainted after vaccine given and fell from the exam table onto the floor landing on her left side bumping the left side of her head and left shoulder. An ambulance was called. She quickly regained consciousness after approximately 10 seconds. She was alert and oriented to place, date and her birthday. She was able to move all extremities with 5/5 strength; no misalignment, asymmetry, or defects noted in head, neck, spine and major joints. She had full range of motion in all extremities and neck . Pupils equal and react to light. Left side of head above ear was slightly tender without any defects. Left shoulder was slightly tender to palpation anteriorly without difficulty with full range of motion. There were no bruises noted. She denied any difficulty breathing. BP was 88/60 and HR 125. After evaluation and assessment, patient was stable and the ambulance was cancelled per father's request. Patient remained in clinic and drank approximately 8 oz of water without difficulty. Patient's blood pressure was checked standing after 45 minutes and patient became slightly light headed again. Patient was instructed to remain in the clinic for 15 more minutes. Patient's blood pressure was re-evaluated and was 84/60 after standing for 2 minutes; she was asymptomatic and denies feeling like she would faint. HR 100. Discussed signs and symptoms of a concussion, warning signs to monitor (sleepiness, difficulty moving, headache, or vomiting), and when to go to ER. Father verbalizes understanding. Patient was able to walk out of the clinic with father and brother in a stable condition. Patient instructed to f/u with doctor in two days or ER sooner if worsening

Patient had the vaccine and during the 15 minutes wait on the chair, she felt dizzy and felt on the floor. Patient is alert and communicating the whole time. Called 911 and paramedic came and took her to hospital since she felt and hit her head on the floor.

Pt received her 1st dose of the Pfizer vaccine in the right arm at approximately 2:45 PM on May 29 at pharmacy. Pt was recommended to sit for 15 minutes in the waiting area after vaccination for observation, but she and mom opted to go shopping in the store. At approximately 3:37 PM, pt and mom came back to the pharmacy to tell me (the pharmacist) that she had hives and showed me red bumps on her left arm. I had the pt sit while mom went to go buy Benadryl. After 5 minutes, I checked on the pt. She had taken one dose of Benadryl and stated that she was dizzy and feeling itchy all over. After chatting with mom for 5-10 minutes, the pt stated that she felt like her symptoms were not worsening and were stabilizing. The pt then said she wanted to rest at home. I recommended she sit for a little longer, but mom stated she would keep a close eye on the pt and had an epipen at home. They then left the pharmacy. I followed up with mom on May 30th at approximately 4:00 PM to see how the pt was doing, and she stated that they were at the ER because the symptoms were not getting any better, and the pt "felt like she was having an asthma attack." Pt's mom states that the pt is doing much better after receiving IV meds.

patient was given pfizer vaccine and was sitting in the chair for post vaccination waiting for about 5 minutes. Suddenly I looked up, I noticed her body stiffened and her eyes closed. she tumbled to the floor and hit her head on the ground. Paramedics were dispatched immediately. patient woke up right away, we checked her pulse, forehead for fever, and back of her head for any possible bleeding. She answered all questions that we asked of her correctly (such as her name, her age, etc.) Paramedics arrived, took her blood pressure, oxygen level (both normal), blood sugar (normal). Parents decided to take her to hospital for further evaluation. I called and spoke to Dad 5 hours later, dad stated that she is doing fine.

Systemic: Dizziness / Lightheadness-Medium, Systemic: patient cant control breathing; cant walk after 10 min administration-Medium, Systemic: Flushed / Sweating-Medium

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

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Medium

while in the observation area the client reported that she had a feeling of her tongue swelling, face tingling , dizzy, lightheartedness , vision changing "felt strange". Able to speak full sentences, lung sounds clear, vital signs within normal limits. Calm and conversant. EMS summoned for evaluation . Evaluated and per the medic team father requested transport to Hospital .

Pt c/o feeling dizzy, decided to lie on ground BP 110/60; HR 80; RR 22. Vital signs stable. Drank water. Felt better in 5 minutes. Discharged home in stable condition

HPI: Patient is a * year old * who presents following administration of the first dose of Pfizer COVID19 vaccine in the left deltoid. She states that immediately following administration of the vaccine, she started to feel lightheaded with ?fuzzy vision,? and pain with swallowing. She denies a history of anaphylaxis. She affirms seasonal allergies and confirms that she was feeling ?stuffy? this morning. She affirms that she ate and drank this morning without odynophagia. She relates that there was a big family argument that is causing her to feel stressed at this time as well. She affirms pleuritic chest pain, odynophagia, epigastric abdominal pain, headache, lightheadedness, and blurry vision. She denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting. Exam: GEN: Alert and oriented x 4, NAD. Patient appears to have a developmental delay secondary to eye contact avoidance, slow to respond, and speech impediment. HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD. CV: RRR, no m/r/g PULM: Shallow, guarded breathing at rest, but clear to auscultation bilaterally with deep inspiration, no accessory muscle use ABD: Soft, no tenderness. SKIN: No rashes, skin warm and dry. No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady Clinical Impression/Field Tx: Vital signs stable and physical exam within normal limits, however, patient continued to report odynophagia, pleuritic chest pain, abdominal pain, lightheadedness, and blurry vision, even after giving patient snack/drink and reclining her with lower extremities above the level of heart and head. EMS called to the scene for further evaluation. Instructed patient and parent to consult their PCP regarding the post-vaccination reaction. Patient and parent instructed to go to emergency department should she develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting. Patient and parent demonstrated understanding of post-vaccination instructions. Medications administered: None Disposition: EMS contacted due to patient not improving. Care transferred to EMS . No workup was performed by EMS and they instructed the parent of the patient to take the patient to ER via private car for further evaluation. Father was amenable to plan and signed form.

Light headed, dizziness Vitals: BP 122/70 HR 86 Resp 20 O2Sat 96 Skin Signs: Warm and dry Circulation: 1 Respiratory: Breath sound clear bilaterally Initial Treatment: Moved patient to triage, placed in supine recovery position, gave patient juice box 6:02 PM Vitals: BP 125/68 HR 84 Resp 20 O2Sat 96 Skin Signs: Warm and dry Circulation: 1 Respiratory: Breath sound clear bilaterally 6:17 PM Vitals: BP 110/62 HR 88 Resp 24 O2Sat 96 Skin Signs: Warm and dry Circulation: 1 Respiratory: Breath sound clear bilaterally Notes: Clinic lead advised parent to take patient to hospital if symptoms worsen or left baseline. Patient released with parent.

Patient felt dizzy immediately after the shot was given. She said she was going to pass out, and did for about 10 seconds. She was sitting up in a chair during this time, with her mom holding her up. She came to, the about 20 seconds later, she passed out again for another 10 seconds. She came to, and was given some water to drink, but 20 seconds after that she threw up the water. I took her blood pressure, and it was 60/40, with a pulse of 60. She was very pale. After resting in the chair and taking deep breaths, her color returned and she felt much better. she also said her vision wasn't blurry anymore. Ten minutes later, she left with her mom, feeling ok. She was very anxious about getting the shot, and told me she had passed out in the pass after giving blood.

Felt lightheaded and dizzy after vaccination. Did not eat prior to vaccine. Drank juice and felt better. VSS. BP: 112/66, HR 56, O2 95% ORA

Pt c/o nervousness/dizziness. BP 86/40, HR 86, RR 16 -- > 105/48, 82, 16. Orthostatics 95/69,90 -- > 95/68, 91 -- > 93/66, 84. Pt stable and released from vaccination site.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient received vaccine. directly after administration patients pupils were dilated, she was pale, and was not answering questions. Patient was placed on floor with legs elevated, we called 911. after a couple minutes patient said she felt fine, so we sat her up in chair and gave her glass of water, which she drank. Patient again reported feeling light headed and her pupils were dilated. medics took her the hospital

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient received vaccine. directly after administration patients pupils were dilated, she was pale, and was not answering questions. Patient was placed on floor with legs elevated, we called 911. after a couple minutes patient said she felt fine, so we sat her up in chair and gave her glass of water, which she drank. Patient again reported feeling light headed and her pupils were dilated. medics took her the native hospital

Patient became dizzy and had a vasovagal syncopal episode 5 minutes after vaccine administration. Mother denies any significant medical history. Mother reports that the patient faints with blood draws and patient reports being anxious with needles. Mother reports patient did not eat breakfast this morning prior to vaccine administration. EMS was called from one of the team leads and EMS took the patient to the ED.

At 14:13 voiced complaints of Nausea, lightheadedness and dizziness. Then started vomiting. Attendee was pale and clammy. Assisted to the cot after she stopped vomiting. Elevated legs, when stated that she was no longer nauseated. HR: 84 BP 120/68 RR 16 O2sat 95. 14:20 - Attendee stated she felt better, a little pale, denied any dizziness, lightheadedness or nausea. Hr 82 BP 120/68 RR 18 O2Sat 97. 14:36 -No voiced complaints- skin warm and dry. HR 69 BP 118/64 RR 20 O2Sat 98. 14:43 - Care Practitioner educated on home discharge/adverse reaction instructions and she was discharged to home with her mother.

Patient came in with her father to get 2nd Pfizer vaccine. Patient stated with the first shot, she felt a little dizzy but then it went away. Her father said she was nervous/anxious to get this vaccine. Patient got the vaccine first, then sat in the observation chair while her father got his vaccine. While her father got the vaccine, I checked on her and she said she felt a little dizzy. Patient agreed to put paper towel on back of neck and wrists. As soon as her father finished his vaccine, we moved her to the immunization room to monitor her (such as blood pressure - readings given to paramedics.) Her heart rate was a little high (I believe 107), then went back to normal. However then her blood pressure started getting lower (around 80/40s) and began feeling worse. Laid patient down with feet elevated and called 911. By the time ambulance arrived, her blood pressure was starting to improve. Her father agreed with ambulance to bring her in to get checked out.

After administration, the patient became dizzy, shaky and sweaty. Her eyes were slowly closing and opening. I had her parent get juice and a candy bar while I monitored her. She stayed seated for at least 30 minutes and felt better after eating and drinking. She left with her parents after she felt better.

Extreme fever, 104.1 Temporel thermometer, nausea vomiting, malice fatigue, lightheaded dizziness, hallucinations with the fever, Vasoconstriction that included numbness of hands and extremities. Fever exceeds the 48 hour mark only brought down by ibuprofen and acetaminophen alternating Q3 hours then bringing the fever down to 100.1 on average between doses

Patient had syncope/seizure episode and fell face forward. Patient then had an episode of seizure like activity. She was transported to the emergency room.

Fainting 24 hours after receiving 2nd dose of Pfizer vaccine. Started feeling lightheaded, dizzy, broke out into a sweat and passed out for approximately 15 seconds. EMT called and observed at scene; transported to ER for additional observation. Received IV fluid and monitoring at ER and discharged later the same day.

Immediately following first does of covid vaccine patient became unresponsive, diaphortic. Pt did have a pulse and spontaneous breathing. Pt responded to ammonia capsule by opening her eyes . She complained of sudden onset of chest and abdominal pain . Pt states she became dizzy, lightheaded immediately following the injection. Then developed chest tightness and abdominal pain and nausea . Pt rated abdominal pain 10 0n 1-10 scale. Pulse 88 resp 36 Tx at mobile clinic: Ammonia capsule, benadryl 25 mg PO Pts weight 40.1 kg Tx in ED: Prevacid , Tylenol with great relief ,symptoms resolved

Site: Bruising at Injection Site-Mild, Systemic: Weakness-Medium, Additional Details: pt was anxious and light headed she fainted on the floor gradualyl no bursing or hurt. pt was able to walk to car to head home and rest

Patient received 0.3ml Pfizer Covid vaccine injection into the right deltoid. About 10 seconds after receiving the injection, she stood up and started to feel dizzy. About 5 seconds later, patient fainted. Patient was caught by pharmacy staff and was lowered to the ground. After about 10 seconds, patient regained consciousness and was aware of the surroundings. Patient was able to answer questions regarding her name, her location. Pharmacy staff called 911 when patient fainted and paramedic staff came within 8 minutes. Patient was accessed by paramedic staff and was transported to hospital per request of her mother. The vital signs reported by paramedic was as followed: Blood pressure 96/52 , Heart Rate 98.

VACCINE GIVEN AT 5:30PM PATIENT HAD SYNCOPE AND FELL TO THE FLOOR BUT DAD CAUGHT HER AND LAID HER DOWN ON THE GROUND SINCE SHE COULD NOT SIT UP ON HER OWN. WE TOOK HER PULSE AT 5:34PM AND WAS 68 BPM. SHE BECAME PALE AND WAS NOT RESPONDING. REGAINED CONSCIOUNESS TOOK HER BP @ 5:40 WAS 102/80. SHE WAS RESPONSIVE AND PATIENT WAS ABLE TO WALK OUT WITH DAD. RESCUE CAME AND SHE DECIDED NOT TO GO TO THE HOSPITAL **(REFUSED), LEFT AT 5:55PM.

pt received her second dose of the pfizer vaccine. as soon as she sat down for the 15 minute observation, she slumped over and fell to the ground. we called 911 and she was conscious. she needed about 1 minute to gather herself. Her legal guardian said she usually has anxiety after getting a vaccine. the EMS came in and took her to the hospital

Patient had a vagal response. She became sweaty, dizzy, her vision was impaired then she passed out or seemed to.

My daughter was receiving her second vaccine about 1230pm and while administered she immediately told me she felt ?dizzy and nauseous.? We sit down, she is not feeling better and within 3 minutes or so she said she felt? dizzy and feel like I?m going to throw up.? She then starts nodding off and on, not able to keep her eyes open. I waved over for help and by the time volunteers got to her she went limo and passes out. She was taken by wheelchair to medic room and they had her lay down. She came alert and said ?everything went black? and had no memory/recollection or awareness of where she was and how she got to the medic room. We gave her water and I asked for crackers and she felt better and was able to leave around 115pm. In addition, we saw a teenage male pass out prior to my daughter and was also taken by wheelchair. I spoke with a RN as I was leaving and was told multiple teens had had the same initial reaction today. She had no reactions or side effects with her first dose.

EOA called in to report an adverse event. Attendee, DOB 05/28/2007. W/in 60 secs of receiving shot, she looked pale, felt dizzy, reported feeling lightheaded. Mom was there and reported this happens when she receives injections. Didn't have time to get her to observation, so laid her down over 3 chairs w/head in mom's lap. First vitals:3:15p, BP 110/70, HR 86, resp 19, O2 100% room air, temp 98F. Kept an eye on her, w/in time she took vitals she was feeling better. 2nd vitals 3:20p, BP 102/70, HR 71, resp 16, O298% room air, temp 98.3. 1st dose of Pfizer, lot EW0217. Shot in L arm. Patient's sx subsided, she was released w/her mother, no further issues.

Patient stated she felt dizzy once standing after first dose of vaccine. I had her stay in the same chair she received the vaccine in for her post-vaccination wait time. She immediately felt dizzy and described her vision as pixilated. She also stated she could not hear out of her right ear. She wanted to stay seated with her eyes closed. Everything resolved within 13 minutes with no treatment.

0918 Called to front lobby. Found patient unconscious lying on floor. Unconscious 15-30 seconds. No facial swelling and no difficulty breathing. Per witnesses she fell. Code called. Pale and diaphoretic. C/O hot and dizzy/ VS Resp 14 HR 78 BP 106/66 O2 Sat 100% on room air. No history of syncope with vaccines or needles. Instructed parent to remind us this happened when returns for #2 so we can administer vaccine with her lying down. Verbalizes understanding. 0920 Cleared cspine by Dr. who was fist physician on scene. 0925 Transferred to gurney via walking with two person hands on assist. Transferred to ED accompanied by ED personnel and mother.

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

After I read out the signs of severe allergic reaction. Caller mentioned her daughter had some but not all of them; her lips turned blue; light headache; incoherent; This is a spontaneous report from a contactable consumer (patient's father) reported for his daughter via medical information team. A 14-year-old female patient BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number, and expiration date: Unknown), via an unspecified route of administration on an unknown date (at the age of 14-year-old) as 1st dose, single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. She received the first dose of the Pfizer COVID-19 vaccine three weeks ago and was due to receive the second dose next day. She had a severe reaction to the first dose. she had the first COVID-19 vaccine dose, she had a pretty severe reaction to it, that passed after 15, 20 minutes but just want to make sure that still get the second shot which was scheduled for tomorrow. Reporter stated, patient got her first shot for the first fifteen minutes, her lips turned blue, she got really light headache, become slightly incoherent, then after about 15, 30 minutes those symptoms went away, and she was ok. Reporter wants to know whether she could get her second dose and asked what the signs of a severe allergic reaction are. Consumer read out the signs of severe allergic reaction and mentioned her daughter had some but not all of them. Reporter did not specify any seriousness. The outcome of the events was resolved. Information about batch/lot number has been requested.

Pt. stated, I got dizzy and nauseous two minutes after getting vaccinated." "I'm also afraid of needles, something happened with the first dose." Vital signs done. BP 110/60, HR 66, O2Sat 96%, R 18, glucose 91. At 12:26pm pt. stated, "I feel better now." At 12:38pm reported feeling better and wants to go home. 12:39pm patient went home with her mother.

5 minutes after vaccination, Attendee tried to stand up and fell forward - nurse caught her and assisted Attendee to floor. Vitals ok - EMS were called. Mother was in attendance and was anxious and a bit tachypneic. EMS arrived after 2 minutes - Glucose was 74, took Attendee to local hospital.

Patient was getting tingly, lightheaded, pale, and eyes rolling back after receiving her first dose of the Pfizer Covid vaccine. We gave her some glucose tablets and she seemed to get better afterwards. I did a pulse oximeter on her her and her pulse and oxygen was normal. I offered mother if she wanted me to call 911 and she said no. I counseled mother and the girl to monitor how she is feeling and to seek 911 or urgent care if she gets worst throughout the day. The girl left the store feeling okay.

Pfizer-BioNTech COVID-19 Vaccine EUA: Patient was given the vaccination and then walked out to the pharmacy waiting area. She sat down, told her mom that she felt dizzy and then her head fell backwards while she was sitting in the chair. A moment later, she picked her head up and called for her mom. Pharmacy personnel immediately went out to see what was happening. Mom said to call 911 so the pharmacy technician called 911 and sat with the patient until EMS arrived. Patient was talking and still sitting in her chair when EMS arrived and she was taken by EMS to the hospital. We contacted her father by cell phone a couple of hours later and he said that she was having tests done.

Patient received vaccine at 3:17pm, following which they were instructed to have a seat in the waiting area. At 3:21pm, mother reports patient stating they were not feeling well, head tilted to the left and they slipped out from chair onto the floor, resulting in minor trauma to the mouth area. Pharmacy staff responded quickly, calling EMS, instructing patient to stay on floor in recovery position while help arrived. Patient was responsive and alert to questions during this time, mother was blotting mouth area with gauze and water. Patient quickly stabilized after. EMS arrived at 3:37pm and performed follow up tests including HR and blood glucose in EMS vehicle to which mother states results were normal, but patient was again light headed due to sight of blood. Mother and patient declined ride to additional medical facility.

Lightheaded, low heart rate, low blood pressure, blacking out with no vision the first hour of the vaccine. Could not walk without being held.

Prior to vaccination patient appeared anxious and resulted in nose bleed. During observation period time vitals assessed. Pt reports needle anxiety; spoke clearly without difficulty; A&O x3. Vitals: BP: 90/60; HR 70; O2 Sat: 98% in room air; RR: 20. LPN educated in slow deep breath techniques, provided water, and educated to keep car cool. Vitals re-checked at 1429: BP: 112/80; HR: 70; O2 Sat: 98% on room air; RR:20; pt reports feeling "dizzy" and stated she did not eat prior to vaccine. LPN provided OJ and crackers; continued to monitor for 25 full minutes. Pt reports "feeling better" after interventions; vitals within range; spoke clearly without difficulty; pt and family educated on high alert symptoms as well as continuing deep breathing and avoiding the sun. Pt left at 1435.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Tinnitus-Medium, Systemic: Vomiting-Mild

Patient experienced syncope episode : turned pale, fainted and fell off the chair, leg jerked. Had to call 911

The patient received her first dose of the covid vaccine and was fine immediately after the shot but after she got up and walked out of the consultation room she fell over and fainted. We cleared the area and put ice packs on her forehead and behind her neck and put some fragrance in front of her to smell which woke her up. Once she woke up her dad lifted her back into the consultation room and we had her lay down and put her feet on a chair. She was lying down for about 10 minutes then we gave her gatorade and she said she felt better. Once she got up, I asked her to remain seated in our waiting for another 15 minutes before leaving.

Immediately after recieving the vaccination the patient stood up and collapsed. She was attened to be our nurses. The patient was pail and clammy and a litte dizzy. We called for paramedics who came and examined her. They offered to transport her to the hospital, but they mother declined.

8 minutes after vaccine was administered she started to feel lightheaded and like she was going to faint, also felt shaky. Was given water and laid down. Her sister felt faint as well and she was concerned about her. Was fine after 8 minutes. No vitals taken.

9:52 Within 1 minute of being vaccinated, while seated in chair stated "I'm really lightheaded". Eyes were wide open and became unresponsive to verbal stimulation 9:53 Arms stiffened, no response, diaphoretic, pale 9:54 More responsive, groggy 9:56 Placed in supine position on floor mat with legs elevated. Stated she "could feel nurse holding me up" 9:58 BP 96/50 HR 70 laying flat 10:00 Call placed to mom 10:03 Mom arrived 10:05 Sitting up, eating snack with bottle of water 10:07 Felt "shaky" and laid down 10:09 BP 96/52 HR 80 10:15 BP 98/52 sitting up, HR 80 10:26 Seated in chair eating another snack. feels "a little lightheaded"10:25 Feels OK. DC with Mom

Patient reported being nauseated, lightheaded, dizzy, and felt that she needed to vomit. Patient stood and immediately collapsed to the floor. BP 117/81, R 18, HR 117, T 98.2, O2 sat 99%. Father stated that she had not eaten that morning; she was given crackers and water. , BP 110/76, R 16, HR 92, O2 sat 100%. Patient stated that she was feeling much better and was able to walk/stand without feeling lightheaded or dizzy and went home.

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

HPI: 14-year-old female 1 minute post-vaccination developed 1 syncopal episode, lasting 5 seconds. Patient was caught by her father prior to falling off her seat and regained consciousness. She was able to verbally communicate and respond to commands. No falls or head trauma witnessed. Patient reported a similar episode with her first dose of Pfizer; she was seen at her PCP the following day and was told she could get her second dose. Patient denied shortness of breath, pruritus, difficulty breathing, fatigue, diaphoresis, tongue or lip swelling. Patient was fully assessed by medical staff and given PO fluids and cold compress. She was monitored for 30 minutes with no further progression of symptoms. Upon leaving the patient reported a full recovery of any adverse symptoms and was driven home by her father. Patient and parent were educated to call for EMS if symptoms returned and to follow-up with her PCP. Physical Assessment: BP: 96/60 mmHg left arm, sitting position HR: 79 bpm RR: 18 breaths per minute SpO2: 97% RA Constitutional: No acute distress. Non-diaphoretic. Lungs: Clear to auscultation bilaterally. Heart: Regular rate & rhythm. No murmurs, rubs, or gallops. Neurology: A&O x3. Normal speech and gait. Skin: Warm and dry.

Symptoms: Patient was sweaty, dizzy and nauseated 1 minute after the administration of the vaccine. Treatment: Patient laid down and symptoms improved . Outcome: Patient was discharged to POV/Home once the symptoms were improved.

Fallen unconscious and collapsed; Fell down and she was not conscious/passed out; Had concussion like falling on the ground but it appears like a seizure, that was a immediate thing; Fallen unconscious and collapsed; Fell down and she was not conscious; Had concussion like falling on the ground but it appears like a seizure, that was a immediate thing; Low blood pressure; Fever; Shaking/She was shaking/still moving; She was not feeling well; She is still twitching; Eyes go back; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (mother) reported that a 14-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 03Jun2021 (Batch/Lot number was reported as EW 'O or 0' 186) at the age of 14-years-old as SINGLE DOSE for covid-19 immunisation. The patient medical history was none. There were no concomitant medications. No family medical history of seizure. The patient previously received the first dose of BNT162B2 on an unknown date at Arm Left for covid-19 immunisation. The reason for the transfer today (03Jun2021) was that her 14 year old daughter immediately after getting her second dose of the COVID vaccine started shaking, experiencing fever and fallen unconscious and collapsed and was taken to the hospital and she wanted to go ahead and report those adverse side effects for her. She (patient) was 14 year old and she got her second vaccination today and few minutes after she got it, she stood up and she said she was not feeling well and then the next thing reporter knew like her eyes go back, she do not seem conscious and she was shaking as if, looks like she was having a seizure and then she fell down and she was not conscious, so she fell down, she is still twitching. She has no history of like seizures but that is like twisting and now she was taken to the hospital. So, the hospital treated her as if she had a concussion. Reporter have reported to them that she looks like it was a seizure before she fell down, into her head. Reporter further stated "That day was her second shot and like I said she stood up, she got up from that, she said that she got funny and that I can see where she just kind of lost consciousness, eyes going back, shaking as if she was having seizures and then she fell down and she was unconscious and she is like still moving as if she is having a seizure and she was taken. Reporter stated, "it was a like a seizure but it is like over and she had concussion like falling on the ground but it appears like a seizure, that was a immediate thing." For treatment, reporter stated that "Any treatment, No. She was taken to the hospital and the hospital needs to write it down and I don't understand that, the hospital wrote down concussion but the hospital they took the vital signs and she had low blood pressure." For the date when patient went to the hospital, reporter stated "That was today, June 3rd and she is discharged. The reason she was taken was potential seizure and it was concussion and it was after she fell, she passed out and had low blood pressure. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Feeling kind of dizzy and shaky; Feeling kind of dizzy and shaky; It could be anxiety from actually getting it; This is a spontaneous report from a contactable consumer (patient's mother). A 14-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot number: EW0183, Expiration date not reported), via an unspecified route of administration on 21May2021 13:40 (at the age of 14-years-old) as first dose, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced feeling kind of dizzy and shaky and it could be anxiety from actually getting it on 21May2021. Patient was feeling kind of dizzy and shaky. Reporter just noticed that this was not kind of listed under the severe allergies but patient does not seem to having allergic reaction. Reporter was just wondering that if this was a side effect as it could be anxiety from actually getting it. Patient did not received treatment as a result of the events. Reporter said she gave patient food to see if she needed to eat. The outcome of events were unknown.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: face was pale---consiousness was on and off-Severe, Systemic: Nausea-Severe, Additional Details: after recieving 1 st dose of pfizer vaccine--patient was in the observation area for 15 minutes,during that time frame patient started feeling nauseous and then she felt dizzy..her skin was turning pale.. her consiousness was on and off.. she would respond one time and then another second she would freeze..at one point she lost consiousness. then we called 911 (EMS) right away...before even ems arrived patient regained consiousness. when EMS arrived patient was responsive & went to hospital.

14 yo Female client received Pfizer vaccine at 13:29. Client reported feeling dizzy and light headed, appeared pale. Client escorted to the floow to lie down, father present BP 138/94, client reported feeling anxious Father gave client cookies, client reported feeling better but had a headache, color returned No EMS called Ambulatory upon leave with father

Patient reports feeling nauseated and lightheaded. Patient vs 106/87, 79, blood sugar 120, 97 oxygen. Water provides to patient. She states she feels better. Pt discharge home.

Client received the 1st COVID vaccine (Pfizer, Lot # EW0187, EXP: 07/10/2021) at 14:38. EMT reported to PHN of patient reporting of dizziness and nausea. Client is alert and oriented to person, place, time and date. Guardian of patient was present and reported patient hasn?t eaten since breakfast and reports a history of dizziness and anxiety and no known allergies to medications or food. At 14:43 patients? vitals were taken; blood pressure 110/70, heart rate 75, oxygen saturation 99, patient was given a granola bar. At 14:47 patient stated, ?nausea is subsiding?, at 14:50; blood pressure 112/82, heart rate 84, oxygen saturation 99. Patient and guardian was encouraged to stay 30 minutes for observation. PHN advised client and guardian to follow up with primary care provider and gave ER precautions. Patient denies any further nausea or dizziness. At 15:01 client left facility with a steady gait, accompanied by guardian.

Approximately 10 minutes after patient had received her 1st COVID-19 Vaccine she states she started to see spots and was feeling weak/dizzy and she proceeded to pass out. Family members and Pharmacist guided patient into a chair where she did not respond to verbal commands, patient was breathing normally and eyes remained open. Patient came to after approximately 10 seconds and was shaken up/scared, but overall feeling ok. Patient stayed in facility and saw provider, noted that BP was low at 88/40mmHg. Patient also had blood sugar checked which was 101 and BP was rechecked and was 90/50mmHg. Patient reported she had not ate all day and was nervous about receiving a shot. Provider determined that patient had returned to baseline and she was ok to go home.

pressure in chest, shortness of breath, rapid/irregular heart beat, light headedness. Started afternoon of June 13 and continued to 6/15.

Patient is a 14 yo girl with PMH significant for migraines who presented with one day of chest pain and nausea that woke her from sleep in the setting of multiple days of malaise. She states that after receiving the COVID-19 vaccine three days prior to admission she has not been feeling well. She reports subjective fevers and chills the day after receiving the vaccine, and intermittent feelings of her heart racing. She also has been feeling hot and generally unwell. + shortness of breath. The night of admission, she awoke from sleep with burning central anterior chest pain and nausea. She tried to stand up and felt generally weak, and then had tunnel vision and felt she was going to faint. Per mom, she was pale and diaphoretic at that time. The pre-syncopal symptoms resolved within about 10 minutes and the chest pain persisted for approx one hour. Parents called EMS and she was brought to the ED for evaluation. Of note, she reports a history of pre-syncopal sx however has never lost consciousness before. Also reports a history of intermittent palpitations. No hx chest pain prior to this episode. + fevers/chills as mentioned after receiving COVID vaccine three days PTA but no infectious sx prior to that. No cough/URI sx, no abdominal pain, no nausea. + diarrhea night of admission. No sick contacts. She is active in dance and has good exercise tolerance for that; does not spend much time outdoors. No known insect or tick bites. + FHx of sister with heart murmur as a baby that spontaneously resolved; unclear diagnosis. In the ED BP 94/62, T 97.4, P 84, R 16, SpO2 100% on RA EKG: sinus rhythm, no ST or PR changes CMP: unremarkable CBC: WBC 11.8, Hgb 11.5 Trop T 0.33 Bedside echo w/ reported good function UA wnl COVID neg CXR PA and lat unremarkable On arrival to the PCICU she reported feeling at her baseline and denied chest pain and shortness of breath.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: Patient did not have complaints during her 15 minute waiting period each time technician checked in on her. When the techinician told her her 15 minutes have elapsed, she complained of dizziness and fainted soon after. She regained consciousness after a few seconds and then complained of nausea. Paramedics were immediately called when she fainted. They arrived in about 5 minutes and transported her to ER.

pt stated that she felt dizzy shortly after covid 19 Pfizer vaccine. Patient has been drinking Gatorade and symptoms did not resolve after about 30 minutes. Asked mother to see if she wanted us to call 911. Mother requested us to call then paramedics came. Paramedics checked blood pressure, oxygen and glucose levels and everything came back within normal limits. Paramedics advised mom to either keep an eye on her at home or take her to emergency room. Mom said she will take the patient to ER. Paramedics helped the patient leave the store.

Patient fainted and fell out of chair immediately upon receiving shot Hit her head on the floor and chipped a tooth. called 911 and put cold wet paper towel on patient's forehead until emt's arrived. Emt's advised patient to be seen by a physician.

Patient received vaccine. As she walked out of the consult room she felt dizzy and described that she thought she blacked out. She fell into a plastic room divider and went to the ground. Her dad was right there and hoisted her upright. Offered to call ambulance but patient's dad declined and reported that she had history of being squeamish and had passed out from needles before. Patient was breathing and quickly began responding verbally. Her dad picked her up and she sat upright in a chair. Took patient's blood pressure, provided water, and had patient sit. First blood pressure reading was low (90s over 40s). Offered to call ambulance again. Patient's dad declined. Patient drank water and juice. Retested blood pressure about 15-20 minutes later and it was 116/65 and patient reported that dizziness had subsided. Patient's dad had left message with doctor's office to report what had happened and to see if they wanted her to come in to be seen today. Encouraged him to do that and seek medical attention if anything worsened.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Vomiting-Severe, Systemic: Weakness-Severe

Within 2 hours of the vaccine, patient was experiencing nausea and general feeling of unwellness. Within 3 hours, patient had a fever of 99.9. At 11 pm, patient had a fever of 100. Mother administered Tylenol and patient went to bed. Patient woke up around 4:30 am with her whole body shaking uncontrollably. Mother heard her stirring and went to check on her. Her temperature was 100. Mother sat and talked with her and offered a snack, drink, and more Tylenol. Mother checked her pulse, which was normal. Patient was coherent and able to communicate. Mother left the room to get snack and drink and heard something fall over in patient's room and Mother called out and waited a few seconds for a response. Patient did not respond. Mother went back in the room, as it was unusual for patient not to respond, and found patient sitting back up and placing her head in her hands, stating in a panicked voice that she felt she was going to throw up and that she was very hot and that her head hurt really bad. Patient stated that her ears felt weird and everything went black and she somehow fell over from a sitting position on her bed to laying on her bed and had landed on the dog. Patient was unaware that she had knocked over her water bottle and had no recollection of the loud sound it made as it fell over (unusual because loud sounds are very startling for her). The shaking subsided to a tremor a few minutes after the black out. Patient then reported feeling very cold and her temperature had risen to 101. Patient complained of an extreme headache and continued nausea. Mother took patient to Urgent Care, who performed bloodwork and an EKG, and then referred patient to the Emergency Room for an EEG. ER repeated EKG and declined to do EEG and told patient to follow up with her doctor in 5 - 7 days.

After the patient received the shot she stated she was dizzy and then passed out. She was only unconscious for about 2 minutes. After she gained consciousness she started to feel better within 5 minutes. She did not need any medical attention.

patient's mom yelled that she was having a reaction a few minutes after the vaccination. Patient was very pale, looked unwell. said she was feeling dizzy and bad. had her put her head between her knees. said she hadn't eaten anything that day, gave her some orange juice. we had called ED as a precaution because mom had at first thought she might be having a seizure. Paramaedics came and evaluated her. She was feeling better about 20 minutes later so mom took her home.

Pt had a witnessed fall post vaccination. Per mother, pt complained of being dizzy and fell. Staff witnessed patient falling from standing to ground, and hit her head. Pt was awake and alert upon RN reaching at side. Pt was following commands. Pt stated she was dizzy and nauseated prior to syncopal episode. Maintaining C-spine precautions d/t posterior head and midline neck pain and tenderness. Team alert was called. To ED via stretcher with medics

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

She is a soccer player and runner with high exercise tolerance. Today she went to track practice. She experienced chest pain, dizziness, severe headache, nausea, and fatigue. She was not able to complete the workout. Heat was not a factor. She continues to have episodic chest pain, headache, and nausea the rest of the day.

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium

Slight dizziness; pale skin improved within approximately 5 mins. Adverse event occurred shortly after vaccination.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: NO EMS needed, pt felt on her head

Patient felt woozy(dizzy) within minutes after vaccine administration. patient sat down in chair and was given water and an icee and placed an ice pack on neck for observation. She was observed for 30 minutes and had no further complications

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe.

Patient fainted at the front of the store approximately 15 minutes after receiving her vaccine. I did not witness the faint but was told that she fell to the ground and within seconds was awake. When I reached the front she was sitting upright and stated that she felt ok. She had been given something to drink and was given an ice pack. Patient's mother stated that she is prone to fainting and has fainted before after having blood drawn.

1st dose Pfizer vac at 3:16pm L arm. w/mother/sibling in attendance. Attendee directed to observation area but immediately had reaction after receiving injection. Became pale, faint,dizzy. Stated anxious, fear of needles. Legs elevated while sitting. 3:26pm drank water. Encouraged to stabilize breathing. Skin pinkish, warm, dry. Mom distracted her. After sibling done with vaccine, Attendee walked unassisted to observation area. 3:40pm went to observation area check on her laughing and talking with family. Took pulse ox 99% and HR: 63. Gave mother home discharge/adverse reaction instructions to contact Primary doctor/UC prn. Attendee discharged to home w/her mother approximately 3:50pm.

Patient had her first dose of Pfizer and after she sat down she became nauseous, head pounded, very hot and sweaty, coughing, her lips, face and arms got tingly. She said her heartbeat was fast and she felt like she could faint. EMT was called but they did not take her to the hospital just suggested her parent get her checked out.

patient got very dizzy, with an almost "grey" color to skin. She had not eaten anything before vaccine. Given a coke to drink by dad and monitored for 15 minutes. Patient had full color back when she left and felt so much better

Pt. c/o of feeling Lightheaded, Pt. vitals as follows: @ 12:41 pm B/P 130/70 HR 100 R 17 02 99% @ 12:56 pm Pt. was re- accessed , vitals as follows: B/P 120/68 HR 98 R 16 02 98% on RA Pt. stated she felt better , left with her mom in stable condition. Pt's mom was advised to call Pcp if any new or worsening symptoms occur.

Client received second dose of COVID19 vaccine at 2:28pm. While sitting in observation room with her mom, she became dizzy, light headed and nauseous. Nursing staff evaluated client. She stated she had only had a muffin for breakfast. Staff provided juice, water and nutri-grain bar. Due to nausea, only able to drink a small amount of juice. Moved client to cot. EMS was called. Provided cold compress for forehead. She continued to drink the juice. Pulse ox was taken and was 98 continuously while she was on the cot. Nursing staff evaluated her for symptoms and improvement. She state she was still dizzy, lightheaded, and nauseous. She also stated her throat hurt/felt tight. EMS arrived. Interpreter used during event.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Tinnitus-Mild, Additional Details: patient fint for 2 minutes but recovered consciousness

Patient complained of feeling faint-like shortly after vaccination, while in observation unit. NP assessed patient. Patient was slightly tachycardic HR 102. O2sat 99%. She was provided water. Once patient was able to relax, heart rate returned to normal and left site without incident. Her father accompanied her (minor).

14 year-old experienced an adverse reaction after receiving her 2nd Pfizer vaccination. She had complaints of dizziness and was observed to vomit.

Dizzy, pale, diaphoretic, and syncopal event. Patient was caught by staff and parent, did not fall. Blood pressure taken, placed in a chair and then on a cot, cold compress, monitored for 20 minutes. Educated parent to have child in supine position during 2nd dose.

Patient was given vaccine seated, patient fell out of chair onto the floor less than 1-2 minutes after vaccine. Possible vasovagal response. Patient has history of vasovagal response to vaccines and had doctors order to get this vaccine. Patient was not unconscious that we are aware of. Had patient lay down on her side for at least 5 minutes until she felt comfortable to sit up (on floor). Patient was alert, was given water, blood pressure was measured 10 minutes later at 117/81, temperature was within normal limits. Emergency services were not necessary and patient/parent declined. Monitored patient for over 30 minutes and they elected to go home after as she was feeling better. Called parent today at 8pm and patient is said to be feeling much better and no issues since.

After vaccination, patient stood up and walked around the room. She started bouncing and acting a little nervous. I asked if she was feeling light headed woozy, she said a little bit. I sat her back in the chair. After about 30 seconds she fell sideways to the arm of the chair then slouched forward. I caught her before she went all the way to the floor and leaned her back into the chair, she then seized for approximately 3-5 seconds. Grandpa (legal guardian) was in the room and helped me get her to the floor where she came out for a few seconds and opened her eyes for 5-10 seconds passed out again then seized again for 3-5 seconds. She then woke up on the floor and was alert and looking around. She was very pale, I elevated her feet for a while and had her lay on the floor for 7-10 minutes. I then had her sit up on the floor and provided a bottle of water and put cold compress on the back of her neck. She stayed seated on the floor for about 5-7 minutes before I had her move to the chair to sit again with back against the back of the chair. She continued to sit there sipping water and talking for 7 minutes or so. Learned at this point that patient had not eaten breakfast and has passed out after a vaccination in the past (had not marked on the intake form). After 7 minutes or so, had the patient try to stand. She said her legs were wobbly, so I had her sit back down for several more minutes. Her coloring was much better at this point. After another several minutes we tried standing again and she felt better at that point. Had her just stand in the room for about 3 minutes before walking to the waiting room. Had her then sit in the waiting room for 5 minutes then she walked out with grandpa. They were going to get breakfast. Grandpa was going to call MD to discuss the events and follow up as necessary as well as to discuss plan going forward concerning the second dose.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: patient fainted within 15 minutes of receiving first dose of pfizer covid vaccine. patient immediately gained conciousness

Patient received vaccine about 1415 and felt "dizzy" at about 1440pm. Pt was able to follow basic commands, appeared pale, and mother stated she "fainted." Pulse and o2 level were 70 and 97% on RA. Pt observed for 20 more minutes and was able to walk, A&O X4. Mother stated she usually feels dizzy when she gets lab work done; per mother, pt had not had anything to eat since last night.

Fainted upon standing approximately 1-2 minutes after receiving the vaccine. Hit head on wall when fell. Patient was laid on the ground and brought back to consciousness within 20 seconds. Patient laid until checked out by first responders who arrived within 5 minutes. Patient had no issues and left under own power with parents.

LESS THAN 5 MINUTES AFTER RECIEVING THEIR VACCINATION, THE CLIENT WAS FOUND LAYING DOWN ON A ROW OF CHAIRS IN THE OBSERVATION AREA. CLIENT REPORTS HAVING FELT WARM, FLUSHED, AND LIGHT HEADED. CLIENT REMAINED LAYING DOWN FOR SEVERAL MINUTES (AROUND 30 MINUTES). CLIENT WAS GIVEN WATER AND CLIENT'S FATHER GAVE HER STARBURSTS TO HELP, AS THE CLIENT STILL FELT LIGHTHEADED. CLIENT DENIES THIS EVENT HAPPENING BEFORE AND REPORTS HAVING HAD FOOD FOR LUNCH. CLIENT WAS ABLE TO WALK OUT OF THE ROOM ON HER OWN AFTER EATING STARBURSTS. NO OTHER CONCERNS PRESENTED.

Site: Pain at Injection Site-Mild, Systemic: Abdominal Pain-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: passed out for 3-5 seconds-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: she passed out for 3-5 seconds, came to. Was very pale, maybe 5 minutes later threw up. Then she regained some color and was less confused. She was very anxious about getting the shot prior to getting the injection.

Pt. called me crying in pain saying her stomach hurts and she's having trouble walking. She said she has her menstrual cycle and it has never been this bad. She said she didn't get it last month at all. Prior to this, she said her cycles were normal. She also had pain in her thighs and trouble breathing which resulted in her needing her rescue inhaler. At this time she has been given ibuprofen and is resting with a heating pad. I as pts. mom am concerned that this may be related to vaccine.

per mother, developed dizziness and had low BP 100/60. Symptom started on 6/11/21. Child only had soreness at sight prior to development of dizziness. Saw medical care physician on 6/15/21 due to persisting dizziness and low BP. Symptoms lasted for 2 weeks then resolved.

Shortly after vaccination (~15-20 minutes) patient became very faint and nauseous. Was pale in the face and vomited. Patient was seen by several firefighters that happened to be in the store at the time. She mentioned to them having fuzzy hearing, heavy arms, and sweating. They checked vitals and gave oxygen supply. Patient was then taken via ambulance to hospital but was feeling much better.

Client received her 2nd dose Pfizer COVID vaccine this afternoon at our offsite clinic by a LPN. Had just asked for a bandaid because there was a spot of blood where she had received the vaccine. Her sister reports she said she was feeling dizzy then her sister turned away and the client fell from standing position to the ground at 1412. Hit on her right side, shoulder and face. Lost conscious momentarily and together with family members we rolled her onto her back. I directed co-worker to call 911. Client came to and we helped her to sit up against the wall. Blood pressure 96/52, P 80 at 1415. Family and client denied history of seizures or fainting. Weather outside hot and client reported she hadn't eaten anything all day. Water provided. Client reported pain from the right side of her face and her lower lip which had a laceration from the fall that was bleeding a small amount. Fire EMS arrived just after 1420. Reported their vitals as BP 110/68, P 97, O2 99%. Ambulance arrived around 1430 and assessed. They had her rise from sitting to standing and reported her SBP dropped to the 70s. Paramedics advised to be assessed in ER. Client left in ambulance at 1443 accompanied by mother. Family provided reassurance regarding syncopal episode and contributing factors. They had no further questions or concerns at time of departure.

patient was given a dose of pfizer that was diluted incorrectly. Pfizer was diluted with 0.9 mL of 0.9% NaCl instead of 1.8 mL of 0.9% NaCl. Patient experienced dizziness and headache. Headache started within 15 minutes of receiving dose and dizziness occurred within 24 hours of receiving vaccine.

Approximately 10 minutes following the injection, patient was in observation area when she became pale and slumped over in her chair. The vaccinating nurse, along with the help of her parents, lowered the patient to a supine position on the floor and I elevated her legs. . We applied ice packs to her neck and forehead and within 10 seconds, was able to respond appropriately to verbal stimuli. Approximately 10 minutes later, the patient felt well enough to sit up and drink water . We continued to monitor the patient for another 25 minutes until she felt well enough to stand. The patient was stable and discharged from the facility at 11:48 am in custody of her parents. The patient ambulated without difficulty. No further complaints of dizziness. Skin pink, warm and dry.

Immediately after administration, the patient slid off the chair and bumped her head on the trash can. She came to, but did not remember what happened. She was pale in color and started to perspire. We gave her water and was asked to lay on the floor. No medication was given and patient concentrated on breathing until she was able to get up. She layed on the floor for approximately 5 minutes until she was feeling better. We continued to monitor her until 4PM

Patient was very nervous about receiving the vaccine and has a fear of needles, dad confirmed and was with patient the whole time. About 15 minutes later, patient was complaining of a tingling left hand and arm, and tingling tongue. She said she could breath without any issues, but was feeling light headed. 911 was called with moms and dads consent. With moms consent, patient got one dose of benadryl 25mg tablet. Paramedics came and took the patient.

Within seconds of getting vaccine, felt nauseous and headache. Within a minute, dizzy, extremely pale, nauseated and felt like she needed to vomit. She was excited to get this vaccine and has never had a reaction to any vaccine to include her allergy

Tonic-Clonic seizures; Nausea; Vomiting; Severe body aches; Headache; Moderate - severe neurological events; Tics; Tremors; Confusion; Inability to speak or walk or use restroom on own; Inability to speak or walk or use restroom on own; Fine motor skills deficit; This is a spontaneous report from a contactable consumer (patient). A 14-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EW0876, Expiration Date: not reported), via an unspecified route of administration in left arm on 15May2021 at 15:00(Age at the of 14-years old)as dose 1, single for COVID-19 immunization at Pharmacy or Drug Store. The patient was not pregnant at time of Vaccination. Medical history was none. Known allergies was Nka. The patient received unspecified medications within 2 weeks of vaccination. The patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.On 17May2021,the patient experienced nausea, vomiting, severe body aches, headache, moderate - severe neurological events, tics, tremors, confusion, inability to speak or walk or use restroom on own, fine motor skills deficit and tonic-clonic seizures. Adverse events resulted in Emergency room/department or urgent care. The patient was hospitalized for 4 days. Hospitalization was not prolonged. The patient received treatment and stopped suspected interacting medicine. The patient also received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EW0191, Expiration Date: not reported), via an unspecified route of administration in left arm on 06Jun202114:00 as dose 2, single for COVID-19 immunization. The outcome of the events was recovering. ~~ No follow-up attempts are possible. No further information is expected.

Ten minutes post immunization, the patient became pale and was complaining of dizziness, nausea, and feeling lightheaded. Nursing staff evaluating patient when witnessed, syncopal episode occurred. Episode lasted for less than 15 seconds with no injury to patient. Patient was in a seated position at time of event and was then placed supine with legs elevated. No incontinence and patient remembers everything up to and following the brief episode of syncope. (Patient has a previous history of syncope following HPV9 immunization.) Once supine, patient's pallor improved as well as other symptoms. At 10:20 am, repeat vital signs taken in the seated position: HR 80 (regular and strong), RR 20 (non-labored), BP 100/54 (left arm). Patient denied any complaints at this time. Patient stated that she had a small amount of chocolate pudding for breakfast. Denied any issues with blood sugar. Patient was given and consumed peanut butter crackers, Munchkin donuts, and water without difficulty. She did not drink the protein shake, but chose to take it home with her. Dr. was notified of the event and followed up with patient and father. Patient was monitored for another 30 minutes. Vital signs at 10:35 am: HR 84 (strong and regular), RR 20 (non-labored), BP 110/62 (Right arm). Skin color back to normal. No complaints. No dizziness, lightheadedness, or feeling faint when standing. Gait normal. Patient instructed to always notify health care staff of history of syncope after injections and to always wait at least 30 minutes for delayed symptoms. Patient discharged to home with father. No complaints or concerns. Follow up call placed at 5:45 pm and patient out and about with mother, no complaints. Family notified to call back with any questions or concerns.

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Severe, Systemic: Tachycardia-Medium, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PATIENT IS STILL FEELING CHEST PAIN AND STILL HAS RASH.

pt. received injection then went to sit down in chair for observation, pt. fell to floor, stiffened body lasting about 5-10 seconds. Pt. was rolled to her back and then pt. aroused, and was tearful. small abrasion noted to bridge of nose, Pt. does not recall incident. Pt. states she has history of "passing out after shots"

about 1 minute after receiving covid vaccine pt had a syncopal episode falling forward out of the chair. Dry heaves following incident and felt weak after.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Vomiting-Medium, Additional Details: after 15mins pt vomited while walking out of store. she came back and stated she felt dizzy she was very pale. b/p was 88/86 pulse 107. had pt sit for 5 more mins. went out again and bp was 89/79 pulse 95. contacted ambulance as pt still felt faint. ambulance came 15 mins later. by that time pt had drank a whole bottle of water. pts vitals were within range. emts recommended she seek a physicians help at urgent care.

Patient stated she felt nauseous about 5 minutes after shot was administered. She stated that she got tunnel vision, could not feel her hands. A few minutes later she stated that she felt vibrations in her hands, felt like she could not move her hands. She was visibly pale and clammy. Patient was given an ice pack and 25 mg dose of oral Benadryl liquid. Her symptoms resolved within 25 minutes of onset and she was able to leave the pharmacy feeling back to normal

Patient temporarily lost consciousness twice becoming incontinent after the second episode. Patient complained of lightheadedness, dry mouth and was pale throughout. EMT arrived and administered an IV ultimately transporting the patient to the hospital as they remained weak and unable to maintain balance.

Patient felt dizzy and nauseated few minutes after getting her 1st Pfizer dose. Mother stated her daughter didn?t eat anything since morning. 3 ice packs were used, 2 on her neck and 1 on her head. Two crackers and bottle water was offered. Blood pressure at 10:45am 107/66 Hg/mm. Blood pressure at 10:55 am 126/75 Hg/mm. She states I feel much better and no longer feel dizzy or nauseous.

Patient had dizziness, BP 111/54, HR 71, RR21, patient released in stable condition 30 minutes after immunization in stable condition

Patient began to get pale, lightheaded and dizzy about 3 minutes after injection - pharmacist applied two ice packs to patients neck area and patient felt better with color returning and dizziness going away about 10 minutes later. Pharmacist followed up with mother at home via phone and confirmed that patient was fine about two hours after vaccination.

She c/o dizziness about 5 minutes after vaccination, skin was pale, diaphoretic. She also c/o "not being able to see," for a few seconds. She was brought to observation area, allowed to lie down on cot, vital signs taken, wnl. She was observed for 30 minutes, left with parent.

after receiving vaccine, pt was informed to have a seat and wait for 15 minutes. patient's mother was at the drop off window filling out paperwork and preparing for the vaccination of her son too. Pt joined her mother and stood next to her mother and was talking and about 5 minutes later another patient reported that she saw pt rock back and forth on her feet and then all of a sudden fell backwards and hit her head on the floor. 911 and paramedics were called and they came within 5 mins.

Dizziness; BP 102/69; HR 77; RR 18. Given apple juice. Final VS BP 113/74; HR 78; RR 18. Pt stable & released from vaccination site

Patient felt dizzy and fainted after 4 minutes of receiving the Pfizer COVID-19 vaccine. Pt immediately woke up, no change in level of consciousness. Patient awake, alert, and oriented to name, place, time, and situation. Vital signs were within normal limits. BP 96/54, HR 71, SpO2 99% in RA. Patient left ambulatory with mother in stable condition after 40 minutes of monitoring and observation.

Pt felt faint & flushed post vaccine. Given water VS stable (BP 95/60; HR 100; RR 18; T 97.8; o2 sat 100%). NP assessed pt, symptoms resolved. Pt sent home in stable condition with father.

Pt felt light headed, common vaso-vagal response. PT stabilized AOx4, ambulates appropriately (BP 95/54; HR 67; RR 16; O2 sat 99%) & released home

Pt had waited the requisite 15 minutes and was at the front of the store with her mom. She felt "hot" and kind of slumped over . She never lost consciousness. She was pale. Sat on floor. Drank water and seemed to be doing better. Mom took her home and will follow up with her pediatrician.

Pt started to feel lightheaded with a tingling sensation in her arms 5-10 minutes after vaccination. Pt was given water and observed for 15 minutes. Pt was released in Good Health to her mother

Pt with initial dizziness (BP 84/46; HR 62; RR 20; T 94.2). Pt states she feels well, no more dizziness after 15 min (BP 107/65; HR 88; RR 20; T 97.2)

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Pt recovered after a few minutes of sweating and feeling nauseous.

Vaso-vagal response. Nausea, dizzines, flushing/sweating, no loss of consciousness. Pt stabilized, VS stable (95/57; HR 65; RR 16; O2 sat 100%), ambulates appropriately

15 y/o F with no known prior medical conditions or NKDA presented for her first dose of Pfizer vaccine. 5-min post vaccination the patient began to feel dizzy and light-headed. The patient experienced a syncopal event resulting in an assisted fall from chair. The fall was atraumatic and the patient instantly regained consciousness. Patient was alert and oriented x3, and rapidly improved back to her baseline. Patient denied any SOB, difficulty breathing, throat swelling, itching, or HA. Parental guardian was advised to keep patient hydrated and educated on any signs or symptoms that would warrant urgent care.

In 2-3 minutes after injection patent fainted, she was conscious but dizzy, she was sweating a lot, her skin was pale and clamy, she felt nauseated and threw up

Systemic: Allergic: Itch Generalized-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Additional Details: 5 Minutes after the vaccine, pt lost consciousness for a few seoncds. pt showed some jerking motion. Pt was given water and benadryl. About 30 minutes after the shot, pt fully regained consciousness and back to normal

Pt was nervous prior to vaccine administration. After receiving vaccine patient experienced pre-syncopal episode and became dizzy. Reaction nurse evaluated Pt and laid Pt in Trendelenburg pos. Pt began to feel better and was given pretzels and water and then moved to wheelchair. Pt received eval from clinician. VS were appropriate for Pt age and improved after 2nd set of VS. Pt released @ 1408 hrs.

Client given Pfizer Covid vaccine. After administration the client became dizzy, pale and lightheaded. Client assisted to the ground, given O2 @ 10 L via mask, ice pack applied to fore head, feet elevated. Client began to feel better after 2-3 minutes as noted by improvement in skin color, temperature of skin, verbally stating she was feeling better. Juice and crackers given. Client walked out with mother.

Patient fainted within 5 minutes after injection. Patient experienced a syncope event passed out. Patient regain conscious within a minute. Patient may have injure her head upon falling.

15 year old female syncope s/p Pfizer first dose Covid19 vaccination at 1300 . Pt was with both parents Assisted fall to ground Approximate LOC of 10 seconds No injuries Laid down supine with legs elevated. After about three minutes pt placed in W/C and placed in cot in supine position. Initial VS 99/56 71 12 98% O2 sat on RA Ate a bag of potato chips and drink one bottle of water (118 mL) Ambulated to BR by self, steady gait, maew, nad, a+o x3. Given instructions to patient and parents to increase salt intake and water intake and to lay down immediately if dizziness returns. Repeat VS at 1320 97/64 67 16 99% on RA Pt is asymptomatic at this time. DCd home with parents and to f/u as needed with pcp and to inform staff of syncope for 2nd vaccination,

Approximately 10 minutes after receiving her first Pfizer dose IM, Patient was experiencing a headache rated 4/10 on the pain scale as well as light headedness. Patients vehicle was directed to the ambulance on standby, paramedic crew assessed the patient. Vitals were stable and since the patient was a minor, the patient mother made a decision to refuse transport and exited the facility without issue. End of report.

Pt was brought in by her father for her first dose of Pfizer vaccine. Prior to receiving the vaccine, her father asked her to let the writer know of her fear of needle and what occurs when she she has blood draws or vaccination. Patient states that she usually lays down because she feels faint and passes out at times. After she sat down, another chair was provided to rest her legs. Pfizer dose was administered and within a minute, she acknowledged that she about to passed out. She had a near syncopal episode with both arms contracting. She was carried from the chair to the floor. Her father, who was prepared for this, had ammonia with him and had the patient sniff it and she responded to it. She was observed for little over 30 minutes and walked out of the pharmacy stating that she felt well. Throughout the ordeal, she was responding appropriately.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium

Patient received her first dose of the Pfizer COVID19 vaccine at approximately 12pm. Patient felt fine immediately after the vaccination and was instructed to sit and wait for 15 minutes. The immunizer, watched the patient sit down in a chair. A few minutes later the mother of that patient began screaming help, help. Patient had fainted, falling on the floor and hitting her head. I ran our to assist patient, I instructed my technicians to call 911. Patient was on the floor, shaking. I assisted her in rolling over. When she came to I helped her control her breathing and take deep breaths. I used I gauze pad to stop the bleeding on her head. I made sure she was lying flat on the floor. We gave her an ice pack to help with the numbness and tingling in her hands. The paramedics arrived and took patient to the hospital.

After administration of vaccine the patient stood up quickly and passed out. The patient fell down and came to rather quickly. After she came to we helped her to a chair and sat her down, advised her to put her head between her knees, and got her some water that she requested. After a few minutes she appeared rather pale and went to ask her if she was ok and she asked for a trash can because she felt like she was going to be sick. We gave her a garbage bag and she did get sick in the garbage bag. We kept an eye on her for another 15-20 minutes and she stated that she felt better and that she thought she was ok to leave. We offered her help to her car but she denied it saying she would be ok with she walked slowly. Her father was with her the entire time. While talking with them the father did state that she had incidents like that in the past where she stood up too fast and got light headed and passed out.

Patient began to feel lightheaded, experienced blurred vision, clammy skin, eyes dilated, 10 minutes following IM dose of Pfizer vaccine, about 2pm. Dose was administered at 1:45pm Mother asked pharmacist to call 911 because her daughter was feeling dizzy. Medical first responders arrived at 2:08pm, took her blood pressure, O2, and blood sugar, temperature. All were within normal ranges. O2=100, BP 114/60mmHg . Even though all vitals were normal, first responders recommended patient should follow up with primary care provider. First responders told mother response was likely due to nervousness or anxiety about new vaccine.

client felt lightheaded after receiving 1st Pfizer Covid Vaccine. Client received vaccine at 1717 and RN kept client in chair a few mins as client stated feeling nervous. PHN brought client water. Per client had only ate snack prior to appointment. Client able to transfer by herself to anti gravity chair. 1722 vitals: blood pressure 122/68, oxygen 98%, pulse 81. Per client feeling nausea, RN gave emesis bag. Client appeared diaphoretic and pale. Per Mother only medical history is seasonal allergies and client takes Zyrtec as needed. No history of fainting with vaccines in the past or allergies. Vitals at 1728: blood pressure 118/72, pulse 82, oxygen 97%. Per client symptoms still there, but improving. Vitals at 1733: blood pressure 120/70, pulse 83, oxygen 100%. Client stated lightheaded resolved, nausea still same. Client denied blurry vision, headache, warmth feeling. Vitals at 1738: blood pressure 118/72, pulse 80, oxygen 99%. Per client all symptoms resolved. Last vitals at 1743: blood pressure 114/80, pulse 76, oxygen 99%. Mother driving client home. Advised to follow up with provider and ER precautions given. After completing 30 min observation client left facility with steady gait at 1750.

She got her vaccine, she was sitting in the chair and 4-5 minutes after the shot she started telling her grandfather that she felt nauseated. She then started feeling dizzy and looked like she was going to pass out and he caught her and he laid on her on the floor on a pillow. There was a off-duty paramedic to assist her and they suggested to call 9-1-1 and they showed up 5-6 minutes later. She was then taken to Hospital. They ran a lot of laboratory tests, urinalysis and everything was negative. Her white blood cell count was high and her URC's and UBC's were high. Her albumin was also high. She was then released from the ER and was told to FU with PCP within 2 days. She is still having the symptoms of headache, sore throat, and achy bones, the typical flu-like side effects. She is taking Tylenol for the symptoms, as well as cough drops for her throat.

AFTER COVID19 VACCINATION, PATIENT EXPERIENCED NUMBNESS, TINGLING, DIZZINESS, WEAKNESS, LIGHTHEADEDNESS AND DIAPHORESIS AT FOREHEAD. NO LOC, NO DIB, NO SYNCOPE, NO CHEST PAIN. AFTER 15 MINUTES PATIENT WAS ASYMPTOMATIC. LEFT WITH FATHER TO HOME AT 11:16 AM. VITAL SIGNS: 1100 BP 72/36, HR 88, RR 20 1105 BP 86/46, HR 84, RR 20 1110 BP 88/62, HR 82, RR 20 1115 BP 96/68, HR 80, RR 20 1116 BP 102/70, HR 82, RR 20

AFTER COVID19 VACCINATION, PATIENT EXPRIENCED DIZZINESS, WEAKNESS WITH DIFFICULTY MAINTAINING EYE CONTACT. PATIENT STATED SHE FELT SLEEPY WITH DIFFICULTY KEEPING EYES OPEN. AFTER 25 MINUTES, PATIENT WAS AAOX4, VITALS WNL, AMBULATING WITHOUT ASSISTANCE AND LEFT CLINIC WITH FATHER, DENYING ANY DIZZINESS OR WEAKNESS. VITALS: BP HR RR SPO2 12:45 138/80 100 16 99% 12:53 150/90 85 16 99% 12:58 138/90 81 14 99% 13:02 128/80 80 14 99% 13:07 122/86 75 16 99%

Flushing/sweating, dizziness, generalized weakness, nausea. BP 94/51; HR 60; RR 19. 17 min post vaccination pt noted feeling much better. Denies pain/discomfort, no n/v. Fluid offered, seen by NP. Pt feeling better & released

Flushing/sweating, Dizziness, near syncopal event after witnessing brother have a syncopal event after his first dose. Pt did not have breakfast. BP 100/52, HR 59, RR 18 -- > 108/67, HR 77 -- > 110/67, 75. Improved after water, crackers, rest. Recommended patient eat and drink prior to next dose. Patient stable and released from the vaccination site.

Pt was very anxious before shot given. Mother had to physically hold pt down for her to receive the shot. Afterwards, pt reported headache, dizziness, and sore throat immediately after the shot. Pt was hyperventilating so I encouraged deep breathing and hydration. HEENT and Pulm exam were normal, as were the vitals. Pt eventually recovered without any other intervention. Pt waited for full 30 minutes after dose.

Pt reported lightheadedness and was found to be diaphoretic and pale after vaccine administration. She was laid down on a gurney with legs elevated, V/S monitored for 45 minutes and given apple juice po.

Patient exhibited signs of paleness, dizziness and nausea during the 15 minute post-vaccination observation.

15 year old female found in supine position with feet elevated in vaccination area. Pt had a left upper lip injury (non-bleeding) , redness and slight swelling to left lateral eye area. She also had a less than dime sized abrasion to right knee. Pt was recovered from dizziness (syncope) and then placed into a wheelchair and placed onto a cot in the observation area with her feet elevated with a chair. VS 107/73 66 24 and an O2 sat of 99% on RA Pt timid and somewhat afraid of passing out again. Chair was later removed and then pt sat up in bed with apprehension. She ate a bag of doritos and drank a half bottle of water ( about 250 ml) She then stood up and denied any dizziness but insisted on sitting and/or lying down. She did sit back down for another 10 minutes and later stood up , denies any symptoms. Pt then ambulated to BR without help, MAEW, NAD, steady gait. She was a + o x 3, VS at 1431 111/69 74 22 with O2 sat of 99% on RA. Pt and mother given directions to change positions slowly allowing 30-60 seconds per position change. They both acknowledged this. Pt discharged home with sister and mother with direction to f/u with pcp as needed and to increase sodium and water intake today and tomorrow. No medical history Denies taking any medications Denies any allergies (name), site supervisor aware of situation. Vaccination Site

Patient bopped her head back and then forward (fainted for about one second) after receiving vaccine. Reports of low blood pressure and dizziness

1120 pt reports dizziness after vaccine. pt cool, clammy, nauseated, bp 72/35, team called. pt transferred to observation area, lying down on gurney. ER staff present. Mother reports pt did not eat breakfast this am. Apple juice given. 1135 pt reports improvement in symptoms, bp 106/56, dc home in stable condition.

Dizzy, displayed pupil, heart rate, pale with blue around eyes and fingers. No epi pen given as patient wasn?t too short of breath and came out of it quickly. 911 was called

Patient started feeling dizzy/faint right after administration, she was sweating and felt hot to the touch, then she convulsed and shot up out of her chair for a few seconds before sitting back down. As she sat back down she vomited and then seemed to get better after. 911 was called and she was better by the time they arrived and blood pressure and vitals where all good.

Pt received vaccine with mother present at 1419, c/o dizziness, lightheadedness, blurry vision, difficulty hearing, at 1439. Pt states she did not eat lunch. Nursing team intervened by taking vitals, placing wet towel on forehead, lying pt in supine position with legs elevated. Pt VS stable, pulse in 80s, BP(120s/80s), 99% on RA, RR 16-18, no respiratory distress, no s/sx anaphylaxis. Pt states she did not eat lunch. Gatorade offered to pt. Dizziness improves in supine position but returns upon sitting. At 1532 pt states she has facial numbness. EMS called at 1535. EMS arrived at 1557 and assessed pt. Pt?s BG is 93, VS stable. Pt reports feeling dazed, unable to focus, blurry vision and difficulty hearing. At 1602 EMS informed pt that they will take her to Medical Center, pt immediately got agitated and started crying and hyperventilating. 1604 pt stated she had difficulty breathing and a light localized rash began to appear on her chest. 1605 EMS transported pt. Pt?s mother to follow.

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

At 114, patient reported feeling light headed to EMT. EMT assessed patient vitals: blood pressure (unable to obtain blood pressure), SpO2 94%, and pulse 54 beats/minute. Patient given water and rested head on mother's shoulder. Patient reported no difficulty breathing/itchiness/hives/rashes. Patient reported history of eosinophilic esophagitis. Patient reassessed at 1120. Patient vitals were blood pressure (unable to obtain), SpO2 96% and pulse 96 beats/minute. Patient reassessed at 1140. Patient vitals were blood pressure 96/80 mmHg, SpO2 100% and pulse 90 beats/minute. Patient stated she felt a lot better. Lead nurse educated patient on following up with primary care provider, signing up on v-safe, and signs/symptoms of when to seek emergency care.

First symptom was dizziness and nausea. Then, immediately began sweating profusely . Then began seeing spots that distorted her vision. Immediate pain in the ears, which felt as is the ears were very swollen and inflamed. It was difficult to talk because talking caused pain in the ears. Severe headache. Obviously her anxiety level escalated. We immediately found wet paper towels to place on her forehead and back of the neck to cool her. I found a hair tie and tied her hair up off her neck to keep her as cool as possible. She was sweating so much she soaked her t-shirt and was pouring sweat down her face, neck and body. We also moved patient from the chair, and placed her on the floor of the pharmacy, leaning against the wall with her legs stretched out. As a type 1 diabetic, the obvious concern was blood sugar during this reaction. Patient wears an insulin pump and Dexcom continuous glucose monitor. I was able to read her blood sugar levels during all the reaction time. Her blood sugar level spiked up. It then began to drop after a few minutes. I had an apple juice, and gave her the 15 carb apple juice.

Right after the shot, pt feels dizzy and went passing out for a few seconds, turn pale, then came back within seconds, start sweating and was laid on floor. Paramedics came and checked on her, she is alert and responding to questions. She went home with Mom after being checked by paramedics.

Vasovagal reaction of c/o dizziness with nausea. bradycardia, hypotension. color pallor. Vital signs- 126/66 P-51 R-20 Temp 98.3 reaction subsided within 30 minutes. intervention required observation of s/s

Was standing passed out and fell to ground. Vital signs: @13:15 B.P=100/50 118/80 HR: 70 Pso2:100% @13:45 B.P. 97/50 Trending hypotension Recorded by staff

patient reported to feel "dizzy" and cold after receiving pfizer-biontech covid vaccine after 10 minutes of administration. hard time for patient to get up. vital signs taken by EMT stable. observed in designated area for 15 minutes, patient and family reported full recovery, vital signs still stable.

New onset vertigo started 5/15 and continued through her office visit on 5/18. Had covid vaccine two days prior two symptom onset and started spironolactone (new medication for her prescribed by dermatologist for acne) one day prior to symptom onset.

Patient felt like she was going to pass out after receiving vaccination. Patient was transferred to wheelchair and then placed on cot for observation from safety personnel- 10:09 120/59, p- 80, 10:24 106/65, p- 72, 10:32 BP 116/81 p- 60. 10:35 sitting up bp-115/57- standing was good denied any problems

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: tingling in fingers

Patient passed out about 15 minutes after receiving the vaccine. She stated that she had not eaten since breakfast and is the reason she felt lightheaded. Staff provided water and a snack for the patient and sat with her until she felt ready to stand up.

while sitting at the vaccination and waiting for mother, patient started to complain of feeling "hot, dizzy and lightheaded." Patient was given gatorade water and hair was pulled into ponytail off of neck to help cool down. Stable vital signs BP 110/64 P84 SpO2 98% room air. Within 5 mins, patient expressed that she was "feeling better." Alert and oriented x3. Patient expressed that she did not eat or drink anything prior to coming in to receive vaccine. Patient assisted to observation area for monitoring. Steady gait noted. Ambulated from facility with mother. No s/sx of distress noted.

Patient received vaccine and while walking around the store began to feel lightheaded/dizzy and fainted. Her parent caught her and brought her to the ground where she began to have a seizure. Paramedics were called and took over care of the patient. She was conscious and breathing after her seizure

Patient started feeling dizzy immediately after vaccine administration. Patient ate only a toast this morning. Patient given crackers and juice, water. Patient felt better Vital signs were stable Discharged to home

Pt reported dizziness and light-headedness . We had patient sit down with head between knees for several minutes. We had her clench fists and thigh muscles. She drank bottle of water. Blood pressure check was 96/50 on left arm and 82/52 on the right arm. She sat for about 15 more minutes. We rechecked blood pressure and it was 113/61 with heart rate of 71. I followed up with patients mother the following day. She stated that her daughter was doing much better and felt completely normal within an hour after receiving vaccine.

Light headed and dizzy without fainting. Patient laid flat with legs elevated approximately 30 minutes, was then able to travel home in personal vehicle with driver.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Pt was flushed, stated she had ringing in her ears, and was seeing stars. She moved from her chair to sit on the floor and drank water and CapriSun. After a few minutes, she said she was feeling better. Mom states that she had a similar reaction to getting nose pierced not too long ago.

BP 105/70, P 70, OX 99%. 5 minutes after vaccine was given the patient c/o dizziness. Was assisted with EMT to observation room. Stable after a few minutes. Left home with mother. Client's second set of vitals taken while standing stable. Denies additional issues. Refuses to go to hospital. Went home with mother. Assisted to exit by EMT.

3 days of severe abdominal and pelvic pain that was debilitating. Patient was hardly able to walk - she had extreme pain with urination and defecation. She also had headache, fatigue, arm pain, fever and rash - hives, with pruritus of scalp.

Pt. fell to floor from chair, dizziness, possible seizure activity 12 Lead, started IV, 0 meds. Vital signs: 89/40 Pulse:60 89/41 Pulse :55 89/42 Pulse:56 Recorded by RN. Pt. transported to hospital via ambulance at 11:32 A.M. with mother.

Vaccine was administered. The mom made a comment that her daughter has a tendency to pass out after vaccines after administering the vaccine to the patient. We kept the patient in the counseling room seated for observation to be on the safe side. Within 5 minutes, the patient got light headed and stated she didn't fell well. She passed out. We laid her down for about 10-15 minutes and gave her some candy since she stated she hadn't eaten all day. Pt regained consciousness and was fine after.

Pt felt faint while sitting in her chair after receiving vaccine, she lowered herself to the floor and elevated her legs. No LOC. Vital signs obtained and WNL as recorded. Rested in supine position and sipped fluids. She felt better and was able to sit up, then stand and ambulate freely without difficulty. Left for home with mom after 30 minutes of observation.

Patient began to feel light headed and asked her mom for water. Patient then fell to the side and hit her head as she fell to the floor, then had a seizure lasting 30 sec. patient was Alert and oriented x4 when we got to her. Patient stated she felt like she was falling asleep and dreaming then remembers everyone standing over her. Patient has small bump on upper left of head. Patient was taken to medical center for treatment and observation.

Patient received vaccine and responded "oh that was easy", got up from the chair, and walked away from the clinic area then fell to the floor. RPH on duty did not see the first fall. Patient was responsive, talking, and laughing (at times) during the event. RPH on duty asked patient if she was okay while she was still lying on the floor. The patient responded by saying I'm okay. The patient then stood up and proceeded to walk toward the pharmacy lobby but then fell to the floor a second time. The RPH on duty called 911, passed the call over to the pharmacy tech to complete the call, then placed a cold cloth (paper towel ) across the patient's forehead. Emergency Medical Technicians arrived on the scene within minutes. Patient maintained consciousness and was responsive throughout the event. Patient was evaluated by EMT personnel and eventually left the store via wheelchair accompanied by EMT personnel and parent.

Client vaccinated, said it was good then slumped in chair, eyes rolled back. Responded to verbal commands, opened eyes ,pupils dilated, diaphoretic, took a minute for her eyes to come into focus. Paramedic to cubicle, client transported to treatment area. Observed by paramedic for 45 minutes, departed for home with Mom and brother.

RPh administered dose#1 of Pfizer vaccine to patient. Patient was walking toward front of the store after ~15 minute observation. She felt faint and fell to floor. She regained consciousness within a minute or so and stated she was not injured from fall. Blood pressure was normal. Paramedics were called to verify patient was OK. She was given the all clear and left with her mother.

Passed out about 5 minutes after receiving the shot. Was sitting in a chair and collapsed to the ground. She regained consciousness within 30 seconds and was sitting in a chair again 5 minutes later

One of the physician observers wrote: From what I understand she had her shot and switched places with her sister and was standing and then just went down. I don?t believe she hit her head we didn?t see a lump. She came too right away and got nauseated and light-headed again sitting up so we took her to lay down on the stretcher. She was doing ok but laying down when I left. The nurse that administered the immunization wrote: She got vaccinated, tolerated it well. Told her sister she barely felt it and expressed relief. Sat for a minute while in handed her mom paperwork ( vaccination card). Then got up, stood with mom and brother. Was standing one minute and went down without warning, standing next to brother and mom. I had just finished vaccinating the sister, I was putting a bandaid on her when it happened so couldn't have been more than a couple of minutes. Dr. observed this patient after they passed out at the vaccination clinic and subsequently released her home with the family.

Nausea, Dizziness, Vomiting. Bp 107/59, HR 73, RR 16. Pt stable and released from the vaccination site.

Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: pt immediately said she felt dizzy& eyes began to roll. Mom stated she has a fainting condition. Her Mom & I eased her to the ground. she briefly passed out, but immediately came to and asked what was happening. Her right leg was bent back but we lifted her to straighten leg. I elevated her feet & got her some water. I also got her some gatorade & a cool wet paper towel for forehead. She leaned against her Mom for a little while, then she sat. Mom said not to call 911

Pt received vaccine and was standing outside of immunization room with her parents waiting for her brother to receive vaccine. She felt dizzy and fainted. She hit her head and collapsed. She was seizing/ shaking on the floor. She was conscious with no visible bleeding. She was able to say her name and DOB correctly. Mother reported no history of epilepsy or seizure. Called emergency services and pt was taken to Clinic for further evaluation. A 1.5cm laceration was noted behind her left ear. Pt received 2 staples in the lacerated area.

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium

Dry, itchy throat with some throat swelling. Clamminess, dizziness and paleness. Local emergency services requested for assistance

Day 6 post vaccine patient began complaining of bilateral anterior ankle pain, and L hip pain. She had a low grade fever of 99.8 at that time. The following day Day 7, she had general fatigue, bilateral angle pain, and malaise. On Saturday, Day 8 she was unable to stand for periods of 15 minutes or longer due to pain in both ankles, and her knees, and elbows began to hurt. On this day she was given advil 400mg without relief, she then took Tylenol 650mg and the joint pain decreased from a 9 to a 6. We have had to continue alternating tylenol and advil since Saturday and she is unable to stand or walk for prolonged periods.

Suddenly my vision got super bright and I could hardly see, and then I couldn?t hold myself up and I slowly collapsed onto the ground. It only lasted a few minutes, and then I was perfectly fine. It came on very suddenly and didn?t last long, but it was extreme during those few minutes. It was also very hot that day. And I had a mild migraine headache in the morning, but that wasn?t very bad, and I get migraines fairly regularly.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Medium, Systemic: Vomiting-Mild, Additional Details: Patient felt dizzy and blackout/ fainted for less than 10 seconds. Vommiting and blood pressure on the low 96/64

Patient was hot, sweaty and turned pale 5 minutes after vaccine. She felt like she was going to pass out.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild

Pt reported feeling woozy, dizzy, and nauseous after walking out to waiting room after receiving shot. Approximately 3 minutes after shot was given I was called out to the waiting room as the patient had passed out. I helped her mother lower her to the floor and by the time we lowered her down she was regaining consciousness. After about 5 minutes she was feeling better and we moved her into the immunization room to wait for EMS. EMS came and evaluated her and determined she was ok to go home

Site: Pain at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Turning very pale, passed out and unresponsive, sweating-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: After 5 minutes of vaccination, mom called for help in the waiting area. The patient passed out for a few minutes and responded after we both called her several times. We called 911. She was feeling nauseous. She sipped a little water and was looking very pale and was starting to become unconscious again. Mother thought it was an allergic reaction and asked for Epipen. Epinephrine was administered, and patient became alert and less pale. EMS came and took her away due to low blood pressure

patient experienced a Vasovagal episode after feeling lightheaded. But 15 minutes later she did not regain consciousness. EMS was notified. Patient was observed on site for 30 minutes then released. Possible Conversion disorder

About 5 minutes after receiving her vaccine, patient described feeling light headed, had hearing and visual disturbances, felt like she might pass out. after several minutes of sitting with head between her leg, those symptoms went away but she said she had developed a headache. At time she left pharmacy she said she felt ok other than her headache.

Prior to arrival, the patient received her first COVID vaccine at the clinic, after which she suddenly felt dizzy, described as lightheadedness, and felt warm. She was noted to be hypotensive with SBP at 67. She subsequently drank water with some improvement. No syncope, severe headache, numbness, tingling sensations, or focal weakness. Mother was concerned and brought the child to the ED for further evaluation. Currently the patient feels better. No similar symptoms in the past. The patient denies any chest pain or pressure, shortness of breath, or abdominal pain. No recent fever or cough.She is otherwise healthy and has a normal cardiopulmonary exam and reassuring EKG. The description of her symptoms and the environment which happened is very consistent with vasovagal syncope and she does not have any stigmata, and acute neurologic or cardiac emergency. I believe she is safe and stable for discharge home and she was discharged with return precautions and follow-up instructions.

Syncope. Pt fainted and fell on Left side. Had small elbow abrasion. No Bleeding. Pt denies hitting head. No swelling noted. HR stead 80-100, RR 18. BP 128/82 -- > 110/65 -- > 112/74. Pt symptoms resolved. Pt stable and released from the vaccination site.

Sudden onset severe excruciating upper body pain including back, abdomen, chest, throat, neck causing difficulty moving, difficulty breathing, difficulty speaking, nausea. Severe pain lasted 20-25 minutes then slowly diminishing over next hour. After severe pain diminished, ongoing symptoms included severe fatigue, lack of fine motor coordination, brain fog, weaknesses.

Pt came in to pharmacy with her mom for her 1st dose Pfizer vaccine appointment at 2pm on 5/26/21. We checked her in and (pharmacist ) gave her shot with her mom present at 2 10pm and she was fine with no issues. Within 2 minutes in of her observation period, she started fainting and having seizure like for about 10 seconds, and regained conscious and said she felt dizzy and then blacked out. She was pale and sweating and asked for water. Our shift lead happened to be closed by her chair where she was sitting so she prevented pt from falling down from the chair and called pharmacist for help from inside the pharmacy. Pharmacist rushed to the patient and asked shift lead to call 911. Pt was consious, but lethargic, she could breath normally, no sign of obtruction airway. Pharmacist lift her legs up to opposite chair and started to take BP. Paramedic arrived within minutes and took her vitals which was normal. Mom agreed for paramedic took her out in stretcher to hospital for check up.

ABOUT 30 SECONDS AFTER GETTING THE COVID VACCINE, PATIENT BEGAN FEELING DIZZY AND GETTING BLURRED VISION. I HAD HER SIT DOWN AND TAKE A DEEP BREATH AND GAVE SOME WATER, THEN SHE BEGAN FEELING A LITTLE BETTER AND ABOUT 30 MINUTES LATER SHE RECOVERED AND LEFT THE PHARMACY WITH HER FATHER. I CALLED THEM ABOUT 2 HOURS LATER AND CHECKED IN AND HER FATHER TOLD ME SHE IS FEELING BETTER NOW.

Moments after the vaccine administration, pt started to experience difficulty breathing, lightheadedness, flushing of the face, swelling of lips. Epinephrine 0.3 mg IM was administered, 911 contacted. A few minutes after the epinephrine administration, pt started to breath better. EMT came in within 5-10 minutes. Checked pt's vitals, administered required care and took the pt to the ER.

Approximately 10 minutes after the 1st dose, the patient fainted in the store and hit the back of her head. She regained consciousness immediately. She was alert but pale and complained of pain on the back of her head.

Patient received vaccine, then proceeded to faint and fall out of chair. She hit her head on the floor. Mom was with her--patient was coherent and speaking to me. She said her head hurt--I told her I'd get an ice pack, which I did and gave to her. Mom was really worried so I asked her if she wanted me to call 911, which I did. 2 EMTs came and checked the patient out. Mom wanted her to go get checked out at the hospital so the patient and Mom went with the EMTs. I called Mom around 8:00pm 5/28/2021 and she said pt was checked out. The hospital doctor said it was a vaso-vagal reaction and released patient home with no restrictions.

Patient got nauseous and dizzy approx 10 minutes after administration. BP dropped to approx 75/50. Patient laid down. Benadryl given @ 50mg oral liquid dose, patient requested water bottle which was provided and consumed. EMS arrived and patients BP went to to approx 95/55. Patient became ambulatory and went home.

Site: Pain at Injection Site-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: pt had dizziness, confusio, drop in BP and HR. called 911 and transfered to ER; pt did not receive any medication only monitored; pt had an anxiety attack and vegal reaction per ER staff-Severe, Systemic: Hypotension-Severe, Additional Details: pt had low BP and HR in 50s

Client felt lightheaded and faint. Presyncopal. Had not eaten that day by mid afternoon. Given juice and a snack and felt better quickly.

While patient was sitting after the vaccination about couple hours, pt fell on the ground with her face down. pt was quickly laid on the ground with legs up on the chair. pt resumed alert and oriented after falling on the floor. After 15 minutes, pt felt better and started sitting on the chair and had some juice and coke. Then, pt still felt dizzy and nausea and decided to lay down again. After another 15 minutes, pt felt better and mom took her home. She was told to follow up if needed and watch for concussion.

patient received vaccine and was light headed and fell twice. had patient sit and have oral glucose gel and her color came back and after 20 minutes patient seemed okay and left with mother

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

patient received first covid 19 shot on 6/1 immediately had a rxn of turning very pale, clamy, dizzy, and was incoherent off and on. She never fully lost consciousness however we called 911 and she was checked out by emt. Mother reported she was filling better later in the day

RN vaccinated client and within 30 seconds noticed client started moving to the side. RN held client at chair, RN responded while two other RNs set up anti-gravity chair. Between all nurses, lifted client and laid in chair. PHN joined, client oriented to self and situation, pale, diaphoretic. Vitals at 1412: blood pressure 100/60 pulse 76, oxygen 97%. Client stated feeling dizzy, denied headache, blurry vision, nausea, shortness of breath, chest pain. Client given water and juice. Father present stated no reaction to first vaccine, allergies to peanuts and seafood. Vitals at 1414: blood pressure 106/70, pulse 79, oxygen 98%. Client alert and oriented x4, stated felt dizzy but did not lose consciousness. Per client same thing happened years ago when having blood drawn. Father informed we would observe for 30 mins. 1417: blood pressure 108/72, pulse 81, oxygen 98%. Client stated feeling better. Vitals at 1422: blood pressure 106/74, pulse 79, oxygen 97%. Client stated symptoms resolved. Alert and oriented x4, color normal for ethnicity. Per Father, client's blood pressure is on the lower end. Vitals at 1427: blood pressure 100/70, pulse 85, oxygen 99%. No complaints. Vitals at 1437: blood pressure 100/70, pulse 85, oxygen 98%. Per client feeling fine, everything resolved. Client and Father given ER precautions and advised to follow up with provider. Last vitals before client leaving blood pressure 106/78, pulse 87, oxygen 97%. Client able to stand up with no complaints. Client left facility with steady gait at 1444.44.

1415 Patient experienced dizziness post vaccination. Provided juice. VS HR 100 regular rate. B/P 110/60 RR 20 even and non labored. Pulse ox rate of 96%. Asked patient to stay an additional 15 minutes for observation. Spoke with patient's father who was present on site. Advised of current situation and the need to stay an additional 15 minutes. 1430 no further complaints voiced. Followed up with patient and father, provided education on after care and to contact MD for any additional issues. Voiced understanding. 1445 no complaints at this time and allowed to leave vaccination site at this time. RN.

Immediately after the patient received the vaccine, the patient turned pale and said, "I feel a little dizzy and my vision is blurry." The patient fainted and ended up having a seizure. Once the patient regained consciousness, the patient was nauseated and vomited. Minutes later she had another seizure but immediately came out of it. We asked the patient if this happen to her during the first dose and she said it did not. The patient does not have a history of epilepsy. The patient's mother did say she had the exact same reaction when she had braces put on. The patient sat in the waiting room for 30 minutes while drinking water. Before the patient left, we had check up on her and she said she felt completely fine. I (the pharmacist) called the mother a couple of hours later to check up on the patient. The mother said she felt fine as if nothing ever happened. I did recommend to her that her daughter gets checked up at urgent care today just to be on the safe side. The mother said she has an appointment with her primary care next week.

Vasovagal response, anxiety in Pod 7. Pt reported dizziness and was lowered to ground, supine w/ BLLE elevated on chair. Slight flushing in face. No facial edema noted. Auscultated lungs/airway, CTA, no stridor or other adventitious lung sounds noted. Transported to Med Obs 1 via litter for further assessment. VSS. Encouraged water, pt drank 1 small bottle and ate 2 pretzels. Pt reported dizziness resolved at 1025 VS prior to escorting out stable and listed below Sitting @1030 BP120/77, HR 66, RR 12, 99%RA Standing @ 1032 BP 114/73, HR 78, RR 14, 100%RA

On 5/30/21, patient woke up around 10.30 am and complained of severe headache in back of head (pain level 8-9/10). She was nauseous, unable to sit and even stand. She was getting rainbow circles in her vision. Rushed her to emergency to UCSF, drs ran various blood tests and brain MRI but everything was normal. It was also found that Bipasha had high BP 149/61. The drs could not make out what happened and they discharged her later on after giving some IV fluids and some pain medicine. On 5/31 and 6/1, at home, patient was seemingly okay. On 6/2, Wednesday, patient developed headache again, same symptoms like on 5/30. We rushed her to Urgent care in Fremont and saw her pediatrician dr and a pediatric neurologist. Her BP was high then also 144/87. No cause could be found why. The pediatric neurologist was suggesting it is possible that some Inflammation could be causing the blood fluctuations. Orthostatic testing resulted in major fluctuations of BP. Both neurologist and neurosurgeon have ruled out hydrocephalus. They are saying heart inflammation could be a cause.

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

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Systemic: Tinnitus-Mild, Additional Details: After vaccine administration at approximately 09:10a, per mother stood up from vaccine area to walk to post-vaccination area with complaints of feeling light headed. Pharmacist notified & went to help pt in the post vaccination area. Pt was diaphoretic, pale, and appeared as though she was going to faint. Pts mother, pharmacist, and bystander assisted patient to the ground with legs bent, water, crackers, and ice pack provided. Patient was starting to become more responsive. Paramedics called.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tinnitus-Medium, Additional Details: After getting the Pfizer vaccine, patient started to feel fainted. Patient stated that she has lightheaded and ringing in her ear. Patient was helped to lie down on the ground with both feet elevated. After 20 minutes, patient was feeling better. Blood pressure at this moment was 101/69, and pulse was 74. Patient was able to stand up and walk around.

Immediately got a shooting pain in arm with light headness. Got pale within 30 seconds. Started to have a seizure with uncontrollable arm and leg movement. Arms went limp broke out in a clammy cold sweat. Pupil got enlarged and were unresponsive. Patient blacked out and this continued off and on for 15-20 minutes post injection. Had very labored breathing. EMS arrived and attended to patient

Patient felt shooting pain up her arm, felt light headed, and then had a seizure. 911 was called, she was taken out in the parking lot by EMT. Spoke to the parent and she has not had any prior history of adverse reaction to other vaccinations. According to the EMT, immunizer may have hit the never. Patient is doing fine as of few hours later, upon follow up with the parent.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: we called 911, 3 EMT's arrived and they took her vitals and stayed with her and her father for roughly 20 minutes and she left with her father.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: we called 911 3 emt arrived they took her vitals and stayed with her and her father for roughly 20 minutes and she left with her father

Patient felt nauseous after vaccine and her mother tried to take her to the restroom. When she stood up she got lightheaded. Her mother caught her. She did not hit anything. The paramedics were called. She remained reclined on the floor until they arrived. She said she felt fine. They monitored her for a short while. She required no further treatment. On follow-up several hours later she states she feels fine.

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: after immunization patient was sat down for observation. shortly after, patient felt weak in her chair. pharmacist was called to clinic. upon arrival patient continued to feel weak. while speaking with her mother next to her, patient fainted in her chair and was promptly brought tot he floor and legs raised. patient awoke shortly after and was given water. after a few minutes patient fully recoverd. patient stated for another 15 minutes for further observation. patient had no further issues

PT started to feel "dizzy and complain of body burning". PT slumped over with no LOC. Reaction tam notified. PT remained slumped over for 10 minutes, then said she was starting to feel better. Talking normal, drinking water with no complaints. Sitting up on phone. PT stayed extra 30 minutes per reaction team order. Vitals as follows: 1426 Lying BP 137/89 HR 84 RR 16 SPO2 98% 1501 Lying BP 142/83 HR 60 RR 18 SPO2 96% 1520 Sitting BP 130/68 HR 84 RR 18 SPO2 98

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Weakness-Mild

Patient is a 15 year old female who presents following administration of the second dose of Pfizer COVID19 vaccine in the left deltoid. Patient states that she developed a tender, pruritic, red rash at the site of the injection about 10 minutes following the administration. She relates that she also developed smaller red rashes on the left distal portion of the arm. She states that this did not happen with her first dose of Pfizer vaccine. She states she also feels slightly dizzy, but relates that she only at a grilled cheese for lunch and minimal water intake. She denies a history of anaphylaxis and denies allergies to medications, foods, other vaccines. She affirms a past medical history of low vitamin D (currently treated with supplemental vitamin D gummies) and low iron (untreated). She further relates that she had her tonsils removed about 1 year ago. She denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting. Exam (update as needed): GEN: Alert and oriented x 4, NAD. HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal with exception of no tonsils noted, no evidence of angioedema NECK: Supple, without LAD. CV: RRR, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN: Skin warm and dry. 0.5mm ecchymosis noted 2 cm below the AC joint and in the correct anatomical position for IM injection. Roughly 5cm of erythema and edema of the left deltoid injection site. The area is mildly tender to palpation, but nonfluctuant. Two 0.5cm erythematous macules located on the left forearm that are nonfluctuant and nontender to palpation. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady Clinical Impression/Field Tx: Vaccine site reaction. Vital signs within normal limits. Physical exam otherwise normal. Gave patient 10mg OTC Zyrtec from her personal supply. About 30 minutes following administration, the vaccine site was significantly less erythematous and edematous. Patient did not develop any other symptoms. Patient felt comfortable leaving the site. Advised patient and parent that patient should take 25mg diphenhydramine PO once, once they arrive at home. Instructed patient to consult the patient?s PCP regarding the post-vaccination reaction. Patient instructed to go to emergency department should she develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, worsening skin rash, or cramping abdominal pain with nausea/vomiting. Patient and parent demonstrated understanding of post-vaccination instructions. Medications administered: Patient self administered 10mg of Zyrtec. Disposition: Home

After the patient was vaccinated, she stating feeling ill. She was lightheaded and with problems breathing. We gave her Benadryl but still reported she was feeling bad and asked for an ambulance.

PATIENT FAINTED AND FELL TO THE GROUND COUPLE OF MINUTES AFTER RECEIVING HER VACCINATION. SHE HAD SEIZURES ASSOCIATED WITH SYNCOPE.

Patient fainted in the waiting area within 3 minutes of receiving her 2nd dose of the Pfizer/Biontech Covid vaccine. According to witness and mother, the patient fell to the ground from a seated position and was shaking. It is unknow wether the patient lost consciousness. Witnesses reported the patient may have hit her head when falling. Patient was cold and clammy to touch. 911 was called and transported to hospital.

Pt usually is scared of needles and had anxiety with every imz. After giving the shot, she said, she was ok and was with her mother. After a couple of minutes she fell down saying that she is dizzy. We took care of her and also called 911. While falling her mother caught her, so she didn't get any injuries. she felt fine after 3-5 min. EMT arrived and took care of her.

Received her 2nd dose of the Pfizer COVID19 vaccine, while sitting in vaccination seat she immediately felt faint. Syncopal event, diaphoretic, lost hearing. Pt laid on cot, knees up. BP 92/50 HR 47, unable to obtain Pulse Ox. RR 13. EMS called, Paramedic evaluated the pt. BP came up to 104/72 HR 79 O2sat 99%. Pt reported feeling much better. Pt has a history of passing out with vaccines however she did not pass out with the 1st dose. Mom signed refusal for transport with EMS. Mom states she will call the pts pediatrician. ED precautions given to pt and mom by paramedic.

Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Shakiness-Medium

After getting vaccine patient started feeling dizzy. She was going to faint but one of the employee supported her and set her down on chair. After 5 minutes, patient started feeling better so lie her down on her back and elevated patient's feet. After 10 minutes patient started feeling better so set on a chair to rest. After 10 minutes patient was ok. Double checked if patient does not have visual disturbances, dizziness or other symptoms. left with father after feeling completely fine.

Fever the following morning. Then, 38 hours after shot: abdominal cramping, rapid heart beat, dizziness while laying in bed. Then, upon standing, passing out with loss of bowels and bladder and a tonic response.

Severe chest pain along with dizziness/lightheadedness started 2 hours after vaccine. Sx persisted for several hours.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Severe, Additional Details: Patient started to feel dizzy and lightheaded and sweaty within 1 minute after getting the vaccine. We informed the clinic nurse who took over care. Patient drank some cold water and after about 15 minutes, patient started to feel better. Patient is going home with her mom. Patient is feeling much better now

Patient fainted approximately 5 minutes post-vaccine. Patient remained in vaccination room while other family members were vaccinated. Patient was leaning on wall in the corner and fainted after family member was vaccinated. She appeared to have hit part of the door and got a small abrasion on her left shoulder. Patient was breathing fine and was out for approximately one minute. After waking, she was kept on floor and sat up when ready. She was observed for an additional thirty minutes and was given a snack and water. Upon leaving, she confirmed she was feeling okay.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Around 5 minutes after vaccine pt reported dizziness, nausea and double vision. Within 10 mins, pt said double vision went away but she was still dizzy. EMS was called and pt was taken for follow up at hospital.

Aproximately 5 minutes after receipt of 2nd dose, patient began feeling hot, and dizzy. Symptoms progressed to gagging, loss of vision and hearing. Patient was placed in the modified tredelenburg postion, vital signs obtained and monitored for roughly 40 minutes. Vital signs were initially low, RN assessed patient had not even prior to vaccine adminsitration. Offered water and energy bar, placed bag of ice on back of neck. Patient did not experience and respiratory distress throughout event. Mother was educated on signs and symptosm to monitor for post vaccine and if any new or worsending symptoms presented to seek care at the emergency room.

The evening of the vaccine Maddison had slightly labored breathing, pins and needles feelings in feet and hands. Fever, body aches. The morning after while taking their temperature, Maddison said she couldn't see anything then fell into my arms. Her pupils quickly dilated, she made gutteral sounds while shaking slightly then lost consciousness. I couldn't see her breathing for about 15 seconds and she was confused when she came to. She couldn't hear, see or speak during the episode. We took her to the emergency room where a chest xray and ekg came back clear.

Patient presented to the observation room with her mother to schedule 2nd appointment and be observed after vaccination. Patient lost consciousness and was caught by the observation staff and lowered into a chair. Staff states patient lost consiousness for approximately 30 seconds. Once patient came to she knew her name, where she was, and the date. She still felt very dizzy. Patient's pulse and O2 saturation were immediately taken showing a pulse of 45 and O2 sat of 100%. Unable to get pulse up, lead of operations called for ER support. Patient was gray in color, very weak, and still complaining of dizziness when ER staff arrived. Unable to walk due to weakness, patient was transferred to cart and taken to ER

Called to where 16 yr old pt sat in observation area with her father. Pt was alert but pale. According to Pt father Pt lost consciousness for a second in chair. PT states she's afraid of needles but she did not faint from first dose of COVID-19 vaccine. PT states she felt lightheaded but did not mention any other symptom. PT father states PT does not have any medical history.Pt states she only had a very small breakfast and no lunch. Assisted PT lay on yoga mat with legs elevated. First set of vital signs were taken at 1:40: BP 109/74; P 72; Res 18; O2 Sat 100%. Second set of VS taken at 1:50 with BP 104/65, P67; Res 18 and O2 Sat 100%. PT states she felt better; her skin color turned normal. Assisted PT sitting up on the yoga mat for a few minutes then back to her chair. Water and snack provided to PT. However, around 2PM PT felt lightheaded again while in chair, she lay herself down on the ground. At this time she felt periodic nausea. Her VS at 2PM BP 108/64; P67;resp 18. Her skin color was normal. Cold towel was placed on forehead with some comfort. 7-UP given to relieve nausea. PT rested on the ground until 2:30 then went back to her chair. Her symptom finally subsided and she left observation area with her father around 2:45PM.

Patient became lightheaded and fainted in her chair in the observation room post injection. BP 103/71, HR 66, R 16, O2 sat 100%. Patient was given water and graham crackers. Continued to monitor patient; at 1003, BP 106/70, HR 73, R 16, O2 sat 100%. Patient stated that she was feeling better and was ready to leave. Patient was discharged to mother to go home.

Post 15min observation, pt was feeling dizziness and nausea. Pt assisted to medical bay via wheelchair. Pt notes no PMH. Pt is currently on her menstrual cycle and on birth control medications. Pt given water and juice. 20mins post vaccination BP 88/44, HR 51, RR 20 -- > 7mins later 101/60, 63, 20. Pt stable and released from the vaccination site after symptoms resolved.

Status post vaccination , pt. experienced vasovagal syncope. Pt became dizzy, disoriented, and briefly unresponsive. Using a pulsometer, her HR was determined to be 49BPM with an O2sat of 99%. Patient was attended to and provided water, she became oriented and responsive within a few minutes. The patient was monitored for 30 minutes.

After patient received vaccine, she walked to the Moderna side to wait for mother to get vaccinated. While waiting for mother, patient started to feel "dizzy." She was assisted to chair by staff. Upon assessment, patient was warm to touch and pale color was noted to face. Patient was alert and oriented. BP 100/74, P58, SpO2 99% on room air, water given and cool compresses applied to neck. Extended monitoring in recovery area done. Patient states, "I feel much better." Patient ambulated from facility, with mother, without any difficulty. No s/sx of distress noted.

2nd Dose given at 830 am on June 5th. At 5pm sameday pt. Was having weak legs,dizzy, slight headache trouble standing . By 9 pm pt. Was very weak, chills and she felt as if she had fever but temp was 97.3 , by 10pm she could not get out of bed because she felt so weak and achy,, her arm was so sore I couldn?t even touch it & she couldn?t lift it , had severe chills but also started to run a fever of 101.3. She could not sleep and was quite scared. I slept in her room with her to make sure she didn?t stop breathing. Gave sips of Gatorade and at 1130 gave her 1 pill tylenol rapid gel release for pain/fever sips of Gatorade through the night

Pt reports she had her first dose of Pfizer Covid vaccine on 5/17/21. The following week she had a very heavy period that lasted longer than usual with severe cramps and occasional lightheaded/dizzy spells. After her cycle ended, she continued having brief episodes of dizziness, usually when going from sitting to standing, usually resolved quickly (after a few minutes) with rest. Over the past two weeks, the episodes have become more frequent and intense, and over the past few days episodes also include s/s of seeing spots and having blurred vision with nausea, SOB, and palpitations/tachycardia. Tonight while at lacrosse practice, pt suddenly became dizzy and felt like she might pass out, became diaphoretic and pale.

event: 10 minutes after receiving vaccine, gaurdian reported patient was feeling lightheaded and dizzy treatment: had patient sit, take off her mask, bend forward with her head between her knees and guided her breathing. after patient felt better, she had some water and animal crackers. outcome: after 15 minutes of additional observation, patient felt better and could stand without dizziness, nausea, or fatigue. Caregiver took patient home.

My daughter received her second Pfizer vaccinations at 2:15 pm. At 1230 at night she work up with stabbing chest pain in the center of her chest that lasted three hours. She initially said her felt faint and couldn?t catch her breath as well as initial nausea. Being an advanced healthcare professional, I spent five minutes of asking her questions: did she eat something bad, did she feel like she needed and inhaler, did she need to use the restroom, checked her pulse (100bpm with palpitations), no resolve. We live 5 minutes from hospital where we prefer to go, but my daughter didn?t think she could make the five minute ride there. We went to ER that is around the block from us and it was total chaos. 40 + people in the waiting room to be seen. My daughter was visibly in distress, crying and couldn?t keep still because of the intense chest pain she rated a 10 out of 10. Finally they did a 12 lead EKG. The rolled us to the back of the waiting room. After 15 minutes, I rolled back out to the front desk and no attention to her and her severe chest pain. Finally I announced we were going to hospital. The called back to us? ?Good Luck!? Got pt to hospital and the immediately did EKG, lab work, chest x ray, urinalysis. The chest pain became intermittent then final subsided. The doctors ruled out pneumonia, No PE, EKG WNL, lab work fine. The Doctor stated it was chest wall pain and gave us a NSAID prescription. I talked to my sister who is an nurse works in the vaccination clinics. She said she has had patients who have had bouts of pericarditis and pleurisy after the second shot. That motivated me to google second dose Pfizer reaction in teens. There is a rare side effect of myocarditis in the teen population after the second dose. The publication date was June 4 the day before my daughters reaction. I didn?t thinsk the ER physician was aware of the the possible rare side effect of myocarditis in teens. I was happy with the care we did receive.

Approximately 30 seconds after injection of covid vaccine patient stopped talking, her eyes rolled back and she slumped over in chair. Patients head rolled side to side and patients mom started freaking out thinking she was having a seizure. She screamed at the technician who administered the vaccine to call 911 . Patient regained consciousness after 10 seconds and was fully alert and able to speak/ answer questions. Pt maintained consciousness the whole time while waiting for the ambulance. Pt's mom still wanted an ambulance so one was called and EMT's came and accessed the patients vitals. Vitals were all within normal limits and EMTs spoke with mom and advised that pt most likely did not have a seizure and gave the option to transport to the hospital or monitor at home. Mom chose to monitor at home and pt was able to walk out of the store on her own.

18 hours after receiving the vaccine, she fainted for one minute. During this time, she first felt presyncope and then fell to the ground and lost consciousness. She revived within one minute, but has felt dizziness for 2 days after.

Approx. 5 minutes after vaccine given Pt. felt weak and like she was going to pass out. She was sitting in chair and we gave her water and she put her head between her legs. After approx. 2-3 minutes she felt better and sat up drank water. After about 2 more minutes she felt dizzy and she went limp, she was diaphretic, pulse 50, bp 80/palp. Pt. arroused and was able to speak approx. 2 minutes later but was very weak and states "I cannot see anything". Squad was called they arrived and assumed care. Pt. was alert and oriented and was able to talk. Pt. Mom was with the patient the whole time

After administration of 2nd Pfizer vaccine, patient became dizzy/light headed. After laying down for 20 mins, patient began shivering, developed a headache, had numbness in hands, and was tired. After about 30 mins with no improvement of symptoms, 911 was contacted. Paramedics arrived and gave patient EKG, BP, Temp, and Glucose. All were within normal limits.

Administration of vaccine began at 10:46am. At 10:48, patient was observed to be pale, complained of being light headed, and was observed to be diaphoretic. Pediatric resident was called at 10:48 and was in attendence through observation event. She was placed in a supine position on stretcher. BP 102/63; HR was 69. Improved quuickly; at 10:55; feet were placed down; BP was remeasured at 107/70; HR 77. She was positioned in sitting position on edge of stretcher; BP was 109/62 sitting. She was positioned to standing at 11:00; color was observed to be pink; standing BP was 109/66. She was discharged to home at 11:20am with parents.

Patient exhibited symptoms of a seizure that lasted about 1-2 seconds. She came out of it right away, drank some water, rested for 15 minutes then felt fine and was able to go home with her grandmother. She said she felt light-headed after her shot. She didn't seem to remember what happened though. She wasn't too talkative to tell us more about how she felt.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Additional Details: After administration of her first COVID vaccination from Pfizer, patient was instructed to take a seat for 15 minutes for monitoring. Patient fell forward on her chair and hit her head on the shelf. Patient was immediately being cared for by the pharmacist who administered the vaccine. Patient was kept laid down on her side to prevent further complications, was given water. She was responsive, but felt nauseous and stomach ache. Blood pressure was taken 92/62 and 86/64 and was okay after 30 mins

Felt faint and started vomiting immediately after receiving vaccine, vomited several times, felt better after approximately 10-15 minutes.

After recieving IMZ pt felt a bit dizzy. I had pt stay in the IMZ chair until she said she felt better at which point she went to the post IMZ waiting area. On the way to the area, she got dizzy again and her legs gave out and her mom was holding her up. As I came out to get her, pt was awake and responsive. Unsure if she ever actually passed out or if she was just light headed. Laid pt on the floor with feet elevated for a few minutes with a cold compress on forehead. After a few minutes, pt felt better so had her sit up still on the floor with cold compress. After a few more minutes, pt felt better and had her sit in chair and finish post IMZ wait time. Pt felt fine and left.

Patient began feeling nauseous and light-headed post-vacccination. EMS evaluated her and determined that her blood pressure was low. Patient was given water, snacks, and a cold compress. 6/1/21: 11:47am - TC to parent. No answer. left message to call back. 6/4/21: 2:23pm - TC to parent. No answer. Left message to call back 6/7/21: No call back from parent. Record closed.

Anaphylaxis shock became dizzy weak and throat started closing up had to be given an epi-pen rescue was called decided not to take her to the hospital pediatrician decided not to let her have a second shot too risky

Patient received the 1st COVID vaccine Pfizer Lot#EW0185 on 05/22/21 at 11:18AM. The patient presents to the vaccination site today for her 2nd COVID Pfizer vaccine with her mother. She alerted RN that she developed dizziness 24 hours following her 1st vaccine. RN alerted RN lead who responded. The patient told RN the dizziness lasted about one hour. She did eat prior to receiving the vaccine on 05/22/21. The patient did eat today prior to presenting to the vaccination site. The patient did not report SOB after the 1st dose of COVID vaccine Pfizer. The patient did not consume any medications for the reactions to the 1st dose. They did not follow up with any medical care providers after developing dizziness. The patient denies any chronic conditions, or current medications. The patient has no known allergies. RN consulted with the Medical Consult Team regarding the patient and her reactions to the first dose of COVID vaccine Pfizer. Approval was received from PHN via text message. RN provided education regarding s/s of anaphylaxis, to report any symptoms during observation to EMT, to follow up with PCP if the patient develops any symptoms post vaccination, to consume water prior to vaccination and after, and V-safe. The patient was also instructed to wait 30 minutes in the observation period. The patient and her mother voiced understanding of this. The patient stated she had already drank water while waiting in line pending vaccination. Patient received the 2nd COVID vaccine Pfizer Lot#EW0187 on 06/12/21 at 12:44PM. The patient waited in the observation area for 30 minutes with her mother. She did not alert the EMTs of any symptoms during her observation period.

Woke up with chills, muscle pain through out whole body, fatigued and just flu like feeling. Felt like that, all day. Around 6:30pm she came outside to get some fresh air, trying to feel normal & got suddenly dizzy & then fainted. Her body kind of, rocked. She came to, after she heard her sister, calling her name a few times. So she was out for less than a minute. But she's never fainted before!

Technician (licensed to vaccinate) administered vaccine to patient near pharmacist. 20 seconds or so after administration, patient stated felt dizzy and immediately became unresponsive and head dropped to chest. Technician stated he then lifted the patients head because he heard a "snoring" sound indicating airway may be constricted due to positioning. Technician stated the patient's body twitched and became ridged, throwing her belongings. He called pharmacist (myself) for assistance. I immediately checked for breathing and pulse, both of which were evident. I observed pt vitals for about 20 seconds before the pt opened her eyes and was responsive and able to talk to me. Blood pressure was 120/69. Pt remained in the pharmacy waiting area for 30 minutes after. Patient said that in the past she has nearly passed out from piercings she has had, but has never fainted before and has no history of seizures.

Adverse event: Patient felt dizzy, nauseated, blurry vision 5 minutes after vaccine administration. Treatment: Patient was suggested to lay down and it helped resolve the symptoms. Juice and crackers were offered to the patient as well. Patient was feeling better a few minutes after food and rest. Patient was discharged to POV/Home at 1:25pm.

Client received her first dose of the Pfizer Covid-19 vaccine (Lot # EW0187 Exp. 08/2021) at 12:38 PM on Wednesday 6/16/21. EMTs and Lead RN responded to the incident. Lead nurse signaled over EMT at approximately 12:44 that she needed the gravity bed for a client. The client was found lethargic when EMTs arrived with a gravity bed. The client was a 15-year-old female with a chief complaint of dizziness. Client?s older brother was present during incident. Interpreter translated information between EMTs/RN and client/client?s brother. The client was alert and tracking to voice. Per the lead nurse, the client was complaining of dizziness after the administration of her first Pfizer vaccination. The client had no known allergies or medical history. The client also did not take any medication. The client's brother stated that ?she had chicken nuggets and a smoothie? to eat at approximately 10:00. The client's brother also stated that ?they had been standing at the border crossing under the sun? for an extended period of time. The client's airway, breathing, and circulation were intact. The client was negative for hives, swelling, shortness of breath, or other signs of anaphylaxis. The client was nauseous, dizzy and complained of numbness on both arms. The client was unable to bear weight and not following simple commands before she was assisted to gravity bed by EMT and RN. The client then briefly lost consciousness for less than a minute before becoming alert to person, place, date, and event. EMTs assessed vital signs every 5 minutes for a total duration of a 45-minute observation. Vital signs were taken by EMT with client lying supine immediately after losing consciousness (12:45) and were reported as follows: Blood Pressure (BP) 92/64, Pulse (P) 66, Oxygen Saturation (O2) 99%, Temperature (T) 98. Skin was intact, pale, and cool to touch immediately following patient regaining consciousness. Patient remained lying flat on gravity bed for approximately 10 minutes before she was assisted to a seated position. Patient was in a high-fowlers position when she was given a juice and granola bar. Client then stated that she was ?feeling better?. After an additional 10 minutes sitting on the gravity bed in high-fowlers position, the patient was assisted by RN and EMT from vaccination station to EMT/observation station. The client remained seated in the EMT/observation station for an additional 15 minutes. Vital signs were taken every 5 minutes during this time by EMT. They were reported as follows: 12:51- BP 112/78, P 69, O2 97%, T 98. 12:55- BP 108/78, P 77, O2 99%, T 97.9. 13:00- BP 104/78, P 66, O2 98%, T 98.1. 13:05- BP 96/62, P 83, O2 95%, T 98.1. 13:10- BP 92/68, P 76, O2 98%, T 98.1. 13:20- BP 90/70, P 92, O2 99%, T 97.6. 13:28- BP 92/72, P 93, O2 99%, T 97.9. After a 45-minute observation, client stated her condition was improving and was observed walking normally. Client?s skin color returned to a pale pink and became warm to the touch. Client denied dizziness or any other symptoms. Lead RN educated the client about what to do if symptoms returned. The client was provided with the V-Safe form and EUA form with highlighted portions pertaining to symptoms to be mindful of. The client was also instructed to call 9-1-1 if symptoms of anaphylaxis, also known as a severe allergic reaction, presented. These symptoms include difficulty breathing, shortness of breath, hives covering body, facial swelling and more. Client and client?s brother acknowledged understanding of information. The client?s brother stated that he would ?drive her straight home?. The client then left facility at approximately 13:33 with her older brother in positive disposition with steady gait.

Dizziness/lightheadedness; Nausea; Blurred vision; Terrible headache; a little palpitation; Clogged throat; this heaviness (not clarified); This is a spontaneous report from a contactable consumer (parent). A 15-years-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 15May2021 16:00 (Batch/Lot Number: EW0182) as single dose for COVID-19 immunisation. Medical history included no other illness. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient previously received Amoxicillin, Azithromicin, Cefdinir, Gardasil(Pf) and had allergy. The patient had Nausea that does not go away with Gardasil. She also received HPV vaccine previously and experienced nausea and the dizziness for a month. Reporter stated, "she did not have any allergic 'condition' (not clear) but she was allergic, she had always had a rash when she had this Amoxicillin this antibiotic. She was allergic to Penicillin." The patient had the COVID Pfizer Vaccine on 15May2021 and as soon as she had her first dose she started to feel nausea and dizziness and from there 5 days later she had, she felt a terrible headache, 'this heaviness' (not clarified), headache, dizziness, palpitation. The reporter took her to the emergency room, they did all the test and they didn't really see anything in the results. From there she cannot stop to have nausea and dizziness and clogged throat so the reporter had to give allergy medication to her every day. She did have, she never had an allergic reaction to any vaccine but the HPV vaccine (captured as unspecified vaccine in tab) what was similar to what she is experiencing now. She had nausea and the dizziness for a month that she couldn't stay in school and she has this nausea and dizziness and clogged throat she has to run for this allergy medication what normally she never needed. So, she doesn't want to take this second dose and the reporter was wondering if it is Pfizer because she was just like (Height), a (Weight) pounds if because the reporter understand the vaccine is one for everybody, isn't this strong for a kid with that height that weight, that you do not needed the second dose. The patient could not she said she will not because she goes to school and she feel the nausea and dizziness and so. The reporter would like to report it because it maybe Pfizer's that she was thinking that 1 dose would be enough for kids. When asked about the start of experiencing adverse events, the reported stated that "Well the nausea and dizziness, she was a little bit not sure about like headache right after like her we stayed there like half hours because the doctor said to stay there because she has her reaction to which but then we just the reporter felt the nausea and everything was so bright you know, the reporter had the same effect but her went away and the patient after we received she was, the whole day but not too bad, 5 days after then she but she was already with this nausea, dizziness and 5 days after she got the palpitation, bad headache, nausea, dizziness and then I took her to the emergency room." Reporter stated, "No they have improved, the only thing now left is every day she has this nausea, dizziness and then she said about dizziness and then nausea and then clogged throat and then the reporter gave her the 'allergic pill I gave that, to this allergy' (not clarified further) really she gave only 1 tablet a day." Reporter stated, "On 20May2021, they did a blood test, they did urine test, they did a ECG, so the hospital did all and the doctor too, nothing new." The reporter had lab test result on chart, she stated they put on her chart but she also had the copy of the results. Okay, here they put the result is a line on the chart. Okay here they put like linear line lab test complete, she get all the line because here they didn't put results but screen for metabolic and kidney disorder they did, they did an 'urinary tract infection' (not clarified) they have marked in the ECG. Okay you going to ask for specific (incomplete sentence)." The patient had no other illness but reporter need to know what Gardasil and Covid 19 vaccine have in common because the symptoms were very similar. Nausea that does not go away. She asked if it is the preservative or what ingredients. Never had a reaction to any other vaccine. She just wanted to call the Medical Department if she should have the vaccine on Saturday or not. On 15May2021, 4:30 AM, the patient experienced dizziness, nausea, lightheadedness, blurred vision, headache, a little palpitation (as reported). The patient received treatment Children allergy medication. Adverse events resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Outcome of the events clogged throat, heaviness was unknown and other events was not recovered.

PATIENT SHOWED UP FOR THE APPOINTMENT FOR HER 2ND DOSE. WHILE GOING THROUGH THE , EVEN THOUGH PATIENT (PARENT) MARKED NO ALLERGIES, I ALWAYS STILL RECONFIRM WITH PATIENT THAT THERE IS NO ALLERGY. PATIENT WITH HER PARENT (MOM AND DAD) PRESENT INDICATED THAT SHE HAD LOST LIP COLOR (PALE), VOMITING, DIZZINESS, SHORTNESS OF BREATH. PATIENT WENT TO THE ER AND HER BLOOD PRESSURE WAS LOW AND HAD IV GIVEN TO HER. SHE WAS RELEASED THE SAME DAY. PATIENT DID NOT CALL THE PHARMACY AFTER THE REACTION. PATIENT IS ALSO NOT SURE IF THE ER HAD REPORTED IT. FOR THIS REASON WE ARE REPORTING THIS EVENT.

on 6/16/21 day after 2nd dose of vaccine, while at orthodontist appointment, was standing to get xrays done and fainted for a few seconds. prior to fainting felt nauseous and dizzy, after that happened, went home and then slept for 5 hours. When work up had headache and vomiting x2 , and headache continued, medicine taken, the next morning 6/17/21 all resolved. felt completely normal. came to doctor for regular scheduled appointment not for syncopal episode, no cough, no fever, no chest pain, no heart palpitations,

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium

At 1443 EMT observed client leaning forward in chair and approached for further assessment. Client mentioned feeling dizzy. PHN arrived at 1445 and observed client sitting upright in chair, alert and oriented x4. PHN asked EM to bring anti-gravity chair. Client able to transfer to anti-gravity on her own. First vitals by EMT at 1445: blood pressure 148/86, pulse 92, oxygen sat 100%. Grandmother present with client. Client reported feeling dizzy and nauseous. Client denied headache, blurry vision, shortness of breath. PHN observed hives on neck, bilateral arms, chest and upper left back. PHN offered Benadryl, Grandmother accepted and stated she would go get Father who was outside. Father denied client having allergies, no pertinent medical history or current medications. At 1448 PHN administered 1ml/50mg Benadryl IM on right deltoid after checking dosage table and verifying weight with client. PHN called 911 at 1449. At 1452 client reported new onset of tingling on both hands. Client appeared pale and diaphoretic. Vitals at 1452 by EMT: blood pressure 150/90, pulse 108, oxygen sat 100%. Hives on bilateral arms improving, hives on upper left back resolved. Flushing of face and ears. 1456 PHN and EMT observe edema of lower lip. PHN on phone with 911 operator asked client if she was having trouble swallowing. Client unable to fully describe, drowsy, but was speaking in full coherent sentences. At 1456 pulse 95, oxygen sat 100%. Paramedics arrived at 1458 and assumed care. Client transported to

Upon leaving the store approximately 15 minutes after receiving vaccination, patient told her father that she felt she was having an issue with her vision and was feeling faint. Her father was able to support her as she fainted and was lowered gently to the ground in front of the store. A pharmacy technician was leaving the store simultaneously and upon witnessing the event ran back to the pharmacy to tell me I was needed to assist. When I arrived, the patient was alert and breathing and able to answer questions regarding personal information, date, time and location. Patient stated she felt normal other than some tingling sensation in her hands. Patient reported that she hadn't eaten anything since waking up that morning. EMS was already en route, and I observed the patient until they arrived. Patient has since been transported to the hospital and is currently reported in stable condition.

when patient got the vaccine she had instant drop of blood pressure, felt so dizzy but not had any breathing issue. no treatment was given to the patient. After few minutes patient was about to talk and felt fine. Her blood pressure come up to 106/69 and was able to go home.

Patient was dizzy and weak after the vaccine was administered. After 10 minutes later she passed out. EMS came to take care of her. All the tests were normal. Her glucose level was low. She was given glucose oral gel to take before she left with her dad.

Pt went limp immediately after vaccine administer. Seconds later head was shaking and pt returned to normal. Pt was observed by pharmacist and NP from clinic. Quad was called, pt was determined to be safe to go home with mother's observation.

Chest pains, tightness in chest, heavy chest, dizziness. Called 911, went to ER. Multiple tests, bloodwork, revealed inflammation around heart. Also elevated troponin level. Follow up appointment with pediatric cardiologist. More testing. Same results. Inflammation around his heart.

After receiving the vaccine, client experienced a syncopal episode for approximately 30 seconds.. Parent states this is exactly how the client's seizures manifest. Once client regained consciousness, client complained of lightheadedness and dizziness post vaccination. Vital signs taken. Vital signs: sitting blood pressure initially: 97/68, Oxygen saturation: 98% on room air, pulse: 83, Respiratory rate 16. Client was alert and oriented, but slow to respond. Client was assisted to a lying position with legs elevated. Vital signs taken again. Vital signs in lying position: Blood pressure: 128/83, pulse: 83, oxygen sauration: 99% on room air, Respiratory rate 18, temperature 97.8. Client remained slow to respond. EMS called.

Experienced a headache that has not went away. She is very fatigue, chills, enlarged lymph nodes behind her ears and under armpits, dizzy spells, sensitive to light.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: bradycardia-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium

IN ER VISIT: history from patient and mother: Immediate onset lightheadedness, dry throat, intermittent neck and leg pain, then blurred vision. In ER rapid twitching of eyelids and rapid eye movements, not consistent with nystagmus. Exam otherwise normal, except lying in chair with eyes closed, answers appropriate but brief. Abated with ativan and zofran. Seen at 1912 PM in ER, came by private vehicle with mother. Discharged from ER at 2300 alert ambulatory and improved.

4-5 days after dose # 1 she started with heavier than usual vaginal bleeding, passing clots, persisting in the 10-15 days following with dizziness, HA, fatigue, heart racing

About 10 min after receiving first dose of Pfizer COVID vaccine, pt had vasovagal response and fell to floor. Hit cheek on floor, and was very scared of event, but returned to baseline in a minute or two. Cold towel applied to left cheek and educated mother to take pt to be evaluated if cheek continues to hurt after applying ice at home. After waiting an additional 10 min, pt able to walk out of clinic waiting area with mother.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: This was second dose. Patient's temperature was 98 degrees. I asked her if she had any type of reaction to the first vaccine and she said no. I asked if she knew what to expect for the second one and she discussed how everyone in her family had fever and headache the day after. I gave her the vaccine and 5 min later she told me she was a little light headed and wanted to throw up. I told her it was okay to go ahead and go to the restroom to vomit. She passed out at the bathroom door. called ED

Complaints of seeing stars and feeling faint. Wheel chair and stretcher pad with legs up. Mom states she passed out with needle sticks or the sight of blood. 94/62, pulse 92, resp 14. Passed out a for few seconds. Mom declined EM. Pretty sweaty. 97/65, 92/14 states she feels better. Given water and cool cloth. 10:45 am 91/63, 97/14. Patient states no longer feels faint. Setting up . 11:00 Patient states she feels normal. Skin warm, dry and pink. Standing vital signs 116/86, 16. Mom and patient comfortable and walks without problems. Instructed to notify staff prior to vaccine so she can lay done before administration.

Patient began to slouch upon sitting in the waiting seat approximately 1-2 minutes after receiving their second dose of the COVID19 (Pfizer\BioNTech) vaccination. Pharmacist immediately assisted patient and instructed for technician to call 9-1-1 immediately. We were able to catch the patient as they were falling out of the seat. Patient then began to seize for 5 seconds. Post seizure the patient was pale but cognizant and able to answer questions correctly (i.e. Name, DOB). Patient then began vomiting profusely. Patient reported no history of seizures, however reported previous an episode of fainting 3 years ago due to heat. Patient was monitored, given bag for emesis, water for rehydration, and ice pack until EMS came.

Patient complained of pain in left arm (injection arm) and dizziness. I monitored patient for anaphylaxis. Patient showed no signs of anaphylaxis. I took her blood pressure and temperature. BP was 75/35, heart rate = 68 and temperature 98.7. I monitored patient for 30 minutes. After sipping on orange juice, she started to feel better. Her mother was present. I asked her mother who the child's doctor is and she stated that daughter has no doctor. I recommended that her doctor be seen today to monitor.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt expressed she can pass out after vaccines and blood draws. i explained process, side effects and what to expect. I had pt look at her mom during admin. Patient did fabulous and told she did amazing as not even a speck of blood. About 5 mins later i asked pt hiow she was, which was good. About 15 mins later, she seemed lethargic and said she was dizzy. I asked questions, took Temp and got ice packs. I then called EMS as patient was not responding appropriastely. BP, O2, HR were perfect

Systemic: Weakness-Mild, Additional Details: Patient felt dizziness and just fell down and recover right away . I pharmacist gave some water and check vital and she was fine and made her sit down for 30 min. then send her home

Patient slumped over in chair while waiting the required 20 minutes after the vaccine. Her father stated that she had a loss of consciousness but did regain consciousness. Patient had low blood pressure when taken by the pharmacist of 85/65. Patient was very pale, gray coloring in face and extremities. Rescue squad was dispatched and transport to hospital was ensued.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: tingling sensation on the arm that got the vaccine-Mild, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: as soon after giving vaccine, pt fainted. Woke up after 1-2 mins, pt was positioned flat on her back with legs elevated. Pt took apple juice and 25mg benadryl @7:30pm, watched pt for another 15 mins and took blood pressure before leaving. BP was low but mom states she always has low blood pressure. Followed up next day around 1pm, mom states pt has pain at the injection site, headache, no fever, and sleeping

Systemic: Confusion-Mild, Systemic: Dizziness/Lightheadedness-Mild, Systemic: Fainting/Unresponsive-Medium, Systemic: Shakiness-Mild.

Client received dose 1 of the COVID19 Pfizer vaccine (Lot# EW0187 Exp 08/31/21) at 13:32 from RN1. RN1 reported that within 5 seconds of receiving the vaccine, the client reported she felt dizzy and experienced a syncopal episode for 2-3 seconds. As the syncopal episode was occurring, ancillary staff, requested RN2 radio for a Lead Nurse & EMT. At 13:34 Lead RN arrived at station 6, radioed for an EMT, and observed client sitting up in the vaccination chair being held by her mother and RN1. Lead RN noted client?s head was down with her eyes open, exhibiting pallor and was diaphoretic. Lead RN asked client her name and how she was feeling. Client did not respond. Co-Lead RN entered the room at 13:35. RN1, Lead RN, Co-Lead RN, and client?s mother guided client to the floor, laid her in a supine position, lifting her legs and feet on a chair. Co-Lead RN removed client?s mask, continued to ask client her name. Within 2-3 seconds of repositioning client, she became responsive and alert & oriented to person, place, time, and event. Client also immediately stated, ?I?m fine.? EMT1, EMT2, and EMT3 came to the station at 13:36 with a zero-gravity chair. The EMTs assisted client into the zero-gravity chair. Client?s mother stated client has no underlying health conditions, no allergies, and that birth control is the only medication the client takes. The client confirmed this by nodding her head in agreeance. EMT2 gave client a bottle of water and the client immediately started drinking the water. Lead RN asked client if she had eaten or drank anything today. Client?s mother stated she did not realize her daughter had not eaten or drank anything prior to coming to get vaccinated. Client stated she was given a granola bar downstairs at check-in and ate it before receiving the vaccine. At 13:45 EMT1 took vitals. Both EMT1 & EMT2 were unable to obtain client?s blood pressure (HR:61, O2Sat: 97%). Lead RN asked client and her mother what the client?s normal blood pressure is. Client and her mother did not know, and client?s mother indicated that the client is an athlete in good shape. At 13:48, EMT3 took client?s blood pressure, which was 100/60. Client?s mother stated client was anxious about being vaccinated and has fainted when anxious in the past, but the last time was around 5 years ago. Client stated she was feeling better and no longer feeling dizzy. Client stated she just ?feels hot.? Lead RN brought client an ice pack to put behind her neck and damp paper towels to wipe her face with. At 13:59 EMT3 took client?s vitals (BP: 118/70, HR: 65, O2Sat 98%). Lead RN observed that client?s color was returning to her face and client was less diaphoretic. Client finished her bottled water and was given another by EMT2, which she started drinking. Lead RN asked client if she felt she could stand up. Client stood up and stated she was ?feeling fine.? At 14:05 all 3 EMTs escorted client and her mother to the observation room where she was monitored for an additional 30 minutes. At 14:30 Lead RN went to the observation room where EMT1was taking client?s vitals (BP: 110/70, HR: 60, SPO2 Sat 98%). Lead RN observed that client?s color had fully returned, and client was no longer diaphoretic. Client stated she ?felt fine? and was hungry. Client?s mother stated she would take client to get something to eat and EMT2 gave client an additional snack that client took with her when she left. Client and her mother left at 14:30. Client was walking with a steady gait when she exited the building.

AFTER vaccination and patient attempted to stand and fell backwards in seat. Patient was incoherent, hot, sweaty, loss color to face and lips and unresponsive. Blood pressure was check 100/46 65 heart rate and temp less the 85degrees. Patient was unresponsive for about 10 minutes. EMS was summoned and the patient was given water and juice to drink. Patient slowly returned to a normal state after about 30 minutes but was still slow to respond.

We administered dose 1 of Pfizer COVID 19 vaccine to the patient without incident at administration. She was asked to wait for 15 minutes in our waiting area and about 10 minutes after her vaccine, I noticed her slumping in her chair and ran over to her. We called an ambulance, helped her to the floor, and checked her pulse. We were able to feel her pulse, but she did seem to faint for a few seconds. She then remained responsive, answered our questions, and squeezed our hands when we asked. We did not administer any rescue medications. The ambulance arrived and they did transport her to the ER.

Severe menstrual cramping -doubled over, crying, in pain, vomiting, heat sensitive and light sensitive, dizziness.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Severe, Additional Details: Patient had vasovagal reaction 5 to 10 seconds after administration. Patient was seated and head was supported in chair by both administering RPh and Mom. Epi-pen was on hand but not given. Both APRN's from minute clinic came into room to assist. Patient was lied down flat on the floor. Patient was slight hypotensive with 100 OSAT and pulse of 78. Patient lied down for 5 minutes, and then was able to sit up. She sat for another 20 minutes before she felt well enough to leave.

Pt w/ hx of severe allergy to nuts. Hx of Fainting/feeling hot w/ allergy testing @ age 9. Pt c/o flushing/sweating and dizziness 5mins after vaccination BP 114/70, HR 88, RR 16, O2 Sat 98% RA -- > 120/68, 86, 18, 100% RA. Pt VSS, extremities warm to touch. Pt stable and released from vaccination site ~35mins after vaccination. Pt transferred via wheelchair w/ Dad as a precaution.

After vaccine, went to car, she felt a hot flash and reported dizziness, she then for about 15-20 seconds had seizure like activity, pharmacist aware and pediatrician notified to which it is believed it was a vasovagal response. felt confused after the event with a headache, otherwise no other reaction at this time.

Patient developed fatigue 3 hrs post injection. The following day, developed fever to 103F, nausea and vomiting, dizziness and pleuritic chest pain, difficulty breathing. fever last for 2 days. Went to ED for evaluation on day 3 (7/1). Symptoms ultimately resolved, but then developed facial hives and facial swelling on day 5 post vaccine.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: MOTHER WHO IS A NURSE REPORTED SIMILAR SYNCOPY LIKE REACTIONS TO YEARLY FLU SHOT - BUT NOT AS SEVERE

Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient had slight rash posterior base of neck to mid back.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: I gave the patient the vaccine and within 5 minutes she reported to her mother her vision was blurry and she did not feel right. Shortly after reporting this she fainted and her eyes went back into her head. I ran to her and helped her mother lower her to the ground. I noticed her eyes were now open but she was pale and listless. I called to a tech to call 911. I asked her if she could speak and she nodded. I asked if she had eaten and she shook her head no and her mother said she had not.

They said it was an ovarian cyst rupture; Around 8 pm she started screaming in pain; feeling nauseous; feeling nauseous and dizzy; This is a spontaneous report from a contactable consumer (patient). A 15-years-old female patient (not pregnant) received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 20Jun2021 12:00 at age of 15 years old (Batch/Lot Number: EW0196) as Dose 2, SINGLE for covid-19 immunisation. Administered is Pharmacy or Drug Store. Medical history included asthma and no known allergies. Historical vaccine included bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 30May2021 11:00 at age of 15 years old (Batch/Lot Number: EW0196) as Dose 1, SINGLE for covid-19 immunisation. After her 1st covid shot on 30May2021 and then had her period on 02Jun2021. It was 4 days early and was the worse period she has experienced in 3 years. She was bleeding excessively and extreme cramps. It maybe a coincidence. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medication(s) included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported; salbutamol (ALBUTEROL HFA) taken for an unspecified indication, start and stop date were not reported. After her 2nd covid shot on 20Jun2021 around 12 noon. Around 8 pm she started screaming in pain, hunched over, feeling nauseous and dizzy. Patient had clinic visit, ended up taking to ER where they gave her morphine for pain. They started IV, did bloodwork, ultrasound and ct scan with contrast all on 20Jun2021. They said it was an ovarian cyst rupture. Patient was only 15 years old and has had her period for 3 years and has never experienced anything like what she has in the last month. She is due for her next period on 29Jun21 and pray it's not as bad as last month after the shot. They do believe in science, but also think should study menstrual cycles with this shot. They pray this was just a fluke, but patient has never experienced pain or severe periods like this until shot. Treatment received for all events. The outcome of events was not recovered. Information on Lot/Batch number was available. Additional information has been requested

On 7/07/21 received her second dose Pfizer COVID vaccine (LOT#: EW0191 EXP: 7/29/21) at 1502. Patient alerted EMT's at 1503. Patient stated that she felt dizzy and nauseous. EMT took patients vital signs at 1500. BP: 110/60, HR: 72, O2: 99%. EMT reassessed and retook patients vital signs at 1508. BP: 100/60, HR: 80, O2: 99%. Patient stated that she had a headache 4/10 on the pain scale and was trembling. EMT reassessed and retook patients vital signs at 1513. BP: 116/60, HR: 79, O2: 99%. Patient stated that she no longer still had a headache but no longer felt dizzy anymore. EMT reassessed and retook patients vital signs at 1522. BP: 116/70, HR: 75, O2: 99%. Patient stated that her headache had gone down to a 1/10 on the pain scale. EMT reassessed and retook patients vital signs at 1530. BP: 110/60, HR: 78, O2: 99%. Patient stated that she was feeling better. Patient was educated by PHN on worsening signs and symptoms of covid vaccine and when to go to the emergency room/urgent care. Patient verbalized understanding of education. Patient left with mom and brother from vaccination site unassisted and with a steady gait at 1614.

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

Patient got vaccinated by the pharmacist at 09:57 am and while waiting for 15 minutes at around 10:05am patient felt dizzy and patient told family member that she felt dizzy and having bad test. patient also told family member she have hard time of hearing what the family member was saying to the patient. family member ask pharmacist for help and pharmacist called 911 and provided patient water. After 5 minutes EMT personal showed up onsite and took over the incident.

Patient passed out, resulting in her to fall and hit her head on the stove on her way down. She was pale and came back to within less than a minute. She stated she felt dizzy before she passed out. Once she was able to sit up we applied ice to her head due to a lump from hitting her head and only two minor scratches on her scalp that we cleaned well. We gave her something to eat and drink when she was able to sit up and we knew she was alert enough to eat. She began to feel better after this.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: PT FELT LIGHTHEADED & BLURRY VISION LASTED FOR ABOUT 2 MINUTES AND RECOVERED AFTER THAT. PATIENT WAS MONITORED ADDITIONAL 30 MIN AND FELT NORMAL UPON LEAVING

This patient began feeling faint approximately 2-3 minutes after vaccination. She did not lose consciousness at any point but was very clammy, sweaty and lethargic and feeling very weak and faint. We called 911 right away and EMS came and took her vitals which they reported as normal but took her to the ER to be evaluated. After speaking with mother that evening and the next day she reported it took her " a while" to feel better at the ER and the ER noted her blood sugar was also low. They ran some other tests but nothing else was remarkable according to mother. By the next day when we spoke 7/11 patient was feeling much better and back to normal according to mother.

15-year-old female patient unwell after administering the vaccine. The patient is unconscious, presenting paleness and sweating. Vital symptoms blood pressure 90/60, dextrose 113, pulse 61, oxygenation room temperature 99, 16 breaths and cold temperature. Because the patient responds in time, place and space, she cannot move limbs or speak. The patient only shook her head to answer questions.

Patient threw up 8 minutes after the vaccine was administered. Felt a little dizzy after the shot she said. No other side effect. Heart rate was normal. Sat down for 30 min in our waiting room. After 20 min mark, patient was given Gatorade. Felt better, dizziness went away. Left after 30 min. Offered to call 911 patient refused. Possibly related to nerves

ABOUT 5-10 MINUTES AFTER THE DOSE WAS ADMINISTERED THE PATIENT STARTED FEELING FAINT. SHE HAD WALKED AWAY FROM THE PHARMACY AFTER THE BROTHER WAS GIVEN A SHOT AND THE PARENTS HELPED HER TO THE FLOOR. SHE PASSED OUT. SHE HAD WORKED OUT TODAY AND NOT EATEN OR WAS NOT WELL HYDRATED PRIOR TO VACCINE WHICH MAY HAVE CONTRIBUTED TO THE SYNCOPE. SHE CAME TO AND PASSED OUT ABOUT 15 LATER THIS TIME WAS SITTING IN THE CHAIR. THE MEDIC TEAM ARRIVED SHORTLY AFTERWARDS AND ASSESSED THE PATIENT. SHE WAS NOT TAKEN TO THE ER BUT INSTEAD THE PARENTS WANTED TO TAKE HER HOME.

Around 9 AM, my daughter came downstairs and said her legs felt heavy. She sat down and then she said she was really hot. She was also sweating and pale. She said that she felt like she was about to pass out and that she couldn't see. She also said she couldn't focus, that she was seeing stars, and everything looked black. My husband and I told her to lay down on the couch. We gave her a rag to put on her head to cool her down and we got her some water to drink. She said she had a headache and we gave her some Tylenol.

The patient started to feel dizzy almost right away, we had her sit, she was sweating and pale and had black visions in front of her eyes. We gave her water and after a few minutes she started feeling better but we called 911 anyway. When they came her blood pressure was 80/54 and they gave her IV fluids right away and decided to take her to the ER for observation.

PATIENT GOT VACCINE AND STARTED FEELING DIZZINESS AND VOMITING. PATIENT WAS HAVING DIFFICULTY BREATHING. CALLED 911 AND IN LESS THEN 5 MINUTES THEY ARRIVED. PATIENTS BP WAS 80/50 AND TOOK HER TO THE HOSPITAL

Called by observation nurse to see client who complained of lightheadedness after receiving 2nd dose of vaccine. Client was alert and talking. Given ammonia to smell and sips of H2O. VS BP 73/34, P 66, O2Sat 98%, Client legs were elevated w/ little improvement. Said she felt better after decreased dizziness. Vital signs taken at 11:25am: T 94.4, O2Sat 90%, Pulse 59, client appeared less lethargic and did not voice any new complaints. Given water for hydration as BP was 71/48. At 11:30am Rescue arrived from previous call made. Client stood up with ambulance tech and walked to ambulance where she was evaluated. Dad was with client throughout visit and with ambulance personnel. Mgr. and writer was informed that client would be going home with her father at 11:47am.

Patient felt dizzy and stomach upset in 8 to 10 minutes after vaccination. Patient's mother helped her to lie down on back on floor safely as she was vomiting. EMS summoned right away. Patient was conscious. EMS came on 11 minutes , checked patient vitals. Patient was feeling well and family decided to go home and follow up with PCP.

12 hrs after vaccine administration reported chest pain upper retrosternal area with radiation to jaw .back with dizziness,feeling warm with chills and muscle aches and joint pains for next 36 hrs Admitted to Hospital 7/16/21 Symptoms resolved 7/18/21 at 10 am

PT STARTED FEELING DIZZINESS AND LAID ON THE FLOOR AT HOME. PT STATES SHE FEELS MUCH BETTER AFTER LAYING ON THE FLOOR. PT HOME WITH MOTHER WITH STABLE CONDITION

Pt received Pfizer 2nd dose (LOT#: EW0187) at 1249 on 6/29/21. Patient alerted EMT at 1300 and stated that she felt dizzy during her vaccination and after receiving the vaccine. Patient was placed on anti-gavity chair by EMT at 1301. Patient was given juice at 1302. EMT took patients vitals signs at 1305. BP: 112/80, HR: 80, O2: 98%. Patient stated that she is allergic to onion and shrimp and she is currently not taking any prescription medications. EM reassessed and retook patient vital signs. BP: 114/78, HR: 84, O2: 98%. Patient stated that she was feeling normal and she no longer feels dizzy. Patient stated that she felt calm and relaxed. Patient state that she no longer felt dizzy or anxious. Patient left vaccination site at 1336 unassisted and with a steady gait.

Patient started a heavy menstrual period the day after her 2nd dose of pfizer vaccine (she had already had her regular period 6/10/21-6/16/21). The bleeding was very heavy (changing overnight pads every 1.5 hours) and caused patient to become pale, dizzy,- fatigue, nausea, and hard to concentrate. Sent for CBCs which showed drop in hemoglobin. Bleeding stopped 6/29 and restarted briefly on 7/3. Patient started on iron supplementation and recovered otherwise once bleeding stopped by 7/7.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: 5 minutes after 1st covid vaccine, patient became lightheaded, pale and fainted. While unconcious, patient was shaking (not sure if it was a seizure or due to fainting) for about 1 minute. We called 911 and patient regained consiousness shortly after. She was confused and was weak. EMS arrived and took vitals but all vitals were within normal range. EMS thinks patient had a vaso-vagal response and cleared patient to leave. After 20 minutes, patient said she felt okay and left the building.

Patient to vaccine area, seated. Reported feeling "like I'm about to faint". Patient became pale, was assisted to sitting position on floor. Patient began to vomit. EMS activated. V/S - B/P 102/64, HR 95, O2 96%, Resp 16. Patient remained A&O x 4 ( person, place, time, situation). Patient monitored until EMS arrival, skin color returned to normal for ethnicity. Patient assessed by EMS, Report obtained by EMS - 89. Patient mother refused transportation to ED. Education provided on normal side affects, adverse reactions, and when to seek medial treatment, patient and guardian express understanding.

patient reported of dizziness 5 minutes after the Pfzer Covid vaccine, dose 1. Patient was recommended to drink some water while she was still sitting on the chair in the vaccine room with her dad. After about 15 minutes , patient reported that she felt and back to normal .. She then left with her dad.

5 minutes post vaccination, Pt. stated, 'she's feeling dizzy" Hx of anxiety, offered fluids and snacks. Reassessed pt after 15 minutes, Mom by side, patient stated, 'she feels much better', educated mom to nearest ER if any further adv rxn occurs. V/S 116/74, 94, 18.

Patient returned from trip and began having bilateral leg tightness and weakness, difficulty walking, tingling and numbness in hands and feet, low back pain. Got progressively worse over 2 weeks, she was requiring assistance to be carried to the bathroom. Denies other symptoms or illnesses, no fevers. On exam, 3/5 lower extremity strength throughout, absent lower extremity deep tendon reflexes, upper extremity strength 4 or 5/5 with 2+ reflexes, sensation intact throughout, right sided facial nerve weakness with asymmetric smile, other cranial nerves intact, tremor with finger to nose bilaterally, shuffling unsteady gate with inability to lift legs high.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: After receivig vaccine, patient felt lighthead, blurry vision. Mother said she has a fear of needles and had not eating anything proior vaccine. SShe had some apple juice and ems came and check her out and was fine. did not go to hospital

PT RECEIVED VACCINE AT OUR PHARMACY TODAY. SHE WAS FINE A FEW MINUTES LATER WHEN I CHECKED ON HER. HER FATHER REPORTED AT APPROXIMATELY 4:41PM THAT SHE FELT DIZZY AND NAUSEUS. SHE WAS SITTING ON THE FLOOR, BUT SAID SHE DID NOT FALL. WE GAVE HER AN ICE PACK. BP CHECKED AT 4:47PM (112/89). PT STATED SHE WAS FEELING BETTER, JUST A LITTLE NAUSOUS. SHE WAS STILL A LITTLE NAUSEUS AT 4:55PM, BUT WAS SITTING IN A CHAIR. SHE FELT WELL ENOUGH TO LEAVE WITH HER FATHER AT APPROXIMATELY 5:07PM.

Attendee received first dose Pfizer vaccine at 15:08 in the left arm. Lot# FA6780. Attendee was directed to observation area. At 15:10 fainted in her chair x 20 seconds, her parents were by her side and she did not fall out of the chair. When she aroused she reported feeling lightheaded, dizzy, mild nausea and ring in the ears. Attendee's skin was cool, clammy, and pale. Cot brought to the patient area. Attendee assisted to the cot to lie down, legs elevated. Icepack applied to her neck. 15:13 HR: 88 BP: 108/58 RR: 14 O2Sat%: 97 Temp: 97.0

Client complained of feeling lightheaded. Client evaluated by EMS on site. V/S per EMT BP 90/40, R 14Min, HR 72. Evaluated after 15 min. observation. Client verbalized she was feeling better. Sent home with her parent.

Patient received vaccine at (13:22) directly afterwards, patient states "I feel hot, my eyes are turning black, I cannot see." "I am sweating bad." Patient was noted to be pale and offered wheel chair. Patient was taken to private room and assisted to lie down at (13:30). Patient continued to be oriented (BP - 118/40) HR-76 / O2 -97. Patient complains of dizziness and black spots in vision. Continued to monitor. Cool rag applied to forehead (1:34 PM - BP -123/69 HR - 75 / O2-98) (1:36) (13:37) Patient assisted to sitting position. BP -114/59 Voiced feeling better. (13:40 PM) BP - 120 /75 / (13:40 - stood patient up and assisted to chair. Patient was normal and fine while sitting in chair. (13:50) Patient was clammy, stated she felt as though she would pass out. BP - 119/27 / HR - 89 O2 98 / assisted to lie down, continued to complain of dizziness. Clammy, (13:59) EMS called / BP -115/92 - HR -76. Ambulance arrived at (14:05). Before transfer of care BP - 125/71 - HR 107 / O2- 98

continues cough, heavy body pain ,shortness of breath, dizziness, low blood pressure, high heart rate, pain full boils on body, sore throat,

Patient passed out right after getting vaccine, started shaking and fell to floor and hit her head on table.

Pt received the vaccine, she said she was fine and stood up immediately to move to another chair. Her mom asked her again how she was and she said actually I don't feel good. She put her head between her legs and after that she went unconscious and fell to the ground. 911 was called immediately. She came to in about 30 seconds. MS arrived in less than 5 minutes. They took her temperature, BP, pulse and BS. All normal. They think she had a vasovagal response. She did not go with MS. She is going to her pediatrician today to get looked at further

7-19-2021, five hours after receiving the vaccine, her mother states she developed a "severe headache" and vomited. 7-20-2021, in the afternoon, mother states patient became dizzy, passed out, hitting chin on concrete floor and became unconscious. Mother drove patient to ER, mother states that it took 20-30 mins before she regained consciousness. Patient was released from ER and followed up with PCP the next day.

Within 5 minutes of receiving vaccination, the patient began to feel like she was dreaming and passed out while she was seated. We moved the patient to the floor where she regained consciousness . The patient had further complaints of numbness in the arms, light- headedness and was nauseated and vomited. 911 was called and responded, and the patient said she was ok and did not want to go to hospital.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Tinnitus-Mild, Systemic: Vomiting-Mild

My child experienced dizziness and fainted within 24 hours of receiving the covid19 vaccine. That night, she experienced chills, fever and muscle aches. By the following morning (about 36 hours post vaccine), she was back to normal. No problems since then.

pt waited full observation period then left with parent. after about 15 minutes mom brought pt back, complained of headache, nausea, and dizziness. escorted patient to er for treatment.