Pfizer

Entered observation @ 1935. Mother stated to this nurse @ 1950, that daughter felt "light-headed". Water was given. @ 1954, patient started to gag. Went to restroom. @ 1958, she was walked with this nurse and others to "bed" that's located in vaccination clinic. Mother explained to this nurse and others that her daughter shows s/s of these symptoms upon each vaccination. Lightheadedness and nausea lasted for about 10-15 minutes. Cold compress was applied to help relieve s/s from vaccine. States she felt better around 2005. Left observation @ 2005, showed no s/s of distress.

Approximately 20 hours after vaccination patient felt faint, lost all color and fainted. She was in and out of responsiveness. Patient was transported to the ER. Patient was treated with fluids and discharged after observation. According to patient's mom the EKG and lab work were unremarkable. Patient has fully recovered.

Went to sit down and passed out; felt dizzy; nausious/nausia; sweaty; sick feeling; as she was ghost white; bad headache.; This is a spontaneous report from a contactable other Health Professional reported for herself. A 16-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN5318) via intramuscular on left arm on 02Feb2021 03:45 PM, at age of 16 years old at single dose for Covid-19 immunization. Patient was not pregnant at the time of vaccination. Medical history reported as allergies to medications, food, or other products was reported as none known. Prior to vaccination, patient was not diagnosed with COVID-19. Other medications the patient received within 2 weeks of vaccination included multivitamin and melatonin gummies. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3248), via intramuscular at left arm on 12Jan2021 03:45 PM for Covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported morning after vaccine 03Feb2021 08:00 patient was felt dizzy and nausious. Told her mom and her mom ran over as she was ghost white. Went to sit down and passed out. Patient experienced sweaty, nausia, sick feeling and bad headache. Patient went to the emergency room (ER), they gave fluids and blood work. No heart issues noted. Felt better around 3 hours after. Headache was bad and continued on 05Feb2021 (reported today). Also, still feel nausious and had to lay down. All events occurred on 03Feb2021 08:00 AM. Patient was recovering. It was reported the adverse event result in emergency room/department or urgent care. The seriousness criteria were reported as not serious, no results in death, no life threatening, no caused/prolonged hospitalization, no disabling/incapacitating, no congenital anomaly/birth defect. Patient was received treatment for the adverse event included fluids and heart monitoring. The patient underwent lab tests and procedures which included blood work in Feb2021. Since the vaccination, patient had not been tested for COVID-19. Outcome of events bad headache and nauseous was not recovered, for felt dizzy, as she was ghost white, passed out, sweaty, sick feeling was recovering.; Sender's Comments: Based on the information provided and plausible temporal association, a contributory of the suspect drug to the reported events cannot be completely excluded. Case will be reassessed when additional information is available. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

"Pfizer-Bio-Tech COVID-19 Vaccine EUA" : Individual received the Pfizer Covid-19 vaccine. She began to feel dizzy and flushed at 1:00 pm. Her vitals were 82/46, 22, 68, 98% RA at1:00 pm. We applied ice to back of neck. B/P 72/42,20, 76 P, 98 % RA. 1:20 pm. Individual report that he had not drink any fluids and only had a few bites to eat. Patient swallowing intact. She was given bottle of water. 1:46 pm vitals were 82/54, 100% SATS, 81, 14. Individual stated she felt better and was not longer dizzy. 1:55 pm vitals 79/54. 14, 78, 98% RA. Individual went home with family with no noted distress.

My daughter became very dizzy, pale, and hot (sweating through her clothing) almost passing out after receiving her first dose . Paramedics were called, vitals taken, and she was taken to an observation area. She started to feel a bit better after about 15 minutes. She was observed by paramedics and a nurse for another 30 mins and we were able to leave and go home. At home she was exhausted the remainder of the night.

Patient was sitting in the observation area. Patient stated that she was feeling "off" and we helped lower her to the ground into a sitting position. She stated that she felt dizzy and we lowered her onto her back and raised her legs onto a chair. 911 was contacted. Patient remained responsive and was able to answer questions throughout. Patient stated that her shoulder felt like it was burning where she received the injection. She also stated that her face felt numb and her lips felt funny (tingling). Patient was still able to breathe and respond appropriately to all questions. Care was taken over by Ambulance service. After speaking with patients mother later in the day, it was determined patient had a vasovagal episode.

PT RECEIVED 1ST DOSE OF PFIZER COVID VACCINE. SHE SAT ON A CHAIR FOR 15 MINUTES AND WAS FINE WHILE SEATED. AFTER 15 MINUTES SHE STOOD UP TO LEAVE AND WALKED ABOUT 25 YARDS WHERE SHE SUDDENLY FELT DIZZY AND PASSED OUT. SHE FELL TO THE GROUND, HER FACE SLAMMING THE FLOOR. AFTER A FEW SECONDS SHE WAS CONSCIOUS AND BREATHING. WE KEPT HER LAYING ON THE GROUND AND TOLD HER TO KEEP BREATHING. SHE WAS CONSCIOUS AND RESPONDING TO OUR QUESTIONS. WE CALLED 911 AND EMT ARRIVED AND TOOK OVER HER TREATMENT

Fever, chills, extreme fatigue, lightheadedness and very sore arm, but more importantly chest tightness that became increasingly worse over 48 hours. My daughter dealt with the other symptoms but her asthma became less treatable over the two days since the second shot. I finally administered the nebulizer and inhaled steroid today after all other treatments failed to relieve her symptoms. She is doing better but I will follow up with the pediatrician.

Patient seemed fine immediately after the vaccine and walked to a nearby chair to wait for 15 minutes for observation. I was alerted by the pharmacy technician I was needed outside of the immunization room and patient had vomited. It seemed to be mostly stomach acid (no food particles) and was roughly 12oz or less of fluid (hard to tell since it was contained in a plastic bag. Patient sipped on some water, which she tolerated well. She stated she suddenly felt really dizzy and then felt the need to throw up. After the water, she felt better and was looking to see if eating something would help settle her stomach. She did not appear pale or diaphoretic. I encouraged her to stay longer for continued observation by she left before 15 minutes were up after the vomiting. She was in the pharmacy observation area for about 20 minutes total. She smiled and waved as she left.

patient started sweating and feeling dizzy after the shot. she sat down for a while and recovered after sometime. Paramedics were called. they examined her vitals and everything was ok

20 minutes after shot. Sharp pain in arm. Daughter said it feels like the needle was left in her arm. Feels dizzy and out of it. 25 minutes after shot having trouble swallowing. No difficulty breathing. Very thirsty. 40 minutes after shot legs feel very heavy. Daughter was sliding them across floor instead of walking regular. She said it was like her legs forgot how to walk. She was very irritable. Two hours after shot she said she was feeling better except for sore arm. Still felt somewhat sick. Next day she said feels like she had the flu but was feeling much better except for sore arm.

Approximately 15 minutes following vaccination, the patient complained of headache, dizziness, chest pain and throat burning. I asked that she wait an additional 15 minutes so that we could monitor her. Approximately 30 minutes after vaccination, patient appeared to experience syncope or absence seizure (prev. history). we called 911 and paramedics transported her to hospital

Felt dizzy about a minute after vaccine administration, patient described blurry vision and then she fainted and fell to the floor. Patient described no prior history of reactions to prior vaccinations. After about a minute she regained consciousness and was able to walk, talk, and function normally. Mom did intend to follow up with primary care doctor regarding the fainting episode.

Patient complained of light headedness and throat feeling "weird." Pt was given water and 25mg Benadryl and taken to observation. Patient was released to her mother and declined EMS transport.

Patient had a CVA (stroke) to the R internal capsule and basal ganglia while therapeutic on warfarin. She has a history of Truncus Arteriosus s/p repair and has been anticoagulated for >10 years without issue. Stroke occurred 1 week after vaccine. She now has L sided motor deficits which are likely permanent. Left arm is flaccid. L leg with poor motor function.

On Tuesday late morning, she texted from school - that her heart was racing. shaking, headache, tummy ache. We brought her home from school. These symptoms - especially the severe headache, nausea, dizziness lasted for 3 days. She missed school as she stayed in bed.

Immediate intense headache. Feeling faint. Lay down on floor, semi conscious. Ems staff moved her to sitting position where she completed blacked out. They struggled to hold her, so they lay her on the floor where she had convulsions similar to a seizure. Completely unconscious at this point.

Pain in injection area, sharp pain in underarm area, shortness of breath, chest pain, rapid heart palpitations, dizziness, tiredness,

Systemic: Dizziness / Lightheadness-Medium, Additional Details: DAD STATED PT DID NOT FAINT WAS JUST DIZZY

Patient received Pfizer vaccine at 2pm, went to coffee shop, and then went out to car to wait. Became dizzy 5 minutes after coffee shop order. Patient fainted approximately 15 minutes after receiving pfizer vaccine on 4/4/21. Mom came into store to alert courtesy clerk, alerted pharmacy who brought E-kit out to car, brought patient into store to take blood pressure. Took patients blood pressure. ~83/63 mmHg pulse 109. EMTs were called and arrived within 5 minutes. EMTs arrived and stated vitals were normal but recommended mother take patient to be checked out by a doctor at a nearby hospital. Patient saw Dr who determined she can get the second dose, but must remain seated for 15 minutes after vaccination

Patient received her vaccination and stated that she was feeling lightheaded. Patient was cool and clammy, sweating and stated she didnt feel good. EMS notified and hooked up to monitors. IV line was started and patient was transported to the hospital. Patients mother and sister were on site.

She almost fainted. BP dropped to 72/30. flushed pale skin. Pulse ox 96. Alert and felt dizzy throughout the stay. Paramedics arrived onsite and as requested by parents EMTs transported the client to the parents' vehicle.

Anxiety Felt like fainting Dizziness Tingling and cramping in hands Weakness EMT came to Observation area Vitals BP #1) 173/133 Pulse 86 O2 Sat 100% #2) 95/72 Patent refused transport to hospital

Patient is a 16yo seen for her first dose of the COVID-19 vaccine. She was seated in the back seat of the car. Shortly after receiving her vaccine (within a few minutes), she chose to move to the front passenger seat of the car, and after sitting in the passenger seat she became lightheaded and lost consciousness. Syncopal event was witnessed and lasted a few seconds. She spontaneously regained consciousness, and complained of some lightheadedness and tunnel vision. No significant confusion was noted, her responses to questions were appropriate. Initial pulse was thready and heart rate initially difficult to auscultate. Pale color noted on the face. Initial pulse approximately 50bpm. Breath sounds clear with good air exchange. Patient was placed in a reclined position with feet on the dash. She quickly recovered and repeat heart rate was auscultated at approximately 70bpm, stronger pulse noted. She was noted to have improvement and she was then driven out of the vaccine site after obtaining consent from her mother (who was the driver) and parked beside EMS. BP was 100/50 and HR 68-72, SaO2 97%. Lightheadedness resolved and she was feeling well, at her baseline. She was monitored for 30 min then allowed to leave with her mother, she was at her baseline at last evaluation. Per history review with her mother, she has had 2 prior episodes of syncope with pin removal from hand after surgery and IV placement.

Feeling faint, extreme fatigue, vomiting without nausea (no warning)--foul/sour. Kept complaining that she felt like she was crawling in her own skin, all through her arms and her chest, like an itch from the inside. NO HIVES. No difficulty breathing. Kept her home from school and she slept a lot. Only vomited the one time. She was fine by late afternoon and all symptoms seemed to have resolved by then.

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

Patient felt lightheaded almost immediately after receiving vaccine. She was walking with her parents to the lobby and they reported pt "jerking" then becoming unconscious. She woke up right away. She was nauseous and pale for another 20 minutes or so. We called 911 and paramedics determined it to be a vasovagal response.

Patient showing symptoms (closing/opening of eyes. fall back on chair. pale face) of fainting tendency within 5 minutes of vaccines. Pharmacist instructed patients to take slow, deep breaths and try to open eyes. Patients was able to stabilized.

Pt received first dose pfizer covid vaccine. Approx 1-3 min later pt lost consciousness and experienced upper extremity myoclonic jerks for approx 5-7 seconds before regaining consciousness with fists clenched. Upon regaining consciousness, pt was A&Ox4, reported slight lightheadedness; denied CP, SOB, or cutaneous sx suggestive of anaphylaxis. Pt denies anything like this in the past, denies family hx of seizures, and denies needle phobia. Pt instructed to recline supine in car seat with legs elevated on dashboard, and soon reported feeling better, less lightheadedness.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: 2 minutes post vaccine, pt complained of feeling hot and was unable to see. pt was feeling dizzy and faint. nurse had pt lay down at vaccination site, legs levated. bp 112/63, hr 67, regular and lungs clear and no difficulty breathing. @1449: 116/63, hr 67, 1453: gatorade and water intake, bp 111/69, hr 61. @1459 up in chair, no complaints from pt, sx has resolved. bp 116/72, hr 72. @1504 121/79, hr: 70. pt states feeling well and refused any er tx. pt wants to go home.

Patient received first dose of Pfizer covid-19 vaccine on 4/9/2021 at 1800 with her mother in attendance after consent was acquired. At 1805 patient began to feel hot and nauseous. The patient thought she was going to vomit, so she left her chair in the waiting area to head to the restroom at the back of the store. at 1807, Upon rising the patient became weak in the knees and began to collapse. The patient's mother initially supported the patient and I was called to assist the patient to the floor. The patient was very pale in appearance as she was assisted gently to the floor, avoiding any injury. EMS was called shortly after the event around 1810. The patient remained conscious however was a bit disoriented initially while lying on the floor. The patient recovered quickly, however remained nauseous and complained of feeling hot. Upon questioning the patient, she had not eaten since lunch at school at 1300. The patient was given a cold water and a sprite, of which she had a couple of drinks out of each. The patient was relocated back into a chair at 1815 as she was feeling much better. EMS arrived at 1821. EMS performed a general assessment and a blood pressure check resulting in 130/80. The patient's mother dismissed any further treatment from EMS. EMS exited the building at 1827. The patient and mother waited in the store for a while longer. Both patient and mother exited on their own, denying escort from associates at 1840.

A few minutes after receiving vaccination patient told her father that it felt like she was going to faint. She was evaluated and her vitals were stable. We placed her seat in recumbent position and after this she stated she felt better. Patient observed for 30 minutes during which time she sat up and took in complete juice pouch. She stated sensation had completely resolved.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Additional Details: Patient started feeling dizzy within 5 minutes after vaccine administration. Patient vomitted once during observation period. Patient also stated feeling ringing in ears and vision darkening right before throwing up. Patient felt better after throwing up. Patient was observed for total 30 minutes.

pt had first immunization , and within seconds pt felt dizzy, and sweaty. was brought to observation room #1. via w/c w/ mother . Pt given crackers and water . vs - 5:09 pm 100/74 79-18- pulse ox 100% 5:14 pm vs 127/76-65-18 pulse ox 100% 5;222PM VS 113/72 -76- 16 PULSE OX 99%. PT FEELING BETTER , VSS , PT REEASED TO MOTHER VIA W/C AND TAKEN TO EXIT .

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

Patient has a history of dizziness, headaches and Tourette's syndrome. Immediate complaints of headache, nausea, arm tenderness and being dizzy. Patient was laid down, given water and a snack. She was discharged with her parents after 30 min of observation.

Pt received her covid vaccine, pt did not wait, was walking around withfather, she felt dizzy and dad reported she fell. we did not see her fall. She was sitting on 20 when dad came toget us. Pt felt dizzy, ringing in ear, had her lay down on floor with feet elevated. BP pressure reading were 128/75 hr 70, 130/72, 75, pt now feeling better and sitting 108/76 64 108/76 64 and 118/76 76. Pt father declined ems. Pt waited until she felt normal, drank bottle of water, no longer dizzy, went home. Father instructed on emergency care. Followed up call with father at 5:08pm. Fahter reported she was tired, sometimes sob and advised to take pt to e.r. for evaluation.

5 minutes after receiving the vaccine, patient felt dizzy and lightheaded. pt came to observation area in wheelchair with staff and her mother. pt had some water and crackers, no nausea, no dizziness. VS AT 12:33 BP 91/59 P 67 RR 18 VS AT 12:38 PB 94/53 P 72, 02 99 VS AT 12:43 BP 86/56 P 75 02 100

Patient started feeling a numbness/tingling sensation in her right pinky that slowly moved up her arm and to her elbow about 20 minutes after she received the vaccine. Her right eye started to droop as well and her right pupil was slow to react to light upon assessment by EMT. Patient usually feels dizzy at baseline but felt even more dizzy after the vaccine. The numbness and tingling sensation in the right arm started to subside at 1500 and was completely gone by 1520. Vital signs were taken by EMT, BP 110/70, O2 99%, and P 73 which is patient's baseline. Patient's side effects subsided and she was escorted out to the car by her mother and EMT and her mother drove her home. RN and EMT advised patient to call her primary care provider to explain the adverse effects of the vaccine.

Approximately 10 minutes after patient was given the vaccine, she reported feeling slight lump in her throat. We brought her into the clinic room and sat her down. Never had trouble swallowing and did not have any swelling. Felt hot and bit sweaty and light headed. Reports has felt similar ways in past when had blood drawn. We laid her down and she immediately started feeling better. Mom and sister were with her. Refused ambulance or transfer to physician. They were all comfortable her leaving on her own, after we have observed her for over 45 minutes from vaccine.

patient reports lump in throat, dry mouth and dizziness. Benadryl given, lump in throat sensation resolved.

Admitted to hospital on 4/10 with 2 day history of mydriasis, diplopia with blurry vision, dizziness and balance difficulty. Found to have enhancement of 6th and 3rd CNs on MRI. Patient continued to have blurry and double vision during her stay and mild gait instability. She developed mild frontal headache managed with Tylenol. Her exam was remarkable for mydriasis, mild lateral gaze limitation R>L, mild dysmetria, dizziness and unsteady gait without notable ataxia. No papilledema. Her reflexes were 2+ in her BL UE and LEs. Pediatric Neurology and ophthalmology consulted and followed patient. Eye exam remarkable for bilateral cranial nerve 6 palsy but no other element of CN3 palsy and bilateral dilated but unreactive pupils. Patient treated with IVIG 1mg/kg/day x2 days for likely miller fisher syndrome variant of Guillain-Barre.

Per pt she started to feel lightheaded, nauseous and have ringings in the ear about 5 minutes after the vaccine. Pt tearful, brought over to the observation area in a wheel chair and placed on cart. First set of vitals @ 1753 : BP: 115/73 HR: 80 SPo2: 98% Pt given water. Second set of vitals @ 1758: BP: 118/76 HR: 82 Spo2: 100% Pt states she is feeling better and head of bed brought to 90 degrees. Last set of vitals @ 1805: BP: 111/72 HR:84 SPo2: 98% Pt states she is feeling better. Reminded to keep up with fluids. Feels okay to go home at this time.

15 min after vaccine administration, pt experienced frontal headache, diffuse subjective weakness of LE, and gait instability. Admitted to medical center for monitoring and workup.

Patient reports receiving the Pfizer Covid vaccine on Saturday 10, 2021 and the next day she began to feel an upset stomach, dizziness and swelling of the right side of the face.

After the vaccination the patient was sitting in the chair outside of the immunization room, and started to feel faint. The patient had cold and clammy skin, and she appeared to be very weak. The patient was comforted while she remained seated, and she never lost consciousness. The patient was given water and the emergency services were called. After a couple of minutes the patient vomited, and she started to feel better. The patient indicated the she has a fear of needles, and that she was holding her breath while she was being vaccinated. The were no signs of allergic reaction. The emergency services checked the patient's vitals, but the patient refused to be transported to the hospital.

She had received COVID testing several times in the past. Each time, she feels tunnel vision, spinning, lightheadedness, and then she loses consciousness. This has happened in the past with each COVID test. When she received her vaccine today, she again had this same episode. She quickly regained consciousness after about 10 seconds. She continued to have lightheadedness afterwards.

Client suddenly began to feel "woozy" during her post-vaccination monitoring period. She put her head down and said "I'm seeing colors". Client's responses were appropriate. Onsite EMS was called, client "perked up" and said, "I feel better". Client was evaluated by the medics, they cleared her to discharge home. Patient left facility of own volition.

Shortly after administration of the vaccine, patient began feeling lightheaded and nausea. Patient was crying and had rapid breathing. Patient appeared to be having a anxiety attack. 911 was called. Blood pressure was taken 3 times over the course of ~5 minutes. Emergency response personnel arrived and continued to assess and monitor the patient. The patient eventually left with her father (AMA)

No immediate response, approx 4 hours after dose started not feeling well passed out 3 times with 5 minute time frame, EMS called, became coherent while they were route, continue to improve and vitals were checked and advised to monitor. Currently experiencing dizziness when standing from a seated position consistently with no improvement, also fatigued as well. In touch with Primary Care Physician and am monitoring .

Shaky feeling, dizziness, tingling in bilateral upper extremities. Dr at bedside examined and monitored for 15 mins then discharged in stable condition

sx: dizziness, headache, chills, scratchy throat at 11:45am. started to have rash at 11:55am. BP checked q 15 min since sx started with readings of 120/80, 118/80, 110/83 mmHg. patient drank sprite and was given 2 tablets of diphenhydramine 15 mg by mouth. At 12:11PM rash resolved and sx slowly disappearing. Patient left at 12:22PM with little headache.

Patient complained of feeling "dizzy and seeing black" at 1200. Patient assisted to zero gravity chair. Vital signs taken at 1200 (Blood Pressure 116/70, heart rate 65, SPO2 99%). Patient appeared diaphoretic. Patient offered water. Vital signs taken at 1210 (Blood pressure 116/74, Heart rate 72, SPO2 99%). Patient stated "I am feeling better." Vital signs taken at 1215 (Blood Pressure 110/64, Heart rate 74). Patient advised to follow up with primary care provider. Patient stated at 1230 that she is "feeling much better." Patient left facility unassisted with a steady gate.

Patient with near syncope, provided juice, ice pack and rest, continued to feel dizzy, moved to the cot to lay down, then a syncope episode occurred, Medics on site, transfer to local Emergency Department via squad. Vital Signs: B/P 120/73 P: 103 R: 18 Pulse ox: 100%

Patient unable to stand, was feeling hot. Reported unable to see or hear for a few minutes. Recovered after a few minutes. called 911 and measured BP and pulse . readings were 109/60 and pulse of 68. Patient regain strength and was able to leave on her on.

Acute Infarct of R internal capsule and R basal ganglia; Acute Infarct of R internal capsule and R basal ganglia; Left (L) sided motor deficits; L facial droop; This is a spontaneous report from a contactable physician. A 16-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 intramuscular, administered in left arm on 24Mar2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included truncus arteriosus (status post (s/p) right ventricle-to-pulmonary artery (RV-PA) conduit and prosthetic aortic valve s/p automatic implantable cardioverter defibrillator (AICD) placement) and arrhythmias. The patient have no known allergies to medications, food, or other products. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not pregnant at the time of vaccination. Concomitant medications included sotalol taken for arrhythmias and warfarin. The patient was therapeutic on warfarin (INR 2.68) at admission and has been historically very compliant with medication. On 29Mar2021 14:00, the patient experienced acute infarct of right (R) internal capsule and R basal ganglia as diagnosed (dx) on magnetic resonance imagine (MRI), concerning for (C/f) cardio-embolic etiology in the setting of patient's complex cardiac history. However, cannot rule out other causes of infarct. Left (L) sided motor deficits on exam, L facial droop. Transthoracic echocardiogram (TTE) was unchanged from prior. The patient was hospitalized for the events from 29Mar2021 to 05Apr2021. The patient underwent other lab tests and procedures which included COVID-19 nasal swab test was negative on 29Mar2021 and on 30Mar2021. Therapeutic measures were taken as a result of the events and included treatment with anticoagulation. Outcome of the events was recovered with sequel on 2021. The following information on the batch number has been requested.; Sender's Comments: As there is limited information in the case provided, the causal association between the events and the suspect vaccine BNT162B2 cannot be excluded. Consider also possible contributory effects from patient's pre-existing cardiac history. The case will be reassessed once new information is available. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild, Additional Details: pt complained of dizziness. lied down w/ feet elevated + used ice packs. stated this has not happened before. BP very high on 1 reading (233/108) and decided to call EMS out of precaution. begain shaking after a few minutes of ice packs but stopped after a few minutes of removal. EMS evaluated, sat pt up, and once pt was sitting up began shaking again and they decided to take to hospital to get checked out.

It was reported that the guest felt nauseous and lightheaded and lost consciousness. EMS was called. She was responsive to sternal rub. She was laid down and her symptoms improved. She did, however, continue to complain of nausea and some stomach pain. EMS took vital signs, The BP was unable to be obtained manually. A doppler systolic was obtained. It did slowly improve. She then was able to get up to a sitting position and denied abdominal pain and nausea. BP continued to improve. Able to stand without feeling lightheaded and BP continued to remain stable. Guest was observed for a total of 35 minutes.

patient experienced lightheadness, followed by passing out for approximately 2-5 minutes, during which pulse was weak and patient difficult to arouse. pale color. ems and pharmacist contacted and watched patient. Patient fine after 15 minutes more of observatio

Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: Tingling in face and legs

About 5 minutes after receiving the vaccine, patient was sitting down, and started to feel nauseous, pale, and dizzy. We had the patient lie down on her back and elevate her legs, place a cold compress on her forehead. Within 2-3 minutes, patient was feeling better. She sat around for another 15 minutes and then left after feeling fine.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Medium, Systemic: Weakness-Medium, Additional Details: Patient fainted in chair shortly after receving vaccine. She came to within a minute, but body became very rigid and she began to seize throughout her whole body. This lasted less than 30 seconds and she was very pale and lightheaded. Patient decsribed feeling extremely nauseous with chills, slowed breathing and lightheadedness. Moved patient to a new area to elevate feet, stated feeling better but was extremely nauseous and unaware that she had fainted or seized. 911 called per parents request

"Administered - 13:50 Adverse event started - 13:55 Patient had flushing/sweating, lightheaded. Patient states did not eat. BP 100/53 (63), HR 60, RR 16, O2 98%. Crackers, water given. Patient stable, released from vaccination site."

Pfizer-BiNTech COVID-19 Vaccine EUA: dizziness, that started the morning after the vaccine and still lasts for the 2nd day. Nausea on the morning after the vaccine. Headaches off and on.

All night so far: Severe headache, body aches, excessive vomiting throughout night, dizziness, almost passing out, confusion, weakness

Feeling dizzy and anxious. Pt was trendelenburg, supine, then sitting. Feeling better, given goldfish crackers, and water. Back to normal. 1533: HR 86, Resp 18, BP 96/64, O2 sats 99%. 1548: HR 87, Resp 18, BP 105/73, O2 sats 100%. D/C'd to home with mother @ 1550.

It was reported by the safety officer that the guest was walking up the stairs to observation after receiving the vaccine and stated to her mother that she was feeling lightheaded and sat down on the stairs. Guest appeared pale, skin was cool and clammy. EMS was called. Guest remained sitting on the stairs when EMS arrived. Vital signs were taken and were WNL. Guest was transferred to a cot and monitoring continued. Guest was talkative. About 15 minutes later she sat up and began sipping juice. Denied lightheadedness and vertigo. Vital signs remained stable. She was released by the medics. Went home with her mother.

Within a minute of receiving the vaccine, my daughter fainted and had a short seizure. She did not hit her head because I was able to help her on her way down - it was a ver small room with 3 people in it. The pharmacist was there and he said it was a seizure, she just jerked her chin up, sharply 3 or 4 times. She laid on the ground for about five minutes, then sat on the ground, then sat in a chair for a total of about 20 minutes. She felt dizzy and nauseated for about 15 minutes after. She drank a juice and felt better so we drove home, no other symptoms since.

pt started feeling really dizzy and nauseated immediately after taking the vax. she started having a seizure and made a growling type of noise and urinated on herself. The nurse at the vax site helped bring her back and was told to take her to a doctor. She was monitored and released from the vax clinic when her BP was 107/76. She was taken to medical center where she saw. She was told she had Syncope due to the stress of the situation of getting the vaccination. She is resting today and seems to have some fatigue.

Patient became dizzy and nauseous after vaccine. pt was assisted to wheelchair and brought to hallway for assessment. After first set of vitals pt vomits and passes out for about 30 seconds (max). Pt is woken up and reassessed. Pt is A&OX4. After second set of vitals pt states she feels better. Mom and pt decide to leave together instead of calling for a rescue.

PATIENT STARTED FEELING FAINT AND NAUSEA AFTER RECEIVING PFIZER COVID -19 VACCINE. DID NOT RESOLVE AFTER ABOUT 7 MINUTES. WAS GETTING WORSE PER PATIENT. I CALLED PARAMEDICS. PATIENT WAS TAKEN OUT OF THE BUILDING BY PARAMEDICS TO BE ATTENDED TO. FOLLOWED UP WITH MOTHER SINCE PATIENT WAS A MINOR. PER MOM, PATIENT DOING OK NOW. AT HOME. WAS NOT TAKEN TO E.R.

Patient felt weak and dizzy and had syncopal episode. Patient received vaccine, walked out to sit in observation area and had syncopal episode after sitting down. Lasted about 1-2 minutes. Mother provided water and held patient up to prevent from falling over. Declined requesting ambulance. Patient became responsive after 1-2 minutes and continued to feel weak and dizzy. The patient was instructed to stay for at least 30 minutes. Mother left with patient after 45 minutes and were instructed to go to urgent care or emergency room if condition of weakness/dizziness does not improve.

Patient reported nausea and dizziness following the 15 minutes observation period. Patient was advised to sit. She denied any shortness of breath. She stated that she did not eat anything that morning. Juice and crackers were provided to the patient. Vital signs were all within normal limits. Patient reported improvement after hydration and snacks.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient briefly fainted post vaccination, was accompanied by mother, immunizing pharmacist assisted with care, provided ice pack for head, laid patient on back with feet elevated, patient returned to conciousness, after returning to seated position patient complained of nausea so we returned patient to laying on back feet elevated. Patient was observed by immunizing pharmacist and mother prior to leaving under own ability. BP 123/81 HR 87 at 555pm, injection was at 517pm.

After shot felt light headed, dizzy, Requested water. Sat down put head back started snoring loudly. Stating seizing, eyes rolled back in head. Nurse had to wake up with smelling salts. Low blood pressure 60/40 All happened within 10 minutes.

Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild

Syncope, 102/62 (pulse 72), 98/64 (pulse 70). O2 sat 100%. Feeling dizzy post-vaccination and syncope.

I got the shot at around 4 in the afternoon and after sitting in the waiting area for around 15 minutes I was allowed to leave. When I left I only had a slight headache, but nothing that seemed very noticeable. I felt a tad woozy but it was nothing serious so I went on with my day and went to my sports practice for an hour and a half. After I got home and had eaten, I was working and started to feel the effects. It started with an increasingly worse headache at around 9 and as the night went on it got worse and I constantly needed to lie down. My arm had started to feel sore but it was nothing much. I thought I could sleep it off but woke up feeling horrible. My stomach could not hold any food down and my headache had become really bad. I had to go to my sports game but on the car ride over (around 45 min) I got very nauseous. Throughout the course of the day my headache would get worse any time I tried to run and all I wanted to do was lie down and sleep. I was barely able to stand, let alone run and I felt sleepy all day. My arm had also gotten very sore and any contact on it made me flinch back. I was not able to eat or drink anything until about 4 in the afternoon and my stomach was not sitting right the entire time and I constantly was burping and feeling like I was going to vomit despite having only water in my stomach. After I was able to eat the stomach ache went away a bit but the headache lasted through the night and has finally started to subside two days later.

Dizziness due to syncopal episode. Patient with previous reaction to "painful procedures." Last being her ears getting pierced. Spoke with mom who is a physician and states this happens to her frequently with procedures that can result in pain. VSS. Pt hydrated with PO fluids. Tolerated well, no nausea/vomiting. Observed for 25 minutes after event. Got up, ambulated steadily without discomfort/dizziness. VSS. Patient left clinic in stable condition, no acute distress. Left clinic ambulatory with dad.

Received first dose of Pfizer , within 1 minute fathe noted she "passed out". Called staff to car ad observed pt with clonic/tonic movement of hands, eyes closed, respirations slowed but even pulse approx 58/min. Responded to verbal Stimuli. Said she felt failt, lips pale, skin clammy. 911 called had additional same incident 9 minutes later. Transferred pt to medical facility by ems after 2nd episode .

Client reported feeling "anxious and dizzy" approx. 15 mins. after receiving vaccine. Client was led to zero-gravity chair and V/S taken. V/S @ 10:42am: BP 116/56, HR 65, RR 12. V/S @ 10:50 BP 105/58, HR 66, RR 20. V/S @ 10:57 BP 111/70, HR 60, RR 16. V/S @ 11:04am BP 108/70, HR 52, RR 16. V/S @ 11:10am BP 115/68, HR 60, RR 20. Client reported "feeling better" at 11:15am and left site unassisted and with a steady gait, accompanied by her mom. Mom reported she was driving them home.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypotension-Mild, Additional Details: PATIENT BLOOD PRESSURE DROPPED TO 103/67 BUT PT STATES BLOOD PRESSURE USUALLY AROUND 120/80 NORMALLY.

Patient states she feels dizzy, lightheaded, and SOB. EMS was called and was checked out by EMS personnel. Both parents were present during the incident..

First experienced heart racing, fatigue, dizziness and heaviness in your legs followed by hives that moved throughout the body including face, hairline, ears, legs, arms for the next 2.5 days.

Tightness in chest, extreme nausea, dizziness, headache, shortness of breath. After receiving the vaccine I had these symptoms for the rest of the day, as of this writing I am still feeling mostly nausea and the tightness in my chest has died down.

Arm soreness, tightness in chest, dizziness, nausea, difficulty breathing. Symptoms started pretty much right after getting the shot but the dizziness and tightness in chest stopped after I took a nap about an hour after the shot. As of the submission of the form I am still feeling soreness in my arm but it?s lessened a bit and I still feel nauseous and am having trouble breathing properly.

Lightheaded, Nausea, Seen by onsite EMT,BP: 127/82 , Pulse: 76, 02: 98ed, Patient discharged at 9:45 am to home. Recorded by EMT.

Patient felt very light headed after the vaccination and dropped on the floor while picking up her cellphone. As per parents possibly due to not having eaten yet since it was very early in the morning.

Pt's mom called 4/23/2021 connection call center regarding of pt fell down in 5 hours after covid vaccination yesterday. Verified pt with 2 identifiers. Pt denies emergency s/sx. Pt states she felt dizziness and leg lost power after covid vaccine(Pfizer) at clinic @ 3pm 4/22/2021 then pt fell down in 5 hours. Pt intervened to lay down by herself and drank water. Pt also mentioned she had stomach aches after vaccination yesterday. Pt states she does not have dizziness, leg weakness, stomach aches at this time, it happened yesterday in 5 hours after covid vaccination. Pt advised to follow-up with PCP at Pt made aware. Pt is educated for covid 19 vaccine side effects. Pt agreed and verbalized understanding.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Mild, Additional Details: After patient was vaccinated she went to wait with her mother in the car (vaccinator did not specifiy to wait in the store). Patients mother came to alert us that the patient was not feeling well. I went to the car with the clinic nurse to check in on the patient. She was responsive however was feeling faint/dizzy/nauseas. Vitals were within normal limits however EMT was called by mother. Patient started to feel better and went home. Patient reports feeling fine now.

Within 2-minutes of vaccination, the patient experienced a syncopal episode. EMS evaluated the patient on-site. The patient was hypotensive (84/44) with a FSBG of 59mg/dL. EMS administered 15g PO Glucose. IV access was attempted but not obtained. Upon re-evaluation, the patient was hypertensive (147/116) and tachycardic (117bpm). EMS transported the patient to Hospital Emergency Department. In the ED, the patient stated they became dizzy and passed out after vaccination. The patient noted that they did not eat anything all day. The patient was hypotensive (99/56). The patient's labs/tests indicated dehydration and the physician administered 1L IV normal saline. The patient was discharged with dehydration and vasovagal syncope.

From 2 days post vaccine, fever, fatigue, sore throat and headaches, lasting about a week. Persistent symptoms of headaches, dizziness, and blurring of vision still present at 19 day post vaccine.

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: pt left the pharmacy with paramedics

Pt completed vaccination and was at check out station with mother scheduling her second appointment. The patient suddenly fell backwards and landed on the concrete floor hitting her head. She was unconscious for about 30-60 secs.

Pt had finished getting her vaccine and was walking to observation area, when she fell to her knees as her mother caught her. Staff then helped her to her feet and started walking her over to medical area as pt went unconscious and Paramedic caught patient as she collapsed. Pt remained unconscious for approximately 10 seconds. Medic and one other staff member carried patient to cot in medical rehab area. Vitals were assessed at 1245PM: BP 102/78, HR 68, SPO2 98%, RR 22. Lungs clear and equal bilaterally skins: pale, cool, moist, pupils: PERRL. After patient regained consciousness she was alert and oriented answering all questions normally. Pt remained pale, cool and moist for another 20 minutes. PT stated she had not eaten anything all day and was given some snacks to eat while she was being observed. After about 45 minutes pt was stood up and checked to see if she was still feeling light headed and felt normal and was released to her mother to go home. Pt was advised to drink plenty of water and take the rest of the day to relax and recover, and to call 911 if any other serious issues occurred.

patient became immediately flushed, states she felt light headed, asked for water and was given, mom elevated patient feet on chair. patient stated she was ok to stand, was escorted to the observation area and asked to lay down on gurney, EMT's tended to, patient vomited 200 ml, rested, observed for 30 min, vitals initially 114/66 in L, P 89, 14 R 5 min later 120/78, P 80, R 14, then 10 min later 120/82 in L, 86 P, 14 R. After 30 min observation, regained color, no longer flushed, denied weakness and nausea, patient mother present during episode, states states no reaction after first vaccine, states this was a normal reaction for the patient when needles and vaccines involved. Mother denied further medical care. Left facility without difficulty.

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

Fever, chills, dizzy, headache Fever over 101. Symptoms lasted just over 24 hours. Treatment: rest, ibuprofen, cold compress Same symptoms occurred after 1st shot as well.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Hypotension-Medium

Patient started seeing stars, fell up against silver anti-theft gates by front doors, then passed out. Did not hit head, and was awake and alert by the time I reached her.

Fainted 48 hours after shot, sweats, slumped over. Luckily I was there to catch her. Complete loss of color. Came on very suddenly. Could have been catastrophic if she was driving.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Tingling at site of injection. Patient was seated after receiving the vaccine and suddenly collasped. Patient maintained consciousness throughout the episode and her symptoms have improved.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe

Pt complained of nausea and feeling dizzy immediately after vaccination. Patient became diaphoretic, pallor to face, patient assisted to wheelchair and taken to stretcher and laid flat since unable to stand. BP 108/67, HR 57, RR 14, o2 sat 99%. Patient later reported she left better, color returned to face and diaphoresis ceased. Updated vitals: BP 109/71, HR 52, RR 16, o2 sat 100%.

0935- Vaccine recipient (VR) received 0.3ml dose of Pfizer vaccine that was reconstituted with the incorrect amount of diluent (0.9mL). VR was asymptomatic during 30 minute observation. Immediately contacted program and was provided guidance and information. 1052 - Consulted School Nurse, VR was in nurses office with chief complaint of a headache, dizziness, and nausea. Left deltoid observed at injection site with no localized reaction found. Per school nurse: Nurse gave VR ibuprofen. Relayed information provided by program to VR. School nurse continued to observe. 1058- Contacted and spoke with VR's parent and relayed and emailed information provided from program (continued in next section) Additional information for Item 18: cont'd- which was the CDC Guidance for vaccine administration errors and deviations. Parent advised to contact primary care provider with any questions or concerns. 12:30 - Followed up with VR - headache and dizziness unchanged, nausea resolved, c/o "going the other way" bathroom. School nurses continued to observe. VR laying flat on bed, dim lights, and on phone.

Patient reported feeling lightheaded status post first dose Pfizer COVID vaccine (Lot: EW0167, expiration date: 08/31/2021) to medic. Medic noted that the client was CAOx4, her skin was pale, warm and slightly moist, pupils were equal, round, reactive to light and accommodating (PEARRL), respiration rate (RR) was 20. The client's sister stated the client had a history of anxiety and that "she gets this way whenever she gets a shot". Medic walked patient to the zero gravity chair. The client was given water to sip on. At 1213 baseline vitals were taken with client sitting: Blood pressure (BP): 110/82, heartrate (HR): 98, RR: 20, PEARRL. Medic reports she coached the client on her breathing to help alleviate her complaint of feeling lightheaded, mild nausea and anxiety. Client reported she felt anxious prior to her vaccination and that her last oral intake was 15 minutes prior to vaccine. Client denied headache, blurry vision and chest pain. At 1220 a second set of vitals were taken while standing: BP 108/80, HR 86, RR 16, CAOx4. Client stated her symptoms were diminishing. Client's RR slowed down to normal rate and rhythm, vital signs were trending to normal and client was negative for orthostatic pressures. Client was advised to stay for additional 30 minute observation. Client's symptoms resolved completely and she was able to ambulate away from observation site without assistance and with a steady gait.

Pfizer-BioNTech COVID-19 Vaccine EUA: During the post-observation period, vaccine recipient stated that she felt faint and decided to lay on the floor. She was helped to a wheelchair and brought to the EMS tent for observation in stretcher. She felt better and was able to walk out of the clinic.

Immediately after second dose, patient reported feeling tingly, light headed and "off". She had had this same reaction in the past with her 1st dose and was prepared that it may happen again. Her mom and dad were both with her. She laid down for awhile and was monitored directly in immunization room for 30 minutes. She reported feeling better, back to normal before leaving with direction supervision of her parents. They report that she often has these reactions to shots or medical procedures. This is the same reaction she had to the first shot.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tachycardia-Mild, Additional Details: pt released to her father. spoke with father a few hours later. pt is fine.

Accompany minor with dad received vaccine for first time. Pt complain of dizziness, diaphoretic, pale to face, body stiffness and started jerking once on floor. Pt placed to floor for safety precautions. V/s obtained w/ b/p 80/54, HR 92 O2 98%. Jerking stopped with v/s obtained again w/ b/p 82/56 HR 95 O2 99%. EMS arrived and taken over care. Pt was more a/ox3. Taken to hospital via EMS.

it seems like patient have vasovagal symptoms 5 minutes right after vaccinated. she was nauseated and sweat and almost faint. she said that she has hard time breathing. WE gave her 0.3mg epinephrine then she is ok and better. we called EMS over. and she is all fine after that. SHE did not need to go to hospital.

At approximately 1:04pm on 04/30/2021 patient during 10 minute observation had a syncopal episode and fall from standing to floor with loss of consciousness. Trauma assessment found contusion to occipital region of skull. No bleeding, no other trauma findings. Pt moved to wheelchair, and then to cot without incident. Pt AA&Ox4, airway patent, breathing shallow and non-labored. Pulse strong and regular with delayed perfusion. Pt skin pale, cool and dry. Pt eyes PERRL bilaterally. Pt complains of pain 7/10, dull, localized, to the base of skull, and ringing of ears, as well as dizziness without nausea. Pt administered 650ml oral water with improvement to skin and respirations. Vitals and report continued on next page Pt however post oral hydration still stated no change to headache, and new onset tinnitus to left ear. Pt parent was consulted for transport to emergency department for assessment for potential injury post fall, and consented. EMS was contacted, who transported patient to hospital. Vital signs as follows 1312 108/68 93p 14r 98%RA 1323 106/62 82p 17r 98%RA 1335 104/60 74p 16r 97%RA

At approximately 9 AM on the morning after receiving the second dose, the patient became dizzy at school. As she was walking to the teacher's desk, she lost consciousness and fainted, hitting her head on a desk, scraping her neck on a desk, and suffering several other minor injuries from the fall. She was immediately seen by school nurse and released to my care for the rest of the day. She rested at home and then was seen in at Walk-In Clinic to be evaluated for a concussion. On Day 2 after receiving the vaccine, the patient reported a sore throat, but no other symptoms. She was seen on the third day post-vaccine by our pediatrician's office for possible strep. She tested negative for strep and a concussion from her fainting episode was confirmed due to the lingering headache.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Seizure-Mild, Additional Details: Parents were with patient. says it happens every time she gets shots or blood work. possible NES and/or hypotension. says its happened in docs office before and they're testing her for pots and her sister has non epileptic seizures. She was fine after about 15 minutes. gave her a cold packet to put on the back of her neck and just monitored her for further symptoms.

Nausea and fevers started at 4:30 am 14 hours after shot, had nausea, body aches, headache, fever up to 101.2 , dizziness, fatigue. Nausea lasted 72 hours after the shot and has not stopped though has gotten better.

12:12 Patient is in the Observation Area post VAccination on her LEft Arm 2nd dose, suddenly complaints of dizziness, lightheadedness, clammy, pale and cold skin. Vitals were taken as follows: 77/40, HR 68, Oxygen SAturation 93%, Temp 97. Kept attended, both parents are with this 16 years old lady. Patient remained alert and oriented. When Emergency TEam came and evaluate the patient, BP was 103/66, HR 84, O2 saturation 95% and felt better. Patient was advised to go to the emergency room for further evualtion but declined. EMS team left

Approximately after 1 minute from receiving her first pfizer vaccine the patient reported to her mother that she feels like she is going to pass out. This RN was alerted about the situation by the patients mother and when approaching the patient this RN noticed the patient losing consciousness and drawing her arms to chest and curling her hands with tremors throughout her body. This RN placed the patient on the floor for safety out of the chair and had other staff member contact 911. Tremors lasted approximately 30 seconds and patient regained consciousness however appeared tired and stated she is unware of what just happened. Vitals were taken which were within normal limits and continued to be taken frequently until EMS arrive to transport patient to Hospital

Pt became dizzy and diaphoretic approximately 5 minutes after vaccination. She sat down and began to feel better. She reports fear of needles and not eating since 12pm that day. Approximately 10 minutes later she lost consciousness for approximately 30 seconds. Pt came to was given orange juice and left with her father around 20 minutes after vaccination.

Dizzy and sensation that she was being choked with shortness of breath approximately 15 minutes after receiving vaccine.

Patient felt light headed and nauseous. Monitored patient 30 minutes and nauseous went away but still feel light headed.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Vomiting-Medium, Systemic: Weakness-Mild, Additional Details: Within a few minutes after receiving second dose, she threw up and was very pale. She was drinking water and we got her crackers and candy. She laid down on the floor for about 10 minutes and started to vomit again. I asked her dad if he would prefer me to call an ambulance to have her checked out. He said yes so they were called. Her vitals were good when they checked her when they got here. They did take her to the hospital.

While in seated observation area, pt reported feeling faint. Brief loss of consciousness, while supported by pharmacist, legs stiff, arm twitch then relax as regained consciousness, lasting few seconds. Feet elevated, called 911 for care. Evaluated by paramedics in parkinglot, returned back to pharmacy after recovery for checkout.

18 hours after administration, vasovagal syncope and low blood pressure for 11 hours after onset; patient fainted and could not sit up or stand -- blood pressure would drop; symptoms persisted for 11 hours

20 hours after receiving the vaccine I felt very dizzy and nauseous for a moment and then fainted and was unconscious for a minute. I had developed a fever about 8 hours after receiving the vaccine, but by the time I fainted the fever was pretty much gone.

Patient complained of feeling dizzy and blurred vision, headache and eyes hurting. Denies any c/o nausea. BP 114/64 HR= 99 O2 Sat= 99% Patient/mom verbalized that she had a half of subway sandwich prior to her vaccination. Placed patient in supine position, took vital signs and instructed to remove her jacket since the observation area was warm. Gave her cold drinks, bar of candy and Tylenol 500 mg 1 tablet for headache. Continued to monitor patient then 30 minutes later RN walked her on the hallway. Still a little wobbly . Instructed to take some deep breaths. Mom did mention that her menstrual period is almost due. 10 minutes later she claims she is doing better but still have mild headache and sleepy. Discharged home with her mom and was instructed RN will follow up on her. Instructed if headache persists and start having dizziness to go to ER.

Felt dizzy and nauseous at about 7:30pm following a workout 3 hours after I got the Pfizer vaccine. Dizziness has increased and I feel fatigued.

Pfizer-BioNTech COVID-10 Vaccine EUA. After receiving the first dose of Pfizer vaccine, patient experienced lightheadedness. This occurred within a couple minutes after administration of vaccine. VS include BP 116/63, P 84, O2 100%. Cetirizine 10mg PO administered at 1535. Patient felt comfortable with no additional or worsening symptoms upon leaving clinic.

Systemic: Hypotension-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: Patient felt faint after void vaccine. She had some changes in vision and sat down to relax and drink an orange juice. Vitals were examined. (BP: 90/56 & 90/60; pulse: 62). Parents stated that patient has a history of feeling faint after vaccine administration. Patient was able to walk out under own power. A follow up call was placed and the parents stated that the patient was stable and doing well.

Patient felt dizzy. Became pale and diaphoretic. 1215 - 98/52 HR 54, repeat at 1220 110/64 HR 78, repeat. 12/25 patient feels better, able to ambulate, alert and oriented. 1234 symptoms completely resolved and able to resume normal activity.

PATIENT LOST CONSCIOUSNESS, FELL FORWARD OUT OF CHAIR (WAS CAUGHT AND ASSISTED TO THE FLOOR), PATIENT REGAINED CONSCIOUSNESS, EMERGENCY SERVICES WERE CALLED, PULSE, BLOOD SUGAR, OXYGEN, AND VISION WERE FINE, PATIENT VERY LIGHT HEADED, BLOOD PRESSURE EXTREMELY LOW, WASN'T RETURNING TO NORMAL

The patient felt tired and describes her eyes going dark, then passed out a few minutes after vaccination. She was vaccinated and then left the immunization room to sit down for a 15 minute waiting period. When she went to sit down, she collapsed on the floor. Her mother assisted her into a chair. She continued to be incoherent and have her eyes rolling back into her head for a few minutes. We used a cool cloth on her forehead and the back of her neck. The parents requested that we call 911. EMS arrived shortly and evaluated her. Heart rate, blood pressure, pulse ox, blood sugar and chest sounds were all within normal range. The patient stated that her arm felt heavy and "funny". She then stated that her tongue felt funny. EMS evaluated her tongue and said it looked normal. To err on the side of caution, she was taken to the hospital to determine whether or not she was having a delayed onset anaphylactic reaction. This patient has no history of seizures.

ADVERSE EVENT: DIZZINESS/ SYNCOPE AND NAUSEA, PATIENT ALS O TURNED PALE DURATION OF 15 MINUTES. TREATMENT: MONITORED PATIENT ENTIRE TIME AND PROVIDED SUPPORTIVE THERAPY. GAVE PATIENT WATER OUTCOME: PATIENT RECOVERED IN 15 MINUTES AND WAS OBSERVED FOR AN ADDITIONAL OF 15 MINUTES (30 MINUTES TOTAL) AND PATIENT WAS RELEASE TO THE CARE OF HER GUARDIAN

Right after patient received the vaccine she turned very pale and told the technician she felt light headed. She remained seated in the room and closed her eyes a couple times but never appeared to lose consciousness. Her dad joined us in the room and confirmed she was really nervous before the vaccine. We kept her seated for several minutes and then she said she felt sick and vomited. After that she started to regain her color and was able to move to the waiting room. She sat there for about 5 more minutes and then felt well enough to leave with her dad.

Within 5-10 mins post-injection pt became pallor, sweaty, dizzy and had a vasovagal episode while sitting in her chair. Pt exhibited jerking motions and then quickly had a syncope episode lasting <1 min. Pt was lowered to the ground during the episode. No trauma occurred. Pt mother beside pt entire time. During this time a pulse ox was put on pt and her legs were elevated. Pulse ox remained 96-98%. After waking, water and wet rag was given to pt and pt moved to reclined chair after 5 mins. Pt remained pallor and dizzy x15mins, after 40 mins pt was able to walk and leave the clinic. Mother stated in past that pt had a vasovagal episode after the Gardasil vaccine.

Dizzines, nausea. BP 125/84; HR 94; RR 18. No s/sx of respiratory distress. Pt monitored by RN, sx resolved & released home with father in stable condition

Patient received vaccine, 1-2 minutes later stated she was feeling dizzy and passed out and began to seize. 911 was called. patient was monitored and given water and an icepack upon regaining consciousness. Paramedics did a physical assessment, including checking blood pressure and blood sure. Patient's guardian refused going to hospital. After 30 minutes patient and guardian went home as patient stated she felt fine. Pharmacy planning to follow up with patient the next day.

Adverse event: PT here for first dose of Pfizer COVID vaccine. PT reported feeling anxiety before vaccination, but indicated that she was ready for her vaccination. Immediately post-vaccination, PT experienced an apparent vasovagal response, presenting with palor, slumped posture. PT's eyes were open, but PT was unresponsive and later reported no memory of events. PT became responsive within 2 minutes, but remained "shakey" and pale. RN was in attendance and provided initial assessment/response. RN also responded to PT. Aid was called at 1251 and EMTs arrived at 1253. Aid assessed PT, took vital signs (1256: BP 104/56 laying, HR 70, SPO2 98% on room air, 1303 BP 110/62 laying, HR 87, SPO2 99% RA, 1307: BP 96/58 sitting, SPO2 99%RA, 1311: BP 106/62 sitting, SPO2 99% RA). Treatment: PT was assisted to lay down on cot, water and juice were provided and consumed, cool compress were provided. Psychosocial support provided. Education to PT and mother to monitor for further s/s and to seek out urgent care if more were noted. Outcome: PT's color improved soon after laying down, PT reported "feeling better" after consuming juice and water. PT sat at edge of cot without difficulty, walked down hallway without difficulty. PT medically cleared by EMS at 1223, exited facility with mother in private vehicle.

Patient was waiting for the 15min and at about 5 min in started to pass out. Got her on the ground and called 911. Never lost consciousness, but was transported to hospital to be looked at.

Syncope caused patient to lose consciousness and fall out of chair hitting her head. Paramedics were called to the scene but patient did not require additional medical assistance at the time. Follow up with PCP recommended.

Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Parademics/911 called, patient's parent refused transport to the hopsital. Patient waiting in recovery with NP and nurses, RPH to check

Patient passed out within a minute of vaccination. Mother and I moved patient to a laying down position where she immediately woke up and knew where she was and what just happened. Declined any other symptoms. Mom said she passes out often after vaccinations. Patient was conscious carrying on a conversation like normal immediately after coming to. Over the next 30 minutes I tried to get patient to a sitting position to take her blood pressure but every time we tried she needed to lay back down because she felt like she was going to pass out. After trying this twice and being unsuccessful I had EMS called to check on patient to make sure nothing more serious going on. EMS came and took a couple blood pressures and pulses which were normal. Patient was starting to feel better. Walked out with EMS and planned on going home.

Immediately after the shot she had a bad headache and approximately 30 to 35 minutes later dizness, chills, and throat restriction (anaphlaxis), extreme muscle soarness( any sort of touch was extremely painful, and she couldn't move her neck, it hurt to move from side to side. Her legs began to feel extremely heavy and hard to move. These symptoms seemed to last for approx 30 minutes. Headache didn't subside until later in the day, it did lighten up.

Patient Stated she had a rapid onset of feeling dizzy and Nausious. The patient was laid supine on the floor and assisted py paramedics. Responded, Patients father signed AMA via hospital. Patient released to father.

"No significant PMH. She reported that she tolerated Pfizer dose #1. 20 minutes post vaccination, on her way walking out of the clinic with her father, she felt dizziness and very thirsty. She was alert and oriented x 4. Did not pass out and was able to walked to the Medical facility for further observation."

Patient presented to the ED with dizziness, fever and heavy vaginal bleeding around 24 hours after receiving her first dose of the Pfizer-BioNTech COVID-19 vaccine. She was tested for active COVID-29 infection via nasal swab PCR and tested positive. Upon presentation labs were drawn and her platelet count was found to be 8 on 5/15. Repeat labs were drawn that day to confirm low platelet count and confirmed diagnosis and thrombocytopenia secondary to an immune reaction to the vaccine was suspected. She was admitted and was started on tranexamic acid, medroxyprogesterone, dexamethasone and IV immunoglobulin (Ig) to help treat low platelet count and vaginal bleeding. As of writing, she is still admitted and her most recent platelet count on 5/17 was 16.

Client received 1st COVID vaccine Pfizer (Lot#EW0185 expiration 05/22/21). At 4:28PM Client reports headache, no dizziness, no lightheaded, no blurred vision, no chest pain, no shortness of breath. Client has already completed 20 minutes of observation. EMT obtained vital signs blood pressure 116/71, heart rate 87, oxygen saturation 98%. At 4:33PM, RN responded to the event. Client and father reports history of asthma and no known allergies. Offered supplemental nutrition and fluids. Client accepted. Client reports to RN about no chest pain, lightheaded was improving, headache is going down. At 4:39PM vital signs are blood pressure 130/84, heart rate 96, oxygen saturation 99%. Client reports lightheaded, blurred vision, no shortness of breath. RN educated Client and father in regards to ED precautions and common adverse effects of COVID vaccine. 4:44PM vital signs are blood pressure 121/79, heart rate 92, oxygen saturation 98%. Client reports no chest pain, no shortness of breath, lightheaded is improving, headache is going down, no blurred vision, no dizziness. Client remains sitting in a chair and eating/drinking supplemental nutrition and fluids. At 4:49PM vital signs blood pressure 118/78, heart rate 89, oxygen saturation 99%. Client reports all symptoms has resolved. Client has a steady gate and is waiting for other siblings to complete observation.

Lightheadedness & ringing in ears. BP 95/60; HR 89; RR 16. Pt AOx4; VS stable; pt escorted home with mother

Patient received vaccine in her left arm. It was made aware to the immunizing technician prior to vaccinating that the patient had a history of dizziness after vaccines. Patient was seated when receiving shot and after stayed seat. About 30 seconds after the shot patient lost consciousness and fell out of the seat hitting her head on the way down. The pharmacist and mother helped patient back to her seat. As she came to consciousness patient reports a little headache and dizziness. Pharmacist took blood pressure which read 84/52, temp 97.9 and gave patient some water and 911 was called. As EMS arrived patient reported still some dizziness but was feeling better.

At approximately 1:04pm on 04/30/2021 patient during 10 minute observation had a syncopal episode and fall from standing to floor with loss of consciousness. Trauma assessment found contusion to occipital region of skull. No bleeding, no other trauma findings. Pt moved to wheelchair, and then to cot without incident. Pt AA&Ox4, airway patent, breathing shallow and non-labored. Pulse strong and regular with delayed perfusion. Pt skin pale, cool and dry. Pt eyes PERRL bilaterally. Pt complains of pain 7/10, dull, localized, to the base of skull, and ringing of ears, as well as dizziness without nausea. Pt administered 650ml oral water with improvement to skin and respirations. Vitals and report continued on next page

The first signs of the event developed after observation time at the vaccination when child was at home. Mother of the child walked into the vaccination clinic 11 days after the occurrence to report her child still started to develop a "different sensation" on her hands and feet and the next day could not walk or move. She was taken to the ER 2 days after occurrence. The child was taken to her PCP on 05/17 and was referred to a neurologist. The initial appt is scheduled for 05/28 and PCO is trying to secure an earlier appt.

Patient has not eaten today. She felt light headed with vaccine . Offered juice, crackers, water. Kept for observation, till 9:00 AM Pulse 48 SPO2 99% BP 98/50 Discharge home as she get normal.

10 minutes after receiving vaccination, attendee had complaints of feeling "dizzy and fuzzy" and intermittently staring off into space. Parent,(mother), present at bedside and states staring off into space occasionally is a baseline behavior for attendee but 'seemed worse' at this time. Vital signs at 4:10pm: blood pressure 130/90, heart rate 124, temp 99F, respirations 22. Blood glucose 93. EMT present. At 4:20pm attendee assisted to lie down on cot. Paramedics called as attendee felt she should go to hospital. Attendee transferred to gurney at approximately 4:30pm and was looking at her phone and requesting her headphones and drink of water. Pt seemed more attentive and appeared in no acute distress. She was able to stand and move her legs to transfer to gurney. Attendee transferred to hospital via fire station vehicle at 4:40pm.

is a 16-year-old female patient admitted with tachycardia. Starting 1-1/2 weeks ago, mom notes that she has had episodes where she feels her heart racing. It began 1-1/2 weeks ago with her crying and her watch that her heart rate was 208. They went to the ED, where she was given some fluids and her heart rate improved so she was sent home. She had had prior episodes of mild tachycardia up to the 140s in the past but which has always improved with fluids. Mom states that she used to have a lot of trouble maintaining her hydration and would not drink a lot of water. Since the last 1-1/2 weeks, she has been having these episodes 1-2 times a day that last about 1 to 2 minutes with a max of 5 minutes. When it comes on, she feels dizzy and lightheaded, and after the episode she feels a big rush of blood to her head. She also has some associated shortness of breath. She denies having any episodes of chest pain at all. She has never passed out, she has never felt like she was going to pass out, she has never felt like she was out of balance. She denies any nausea or vomiting during episodes. She denies any headaches during the episodes. She does have history of migraines, but has not had one in the last couple weeks. Her prior resting heart rate was in the 80s per her watch, and lately it has been in the 110s to 120s while awake in 80s while asleep. Along with the episodes, she also feels some pulsating sensation in her abdomen. She does not have any abdominal pain. Today, her heart rate was again in the 200s, but it was worse than before because it lasted about 30 minutes total. Lately they have been using an app that continuously monitors her heart rate. Since these episodes started, she has cut down on her caffeine intake and she has increased her water intake. Does not feel that this helped. She has never had syncope in the past and has never had seizures in the past. Patient was started on carvedilol which has helped control heart rate and was encouraged to drink fluids. Per primary care team, her current episode of tachycardia was not due to the vaccine.

Patient felt lightheaded and dizzy after 2nd dose of Pfzier, was pale and diaphoretic but alert and oriented x4. Had pt lay done supine and observed for an extra 15 minutes. Pt felt fine and symptoms resolved. Left with father feeling better

pt began to fill light headed about 5 minutes after vaccination. She then had some vomiting. The room was very warm. She was a little diaphoretic. The vomiting happened about 3 times then subsided. Patients color came back. She sat for a few additional minutes. Drank some water and left clinic completely stable. She has had a history of fainting with heat and with injections.

Patient started experiencing numbness and tingling on her right side and then all over on Sunday evening 5/2/21. It affected her gait and the numbness and tingling in her legs caused her to have to catch herself and hold on to something to keep from falling. She described that her legs felt weak for a few seconds when walking. This sensation gradually decreased in intensity and duration. When I saw her at 5 pm on 5/3, she had normal gait and only felt the numbness and tingling very briefly. Her exam including her neuro exam was normal on 5/3 when I saw her. The sensation of numbness and tingling completely resolved by 5/4. She also experienced HA, nausea and fatigue, but did not have syncope, dizziness or fevers.

6 days following vaccination, patient was exercising for the first time. started feeling dizzy. She had some water and realized that her skin was red. She had a rash on face and puffy lips. Mom came to get her she stood up and was extremely dizzy. Mom did not notice that her lips were swollen but did notice that her skin was rashy and red. Mom, who is a nurse, also thought she appeared pale and diaphoretic. By the time they got the ED she was hypotensive. She got a cocktail of meds in the ED including a couple doses of EPI. She got IV fluids. She started to improve quickly after giving the medications.

Pt began to feel faint in observation area after vaccine. Transported via w/c to observation bay after brief loss of consciousness. Mother present. BP 109/68, HR 58, RR 16 -- > 101/69, 64, 16. Pt reports feeling much better. Pt stable and released from the vaccination site.

Patient was given the vaccine then sat down and felt dizzy about 5 minutes later. Patient then vomited and felt better after.

Patient states she exhibited dizziness and blurred vision. Patient was given orange juice and symptoms were resolved.

Patient reported throat tightness and dizziness exactly 19 minutes after the vaccine was given. Patient could still speak. She was advised for sip of water to see how she does and reported difficulty of swallowing. She verbalized experiencing the same thing when she received her flu vaccine about 10 years ago. Immediately sent to ER via wheelchair. Patient continued to be verbal until the arrival to ER.

Dizziness, headache, sore throat, tiredness Large painful lump near collarbone on left side notice the morning after when she woke up, still present.

Systemic: Fainting / Unresponsive-Medium, Systemic: See statement below-Medium, Additional Details: Minor patient with parents in attendance. After receiving immunization, patient stood up, took a few steps and fainted, falling backward and hitting head on the floor. Pharmacy staff immediately called 911 and provided supportive first aid. Patient quickly regained consciousness, RPh had her continue to lay in the floor, provided pillow for head, elevated feet and ice pack was applied to back of head. Paramedics arrived to evaluate patient's condition, patient was released home with parents.

Pfizer-BioNTech COVID-19 Vaccine EUA I woke up at about 4:30 AM and couldn?t fall back asleep, I kept feeling sleepy until I would get jolted back awake over and over. My joints were hurting, I had somewhat severe nausea, my head started throbbing. At about 6:40 AM my migraine started, my arm felt hot to the touch, and I got dizzy so I took some acetaminophen. At 10:00 PM I noticed the area under my left armpit was a little swollen and really sore, my throat and right tonsil was also sore and it hurt to swallow. The next day (today) I have another migraine, my throat and left armpit are still sore, and my muscles hurt. I?m getting better though.

1. Headache - for 24 hours. Treated with acetaminophen & naproxen. 2. Nausea when standing - duration 24 hrs 3. Dizziness when standing - duration 24 hrs 4. Fever up to 103 F - duration 18-24 hrs. Unknown due to taking acetaminophen & naproxen.

Vasovagal response immediately after vaccination. Dizzy, pale, lightheaded, diaphoretic, hypotensive. B.P. 64/25 @10:25 and @10:35 B.P. 110/60. Laid down in medical screening with good rebound Blood pressure. Remains for 30 minutes observation. Left in stable condition at 10:53.

Dizziness, Migraine, no visual disturbance. First Migraine accured on 05/12/2021 lasting 24 hours, Second migraine on 05/19/2021, lasting 24 hours

Systemic: Dizziness / Lightheadness-Medium, Additional Details: pt chief complaint was feeling dizzy and numbness feeling at site of injection, which was left arm deltoid region. Pt laid on the floor for about 20 minutes and felt better. Was able to get up herself and left the store with her mom. Offered to call EMS but mom and pt declined

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Additional Details: Patient had seizure with 1st vaccine, pediatritian informed mother to have patient lay down if it happens again. Patient said she felt out of it (at 11am) after administration of this vaccine so we helped her lay down on the floor with her head proped up. Gave her water and turned on the fan to try and make her more comfortable. Patient decidede to try sitting up slowly after 10-15 minutes, then after another 10 minutes she was able to stand and felt back to normal and left the store 11:30am.

Vaccine administered at outside facility. Patient is a 16 yo girl, admitted on 4/19 with myocarditis, s/p IVIG (4/19) after presenting with progressive new onset chest pain. She was in usual state of health up until 2 days ago when she started developing body aches, and chest pain. Patient received her 2nd Pfizer COVID vaccine last week (4/15). No known history of COVID infection. Parents brought her to the ED yesterday after she complained of dizziness, SOB, chest pain, and had a near syncopal event. EKG showed non-specific ST abnormalities with labs showing elevated troponin, mildly elevated CRP, normal CXR, negative COVID PCR. Denies fever, GI symptoms, GU symptoms, headache, rash. Once transferred to our PICU, she was worked up for myocarditis vs MIS-C. Troponin has been trended q6 and is trending up (now 11). Of note, there have been no fevers. Patient is a 16 yo girl, s/p admission (4/19-4/23/21) with myocarditis, s/p IVIG (4/19), has now been readmitted on 5/10 with myocarditis after presenting with headache and neck pain for 2 days. Following discharge from the PICU on 4/23, patient states that symptoms have lingered (low grade fevers, feeling tired, on and off chest pain). After developing a progressive headache and neck pain, she came back to the ER for re-evaluation. Upon readmission, her troponin was elevated (2.06 on 5/10). Her CBC and CMP were reassuring. Blood culture collected on 5/11 and urine culture collected on 5/10. ID consulted for workup.

Felt dizzy and like she would pass out Felt faint and nauseous and very sweaty. MOM noted she was obviously sweating and left wet marks from her arms on the table Did have a syncope episode

Faint, anxious, clammy Vital Signs: BP 85/60 HR 72 Resp 18 O2Sat 98 Skin Signs: Clammy Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Initial Treatment: Brought to triage and assisted to supine, Hx of anxiety 12:43 PM Vital Signs: BP 97/61 HR 68 Resp 16 O2Sat 98 Skin Signs: Warm and dry Circulation: Cap refill <1sec Respiratory: Breath sound clear bilaterally Vital Signs: HR 79 Resp 16 O2Sat 99 Skin Signs: Warm and dry Circulation: Cap refill <1sec Respiratory: Breath sound clear bilaterally Notes: Physician advised patient to seek further medical treatment should symptoms return or worsen. Home with parent.

This patient received the Pfizer vaccine on 5/24/21 at 4:30pm and was feeling fine until the next morning at 5:30am when she felt dizzy and passed out. She then was able to get back up and passed out again. Her guardian states that she was gray in color and was very weak. She was able to communicate but was very tired and stayed at home for 2 days. Today she is feeling fine and guardian was asking if she should get the 2nd dose. I said that she should contact her physician.

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Additional Details: Patient temp at time of incident was 96.8. About 8 mintues after vaccination was given patient became pale and passed out for several seconds. Patient was dizzy and vomited. No other symptoms. Called paramedics to make sure patient was okay. Gave patient some water and spoke to patient until the paramedics arrived. Paramedics took her vitals and after while they cleared her. She was able to walk out on her own and went home with her father and brother.

Pt has history of anorexia. When she arrived at 1:00pm stated she had only eaten 1/2 banana today. Stated she has lightheaded and dizziness frequently and right then. RN instructed her to go and eat something before her vaccine could be given. She returned at 2:15 after eating a whole roast beef sandwich. Vaccine was given and she immediately began feeling even more lightheaded than her norm, per her. She was assisted to lay flat on the floor and feet placed up on the chair. She stated that helped but still was feeling poorly. 911 was called. She was diaphretic and got a severe headache, stating she was blacking out and unable to see. She never lost consciousness. Mother remained at side. EMT took her to hospital.

Patient complained of feeling dizzy after receiving vaccine. Symptoms resolved spontaneously. Observed by provider on site for 30 minutes.

Immediately after receiving vaccine patient stated she felt light headed and nauseous and laid down. mom then stated that it was because she was sick when she came in and was probably from that. We let her lie down for the post observation time, and then we had her sit up for several minutes. after the post observation time was up she was able to get up and leave.

Patient experienced seizure activity after receiving 2nd dose of pfizer vaccine. Sx started approximately 5 mins after receiving injection. fell and hit head. B/L upper extremity contractures noted that did not resolve and was associated with extreme pain and muscle rigidity.

Shortly after receiving vaccine (about 5 minutes), pt complained about difficulty breathing. I went to check on her and she appeared pale and seemed very drowsy and unresponsive to questions. She continued to complain about dizziness and nausea. Her parents grabbed some water for her and still there was no improvement. I called 911 to report the symptoms and was advised to administer EpiPen. When asked if her breathing improved, she nodded yes, but she did not appear to have improved. She continued to be unresponsive to questions and appeared extremely drowsy. Within 15 minutes, the ambulance arrived.

PATIENT EXPERIENCED DIZZINESS, BLURRY VISION, HEARING LOSS AND BECAME SHAKY AND PALE ABOUT 2 MINUTES AFTER GETTING THE VACCINE. SHE WAS STILL SEATED IN THE IMMUNIZATION ROOM AT THE TIME THE ADVERSE EVENT OCCURED. SHE REMAINED SEATED IN THE ROOM FOR ABOUT 20 MINUTES BEFORE FEELING WELL ENOUGH TO LEAVE. SHE WAS GIVEN WATER AND AN ICE PACK.

PATIENT'S FATHER REPORTED AFTER PATIENT SAT DOWN IN OBSERVATION AREA, SHE REQUESTED A WATER. PATIENT AND MOTHER WALKED TO RETRIEVE WATER AND AS SHE ENTERED THE TENT PATIENT REPORTED DIZZINESS AND VISION DISTURBANCE. PATIENT STATED SHE BEGAN TO SEE BLACK AS SHE WAS SEATED. NURSE WAS CALLED OVER. DAD STATED PATIENT'S BODY SLUMPED OVER AND HE SUPPORTED HER IN THE CHAIR. THE NURSE WITNESSED FULL BODY UNCONTROLLABLE SHAKING FOR LESS THAN 20 SECS. LOC ASSESSED AND PATIENT WAS AOx4 IMMEDIATELY FOLLOWING THE SHAKING. NURSE ALSO OBSERVED PALE LIPS. FLUIDS OFFERED AND CONSUMED. MD & EMS PAGED. DAD REPORTED TO MD, PATIENT HX OF FAINTING. PATIENT BECAME PALER. MD ADVISED AGAINST PLACING PATIENT ON GROUND. GURNEY PROVIDED. PATIENT FEET ELEVATED. VS OBTAINED #1 BP: 76/48; #2 83/52, p: 60, RR: 16; O2: 98%; #3 BP: 85/53, P: 81 at 1540. PATIENT OBSERVED WITH FEET ELEVATED FOR LESS THAN 10 MINS. MD RECOMMENDED PATIENT REMAIN IN OBSERVATION FOR 15 MINS PRIOR TO LEAVING. PATIENT MOVED TO CHAIR SEATED UPRIGHT POSITION WITHOUT ASSISTANCE FOR 15 MINS. 15 MINS ELAPSED, MD MADE AWARE AND DECLINED TO REEVALUATE PATIENT AT 1555. PATIENT EXITED OBSERVATION AREA ACCOMPANIED BY PARENTS AND BROTHER WITH FLUID IN HAND IN STABLE CONDITION.

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

Approximately five minutes after injection, patient began feeling faint, nauseated and weak. Her parents had her sit down. She began vomiting and sweating. We called 911. Her Dad starting taking vital signs. He is an ER Dr at local hospital.

The patient was previously well then shortly after the first COVID vaccine she began experiencing fatigue slowing to her swim times ( she is an high level swimmer) and felt "Off". She presented to my office on May 6, 2021 three days after her second COVID vaccine I examined her and heard a slight hint of a wheeze and in addition to labs did a CXR which was Abnormal with evidence of a LLL consolidation and a pleural effusion. We then did a CT scan with contrast and started her on antibiotics and I called Pulmonology to get her in quickly since swimming trials were approaching and we had to do our best to get her in shape to compete. We also did a rapid COVID test which was negative at my office on May 7, 2021-- The pediatric pulmonologist repeated the CXR 5 days later and there was more fluid and she was now having more sx of cough and feeling worse so she was Admitted to the Hospital on May 11th and had a Chest tube placed and drained 950 cc of serous fluid . Pulmonology, oncology and rheumatology consulted to rule out various other causes of the pleural fluid in an otherwise healthy girl. Surgery did the procedure and followed up outpt. She was in the hospital for approximately 4 days. Proximity of sx onset to doses and other sources being essentially ruled out lead to concern for vaccine complication.

Shortly after receiving vaccination client became pale and diaphoretic, c/o blurry vision and fell from chair. She received a minor injury to her right knee which was treated on the scene by EMS. BP 91/50, 02 99%, HR 46

I woke up not feeling well. I was pale in color and felt nauseous, light headed and my ears were ringing. I took my blood pressure and the reading was 120/71 with a pulse of 54 which is really low. I went to the Dr. to be evaluated. Dr. felt it was a vasovagal response. I will continue to monitor myself and if it continues, I will see a cardiologist.

Patient reports immediately after receiving the vaccine she developed chest tightness and pain that has continued to wax and wane the past two weeks. Has some intermittent difficulty breathing and fast heart rate that each last about 20- 30 minutes. Also accompanied by dizziness or lightheadedness. Reports her whole right leg feels tingly and her joints hurt, but denies weakness, redness or swelling of the joints or right foot. Also has a continuous headache that started within an hour of receiving the vaccine and worsened over the next few days. This too has waxed and waned.

AE: patient felt dizzy and lightheaded 20 minutes post vaccine administration. Treatment: no medication was given. patient was under observation. Water improved symptoms Outcome: symptoms resolved and patient was sent to POV/Home.

passed out; BP was 70/44; could not sit or stand; EKG-Potential abnormal Twave; Calcium was low; This is a spontaneous report received from two contactable consumers reporting for her daughter. A 16-years-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), vaccinated at the age of 16 years old, via an unspecified route of administration, administered in Deltoid Left on 05May2021 15:00 (Batch/Lot Number: ER8735; Expiration Date: 31Jul2021) as single dose for covid-19 immunisation. Patient received the first dose on unknown date. Her daughter had no reaction from the first one that was three weeks prior. The patient medical history included Attention deficit hyperactivity disorder. Concomitant medications included lisdexamfetamine mesilate (VYVANSE) taken for attention deficit hyperactivity disorder, start and stop date were not reported. Last Wednesday, at 3 pm, caller's daughter received the second vaccine. Her daughter had no ill effects. Her daughter got up the next morning, 18 hours after administration, and passed out. Caller states that they called the squad and her daughter's BP was 70/44. They pushed an IV, transported her daughter, and they were in the ER for 10 hours. The local hospital gave her daughter 2 1/2 bags of fluid and transported her daughter to Hospital. Caller adds that there were 4 liters of fluid given, and her daughter could not sit or stand without her blood pressure dropping for about 8 hours after the incident. There were 2 transports and 2 ER's. Caller asks why were they not told that this is a symptom. She was grateful that she could catch her daughter before she hit her head, but what about parents who leave their kids alone. Last Wednesday, caller's daughter received the vaccine 05May2021 at 3 pm and passed out 06May2021 in the morning. It was the only time she passed out and caller states she saw her daughter's head drop and then was trying and caught her. She was trying to talk to her and her eyes were in the back of her head, and was trying to arouse her. She was out for over a minute. She went to Emergency Room in. They were there for 6 hours. Then, when she could not sit up and her blood pressure was dropping, they recommended Hospital. She was there, this all took place, on Thursday from 9 am or around 8:50 am when she passed out and then they were discharged after 9 pm. It was a 12 hour situation where they were transported and she spent 12 hours in 2 emergency rooms. The only one she had at time was vyvanse but she did not take this before passing out. The last time that she took this would have been nine hours before administration of the vaccine on 05May2021. She did not take it on 06May2021 when the incident happened. She was just getting up. She had only been on this for about a week. It is a stimulant drug but it is out of the system in the evening so people can sleep. She asked each doctors if this had any role in it and they said no. They told her to take it again which they have not started back yet. She has no other medical conditions. Investigations: caller does not provide dates or specific test results. The first ER did bloodwork, urine, chest x-ray. They wanted a CAT scan of her head but caller declined because she thought it was unnecessary. They did an EKG at first in the ER. Nothing was abnormal. She did have some things out of range in bloodwork which is not surprising because she was taking in fluids. Her calcium was low. Nothing was way out of range, nothing was abnormal. The second ER did a follow up EKG but no other tests or bloodwork. According to three physicians, the EKG was fine. A cardiologist reviewed the 2nd EKG and she got a phone call that they wanted her to follow up because of potential abnormal T waves which could have been a result of that much fluid intake and electrolytes being out of sync after that much fluid. They are following up on this. Her father has as vasovagal response hat he has experienced 4-5 times in his lifetime. He has never passed out following a vaccine. Caller had no idea that was even a response to vaccine. He has passed out after giving blood, with severe pain, coming out of anesthetic, and with severe stress. He has never had an extended period of time where his blood pressure was low. She, they could not get, her blood pressure up with fluid after fluid which is why she was transported to the second ER because they thought they did not know what was going on there. Caller states does she think that there may be some relationship and her daughter has this tendency to vasovagal - yes. Was it brought on by the vaccine? Yes. She has never fainted in her life. Caller adds she can see how some many say this may not be related to the vaccine but 18 hours after administration, they can not get her blood pressure up and were in the ER for 12 hours. Treatment included all the fluid, and 2 capsules of acetaminophen. No other treatment. Outcome of events was unknown. Information on Lot/Batch number was available. Additional information has been requested

Mother reported daughter fell in bathroom in the middle of the night- said she couldn't see then sight came back. Then again Mother checked on daughter later on and daughter was unresponsive when mom was tapping her in the face-she was just looking at her mom but not seeing or hearing her -like a black out-- couldnt be woken up easily- and when she did wake she couldn't see. But since those 2 episodes daughter's sight is back but she feels nauseous and has an upset stomach.

After leaving the immunization room the patient fainted and fell on the floor. Patient lost consciousness for a moment but then was breathing and talking without difficulty. 911 was contacted. At some point before the patient left the store she vomited. Patient parent was contacted the next day; patient did go to hospital and was checked out and given the all clear and was then at home resting.

At 15:05 voiced complaints of feeling tired and dizzy. Crying and scared. Her mother was in attendance. They gave her some orange juice. No tachypnea or dyspnea. Skin warm and dry. 15:10 – Attendee stated that she "felt funny". Attendee assisted to the cot and given orange juice. 15:13 - HR: 78 BP: 120/80 O2Sat%: 99. 15:16 –Water given 15:20 -No voiced complaints- skin warm and dry. Attempted to sit her up and she reported dizziness, so she laid back down. HR: 75 BP: 110/70 O2Sat%: 100 Temperature 98.7 15:25 – Sat up on cot the and dangled her legs without dizziness 15:26 – Assisted to a chair and denies feeling funny or dizzy. 15:30 - discharged to home with her parents

My daughter had a mild seizure 5 minutes or less after receiving her first vaccine. She fell out of her chair, her eyes fluttered and rolled in the back of her head, her teeth were clocking and chattering and her body was shaking mildly. She lost consciousness for approximately 2 minutes. At 8:33 pm she felt a second seizure begin, her step father grabbed her before she could fall and again, her eyes fluttered and rolled in back of her head, her teeth were clicking and chattering and her whole body was shaking. The second episode lasted approximately 2 minutes as well, with her losing consciousness again. She was taken to the emergency room and stayed overnight for observation.

Within minutes of receiving the 2nd dose of Pfizer vaccine the patient start to feel light headed, she saw stars, she vomited, she started to look pale and felt tightness in her chest. We called the EMTs and we advised the patient that syncope is something we have seen in children receiving the vaccine and the EMTs advised of the same thing. They took her vitals all normal and the patient began to see the symptoms disappear. The patient once better and cleared by EMTs went home per their advise.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: blurry vision-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient reported leg weakness and blurred vision and dizziness/slight difficulty breathing upon getting ready to leave observation area. Said she hadn't eaten in a while and felt cold due to A/C in the store as well. BP was low and HR high, so called 911 to get her emergency help as she didn't feel like she could walk out of store safely. Felt strange and that her legs might give way. EMS arrived, vitals looked good, pt refused ambulance.

At the time of the vaccine daughter dizzy and started to fade out 20 minutes after the vaccine. She couldn?t see and it seemed like it was a Vaso Vagal response which resolved quickly. At 5am the woke up with a fever of 102 and extreme left arm pain. The fever was controlled with Tylenol. Two days after the vaccine she woke up complaining of chest pain and a knot under her left arm. It felt like something was pressing on her chest. We went to the ER and all tests were negative. The feeling lasted until the end of the day. Three days after the shot the next morning she got a headache for half of the day and resolved with Tylenol. The next day all symptoms were gone. Emergency Room Dr.

Myocarditis (with chest pain, shortness of breath, dizziness) starting after first dose, worsening after second

Immediately following administration, patient walked out of room and sat down in waiting area. Patient felt very dizzy and almost fainted. Complained of hearing loss then tinnitus. Initial BP was 82/31 then gradually increased back towards normal over 20-30 minute period. Hearing loss recovered after 1-2 minutes then complaint of tinnitus which then stopped after 5-6 minutes. Approx 30 min after admin, pt felt much closer to normal and parent felt comfortable bringing her home.

patient reports blurred vision and light headed. Vitals stable. patient asked to lay down with legs elevated. cold water given patient became fine in 15 minutes

Pfizer COVID-19 Vaccine Vaccine Lot Number: Ew0178 2nd dose; vagal faint. Pt got dizzy after immunization, assisted to ground. Ambulating from vaccine site to chairs, slow faint to ground no LOC no sz no DOE VSS. glucose 93; weakness taken to ground, observation in EMS tent, home with parent. 5pm-94/60 p-93, r-20; 5:10 104/60 p-79, r-20, pox 99%

Patient experienced mild nausea and lightheadedness about 10 minutes after her shot. Some alternating warmth and cold feelings. No chills. No symptoms to suggest allergic reaction. No near syncope or syncope. Symptoms were self limiting and resolved on their own. VSS throughout her stay. no orthostasis.

This young lady was at the school to receive her second dose of the Pfizer vaccine, she answered all the questions with a No answer, she stated she was feeling well and had minimal reaction to first vaccine. She appeared to be nervous as reported by the nurse. after recieving her second shot, as the nurse was finishing up paperwork and filling out card, the student felt like passing out, one of the other nurses that were at her side, caught her as she fainted out of chair, she was placed on the ground and EMS was called at 10:10 and Nursing Supervisor was notified at 10:15. EMS determined she had a Vasovagal Syncope. EMS attended to patient and it was unknown if she was released after observation or taken to ED for further evaluation. a field emergency record was recorded and return to the nursing supervisor at the health department.

atient was in for 2nd covid-19 (Pfizer lot was EW0167, exp 8/31/2021): It was her and her brother receiving the vaccine. Brother went first and was fine. She was second. After receiving the vaccine (~30-60sec) she appeared to lose conciseness (not sure if complete or partial) she said she didn't remember all of it, but it was more like a dream. During that she had some twitches/spams (involving circular motions with her arms and leg, leg extended and then retracted, but her head rolled back). Upon coming out/waking she appeared sensitive to light and was nauseous. Left her in the room with her mom to get an ice pack, water, paper towel. Total episode lasted less than a minute, but took about 10-15 minutes (estimate, unsure of full time spent) before she felt good enough to use a wheelchair and get in her mom's car to drive home.

Pt w/ hx of allergy to penicillins (rash) & HPV vaccine (unknown reaction). Pt had syncope, flushing/sweating and dizziness. BP 119/76, HR 78, RR 18 -- > 107/61, 72, 18. Recommended to the patient to take 2nd dose supine. Pt stable and released from the vaccination site.

Bleeding & bruising happened instantly as the injection was given. Within 2 minutes (walking to the waiting area) she was feeling dizzy. By the time we sat down she said she felt like she was going to be sick. She began sweating - it was dripping off her head and neck and her eyes kept closing. She was extremely pale and her lips were white. She was like this for approximately 10 minutes.

5/28 - swelling of right eyelid, 5/30 - swelling of left eyelid, burning eye pain, itchy, felt dizzy, trouble focusing, fatigue

3:40pm pt. c/o lightheadedness, ringing in ears and getting sweaty. Patient requested water. Water was provided. BP 117/66, HR 66, O2Sat 99% on RA.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Vomiting-Mild, Additional Details: patient complained of lightheadedness and then vomitted about 2 minutes after administration of the second dose, father stated this lightheadedness without vomitting happened on the first dose as well

Patient admitted with myocarditis s/p dose #2 of the Pfizer COVID-19 vaccine. At the time of the report, she is still hospitalized. From EHR note: Patient was in her usual state of health when she received her second dose of the Pfizer mRNA Covid vaccine on 6/3. She experienced mild myalgias in the day following the vaccine. However, on 6/5 she developed new severe substernal chest pain, dizziness, and dyspnea. Pain radiated to her throat. Given severity of pain, she presented to the emergency department. In the ED she was afebrile, tachycardic, and initially hypertensive. Labs demonstrated WBC 10.9 (N 49, L 27), Hb 11.7, PLT 315. ESR 25, CRP 7.61. Troponin T was mildly elevated at 0.08, consistent with mild cardiac inflammation. SARS-CoV-2 PCR and antibody testing were negative. An EKG was normal. However, an echo demonstrated low-normal LVEF (55%). Otherwise, patient denies nausea, vomiting, diarrhea, cough, runny nose, conjunctivitis, new rashes, arthralgias. Patient was admitted to the cardiology service for further monitoring. Following admission, she was started on ibuprofen. She notes that her substernal chest pain has improved somewhat since admission. Differential for patient's presentation includes infectious, post-infectious, and non-infectious causes of myocarditis. Although post-vaccination mild myocarditis seems likely, we agree with the infectious workup already undertaken, and recommend additional EBV and CMV PCR testing.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Hypertension-Medium, Systemic: Shakiness-Severe, Systemic: Tachycardia-Medium, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe, Additional Details: Patient appeared weak, pale, sweaty, shaky about 5 minutes after the first dose was given to her. She complained of visual disturbances and progressive shortness of breath. Stated her throat felt a little tight but was not experiencing and swelling of of any parts of her face. She then complained of an intense headache that was getting worse. Patient was admitted to the hospital to make sure she was ok.

Patient claimed she has a history of passing out after vaccinations. After shot, pt informed Mehul she feels like passing out. She sat more in a supine position in chair for about a minute and Mehul gave pt two ice packs - one for forehead and one for stomach - and that did not help. So, pt lied down on floor in immunization room with ice packs on her. She felts better after about 1 minute. She sat up and drank cool water. After another couple of minutes, she felt better and waited in waiting area for another 10 minutes. After that, mom claimed pt felt fine - so they went shopping in grocery store.

After given Covid19 vaccine Pfizer 2nd dose to patient on 6/8/21, patient feels dizziness, headache and start to faint. We called 911 and paramedic came very quickly. Patient was conscious and we continue monitored patient for about 30 more minutes and she was ok at the store. Advice her dad to continue monitor patient when at home and report if any side effects. We called patient to follow up in the evening and patient is doing fine.

Patient felt dizzy, lightheaded, had chills, and a headache about 5-10 minutes after receiving her vaccine. Her feet were elevated, blood pressure taken (87/76), temperature taken(95F) at 5:15pm. She was given a cold compress. Since she hadn't eaten for several hours, she was given some orange juice. After approximately 10 minutes, her blood pressure was taken again and it had elevated (98/76). The patient said she felt better and was able to get up and move around without any other symptoms. She left with her mother at 5:38pm.

The patient felt dizzy and also felt like fainting but she sat down and drank some water and was fine afterwards The paramedics came to observe her

chest pain; body aches; dizziness; SOB; near syncopal event; an EKG showed non-specific ST abnormalities with labs showing elevated troponin,; mildly elevated CRP; Upon readmission, her troponin was elevated (2.06 on 5/10); myocarditis; This is a spontaneous report from a contactable nurse. A 16-year-old female patient (pregnant: No) received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), at the age of 16-year-old, via an unspecified route of administration on 15Apr2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine, unknown if any other medications the patient received within 2 weeks of vaccination. Known Allergies: NSAIDs. On 19Apr2021, the patient experienced myocarditis, chest pain, body aches, dizziness, SOB, near syncopal event, an EKG showed non-specific ST abnormalities with labs showing elevated troponin, mildly elevated CRP, with outcome of recovering. Upon readmission, her troponin was elevated (2.06 on 5/10) on 19Apr2021 with outcome of recovering. Seriousness criteria-Caused/prolonged hospitalization. The patient was hospitalized for myocarditis from 19Apr2021 to 23Apr2021. The patient was hospitalized for other events for 6 days. The adverse event result in Doctor or other healthcare professional office/clinic visit. Emergency room/department or urgent care. Clinical course as follows: patient is a 16 yo girl, s/p admission (19Apr-23Apr2021) with myocarditis, s/p IVIG (19April) after presenting with progressive new onset chest pain. She was in usual state of health up until 2 days ago when she started developing body aches, and chest pain. Patient received her 2nd Pfizer COVID vaccine last week (15April). No known history of COVID infection. Parents brought her to the ED yesterday after she complained of dizziness, SOB, chest pain, and had a near syncopal event. An EKG showed non-specific ST abnormalities with labs showing elevated troponin, mildly elevated CRP, normal CXR, negative COVID PCR. Denies fever, GI symptoms, GU symptoms, headache, rash. Once transferred to our PICU, she was worked up for myocarditis vs MIS-C. Troponin has been trended q6 and is trending up (now 11). Of note, there have been no fevers. Upon readmission, her troponin was elevated (2.06 on 10May). It was unknown prior to vaccination the patient diagnosed with COVID-19. Since the vaccination, the patient tested for COVID-19. covid test type post vaccination: Blood test. covid test name post vaccination: SARS COV2 ANTIBODIES QUALITATIVE on 19Apr2021, covid test result: Positive. covid test type post vaccination: Nasal Swab, covid test name post vaccination: Respiratory Virus Panel by PCR on 19Apr2021, covid test result: Negative. Information on the Lot/batch number has been requested.; Sender's Comments: The reported myocarditis with chest pain, body aches, dizziness, SOB, near syncopal event and the abnormal lab data were possibly related to the bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), considering temporal relationship and the inflammation features. The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.

felt dizzy, became pale...was given water, VSS, school nurse aware and patient mother was called to make aware she felt better after water and color returned, she left the clinic on own within a hour

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt fainted after receiving the shot. BP was stable. Pt was conscious and responsive and rested on the floor for a while and then went home with father.

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

Pt. received COVID-19 vaccine on 06/05/21 and developed a mild fever on 06/06/21, but had not had a fever since that day when coming to the ED on 06/10/21. On 06/07/21 while the pt. was at school pt. became dizzy and pupils dilated. Pt. was picked up from school and rested for 3 hours and she did not remember how she got home or how she got to the school nurse..Pt.in ED for similar symptoms 6/7/21 and 6/9/21 before coming again on 06/10/21 with a negative work up. Pt. has been on school zoom meetings and has been looking at pillows and thinking they are people and they were moving and talking to her. Pt. walking into walls, trouble walking and intermittent confusion and multiple episodes of conversations that she does not recall and time periods which she can not remember. Pt. was transferred to a higher level of care in another facility.

My daughter was vaccinated May 26. When her period started the following week she had a cycle unlike any she's had in the previous 3 years since she started menstruating. Her cycle was sporadic, heavier than ever and lasted longer. Simultaneously, she felt faint constantly for over 4 days, was unable to stand for more than 15 minutes, and was nauseated constantly for 5 days during her period. The ONLY thing that is different in her life this month is that she received her first dose of the vaccine. Her doc had bloodwork done and her results were perfectly normal, meaning there is no other reason to point to other than the fact that she had the 1st vaccine dose.

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

PATIENT CAME TO PHARMACY TO RECEIVE FIRST DOSE OF PFIZER VACCINE. PATIENT CLAIMS TO NOT HAVE EATEN THAT MORNING AND WAS ANXIOUS OF RECEIVEING THE VACCINE. AFTER SHE RECEIVED THE VACCINE SHE SAT IN THE WAITING AREA AND IMMEDIATELY TOLD HER MOTHER AND FRIEND (WHO'S MOTHER WAS ALSO THERE) THAT SHE FELT NAUSEOUS. PATIENT BECAME CLAMMY AND FAINTED, THUS FALLING OUT OF THE CHAIR. SHE HIT HER HEAD AND HER MOTHER REPORTS "SEIZING LIKE MOVEMENTS FOR A BRIEF SECOND." THEY CALLED FOR HELP AND PATIENT DID NOT HAVE LABORED BREATHING AND WAS CONSCIOUS. WE WERE ABLE TO SIT HER UP, PUT A COLD TOWEL ON THE BACK OF HER NECK AND FOREHEAD AND SHE WAS ABLE TO DRINK SOME WATER AND A COKE. ADDITIONALLY, AFTER A FEW MINUTES SHE GOT BACK UP IN THE CHAIR AND ATE SOME GOLDFISH TO TRY AND CALM HER STOMACH. PATIENT THEN WAITED AROUND FOR 30 MINUTES BEFORE FEELING BETTER AND WAITING THE ALLOTTED TIME AFTER RECEIVING AN IMMUNIZATION. I CALLED MY DISTRICT MANAGER TO EXPLAIN THE SITUATION AND IT WILL BE REPORTED AS VASOVAGAL SYNCOPE. COUNSELED PATIENT AND MOTHER THEN THEY FELT COMFORTABLE LEAVING. STATED I WOULD FILL OUT INCIDENT REPORTS.

Onset of diaphoresis, dizziness, and visual changes shortly after shot given. Dark vision described without tunnel vision. No nausea or LOC. Initial BP 95/60, Pulse 74, O2 sat 96%. BP consistently 103-112 systolic thereafter without orthostasis. Returned to feeling normal. Patient dismissed with father feeling well. She stood while father made off-site 2nd vaccination arrangements at exit desk. Walking out the door she had sudden classic tunnel vision, and brief LOC. She was eased to the ground by her brother and had no injury. Second stay in Observation was for 40 minutes with resolution of symptoms and consistently normal vital signs. No orthostasis.

After receiving her 2nd shot of Pfizer about 8 hours later her left ankle became weak and numb and her left toes became numb, tingling and in pain. It was painful to wear a shoe or even a sock. She had trouble even walking (putting weight on her ankle). This went on for almost 1 week. By May 6th her ankle was still weak and she still has numbness in her left big toe and the one next to it. To this day, she is still in the same condition.

patient received covid -19 vaccine at 1552 . patient stood and went with guardian to registration desk to schedule second dose appointment. shortly after mother and registration clerk called out for help. patient c/o dizziness and pale. mother assisting pt to floor and supporting her. patient assisted to chair. still responsive answering questions. reports not eating at all that day. pt provided with juice and snack. assisted to bed and observed for 30 mins.

headaches with dizziness; headaches with dizziness; felt feverish; itchiness we're I got my 2nd shot; Diarrhea; stomachache; This is a spontaneous report from a contactable consumer (patient). A 17-year-old non-pregnant female patient received bnt162b2 (BNT162B2), dose 2 (Age at vaccination: 16 years) via an unspecified route of administration, administered in Arm Right on 03Jun2021 12:00 (Batch/Lot Number: EW0179 and Expiry date:Unknown) as 2ND DOSE, SINGLE for Covid-19 immunization. Medical history included allergy of big amounts of biotin. The patient concomitant medications was not reported. Historical vaccination included previously the patient received bnt162b2 (BNT162B2), dose 1 (Age at vaccination (years): 16) via an unspecified route of administration, administered in Arm Right on 13May2021 12:30 PM (Batch/Lot Number: EW0179 and Expiry date:Unknown) as 1st DOSE, SINGLE for Covid-19 immunization. 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 has not been tested for COVID-19. On 04Jun2021, after second dose, first day diarrhea and stomachache. On 05Jun2021 (2nd day) she felt feverish but was not too bad and also itchiness where she got her 2nd shot. On 06Jun2021,(on the 3-4 day) the patient had headaches with dizziness .The patient did not received treatment for the events. The outcome of the events was resolved on an unspecified date in 2021. Information on Lot/Batch number was available. Additional information has been requested.

felt exhausted; Blood pressure low, after the seizure: 73/49 and 68/42; skin pale and sweating, after the first vaccine; skin pale and sweating, after the first vaccine; Tired and weak, with some lightheadedness, after the first vaccine; Tired and weak, with some lightheadedness, after the first vaccine; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; felt funny; This is a spontaneous report from a contactable consumer(mother, a nursing assistant, years ago) reported for a patient(daughter). The 16-year-old female patient received bnt162b2 (BNT162B2, Pfizer vaccination, Covid vaccine) at the age of 16-year-old, dose 1 via an unspecified route of administration, administered in Arm Left on 28May2021 11:52 (Batch/Lot number was not reported) as 1st dose, single for covid-19 immunisation. Medical history included seizure from 28May2021 to an unknown date (doctor wants to schedule an EEG, for further evaluation of the seizure ,because they did not do that test in the hospital.), ongoing Feels down at times (Consumer states the doctor originally prescribed her daughter another medication. Because all the appointments were by video, Consumer felt the doctor was not understanding her daughter's issue. Consumer states the original medication for ADHD was helping her daughter, but it made her daughter uncomfortable, as her daughter had no problems with attention, or school. Caller states then the doctor changed the medication to Zoloft. Name of previous medication was Zenzedi.). No family Medical History. Concomitant medication included sertraline hydrochloride (ZOLOFT) taken for depressed mood from 19May2021 and ongoing. Consumer states that her daughter is not depressed, but just feels down at times, and it is not severe. Consumer states the doctor had her daughter on another medication before Zoloft, that is used for ADHD. Consumer states that her daughter has not been diagnosed with ADHD, and the doctor switched the medication once her issues were further understood, as clarified in later part of report. The patient experienced seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine on 28May2021 with outcome of recovered, felt funny on 28May2021 with outcome of recovered , blood pressure low, after the seizure: 73/49 and 68/42 on 28May2021 11:52 with outcome of recovered , skin pale and sweating, after the first vaccine on 28May2021 with outcome of recovered , skin pale and sweating, after the first vaccine on 28May2021 with outcome of recovered, tired and weak, with some lightheadedness, after the first vaccine on 28May2021 with outcome of unknown, tired and weak, with some lightheadedness, after the first vaccine on 28May2021 with outcome of unknown, felt exhausted on an unspecified date with outcome of unknown. The patient underwent lab tests and procedures which included blood pressure measurement: 73/49 on 28May2021 low , blood pressure measurement: 68/42 on 28May2021 low , blood pressure measurement: normal on 28May2021, heart rate: 55 on 28May2021, heart rate: 70 on 28May2021. The clinical course was reported as follows: Consumer states she took her daughter Friday, to have her first Pfizer vaccination, later reclarified as the Covid vaccine. Consumer states her daughter had a seizure after the vaccine. Consumer states Height maybe 5'8" or 5'9". Consumer states her daughter was weighed at the hospital. Consumer states that the experience was terrifying for her, to watch her daughter have the seizure. Consumer states her husband got the vaccine, and was fine. Consumer reports that her daughter got the vaccine at 11:52 am and within 30 seconds, her daughter said she felt funny, and then rolled her eyes and passed out. Consumer states after a minute, her daughter was conscious and the staff was rushing to her aid, as the Consumer called 911. Consumer states that for the next 25 to 30 minutes, her daughter was talking like a toddler, and was pale and sweating. Consumer states that the paramedics, told her daughter that she had a seizure, as they took her to the hospital. Consumer reports her daughters blood pressure, around the time of the event. Consumer states the first blood pressure, when her daughter awakened, after the seizure about 2 minutes later was 73/49, pulse 55, and a few minutes after that it was 68/42 and her pulse was 70. Seizure: Time: 11:52 am, almost immediately after the vaccine. Outcome: caller answers as she is monitoring her daughter closely. Consumer states that during her seizure, her daughter started to stare, and then passed out. Consumer states her daughter did have some stiffening of the arms with the seizure. Blood pressure low: Consumer states he daughter's blood pressure, began to elevate, before they transported her to the emergency room. Time: 11:52 am, almost immediately after the vaccine. Outcome: Consumer answers as her daughter's blood pressure was stabilized enough by the time she was transferred to the hospital, where it normalized. Consumer reports later that her daughter's skin was pale and she was sweating, at this time. Reclarified, Consumer states that when her daughter was talking to the medical staff, she was talking like a toddler, and giddy. Consumer states she was trying to tell the staff that this is not normal for her daughter. Consumer reports her daughter feels tired and weak after all the events. Consumer states she signed up for VSafe. Time: Consumer states sometime, after the vaccine. End: Consumer answers as her daughter is not as tired and weak, as she was the first day the event happened. Caller states that the next day, her daughter relaxed all day, and the day after that, her daughter went to work and felt exhausted, but felt that she could still go to work. Consumer states that yesterday at work, her daughter said she felt weak, and lightheaded. Consumer states that after having a snack and a break, her daughter felt better and worked the rest of her shift. Outcome: Unknown. Reclarified, Caller states she does not want to assume anything, and is monitoring her daughter, and that this event may be due to another reason, as well. Consumer clarifies her daughter went to the emergency room and then was released. Vaccination Facility Type was pharmacy. No Vaccine Administered at Military Facility. No History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available).No additional Vaccines Administered on Same Date of the Pfizer Suspect. The event Seizure required a visit to Emergency Room, not Physician Office. Prior Vaccinations (within 4 weeks), list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine was none. No AE(s) following prior vaccinations. Caller reports some prior vaccinations that her daughter had without any events. Consumer states that her daughter is not going to get the second vaccination. Consumer states that she does not know the potential risk, if her daughter gets another vaccination. Information about lot/batch number has been requested.

Date of Vaccine: June 10th 2021 Onset of Symptoms: June 13th In the evening headache June 14th- threw up 3 times during the day. In the late evening severe headache and light sensitivity during evening of the 14th severe throwing up, dizziness and weakness Early morning of June 15th-More throwing up(uncontrollable). weakness. room spinning, noise sensitivity and light sensitivity. LEFT TO GO TO EMERGENCY ROOM Admitted right away. Suspected Meningitis CT scan, Lumbar punch IV fluids. drugs to reduce vertigo symptoms. ADMITTED TO HOSPITAL IV continued, more medicines, continued room spinning 16 and 17th in hospital Released 10PM from hospital with severe Labyrinthitis and Vestibular Neuritis diagnosis. Continues to be weak and dizzy.

Patient received first dose Pfizer Vaccine and developed a reaction about 5 minutes later. patient complained of "dizziness" and "weakness" . Vitals checked: BP 90/50, HR 72, O2 sat 88%. EMS was called. Five minutes later BP 90/60, HR 72, O2 Sat 98%. Patient was alert and oriented to time, place and person. Ten minutes later, BP 110/70, HR 80, O2 Sat 99%. Fully alert, oriented and stable. Patient said she had not eaten since morning. EMS arrived, checked Patient and declared patient ok. Patient was asked to go home in a very stable condition

After receiving her 2nd dose she was feeling dizzy, ears clogged and had blurred vision for a few minutes while was in the post vaccine waiting area. After a few minutes, she started feeling better and left the pharmacy.

Pt began to feel dizzy, warm and faint within 10 minutes of her second pfizer vaccine. Pt did not lose consciousness but was dizzy, clammy, sweaty, pale, faint feeling. Pt responded to commands but felt faint.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: Within 5 minutes of received 2nd dose of Pfizer Covid-19 vaccine, patient became very dizzy and fainted. We layed her down and elevated her feet and she immediately regained consciousness. The patient was assessed by paramedics and they did not transport her to the emergency room and instructed her to drink lots of water over the next 24 hours.

16 y/o F with hx of autoimmune disorder and Tourette's syndrome BIB mom for dizziness s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses muscle pain, nausea, sinus pain, throat pain, and HA. Pt with fever (Tmax 100.2F) onset this AM. Denies chest pain and difficulty breathing. Pt reports she feels a little out of breath. Mom has a heart rate monitor at home and states pt's HR has been in the 140s. No medications taken. NKDA. Differential Diagnosis: vaccine reactions, myocarditis, pericarditis. After physical assessment and management, pt is well appearing, explained to mom on reassessment symptoms have improved, no longer dizzy or having trouble breathing. Pt still feels a little myalgia. Explained symptoms likely from vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and persistent fever.

Previously healthy 16-year-old female presents with syncope after COVID-19 vaccine. In vaccine clinic here. Soon after receiving vaccine, felt light headed and nauseous. Sat down and soon after had a syncopal episode. Quickly came back to. CART called and brought to the ED. On arrival to the ED, continued with some dizziness, but symptoms overall improving. By the time of evaluation, symptoms completely resolved, ambulating without difficulty. Denies other symptoms or complaints. No recent illness. Back to baseline without distress, nontoxic. Tolerating PO. Counseled on likely etiology, strict return precautions, and close outpatient followup. d/c'd home in good clinical condition.

DIZZINESS, PALE, DIAPHORETIC, BLURRED VISION, LAUGHING AND CRYING AT SAME TIME. ICE PACK APPLIED AND PT WAS FEELING FINE AFTER SOMETIME.

Pfizer-BioNTech COVID-10 Vaccine EUA. After receiving the first dose of Pfizer vaccine, patient experienced lightheadedness. This occurred within a couple minutes after administration of vaccine. Vital signs include BP 116/63, P 84, O2 100%. Cetirizine 10mg PO administered at 15:35. Patient felt comfortable with no additional or worsening symptoms upon leaving clinic.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Approxiamately 5 minutes after the vaccine the patient felt light headed and dizzy. She then fainted forward and her mom lifted her back and at that point she appeared to shake (2 jerking motions) and then became alert. The patient was instructed to lay down. Her blood pressure was taken and was normal. The ambulance was called due to the shaking motion which appeared to be a possible seizure. The patient and her mom did not wish to be taken to the hospital. Follow-up call not answered

patient was seated in waiting area when fainted and fell out of chair and hit head - was responsive - ems came and took to hospital to be checked out - Mom reported Doctor said normal reaction to teen receiving shot - mild concussion from hitting head

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Severe

1455: Pt c/o of dizziness, diaphoresis with hx: of anxiety, NKA. Laid pt down to floor and elevated legs on chair. 1500 called EMS. 1st vitals: 102/60 02 99 HR 84. 1500 NP assess pt, she stated her face was pale. NP instructed her to deep breath and increase oral fluids. Pt states she was dizziness. Sat patient up 2nd vital 85/56 O2 97 HR92. 3 vital patient sitting on chair 101/66, O2 90, HR 92. NP assessed patient. Patient denies dizziness was able to stand and walk to car.

18 hours after the 1st vaccine shot... healthy female while in the shower....blacked out, couldn't see, called for mother who she knew was not home, passed out, and was not coherent, felt dizzy, had a bad headache, and face was swollen, Called her doctor's office, told them about the vaccine and the incident, they said to go to the emergency room. Went to emergency room. She had a full list of tests. Was given a saline drip, hydration unit. Level V emergency code. Name vasovagal syncope, reaction to vaccine, electrolyte abnormalities, dehydration, dysthymia

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Vomiting-Mild, Additional Details: Approximately 5 minutes after administration, patient fainted while seated in chair. After awakening, patient reported feeling faint and tingling in her extremities. Patient was breathing heavily. After breathing normalized, patient reported severe menstral cramps. Patient was given Midol, water, and pretzles. Shortly after, patient stated that she was still light headed so she laid on the ground. Patient eventually recovered and left pharamcy.

Vaccine administered without issue to pt (behavior & appearance normal, engaged in conversation). Pt agreed to wait 15 min. for observation and left vaccination area for monitoring area. Shortly thereafter, RPh heard what sounded like pt falling. RPh observed pt lying supine on tile floor of monitoring area. RPh assumed occurance of vasovagal syncope and went to aid pt; however, pt seemed to immediately (<1 sec.) regain consciousness, was breathing without difficulty and was able to shift to chair under own power. Tech who had been monitoring remarked pt had opted to stand rather than sit after exiting vaccination area and that she'd "hit her head" upon falling. RPh provided ice pack while pt's mother retrieved water bottle. Pt seemed alert and cognizant of situation (denied pain, was overheard saying to assumed male relative, "You didn't help me."). RPh strongly encouraged pt to wait 30 min. instead of 15 min. but family left after original time; mother remarked pt had vasovagal rxn after an unspecified vaccine in past (RX had not been previously made aware). About 1.5 hours later, RPh called mother to follow-up & advise on signs/symptoms of concussion. At the time, mother said she would monitor pt. Perhaps another half hour later, mother called RX to ask for advice: pt complaint of pain (took Tylenol) and tiredness (despite getting enough sleep the previous night & not usually tired around that time). RPh recommended taking pt to ER as soon as reasonably possible (mother denied any other S/S like uneven pupils, confusion or being difficult to rouse). Mother seemed receptive to that suggestion as well as warning staff of vasovagal syncope for all future vaccinations, though she could not be reached for confirmation of action the next morning.

PATIENT RECEVIED VACCINES AT 1050 IN OUR OFFICE, PATIENT WAITED 30 MINUTES AFTER VACCINES WITH NO S/SX OF REACTIONS. AT 1220 DAD CAME IN WITH PATIENT WHO WAS REPORTING FEELING DIZZY, HEADACHE, FEELING LIGHT HEADED. PATIENT WAS HAVING A HARD TIME KEEPING EYES OPEN. CLOSE TO PASSING OUT. PATIENT WAS SHAKING AND PALE. ALSO C/O ARM PAIN

Patient was originally nervous about the vaccine to begin with. Patient was given the vaccination and sitting their 15 minutes in the waiting/observation area. Patient became nauseous and decided to go to the restroom to possibly throw up. Upon doing so, patient passed out and cracked chin open. Patient was treated by a paramedic already present, so ambulance wasn't called; the offer to call was given to parents. Parents took child to the emergency room of their own accord after patient was sitting up and feeling better, where she was treated and released.

an uncontrollable head movement/functional movement disorder; stuttering really bad; complain of a twitch in her neck; a headache in the back of her head; This is a spontaneous report from a contactable consumer. A 16-year-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: EW0176) via an unspecified route of administration on 04May2021 (age at vaccination 16-year-old) at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient received first dose of BNT62B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: ER8731) via an unspecified route of administration on 13Apr2021 at single dose for covid-19 immunization. On 04May2021, patient stated that she had a headache in the back of her head after receiving their second dose of the vaccine. On 23May2021, patient complained of a twitch in her neck. On 24May2021, patient experienced stuttering really bad and developed an uncontrollable head movement. One physician indicated that it was a nervous tic while a neurologist indicated it was a functional movement disorder. However, she did not have these symptoms prior to the second dose. Adverse event resulted into Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care and hospitalization. Patient was hospitalized for 2 days. The outcome of event was unknown. No follow-up attempts are needed. No further information is expected.

Patient began to experience dizziness, nausea, vomiting, and tremors 3 minutes after vaccine was administered. A code blue was immediately called and patient was examined by provider. Vitals were take and paramedics were called immediately. Patient was transported to Hospital for further evaluation.

Nausea; She was very limp, she was throwing up and very dizzy; She was very limp, she was throwing up and very dizzy; She was very limp, she was throwing up and very dizzy; Severe Headache; Light sensitivity; This is a spontaneous report from a contactable consumer (patient's mother). A 16-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: Unknown) via an unspecified route of administration on 10Jun2021 (at the age of 16-year-old) as single dose for Covid-19 immunization at a Hospital. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The reporter stated that patient was very limp, she was throwing up and very dizzy and with a very severe headache and light sensitivity. Patient never had any of those type symptoms before and happened four days after she got the COVID shot. Reporter stated that, the evening of the 13Jun2021. It was headache and the headache got very severe through the next day. Reporter stated that, she had no idea and do not think it was anaphylactic reactions. She thought it was a severe headache which been reported and the MRI they were looking for blood clot as patient was experiencing severe headache that need her throw up, she did not know 100 times, and that end up in the hospital. There was light sensitivity when the CT scan and lumbar puncture was done to see if there was meningitis. CT-scan and spinal patch were done and patient was given nausea and dizzy medications and reporter and patient were waiting for the MRI. The events were serious (hospitalization) on 16Jun2021. The patient underwent lab tests and procedures which included computerised tomogram: unknown and lumbar puncture: unknown on an unspecified date in Jun2021. Therapeutic measures were taken as a result of events dizzy and nausea. Outcome of the events was unknown. Information about lot batch number has been requested.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was well during the 15 minute observation period and has no comorbidities according to health questionnaire. As she was exiting the store she felt faint and lost consciousness for 30 seconds and recovered consciousness. She fell backwards and bumped her head against the ground. Paramedics were called and patient BP and blood glucose was within normal limits. Patient was alert and sitting upright when paramedics arrived.

Patient received vaccine in right Deltoid, immediately following administration pt stated to nurse ?I feel like everything is going dark and I'm going to pass out. Nurses then escorted the vehicle the pt was in to observation where they assisted the ambulatory pt from the passenger side of the vehicle to the observation tent. Pt was placed on the stretcher in a very mild trendelenburg position. Skin Vitals, BP, Pulse Rate, Oxygen Saturation, Respiratory Rate/ Quality, pupils were all assessed with unremarkable findings. A BG test was performed with a reading of 110. Water was provided to pt and supportive care was continued for 15 minutes. At which point the pt stated ?I feel much better. Pt was encouraged to stay another 15 minutes for further observation. Pt did remain in observation for an additional 15 minutes but she stayed in her brother vehicle with her brother. Upon completion of the 15mins pt stated I feel fine. Providers then felt comfortable with her leaving the site as she was with her brother and would be with family all day.

Tired Dizziness right after. 8 hours later tired. Next day fever chills sweating migraine headache tired.

sore muscles all over entire arm in pain when used Extreme chills fever mood swings extreme fatigue muscle pains headache dizziness hyperventilating

Patient's mother reports patient c/o of chest pain with inhalation, swollen/sore throat, weakness, and dizziness with change of position. Pt's mom was advised to take pt to ED or urgent care for evaluation.

Patient went to urgent care 1 day after vaccine for feeling tremors and pains in her lower extremities. She also began to feel shaking in her entire body and had lightheadness, shortness or breath, and nausea. She vomited one time. EKG showed Sinus Ventricular Tachycardia/Sinus Tachycardia and was sent to ER by EMS. In ER fluids were given and all further testing normal. Discharged and told symptoms due to dehydration.

Systemic: Fainting / Unresponsive-Severe, Systemic: PT FELL AND HAD 2 LACERATION TO HEAD-Severe, Additional Details: PT WAS STILL IN IMMUNZATION CHAIR WITH FATHER AND IMMUNIZER PRESENT AND SUDDENLY FAINTED AND FELL OFF THE CHAIR AND HIT HER HEAD ON THE DR SCHOLLS FOOT SOLE END CAP BEHIND THE IMMUNIZATION SCREEN

Patient felt light-headed, said she lost some sense of hearing, stomach was upset. Her blood pressure was 88/60, HR read irregular when measured manually. When EMTs arrived at 10:40 A.M., her BP was around 117/89, HR 91.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Mild, Additional Details: After injection was administered spoke with patient and mother about waiting the 15 minutes. Returned to pharmacist station, heard mother call out, patient was laying face first in floor, went to grab epi-pen. Mother said patient fainted, she said she thought it possibly could have been a seizure because her whole body shook before she fainted. Patient said she felt like she was going to vomit, grab a trash can and the patient dry heaved a few times. While this was going on tech called 911.

Severe nausea; Severe headache; Dizziness; can't sleep; This is a spontaneous report from a contactable consumer (parent reporting for daughter). A 16-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration in left arm on 23Jun2021 10:00 as dose 2, single (at the age of 16-years-old) for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Facility where the most recent COVID-19 vaccine was administered was reported as Doctor office/urgent care. Patient did not receive any other vaccines within 4 weeks, prior to the COVID vaccine. Patient was not diagnosed with COVID-19, prior to vaccination. Patient has not been tested for COVID-19, since the vaccination. Patient medical history included depression and exercise asthma. Patient had no known allergies. The concomitant medications included lithium, venlafaxine hydrochloride (EFFEXOR), mirtazapine. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration in left arm as dose 1, single for COVID-19 immunization. On 23Jun2021, several hours after the vaccine she was complaining of severe nausea, headache and dizziness. She also reported she could not sleep, even after taking Advil pm. We have not yet sought treatment but may if this continues or worsens. 3 of the 4 of her kids were reporting similar symptoms although 2 are effected much more. The reported case seriousness was non-serious. The adverse events resulted in doctor or other healthcare professional office/clinic visit. Mother was unsure if they will go to the ER or urgent care. It was unknown if any treatment was received for the events nausea, dizziness and headache. The outcome of the events was not recovered. Information about lot/batch number has been requested.

During the patient's 15 minute waiting period, patient developed chills, hot sweats, vomiting, and dizziness. patient had stated that they had not eaten all day.

Client experienced dizziness and lightheadedness six minutes post vaccination. Client was aided to thefloor in a supine position with feet elevated. Ice packs were applied to client?s neck bilaterally. Patient reported resolution of symptoms at 20 minutes post vaccination. Patient then moved to sitting position, tolerated well. After 5 minutes patient assumed standing position, tolerated well. No additional treatment needed.

16 yo F with no PMHx presents with mother to receieve 2nd dose of Pfizer vaccine. Pt denies no adverse reaction to 1st dose. 15 minutes after receiving 2nd dose, pt reports feeling dizzy, chest tightness and pain, rated 7/10 non radiating. Pt states chest tightness is constant with no relieving factors and feels as if "her throat is closing". Pt denies difficulty breathing, HA, dizziness, palpitations, diaphoresis, blurry vision, n/v, history of anxiety. Pt states she has experienced a similar feeling of chest tightness in the past but never to this extent and it resolved on its own. Initial vitals: BP 137/94, HR: 75, RR: 16, O2 sat: 100%. Repeat vitals 10 minutes later: BP 139/96, HR 99, RR 18, 02 sat 100%. PE: HEENT: AT/NC. Throat clear, no swelling. Lips no cyanosis, palor or swelling. Cardiac: r/r/r. no murmurs. Lungs: CTABL. non-labored breathing. no wheezing. Abd: No tenderness. Neuro: A & O x3. Patient had EKG performed : NSR. Given 100% O2. Transported via EMS to ED.

Vaccine administered to left deltoid at 1836. Client was in Vaccination room with mother and brother, reported to Vaccinator history of fainting and anxiety with blood draws and vaccinations. Vaccinator placed client in anti gravity chair prior to vaccination. Client stated she was nervous. Vaccinator alerted RN's that client is complaining of dizziness shortly after. RN arrived to client at 1840, client alert and oriented x4, sitting Semi-fowler's in gravity chair. Vitals at 1843: blood pressure 146/93, pulse 97, oxygen 99%. Client reported history of fainting and anxiety with prior blood draws and vaccines but reports no other medical history, no current medications and no known allergies. RN assessed for headache, nausea, and blurry vision, patient denied and reported no other symptoms. RN gave client water and client drank slowly. RN's stayed with client for the remaining observation time. Vitals at 1850: blood pressure 125/96, pulse 73, oxygen 99%. Per client Dizziness improved and feeling better, at 1852 client was positioned to upright position in gravity chair with no complaints. Vitals at 1855: Blood pressure 126/90, pulse 95, oxygen 99%. Client reported dizziness has resolved and reported no other symptoms, client was able to safely stand from chair. Per mother and client, did not want to stay the full 30 minute observation. RN educated client and mother of ER precautions and following up with medical provider. Client left facility with mother and brother at 1857 with steady gait.

Pt reported hx of fainting to vaccines. Made sure she was comfortable sitting in her car. I attempted to distract her, but she still fainted. She was out for approximately 3 seconds before recovering spontaneously. I applied ammonia inhalants as she was awaking, and she immediately came to. Afterwards, she complained of HA, lightheadedness, + fatigue. On exam, lungs: CTA B/L; Cardio: normal RRR, no murmurs, gallops, rubs; HEENT: no erythema or edema of face or throat. Denied CP, palp, SOB, pruritis, dizzy Ammonia inhalant used. Post-vaccination wait for 30 mins. HA, lightheadedness, and fatigue resolved w/in 30 min wait. Pt went home.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Hyperventilation-Medium, Additional Details: Patient complained of sleepiness, lightheadedness and we contacted rescue at the parents request

Patient was complaining of feeling light headed immediately after taking the shot. The patient requested medical assistance after seating in the observation area for30 minute. Fire Department was on location and checked the patient vitals. The patient was given an all clear by EMT?s and was also advised to go the hospital if things worsened. No further actions were taken.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: IMMEDIATELY AFTER VACCINE ADMINISTRATION, PT FAINTED FOR A FEW SECONDS, STARTED JERKY MOVEMENT. WHEN CAME BACK SHE DID NOT REMEMBER ANYTHING. THEN AGAIN SHE FAINTED TURNED EXTREMELY PAIL WITH EXCESSIVE SWEATING AND FEELING HOT, SHE SEEMED STUNNED GAZING TO ONE POINT NOT ABLE TO TALK OR MOVE. RPH ASKED TO CALL 911 IMM. PT TURNED BLUE WITH VERY LOW PULSE AND SHALLOW BREATHING. RPH ADMINISTERED EPIPEN TO THE UPPER OUTER RIGHT THIGH TO HELP RAISE BP AND PULSE. PUT PT IN SUPINE POS W/ ELEVATED FEET

after 15 minutes started to feel light headed, had patient lay down with feet up, VSS - 120/68, pulse 78 strong and regular, Resp 18 non labored, skin warm and dry, sat up to take a drink of water as she was laying back down she started to have mild tremors of both arms and legs and then became rigid, pupils were dilated and non responsive to light, no verbal response, VS continued to be stable, O2 98%. Patient was transported to the local ED. She was started to respond when the ambulance arrived and was able to walk to the gurney.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient felt lightheaded for about 20 seconds while sitting down in chair. Patient states she is afraid of needles and hates shots prior to vaccine. NO Anaphylaxis, no epi pen use, no benadryl use. Patient felt fine afterwards about 20 seconds.

Patient became dizzy, cold and clammy, Starring and not responsive for 1 minute. Jaw was clamped down but upon asking the patient then spoke 2 minutes into episode. Vitals were stable. Rapid response was called. Patient was observed, given fluids and sent home.

Very high heart rate over 120 for 8 hours; Fever.; Chills; Sore muscles; Headache; Dizzy; Very high heart rate over 120 for 8 hours. Fever, chills, sore muscles, headache, dizzy, and tired.; This is a spontaneous report from a contactable consumer (patient). A 16-years-old non-pregnant female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left (at the age of 16 years old) on 12May2021 at 18:30 (Batch/Lot Number: EW0186) as DOSE 2, SINGLE for covid-19 immunization. Also reported 'Device Date:19May2021' no additional details provided. Facility where the most recent COVID-19 vaccine was administered was health facility. No other vaccines were given within 4 weeks. Prior to vaccination, was the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. Medical history included attention deficit hyperactivity disorder. Concomitant medication(s) included methylphenidate hydrochloride (CONCERTA) 54mg. Historical Vaccine includes BNT162B2 Dose 1 (at the age of 16 years old) on 21Apr2021 at 18:30 Batch/lot number ER8736, Left arm Covid-19 immunization and not events were reported. The patient previously took amoxicillin and experienced drug hypersensitivity. On 13May2021 at 02:00 The patient experienced Very high heart rate over 120 for 8 hours, Fever, chills, sore muscles, headache, dizzy, and tired. The event Very high heart rate over 120 for 8 hours was considered medically significant. The patient underwent lab tests and procedures which included heart rate: high on 13May2021 (Very high heart rate over 120 for 8 hours). No Treatment was given and No hospitalization was involved. The clinical outcome of the events was recovered May2021. Follow-up attempts completed. No further information expected.

Per witness, patient was sitting in the waiting room post vaccination w/ Pfizer vaccine. Patient's mother got up and walked to counter to make 2nd dose appt. Patient started leaning over in chair and fell to the floor (witness reports patient bumped head). Per witness, mother ran to patient's side. This writer heard someone call for help. This writer was in the back assisting with immunization clinic. Patient was observed lying on the floor w/ mother at her side. Patient appeared confused and was actively trying to sit upright. This writer and patient's mother explained that she had experienced a vasovagal reaction after her COVID-19 vaccine. Patient was instructed to stay in lying position while vital signs were obtained. Patient was able to verbalize name, DOB, and place. Vital signs at 1040 (BP 98/55, HR 61, O2 98% on room air). Patient was diaphoretic and pale. Patient reported eating breakfast this morning. Patient was observed crying stating "I feel like I can't breathe." This writer continued to monitor vital signs (BP 120/72, HR 77, O2 99% on room air). Staff placed several ice packs on patient. She complained of headache and told staff that her head hurt. Mother of patient requested EMS to be called. Staff called EMS. Vital signs at 1050 (BP 101/64, HR 92, O2 98% on room air). Patient reported feeling better and was able to move to sitting upright position on the floor. Patient appeared less diaphoretic and color was returning to normal. Patient was moved to wheelchair w/ assistance from staff. Patient was provided with water and crackers. EMS arrived to the facility at 1050. EMS evaluated patient, but patient declined to be transported. V/S stable. Patient reports history of passing out unrelated to vaccine administration. Staff explained that mother/patient need to inform staff w/ the 2nd dose of vasovagal hx, so patient can receive vaccine lying down. Staff provided mother w/ concussion education and explained what S/S would indicate a need to go to the ER. Patient was also encouraged to f/u with pediatrician. Patient was taken out to car via wheelchair by staff at 1100.

nausea, vomiting, sensitivity to light, hearing was muffled, a bit of dizzines. She vomited 3 times. in a span of 30 minutes.

Pt got very light headed and dizzy, did not pass out. She was also feeling very hot. This happened after first dose but not as severe . Pt laid down with and ice pack for 30?minutes and then was feeling much better

Felt light headed, ringing in her ears, c/o nauseated. BP 110/68 Pulse 68. Removing Jacket. Offered water. Offered oxygen but refused.

17 yo F in post vac are reports nausea, dizziness, headache 4 mins after vaccination. Denies other s/s, speaks clear and complete. No respiratory distress noted. Two set of vitals taken, WNLs. . Monitored for 30 mins, s/s continued and have increased, post vac nurse recommended medical attention. Mom declined EMS transport. Mom stated she would take pt to a local urgent care.

Patient started to feel strange within 1 minute of receiving the vaccine. Within 5 minutes of receiving the vaccine, patient felt very faint, dizzy, nauseous, tingly, lost feeling in lower body, blurry vision, and started shaking. EMS was called at vaccination site. EMS arrived about 5 minutes later and took patient's blood pressure. First reading was 102/70, second reading a few minutes later was 108/76. By that time, patient could sit up and was alert and oriented. Patient never lost consciousness. Patient was not taken to the ER. Patient remained on-site for another 45 minutes until symptoms resolved enough that she felt it was safe to leave. Patient has not had a reaction to vaccines or other medical treatment in the past.

Fatigue; Headache; Fever; Dizziness; This is a spontaneous report from a non-contactable consumer (patient). A 17-year-old female patient (not pregnant) received the second dose bnt162b2 (BNT162B2, lot/batch number and expiry date were not reported), via an unspecified route of administration in left arm on 29Jan2021 13:00 at SINGLE DOSE for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. She had her first dose of bnt162b2 on 08Jan2021 in the left arm. The patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. On 29Jan2021 17:00, the patient had deadache, fever, dizziness and fatigue. No treatment was reported. The outcome of events was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

The doctor was called STAT to evaluate this patient who was having feelings of weakness and feeling faint in the observation area after she received her first Pfizer COVID vaccine yesterday morning at the vaccination cite. She had already been given an IM Epi Pen injection of epi by the PA prior to my arrival. I had her lie supine with head down and legs elevated and she felt better. She declined EMS transport to ER. Further talk with her dad revealed she had been up since 2 am and had no breakfast. I don't think an allergy.

PATIENT BECAME DIZZY AND PASSED OUT ABOUT 10 MINUTES AFTER RECEIVING HER VACCINE. WHEN SHE REGAINED CONSCIOUSNESS, SHE SAID THAT SHE COULDN'T HEAR OR SEE ANYTHING AND SHE ALSO WANTED TO VOMIT. WE CALLED EMERGENCY SERVICES. EMERGENCY SERVICES CAME WITHIN 10 MINUTES AND SHE SAID THAT SHE WAS FEELING BETTER; BOTH SIGHT AND HEARING IS NORMAL AGAIN. THEY RECOMMENDED SHE REMAINED SEATED FOR A LITTLE BIT MORE BEFORE LEAVING, BUT DECLARED THAT SHE WAS OK.

Written by the patient and guardian: " 8-10 minutes after shot, complaints of light head an throat closing up. Removed mask for fresh air, no relief. Went to get up for water, immediately for light headed, pale face, checked-out look in eyes. Body went limp, set 17yo in chair, still was light headed and lethargic. Laid 17yo down on floor, administered water. Vision came back dizziness went away. remained seated for another 15minutes. Continued hydrating w/ water, other symptoms diminished." From Dr.: "Witnessed patient pass out in chair, within 10-20s was helping caregiver lower patient to the floor and patient had come to. Increasingly alert. Endorses above narrative, as well as not having eaten or drinking much today, "maybe an apple". She does not have a history of vasovagal syncope. Patient Pulse at 65, normal breathing, no distress, no signs of injury. Overall episode appears to be vasovagal syncope. Patient asked to drink water and remain at the vaccine center an additional 15-20 minutes for observation. After 15 min patient feeling back at baseline. No further medical intervention.

patient felt faint and that her throat was closing up after 2 minutes.. called 911 and administered 1 epipen in left lateral thigh. patient responded quickly with proper color and felt much better according to patient. I observed patient for 30 minutes and after her mother and her confirmed her as feeling just fine, the patient and mother left the pharmacy.

pt started feeling light headed, and nauseated. to first aid room vital signs taken , BP 134/74, P 82 R 16 , )2 sat 100% . Md here visited with pt , ordered zofran for nausea, and to continue to obs. .last BP 117/80, 92.

Pt is complaining of shortness of breath and dizziness. As well as typical post-covid vaccination symptoms (i.e. aches, fever/chills). All symptoms started roughly noon - vaccination was around 4PM the previous evening.

Within 2 minutes of vaccine developed dizziness, nausea, within 5 minutes developed mild tingling in her throat, felt cold and chest felt heavy. Lungs clear to auscultation, no rashes, no lip swelling. She received Benadryl 50 mg po at approx. 5-10 min post vaccine and was transferred to the ED. In the ED she had receive epinephrine im, Solumedrol iv and albuterol neb. Patient is still in the ED at 12:18 PM

Patient fainted roughly 5 minutes after receiving the vaccine. She was sitting down on a chair resting her head on a table in the waiting room. She felt lightheaded and then fell down to the ground. Her mom was with her at the time. We made sure she was not having an allergic reaction. Patient responded seconds after she was on the floor but was not coherent. EMS was called and arrived within minutes. Patient was accessed and transported to the hospital.

At 5AM a 17 year old female accompanied by her sister which is her legal guardian, received first dose of Pfizer. While patient was in observation she became dizzy, passed out, and fell on the floor and hit her forehead. Patient was immediately attended to by clinical staff. Within less then a minute patient was alert and oriented X3 but could not recall what happened. Ambulance was called, and site lead was made aware. Vital signs at the time were BP: 90/45, O2 100%, HR: 55. Ambulance arrived on scene and assessed patient. Vital signs upon transfer to hospital 111/56 HR78. Patient was transfer to hospital.

Patient was dizzy and nauseous. She felt heaviness in her head. Her vitals WNL. She had not yet eaten and was given Coke and a snack. Patient's symptoms resolved within 15 minutes.

17 YEAR OLD PATIENT: AFTER RECEIVING VACCINE PATIENT SAT IN OVERVATION AREA, UPON SITTING DOWN EXPERIENCED DIZZINESS, SHORTNESS OF BREATH, FATIGUE. PATIENT DEMONSTRTING RAPID EYE MOVEMENTS, RESPONSIVE TO DIRECET QUESTIONS AND TO PAINFUL STIMULI THOUGH UNABLE TO SPEAK IN FULL SENTENCES. DENIED CHEST PAIN, COUGH NAUSEA, VOMITING. MOTHER STATES SIMILIAR BEHAVIOR WHEN SHE DEVELOPED BLOOD CLOT IN THE PAST. PATIENT THEN STATED FELT LIKE THROAT WAS SCRATCHY.

9:15 am client reported to have lightheadedness and nausea. Also reported has high anxiety and is on Prozac. MD on site evaluated client. Vitals done and was observed for 30 minutes. No further complications and client then drove home.

Called to Pod 3 green chair 5 at 8:45. Pt awake leaning over feeling shaky and dizzy. pt cool and clamy to touch weak pulse. given water to drink. Denies eating breakfast. wheel chair transport to observation to stretcher. :Apple juice po. 8:55 BP 111/67 Pulse 67 Pulse Ox 86 Resp 24. Head of bed elevated. Apple juice po. 9:05 BP 109/76 Pulse 67 Pulse Ox 87 RR 20. 9:20 99/64 Pulse 83 Pulse ox 100 RR 22. Apple juice po. Pt sat on edge of bed and remains shaky and layed back for further observation. 9:30 pt reported feeling better sat on side of bed BP 103/68 Pulse 79 Pulse Ox 100 RR 24. feeling well enough to walk accompanied to exit with Nurse and mom. Discharge to home in care of mom

Anxious with injections, felt lightheaded, then near syncope, placed to floor by staff with recovery, BP 80/50 in OBS- felt better, BP 84/54 at time of discharge and normal condition

Patient received second dose of pfizer covid19 vaccine. Then while she was sitting during the 15 minutes after receiving the vaccine, she was found slipped out of her chair unconscious. 911 was called and her parents were called. After several minutes, she regained consciousness. When asked how she felt, she stated that she was hot and dizzy. Patient remained sitting on the floor, leaning against the wall. An ice pack and water was brought to her to help cool her down. Paramedics came and assessed her. Patient then left with her mother who said she was taking her to the doctor.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: patient became nauseas, lightheaded, and had mild flushing post administration. patient was given water and was sat down. patient recovered fully 10 minutes later and left with no further issues.

Body aches, feelings of hot cold, dizziness, temp 101, chills, mild joint pain, resulting in loss of sleep. She drank fluids(some electrolytes), and took two Advil.

Two minutes after receiving her vaccination, she experienced lightheadedness, nausea, and dry heaving. She was taken to a private section of the arena monitored.

Patient was sitting in chair, then slumped down, stating she could not see about 5 minutes after the vaccine. She then became unresponsive for about a minute. After laying her down and elevating her feet she began to feel better. Patient's respiration and pulse remained normal throughout

The patient received her COVID-vaccine and then told the immunizer she felt dizzy seconds afterward. She passed out for a few minutes and we were unable to wake her. We called 911 and she came back to consciousness after what felt to be several minutes.

Client felt light headed and diaphoretic within 15 minutes of vaccination. Was transported to Hospital.

Patient had initial dizziness and syncopal episode. Patient reported "vision went dark and felt heavy". Patient vomited x1. Patient given cold pack and water. After 10 minutes patient denies headache, dizziness, double vision, or ringing in ears. No report of difficulty breathing, SOB, numbness or tingling in extremities. Patient successfully discharged from observation at 4:05 pm.

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

Started to have typical flu symptoms night of 2nd vaccine, also followed with dizziness, nausea, and lastly small bumps of a rash developed over chest, neck and back.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt some lightheadness and felt she was having a panic attack. sje slumped but patient was responsive

After receiving first dose of Pfizer COVID-19 vaccine, patient stated "I don't feel okay" Patient remained conscious and aware. Patient denied pain, SOB, chest pain or other medical complaints. Patient reported feeling lightheaded, that she only had a smoothie to eat today. Patient was moved to the recliner chair and was accompanied by her mother the entire time. Patient was given orange juice. Patient tolerated oral fluids, stating that reported feeling had gone away. Patient was monitored and ate a small snack. Patient reported feeling fine. Patient was going to remain with mother for remainder of the day and advised to call 911 if she experienced any distress.

Pt began to complain of dizziness and then shortly thereafter said she could not see. I dialed 911 and while on the phone with 911, the patient said she was experiencing shortness of breath. I administered an EpiPen and waited for EMS to arrive. Pt was transported to hospital and later released

Within 5 minutes of receiving vaccine, patient became lightheaded and diaphoretic. Patient vasovagal. Feet were propped up, patient returned to baseline with 5 minutes of episode. Was released into the care of her boyfriend.

About ten minutes after injection, face and ears became flush and throat became itchy. Complained of mild dizziness and growing lump in her throat. Medical staff checked throat, blood pressure, O2, laid her down on cot with feet elevated. After 20 minutes of stable BP called the chief of immunology who recommended she go to Urgent Care for follow up. While waiting at Urgent Care for 30 minutes, her face, tongue, and throat became swollen, hives developed on face, and had increased difficulty in swallowing and felt short of breath. She was taken to a patient room, IV started and Epi-shot was given. Additional allergy meds were given (Benadryl and Solu-Medro). She the. Slept for the next 90 minutes. Swelling decreased and throat felt better. Monitoring for a couple hours and sent home.

patient lost consciousness approximately 3 minutes after receiving vaccine, appeared to be fine immediately following vaccine, was speaking coherently to nurse, stood up under own power, became dizzy and lost consciousness

Presented at 0905 for vaccine. 0912: Staff were called to the patient vaccine area. Patient did seem vaso vagal post vaccine (loss of color and diaphoretic), patient then appeared to have a Grand Mal type seizure with arm contracture and vomiting x4. Patient was unresponsive for around a minute. Only meds patient: BCP Patient accompanied by her mother. o2 98% HR 81 BP taken at 920 130/80. 0935: Patient seemed post-dictal, very sensitive to touch and disconnected. As per Mother, the patient had a history of a prior Grand Mal seizure 4 years ago; that was never worked up. Patient complaining that she is "Very Lightheaded." Spoke with patients primary PCP MD, she stated that it was not likely a seizure and that it was extreme vaso-vagal response and that the patient could go home if now drinking and responsive. Patients mother also spoke with PCP and I gave her the option to decline EMS or to go be evaluated. Patients mother chose for her to be evaluated. EMS was contacted by the local police who were working the vaccine clinic. Vitals taken by EMS: BP 127/61 Blood Glucose 97 0955: EMS arrived / Patient transported to ED.

Patient experienced an episode of syncope almost immediately after her first dose of Pfizer covid vaccine. She was unresponsive for approximately 20-30 seconds. Her vaccinator held the patient steady until help was available. When the patient came to, her pupils were not of equal size, left being larger than right. Cap refill was about 5 seconds. She felt hazy/dizzy and was clammy. First pulse readings were 39-45 bpm. Vitals recorded 1545 BP 73/40, P 48, O sat 99 1558 BP 91/55, P 58, O sat 96 1607 BP 106/62, P 68, O sat 98 BP 111/70, P 57, O sat 100 At the time of dismissal, patient reported that she felt fully recovered. She was accompanied by her father who was her mode of transportation. It was recommended that she be scheduled for an appointment with her PCP for baseline/well visit as she had not been in some time.

At 1137am, 5 minutes after receiving Pfizer vaccine, pt c/o dizziness and lightheadedness. At 1139 pt became pale and diaphoretic, so EMT lifted her from chair, she then lost consciousness for approximately 30 seconds. Pt was placed on floor in trendelenburg position with her feet elevated on a chair. When she regained consciousness she did not recall being placed on the floor and stated she "blacked out" and was still dizzy. At 1138 EMT called 911. At 1145 EMT recorded the following vitals: BP 68/44, HR 58, and RR 16. At 1145 paramedics arrived and assumed care of pt. At 1150 paramedics took the following vitals: BP 70/50, HR 54, and blood glucose 95, and from these indications decided to start and IV and admininster a 500cc bolus. Pt O2 sat was 100% but she was placed on 2L O2 NC for comfort. At 1205 paramedics transported pt to Hospital for further evaluation.

PER PT, FEELING DIZZY AND AS IF SHE WAS FAINTING - PT WAS RESPONSIVE TO QUESTIONS AND HAD NORMAL BREATHING. PT GIVEN 1 DOSE OF ADULT EPI (LOT 0FM501, EXP 05/22). PER EMT (ARRIVED WITHIN 10 MIN OF CALL), PT HAD NORMAL FAINTING SYMPTOMS OF HYPOTENSION AND LOOKING PALE

Patient passed out. tingling in finger. light headedness. chest pain related to anxiety. occurred after about 15 minutes

Patient received vaccination at 1556. Pt reported right hand tingling/numb and lightheadedness. Pt requested anti-gravity chair and reported decreased dizziness immediately. Vitals assessed: 102/62 BP, 118 pulse, and 99% O2. Pt received diphenhydramine 25 mg/10ml oral solution at 1613. At 1628, pt reassessed. Right wrist slightly numb and dizziness diminished. Pt reported no pain and left facility with steady gait. Pt left with mother at approximately 1638.

Patient was feeling very shaky, dizzy and nauseous 2 minutes after the shot. Patient said she felt like she was going to pass out. We laid her on the ground and gave her water and orange juice. Patient stabilized after a couple of minutes. Paramedics came out and double checked on her, but mom said she did not need to go to hospital. Patient walked away fine. Most likely nerves that caused this incident.

Patient passed out, fell out of her chair and hit her head hard after receiving her shot. Once she went down, two nurses ran to her assistance where they propped the patient's feet up on a chair and got her some water. Patient reported blurred vision, had a goose egg on the back of her head but did not appear to be mentally foggy.

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

Events happened about 5 mins after shot was given. Patient experienced lightheadedness, loss of consciousness for a couple seconds, uncontrolled urination, hot flashes, headache. Patient was given water and a snack to consume. After about 10 minutes of resting and consuming food, she feeling better afterwards, said it could have been to fear of getting injections, and was able to go home with her family.

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

Pt became nauseated and lightheaded. Pt vomited x2. Pt stated symptoms improved. Pt declined transport to ED

Patient experienced some dizziness shortly after receiving vaccination. Patient was attended to by paramedic staff and a health care provider and transferred to local emergency room .

Pt .c/o feeling light headed and was verbal, A$Ox 4. She was taken in a wheelchair to a cubicle where she was asked to lay down in a cot. 2 small packets of crackers , 3 pkts of apple juice and water were offered. Total fluid intake - 500 mls. Pt. verbalized absence of dizziness and said she was well to leave. At 3:15 p m she walked away in the company of her mom unassisted.

Systemic: Abdominal Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Patient lost of consciousness for a few second after received the vaccine. She was feeling better with taking rest and hydrating with water. Patient's father reports this has happened with vaccination in the past. Vitals signs@12:30pm: BP 110/60; HR 72; O2 Sat 99%. One tablet of 25mg Benadryl was given to patient.

Patient felt week and fainted, came to without Epipen and was had nausea and vommiting and was very thirsty. Pale, EMt's called. Blood pressure was normal. She went home with mother. Mom said she has done this before with medical procedures, very anxious.

Flushing/Sweating, Dizziness, Nausea. BP 84/50 HR65 RR18, then 3 minutes later improved to 104/64, HR88, RR18. Received water, symptoms resolved, discharged with father

Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Additional Details: After getting the shot in the 15 minutes of monitoring patient started to feel dizzy. Nurses from the minuteclinic monitored vitals and initial vitals were blood pressure 80/50 heart rate 48. After 5 minutes the vitals rose to blood pressure 92/60 and heart rate 72. Patient and parents said they were fine and no issues and were comfortable leaving.

less than 10 minutes after vaccine administration patient was kneeled over on floor bent over on chair . extremely pale, feeling lightheaded, head pounding, ears with sudden onset of lots of pressure. mother said never reacted to vaccine like this before. called EMTs they said her blood pressure was fairly low and wanted to take her to the ambulance for further evaluation.

At 12:20 p.m, patient began to experience dizziness and the eyes began to roll back into the head. Initial blood pressure reading was 80/160 with a heart rate of 60 and an O2 saturation of 100%. This patient has a history with passing out with shots. Patient was given juice and multiple blood pressure screenings were recorded with results being 100/80, 112/78 and 104/75. At 1300, patient's heart rate was 68 bpm while sitting. Once the patient stood, blood pressure went to 90/60 and heart rate went up to 115 bpm. Patient was pale. Over next 15 minutes blood pressure and heart rate were routinely taken until patient felt better. Patient entered the vehicle safely and left with parents at 1:15

Within about 20 minutes of administration, the patient reported feeling nauseous, hot, faint, and sweaty. She stated she could "hear the lights". Her temperature was normal at 96.2 degree Fahrenheit. She stated that these same symptoms have happened before with other vaccines, Within another 20 to 25 minutes she felt better and left with her mother. I checked in 5 hours later via the phone and she was feeling better. She only reported a sore arm at that time.

Patient and Father were at desk to schedule follow-up vaccination when patient fell to the ground. Writer and additional clinic manager responded to event. Patient was rigid, eyes rolled back and not responding. Writer and manager attempted to arouse patient, with no response. Per father, patient has passed out in the past with blood draws. Feet were elevated and ice pack applied behind neck. Patient's fists were clenched, teeth clenched, back arched and appeared to have urinary incontinence. Episode lasted approximately 1-2 minutes. ED responded. Patient regained consciousness and was able to interact with writer appropriately. Bp 124/78, pulse 80 bpm, oxygen saturation 100%. Patient assisted to stretcher and transported to ED

Reportedly had some redness and blotchiness at the time but currently no signs of anaphylaxis with no urticaria, no respiratory involvement, no intraoral swelling or voice changes, no GI symptoms. He is warm and well-perfused although is slightly tachycardic but appears anxious. His reported inability to move her arms and legs does not seem consistent with a neurologic etiology of this complaint and more likely consistent with anxiety/conversion reaction in the setting of a vasovagal episode. Will give zyrtec at mother and patient's request, PO challenge and reassess.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: she was sitting for 15 minutes observation she fainted and fell from the chair. She wa unconsious for about few seconds. called 911 for her. she looked paled. paramedics took her in. checked all her vital sign she was fine , her dad took her home. Spoke to dad at 6 pm in the afternoon. she is home resting and having dinner.

Pt standing in line following vaccine. Pt reports getting dizzy and slid down wall to floor (-) head trauma. Reports didn't eat prior to vaccine. Pt sitting/lying in bed eat and drinking. BP 83/44, MAP 54; HR 63; repeat BP wnl; pt started feeling better - BP 120/77; HR 80. SpO2 98%. No apparent distress. Patient stable, released from vaccination site and was recommended to f/up with HC provider. Mother able to take pt home; amb w/o difficulty.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient was close to vomiting, benadryl was given, patient recovered.

Pt with a history of asthma and anxiety started to c/o dizziness, tightness in the chest. VS were as follows: 1750 HR 79, O2 sat 97% on RA, BP 109/62 - 50mg of Benadryl given 1755 HR 74, O2 sat 99% on RA, BP 110/67 1800 HR 76, O2 sat 99% on RA, BP 115/72. At 1800 Patient reported that she was feeling much better, tightness in the chest had resolved and was not dizzy. Through out she was able to hold a conversation, no wheezing, and no SOB noted. Pt discharged home with father. Spoke to father to call PCP to advise on second dose.

At approximately 6:20pm on 03/30/2021 patient during 30 minute observation (high risk due to immunosupression) had dizziness without syncopy. On assessment at 6:20 PM HR:121, BP:102/70 R:18 O2:99%, patient was AA&Ox4, answered questions correctly. 6:30 HR:83, BP:90/70, R:18, O:99%. Patient states: "I can not drink water." Patient appeared less alert and hard to rouse, Transportation to ER was advised repeatedly. Mother stated: "I don't want to take her to ER, because it is too dangerous for my daughter because she is on steroids. We have been in ER 3 weeks ago due to migraine and they check all labs." Mother refused to call 911 and said she would transport the patient to ER of Hospital.

Immediately after receiving the vaccination, patient presented to be lightheaded and rested her head on the table. Upon assessment, patient states that she felt lightheaded, seeing orbs, dilated pupils. Upon arrival from EMS, patient did faint for no longer than 10 seconds and regain consciousness.

Severe left arm with minimal swelling x 2 days so far. Tingling in left fingers and able to move left arm but limited due to pain. Patient reports pain extends armpit and left side of upper back. -Symptom onset was 4/12/21 after receiving the vaccine. She was unable to sleep that night due to the pain. -Yesterday 4/13/21 symptoms persisted and went to ER where she was given a dose of oxycodone for the pain which helped her to sleep. -Today 4/14/21 symptoms continued. I spoke with her rheumatologist who recommended holding her Meloxicam and starting Ibuprofen 600 TID for a few days until symptoms resolution.

Dizziness, mild sweating, and a temporary loss of hearing a few minutes after the shot before brief LOC. Mother reported "eyes rolling up" and a respiratory gasp. Rapid recovery with fully orientation on the floor. VS stable in observation. No nausea or visual changes reported by the patient. No orthostasis.

Patient is a 17-year-old, female. Alert, oriented X3, clear speech, able to answer to the questions. No known underlying medical conditions. No history of allergies. Denied having allergies to food, other vaccines, or components of COVID-19 vaccine. At 1:52 pm, the patient received her first dose of Pfizer (lot number EW0162, expires on 07/2021) on left deltoid, given by RN. Patient continued to be A&Ox3, walked herself over to the EMT waiting area with a steady, balanced, and sat down. At 2:10 pm, while waiting in observation area, patient reported feeling "light-headed" and ?tightness? in throat to her father. The patient?s father alerted EMTs of his daughter?s symptoms. EMT responded by offering the client a water bottle, assisting her to anti-gravity chair, and taking the patient's vitals. At 2:15 pm, BP 128/78, HR 66, Resp 14. Patient states the last time she ate was at 11:00 am, when she had a bagel and a cup of coffee. EMT alerted Lead RN of patient?s symptoms. Vial signs were taken every 5 minutes. At 2:20 pm, BP 126/80, Sp02 at 99% room air, HR 69bpm, Resp 16/min. At 2:25 pm, BP 126/80, HR 75 bpm, 17 resp/minute, unlabored. Patient still reporting lightheaded-ness and states ?it feels like I swallowed something when I breathe in?. At 2:30 pm, BP 117/78, HR 53, RR 14 res/min, unlabored, SpO2 99%. Patient reports tightness in throat ?feels better?. Patient and father were provided with education related to the use of Diphenhydramine for symptoms of allergic reaction. RN advised patient and father that if the tightness in throat worsens, to take Benadryl and notify health care provider. Patient and father were provided with education concerning when to call 9-1-1, including worsening of symptoms and trouble breathing. At 2:40 pm, BP 120/74, SpO2 98%, HR 74 bpm, RR 15 res/min, unlabored. Patient ingested 16 oz of water, denied any discomfort. Patient denies lightheadedness. At 10:45 pm, BP 123/80, HR 69, RR 16 res/min, unlabored, SpO2 99%. Patient left facility at 2:50 pm, accompanied by father to car. Patient denies dizziness and lightheadedness Patient was able to walk without assistance, gait was steady and balanced. Patient's father stated he would be driving her home.

At 3:50 pm, patient complained of feeling dizzy, started vomiting of undigested food, as she stated she ate just before coming to COVID 19 event. Vitals B/P 82/58, HR 61, R 20 O2 sat 99%. Evaluated by EMT and this nurse. Had patient to rest, gave sips of water and gatorade, and liquids tolerated well. Second set of vitals taken: B/P 92/60, HR 53, R 20. At 4:30 pm patient stated she felt much better, and released to parents.

pt looked pale 10 minutes after vaccine went out to check on him he was getting faint and lips looked purple, was NOT having breathing problems and BP was normal at 104/54, called 911 patient was very clammy and sweaty, stayed with patient until paramedics arrived, patient was feeling much better a little before paramedics arrived, but they decided to take him to hospital

Patient is a 17 year old female who has completed a 30-minute observation period with the following signs and symptoms of an adverse reaction: loss of consiousness. Pfizer-BioNTech COVID-19 vaccine # 1 in series administered. Parents states that patient become pale and dizzy 1 minute after she received covid vaccination , Patient had a syncopal episode in the hallway, unknown if patient hit her head against the floor, no bruises, soreness or redness notice Patient become alert and oriented x 4, pale, diaphoretic, Patient states that she didn't breakfast.Also Patient mentioned that she is afraid to needles. Action(s) taken: Vital sign at 0814: blood pressure ; 75/34, heart rate: 65, respiration ; 16, Spo2: 99 % Repeat Vital sign at 08:28: blood pressure ; 85/44, heart rate: 65, respiration ; 16, Spo2: 99 % Repeat Vital sign at 08:31: blood pressure ; 97/58, heart rate: 66, respiration ; 16, Spo2: 99 % - Patient denies chest pain ,shortness of breath, nausea vomiting, diarrhea, abdominal pain, difficulty swallow, headache, dizziness, or vision changes - Patient was able to tolerated fluids intake well. Action(s) taken: Transferred to higher level of care, ER Patient and parents advised to discuss second dose considerations with a clinician

1325- Pt presented to observation room, mom was supporting her as she walked. I got to the patient and supported her to the ground as she started to fall. Pt did not lose consciousness, appeared diaphoretic and pale, stated nauseated and didn't feel good. Mom said she has done this in the past when has had injections or blood draws. Laid pt with feet up on a chair. Ice pack placed on forehead. Answering questions appropriately. 1328- BP 112/72, HR 68, RR 20 1330- pt stated feeling better and sat up slowly 1333- felt well enough to sit on the chair 1338- pt and mom opted to leave premises, pt appeared neurologically intact, stable and walking independently

Severe headache, dizziness, nausea lasting approximately 45 minutes woke from sleep on night of 4/11/21. Improved with tylenol. Milder headache/dizziness for one day following, no medication needed.

pt states queezy after one min after receiving vaccine, vision went dark while sitting and pt felt ringing in ears and muffled sounds. mother with pt due to being minor, mother helped lower pt to floor pt states never lost consciousness placed feet on chair with knees bent OBS team arrival pt feeling better while laying on ground,. with little assistance stood and pt back to laying on stretcher in trendelenburg position taken to OBS 1, VS as noted pt feeling better while in OBS, given water tolerating well. after a few minutes out of trendelenburg, then high fowlers position, to dangle to standing position change over 20 minutes first time standing pt felt dizzy back to sitting in bed given more water and apple juice then dangle then standing second time. bp stable upon standing second time and pt feeling better feeling okay to go home, pt sent home with mother ambulated to exit per request at 0850. VS 0815 bp 99/61 hr 81 rr 16 o2 100 0820 bp 109/62 hr 74 rr 18 o2 100 out of trendelenburg, 0825 bp 108/66 hr 88 rr 16 o2 100 high fowlers, 0830 bp 102/54 hr 86 rr 16 o2 99 standing,, 0834 bp 109/61 hr 78 rr 16 o2 98 high fowlers, 0836 bp 91/67 hr 71 rr16 o2 100 dangle, 0840 bp 95/66 hr 90 rr 18 o2 99, 0845 bp 104/57 hr 76 rr 18 o2100, 0850 bp110/61 hr 85 rr 18 o2 99 standing

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Mild, Additional Details: pt stated visual disturbance. having trouble seeing. lightheadedness, vomited once. called ems monitored pt and mom refused to go to the hospital. pt stated feeling better when she left. called at end of shift no answer laeft message

Hx: Anxiety Allergy: Amoxicillin; Flushing/sweating, BP 104/61; HR 65; RR 18. Pt c/o "I feel like I'm going to faint". Pt denies eating x24hrs. Pt D/C w/ , mother and no c/o @D/C, BP 112/61, HR68, RR16. Patient stable and released from vaccination site

Nausea, dizziness and fainted for some few minutes. Paramedics were called, patient did not need any treatment and was able to go home.. Mom was counseled on signs and symptoms to watch out and if needed to seek medical care

Dizziness, Syncope; Cough abd pain, sweathing. BP 101/53, HR 60; RR 24 -- > 119/59, 67,20 -- > 94/67, 57. Given OJ and water, pt felt fine after drinking water and OJ. Patient stable and released from vaccination site.

After receiving the vaccination, patient was advised to sit for 15 minutes in the designated waiting area. Approximately 5 minutes while sitting in the waiting area, patient's father noticed his daughter was about to fall over but caught her without her falling to the floor. The patient was conscious, has a pulse and was breathing the whole time. Pharmacist on duty called 911 and within 10 minutes the paramedic arrived. They checked her BP, heart rate and blood sugar. Both her BP and blood sugar were within normal range, while her heart rate was out of range. The paramedics suggested to the parents that their daughter needs further monitoring. The parents agreed and left wit the Paramedics.

patient has a history of lightheadedness after vaccines and ear piercing. she felt light headed after vaccine and 911 was called as a precaution. paramedics determined she was ok to go home with mom and escorted her to the car. she walked out on her own

AFTER VACCINE, PATIENT HAD TUNNEL VISION, FELT LIKE SHE WAS GOING TO PASS OUT (BUT DID NOT), MOM WITH PATIENT AND STAFF ASSISTED TO FLOOR, LEGS ON CHAIR UNTIL ASSISTED TO W.C. AND TAKEN TO OBS. TRENDELENBERG ON STRETCHER, STATES RELIEF. SAT UP FOR SNACK/WATER. S/S RESOLVED AND ESCORTED TO EXIT WITH NO ISSUES AT 1210. 1145 INITIAL BP 117/72 HR 73 RR 18 SATS 98% ON RA 12P STANDING BP 118/75 HR 79 RR 18 SATS 98% ON RA

I gave the patient the immunization. She seemed fine after getting the shot. I asked her to go outside the immunization room and wait 15 minutes for observation. Immediately upon leaving the room, she felt dizzy and made it to the chair to sit down, when she said she briefly blacked out. By that time, her father arrived, and gave her some orange juice to drink. She said she was starting to feel better, but that her stomach felt queasy. After15 minutes, the patient was feeling better and walked out with her father with no other reports of problems.

Pt received vaccine. Patient moved to waiting area. After a few minutes, pt reported dizziness, vision changes, and feeling faint. VS were taken: BP46/31. EMS called at 12:25. Patient moved to cot and laid supine with legs raised on chair. VS taken two more times: 96/60 and 110/90. EMS Arrived at 12:35. Patient reported improvement in symptoms. Patient refused EMS Transport and chose not to go to ED.

Dizziness, fell from feeling faint; h/o vasovagal episodes after shots. BPs 79/31 (pulse 50), 103/52 (pulse 46). O2 sat 100%.

Woke up around 2AM the morning after the vaccine was administered and noticed pain in hands when washing hands. Woke up officially around 9AM. Entire body hurt, most notably headache, backache, and neckache. Pain was intense, took Ibuprofen and muscle relaxer. Stayed in bed in the dark for most of the day because of pain. When standing, dizziness and weakness, fell over once. The pain finally subsided enough to function close to 7PM, disappeared completely by the following morning.

Felt dizzy at work the next day after the second shot. Passed out and then was sitting down and I felt nauseous. I threw up 5 times and my arms started to get numb. I had a fever when I got home and I couldn?t move because my body hurt so badly. Migraine and dizziness has been persistent ever since and is interfering with my daily life. Been treating with tylenol which helps a little but not completely. As soon as I stand up and move I feel like I?m going to pass out.

Pt complained of feeling dizzy, pt then complained of feeling her throat was closing. Epi and IM Benadryl were administered to pt

after shot administered pt reported worst dizziness they have ever experienced, ringing in ears, and blurred vision, had pt lay in supine position with feet elevated, all sx resolved within 15-20 minutes, advised pt to follow up w/ PCP

Transient lightheadedness with brief syncope. Subsequent NV controlled with position of comfort. Patient had not eaten anything today and had only coffee so far. Pt was given fruit, muffin and water and was monitored for an additional 45 minutes with continued improvement and no other symptoms.

One hour after returning home.Heaviness in limbs, unable to walk, shortness of breath, nausea, heaviness in chest. PCP provided oxygen, steroid shot, shot for nausea in office. Observed until symptoms subsided. Released with Rx for steroids and anti nausea medications

Patient received her 2nd dose of COVID (Pfizer). She walked out of the immunization room to wait in the store, made it about 2 aisles over, and fainted. Patient's father and the Pharmacist immediately got to her side. She came to within less than 1 minute. In the meantime EMS was called and the Pharmacist waited with the patient until they arrived. EMS looked over the patient and patient was able to leave on her own after waiting out the nausea and dizziness that had occurred. Patient also reported a headache which was most likely from hitting her head on the way down.

Patient became dizzy and passed out after returning to her car. Guardian beeped horn and nurses evaluated patient. Patient aroused easily. Patient very pale. Patient vomited x 1. BP 88/50, P 53, R 14, Spo2 99%. 911 called, arrived within 15 minutes. Vitals and blood sugar stable. Patient denied any further dizziness and reported not eating prior to vaccination appointment. Patient also reported similar incident one other time after receiving a shot. Patient discharged home, no EMS transport. Follow up phone call revealed patient was feeling fine.

Per recovery RN notes: "At approximately 0841, patient stated feeling dizzy. Mother noted with patient. Patient anxious. Pt loss of consciousness for approximately 10 seconds. Rapid response called. Patient regained consciousness. Patient with emesis x1. Vital signs stable BP 109/70 HR 64. SpO2 at 99 on room air. Rapid response team arrived at scene. MD assessed patient. Per mother, patient has a history of syncope after vaccinations. Per MD, ok to go home once stable. Patient noted to leave facility at 0904, in stable condition.".

emale client received her first dose of Covid Vaccine (Pfizer, Lot # ER8729, Expiration date: 07/31/2021) at 1132. This minor client, accompanied by her mother proceeded to the observation room for her 15 minute wait period. Co-lead RN, was present in the observation room assessing another client. At 1137 this client's mother loudly voiced from the back of the room, "she's feeling dizzy" and co-lead observed client was hanging her head. Co-lead and EMT1 hurried to her side, and client stated she was feeling lightheaded and dizzy and was suddenly pale and diaphoretic. EMT1 immediately transferred her from chair to floor with full assistance to prevent a fall/injury. Client was placed in trendenlenburg position by elevating feet and placing them on the chair. Client was unresponsive for about 15 seconds until she regained consciousness and returned to baseline mentation. Client verbalized she "blacked out" and did not remember being placed on the floor. Client denied pain and respiratory distress. EMT1 called 911 at 1138. Client and her mother deny she has any medical issues, allergies, medications, or previous incidence of syncope. At 1145, first set of vitals taken by EMT1 indicate hypotension and bradycardia as follows: BP 68/44, HR 58, and RR 16. At 1145 paramedics arrived and assumed care after receiving report from EMT2. At 1150 medics took VS with BP 70/50, HR 54, and blood glucose 95, and determined they would start an IV to administer a 500cc bolus for dehydration and to improve BP. Client was also placed on 2L O2 for comfort, no desat noted. At 1200, medics advised client's mother and co-lead they would transport client to the Hospital for further evaluation. Medics departed at 1205 to transport client to the hospital.

1135am Nausea, dizzy, light headed, patients legs were elevated, ice pack given, water given, patient was fasting, father went and got patient food. 1205pm BP 115/74, pulse 72. Patient eating, reports no nausea, dizziness, or lightheaded. 1215pm patient walked out with nurse practitioner. Patient verbalized understanding to call PCP and continue to eat and drink today

04/21/2021 11:48 AM Patient says she was lighted headed and dizziness. wasnt speaking dropped her phone and was not aware. BP WAS 79/37 Pupils were fixed with some movement.. mother was outside, called in. mother had stated earlier that she was afraid of needles. felt clamy and sweaty. patient taken to ER in wheelchair with mother for evaluation

Fell to floor from chair in observation area. OC related to vaccine administration. Pain in right cheek. Pain level 2.5/10. Vaso-vagal response post vaccine injection. Vital Signs: BP 100/60 HR 85 Resp 20 O2Sat 98 , Skin Signs: Cool and dry, Clammy, Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally, Initial Treatment: Water/observation/elevated les bilateral. Assessed/evaluation by Dr. 10:25 AM, Vital Signs: BP 100/72 HR 85 Resp 20 O2Sat 72, Skin Signs: Cool and dry, clammy, Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally Follow up Treatment: Mask Oxygen administration for 10 min. 10:25-10:35 AM. Ice pack to right cheek, approx. 4 L and reduced to 2 L/min\, 10:35 AM\, Vital Signs: HR 98 Resp 20 O2sat 99, Skin Signs: Cool and dry, clammy, diaphoretic Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally 10:45 AM, Vital Signs: BP 120/82 HR 76 Resp 20 O2Sat 97, Follow up Treatment: 10:45 skin warm and dry, alert and oriented x3. Cap refill <2sec ,Notes: Recommended parent to contact peds office for injury to right cheek. Continue to maintain good hydration at home the rest of the day. Home with father at 10:55 AM

Patient had dizziness and felt her arm get hot. Patient then felt cold, unsteady gait ,had patient lay down with feet elevated, given sips of water, symptoms resolved within 15 minutes. pulse was 65, O2 97, BP cuff did not fit, pediatric size unavailable. Assumed vasovagal response

Patient felt light-headed about 15 minutes after shot. She stood up and fell. A gentleman caught her so she wasn't injured. She said she was hot. She said her heart wasn't racing. I took her pulse and it was normal.

Dizzy, decreased vision, BP 85/42 (pulse 94). Given crackers and water. F/u BP 102/62 (pulse 97). Blood glucose 110.

A few minutes after receiving the vaccine, the patient complained of feeling hot, flushed, and faint. She then wanted to lie down on the floor. I called an ambulance, as she refused to let me take her blood pressure. When the EMTs arrived, she was sitting up and feeling notably better. She and her mother declined going to the hospital.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Headache-Mild, Systemic: Hyperventilation-Medium, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Mild

Patient became dizzy and light-headed a few minutes after vaccine administration. No meds given at clinic. Pt brought to emergency department.

COLD SWEATS, DIZZINESS, DROWSINESS, BP WAS TAKEN 74/44, THEN 5 MINS LATER 99/60, PT WAS LAID DOWN TO PREVENT FALLING, PT WAS NERVOUS AND ANXIOUS

At 1143 - 17 year old female was sitting with her mom, pt advised staff that she was feeling dizzy. Pt states the room was spinning. Pt was assisted to wheelchair and escorted to designated private patient area. Pt was pale and diaphoretic but was alert and talking to staff, pt was assisted to remove her sweatshirt and assisted to lay down. Pt instantly stated she felt better after laying down. Pt provided wet cloth for comfort and skin color return to WNL . Pt had small sip of water and stated she felt much better. Pt advised she had only eaten two small donut holes and did not drink water prior to arrival at the clinic. Pt skin returned to normal warm and dry, VSS, AOx4 and pt stated she felt much better and was ready to go home. Pt mother will continue to monitor pt and ensure she continues to hydrate and eat after leaving the site. 1145 VS Bp 94/60 HR 51, 16RR 100% 1150 VS Bp 102/64 HR 60, 16RR 98% 1155 VS Bp 102/68 HR 69, 16RR 98% 1200 VS Bp 104/68 HR 73, 16RR 99% sitting

After receiving vaccine, patient became light headed and passed out sitting in chair. diaphoretic and clammy. Heartrate 60, BP 60/29,SPO2 100%. Medical response called, patient taken to ER, accompanied by mother

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient felt dizziness after vaccination,after 5 minutes she felt a little better, and then after 30 minutes she felt fine.

Pt given vaccine and 2 minutes later she started to feel light headed and foggy. The reaction nurse laid her down and elevated her feet. No c/o nausea. Guardian present and watching. Pt eating w/o issues.

C/O dizzy, syncope x1, less than 5 seconds, patient reports similar problem with all other vaccinations and injections. Father reports daughter ate dinner last night . Did not eat breakfast before coming to site. Patient alert and oriented x4 after incident.

She became very red; Dizziness; Vomiting; Diarrhea; Hypotension; This is a spontaneous report from a contactable healthcare professional. A 17-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0158), intramuscular, administered in left arm on 09Apr2021 16:30 as single dose for COVID-19 immunization. Medical history included 3 weeks of urticaria prior to vaccination. The patient has had no COVID history prior vaccination. The patient has not been tested for COVID post vaccination. Concomitant medications included fish oil; diphenhydramine hydrochloride (BENADRYL); cetirizine hydrochloride (ZYRTEC); ibuprofen (MOTRIN), and an unspecified multivitamin. The patient previously took Amoxicillin and experienced drug allergies. After vaccine, the patient became very red, had dizziness, vomiting and diarrhea and hypotension on 09Apr2021. The events resulted in an emergency room/department or urgent care visit and hospitalization for 1 day. Treatment included epi, Benadryl, steroids, Pepcid, and fluid boluses. The outcome of the events was not resolved.

pt has a history of fainting almost every time she has a needle stick , she did again. Patient was faint and light headed for 20-30 minutes at 30 minutes her bp was 96/69 63 pulse. she left on her own feet with mother at her side.

Patient had flushing/sweating, dizziness, anxious, sweating. Low BP 84/46 -- > 116/75 -- > 121/82. Patient stated did not eat since 4/24/21 6PM. Patient stable, released from vaccination site.

After only an hour outside in low 60s weather, I had felt symptoms similar to heat exhaustion. My vision got extremely spotty, and couldn?t see much. There was a loud ringing in my ears and everything else sounded muffled. I felt dizzy and my skin felt like tissue paper. It faded after I went inside and got water. However, I still have a headache, 6 hours later.

At 2am 4/22 patient started to feel sick and sent a text that I didn't read until 630 as I was asleep. She had severe muscle aches, hurt to move, hurt to breathe and felt like she was having a heart attack. She felt like she might pass out and had some blurred vision. At 630am, I saw her texts and immediately brought her 2 tylenol and a large glass of water. She went back to bed. She woke up around 10:45 and was feeling decent except for a headache but no fever or anything so we went to try on some Prom dresses. At the dress shop, she collapsed and had a seizure lasting around a minute. She lost her bladder and was completely confused and incoherent. She's never had a seizure before. I scooped her up, brought her to the ER where they ran every test and scan imagineable. Full blood work up and cultures, a chest xray, a CT scan of her brain and lungs. Her temp was high 103-104 and she had full body chills and a pounding headache. Her BP kept dropping and got as low as 81/36. They threw 2 bags of IV fluids into her and admitted her to the hospital. She had also developed a heart murmur. Over the course of the night, her BP stabilized but her temp continued to spike and come back down with Tylenol/Ibuprofen. She also had IV Tordahl for the headache. Her inflammatory markers were high at 15.3 which we were told should be less than 1. They reran labs in the morning but everything can back really low which they felt was a dilution effect from all the fluids so wanted us to follow up with her primary care on Monday. On Saturday night, he lymph nodes were swollen to the size of ping pong balls but have since slowly reduced in size although still there. Her labs were better from discharge and her white blood cell count was within range and her inflammatory marker was down to 1.7. Her blood sugar was a little low. She did pass out and have seizure like response to giving blood in the doctors office, lost bladder control again, shot pupils, etc. She is still stuttering over words, has some short term memory retention and has some motor function issues which they think is a result of the initial seizure and should resolve itself over time. Her liver function tests were totally normal in the hospital but are a high now so they will be checking her out again next week.

Immediately following my shot I felt brain fog and dizzy but continued with my day. The next morning I woke up with extreme nausea and a migraine. I am prone to migraines. I was hot and chilly but never read a fever. It's hard for me to sleep due to discomfort.

Dizziness and nausea; rest and sips of juice; calming breathing exercise to prevent hyperventilation (pt had tingling fingers). All sxs improved. Pt's mother did not want to call 911. EpiPen was available but was not needed

Right hell swelling, redness, tenderness first noted on awakening 4/27 (3 days post vaccine). Swelling a bit decreased when seen 1500 on 4/27. No fever. Mild pain when walking.

Pt. C/O feeling light-headed and nauseated while sitting at the observation hall. She vomited some undigested food particles after sipping some fruit juice offered by her mother. Writer to her in a wheelchair to the cubicle in the observation hall for further observation. V/S T. 97 degrees fahr. b/p 97/68, rr 14, h rate 85, O2 98% RA. Pt was verbal, A&Ox4. No c/o pain or respiratory distress. At 3:10 p m pt. said she felt well and okay to leave. v/s - b/p 100/77, heart rate 80, O2 98% RA. She left the observation hall in the company of her mother unassisted

Pt received Pfizer COVID vaccine, was walking with father next to her, felt faint, and father eased her to the floor, no head or body injury. Positive pallor and diaphoresis noted, legs elevated and pt color improved with pt now alert and oriented. Assisted to upright position, onto stretcher, given 1 small bottle water po, BP: 108/68, HR: 87, RR: 16 nonlabored, SaO2: 100% on RA. Pt currently has menses. 1023: drank 1 apple juice, feeling better. 1038: BP: 94/53, HR: 64, RR: 16 nonlabored, Sa02: 100% on RA. Sat upright on stretcher, legs dangling. 1044: BP 91/58, HR: 70, RR: 16 nonlabored, SaO2: 100% on RA, feeling well, drank 2 apple juice cups, standing up. 1049: standing up BP: 84/46, HR: 62, RR: 16 nonlabored, SaO2: 100% on RA. 1100: Pt feeling well, no c/o, escorted to front door of hospital, father at side. Pt aware to drink fluids today and especially during menses. Pt is also a dancer and practices every day. Discussed hydration needs prior to discharge from vaccine clinic. Pt aware to discuss vasovagal response from this injection at next visit so pt can lay down.

Patient felt dizzy right after her vaccination, she was sweating a lot and wanted to throw up but didn't . No problem breathing . we called 911 and ambulance came and took patient to hospital for further evaluation. we called patient's dad at 3:00 pm, patient was feeling fine and got home already.

Pt reported dizziness to vaccinator at vaccination chair. Pt given water and orange juice. Patient advised to wait for further observation. Pt reassessed at approx. 1550. Pt had unlabored respirations and denied itchiness/rashes. At approx. 1551, pt left facility to mother with unlabored respirations and steady gait.

Fever, headache, light headed, sore body, pain in shoulder where I got the shot all of which lasted for about 24 hours except the sore body which is still continuing on currently.

Arm pain, slight swelling in injection site area. Swollen lymph nodes on both sides of neck, overall malaise/body aches, fatigue, light-headedness resulting in fainting episode, headache

Recipient is a 17yo who presented for second dose of COVID-19 vaccine. She reported some anxiety related to receiving dose #2, and had some nausea after dose #1. She was alone as a driver of her own POV. Consent was obtained from the recipient and her custodial grandparent by phone, witnessed by doctor. She initially did well after the vaccine, but after approximately 5 minutes began to complain of feeling nauseated, lightheaded, and tingling extremities (hands and feet). She was noted to be hyperventilating, and was placed in a supine position but continued to feel some lightheadedness and difficulty breathing. Breath sounds were clear without wheezing noted, HR 70s with RRR. She was noted to have ongoing anxiety, nausea and symptoms progressed and although she remained normotensive to hypertensive (initial BP 128/74), she had repeated episodes of syncope. She was transferred to the ambulance and further vitals and EKG were obtained. She had some confusion after episodes of syncope and some seizure-like activity with syncope, with very brief episodes of LOC, with noted tachycardia with HR up to the 140s during episodes of syncope. BP ranged 129/86 to 140/84. IV access obtained and she was given NS and started on oxygen at 2 liters, but saturations remained in the 98-99% range. She was ultimately transferred to the local ER for further evaluation and management given ongoing symptoms, evaluated at hospital.

Syncope. BPs 85/43 (pulse 43), 95/57 (pulse 86). Found slumped in chair and placed in Trend. Position. Given water, juice.

patient felt dizzy, lightheaded, nauseous after receiving pfizer covid-19 vaccine. I checked her blood pressure, it was normal 127/96; pulse was 87. I gave patient ice pack and she said she was feeling numbness in her left arm and fingers. After 5 minutes she was feeling some chest pain and wanted me to call 911. She said she was feeling anxious and hadn't eaten all day. patient takes weekly methotrexate injections.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient has a history of Sycope during shots and in medical setting. She was put in a prone position to recover which she did within 15 minutes

Not sleeping well at night due to pressure feeling in her chest up; Not sleeping well at night due to pressure feeling in her chest up; shivers; jaw got paralyzed; she got shaky; feeling bad/ brain fog; burning sensation in her body; She couldn't talk; slight elevated temp (99.7F max); She has been off balance this week since getting her vaccine; This is a spontaneous report from a contactable physician. A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12Apr2021 (batch/lot number was not reported) as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome, panic attacks, migraines and acne. The patient was not pregnant at the time of vaccination. It was unknown if there were other vaccines in four weeks. The patient did not have Covid prior to vaccination and was not Covid tested post vaccination. Concomitant medications in two weeks included ondansetron hydrochloride (ZOFRAN) taken for anti-nausea, start and stop date were not reported; doxycycline taken for acne, start and stop date were not reported. The patient previously took glycerol (GLYCERIN) and experienced allergies. The patient got her vaccine on 12Apr2021. Two nights after her vaccine (14Apr2021), she got shaky and feeling bad and burning sensation in her body. No fever at that time, but slight elevated temp (99.7F max) the day after the vaccine (13Apr2021). Mother gave her anti-nausea medication (ondansetron hydrochloride 2 mg) and within 5 minutes her jaw got paralyzed. She couldn't talk. It lasted about 30 min. Mother called ambulance and patient was brought to ER. ER didn't do bloodwork or any evaluation. ER didn't know what happened per mother. She has been off balance this week since getting her vaccine (Apr2021). She feels better this morning but she still feels off balance. Not sleeping well at night due to pressure feeling in her chest up and she shivers to get the feeling away per patient (unspecified date). Slept better last night as of 17Apr2021. No facial drooping. She can smile and lift her eyebrows. Patient had "brain fog" this week as well after the vaccine. The adverse events "she got shaky", "feeling bad", "burning sensation in her body", "jaw got paralyzed" and "she couldn't talk" resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care visit. There was no treatment received for the adverse events. The outcome was recovered on an unspecified date for the events "jaw got paralyzed" and "she couldn't talk"; recovering for the event "not sleeping well at night"; not recovered for the event "off balance"; and unknown for the rest of the events. Information on the lot/batch number has been requested.; Sender's Comments: Based from temporal relation of event and vaccine administration, Trismus as an event in relation to suspected drug BNT162B2 cannot be totally excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate

Pt recieved her vaccine, then was waiting for her 15 minute period post vaccination. ABout 10 minutes in, pt reports that she felt extremely light headed, saw bright lights, had difficulty hearing, and then went limp. Pt vomited. PT responded when asked if she was ok.

After a few minutes of receiving vaccine, patient reported dizziness, light headedness, and blurry/dots in vision. She then became more upset leading to hyperventilation and crying. She then said she had tingling in her fingers, which progressed to difficulty moving her fingers/stiff fingers, and coldness and redness in tips of fingers. She then reported she was loosing sensations in her feet and legs. 911 was called. We tried to have the patient take slow deep breaths. We offered an ice pack and water up front and a heat pack for her fingers. Paramedics arrived. Her blood pressure, heart rate, oxygen saturation, glucose were within normal limits. She was given oxygen and the paramedic was able to help her slow her breathing. Her fingers went back to normal and she felt fine before leaving. She did not feel the need to go with the paramedics.

Within a couple of minutes of receiving the shot, my daughter felt hotness running down the length of her vaccinated arm and into her hand. Started feeling hot and started to produce a small patch of hives on the outside of the throat and chest. Did vigorous windmill motions with vaccinated arm. She had a feeling of slight unwellness that was followed by a rush of energy. As we leave the store and start to drive home her hives are a little bit worse and she says she feels a little lightheaded and has some heart palpations. But is still reporting a rush of energy. By the time we get home 10 minutes later hives, lightheadedness, and heart palpations have resolved. She feels great the rest of the day. Next day slight redness around the injection site and arm a bit sore. The following day redness is gone but a slight rash is starting to show up around the neck. 5 days later, the rash becomes inflamed, sore, hot and itchy, hives are full upper-body flareups. She takes Allegra 24 for hives control. Rash comes and goes daily. Acts more like hives. Allegra 24 controls hives mostly along with icing. After a few days, the effectiveness of the Allegra 24 is not as efficient with the neck rash. Switches to Zyrtec 24 which seems to provide better relief from both hives and rash around the neck. Sees Dr. April 29th. He advises not to take a second dose of Pfizer at this time and prescribes her an EpiPen.

Patient said she was feeling dizzy, vision was blurry, sweeting. Was able to breath, asked for water which was given to her. She had some rash on the face, provided diphenhydramine liquid 50mg. She was feeling feverish, took tylenol.

client complained of dizziness and nausea after receiving 1st Pfizer Covid Vaccine. At 1000 client reported to EMTs feeling light headed and nauseous. Per client had not had any breakfast or hydrated today. EMT gave client water and crackers. Per client no allergy to any of the ingredients. First vitals: blood pressure 130/70, pulse 80, oxygen 98%. Client's parent here, states client takes medication for depression, unable to recall name and birth control. Vitals at 1010: blood pressure 110/70, pulse 80, oxygen 98%. Per client still nauseous, light headedness improving. 1015 vitals: blood pressure 110/70, pulse 79, oxygen 97%. Mild nausea, light headed resolved. Vitals at 1020: blood pressure 108/70, pulse 78, oxygen 98%. Per client all symptoms resolved. Client given ER precautions and advised to consult with provider prior to second dose. Parent driving client home. Client left facility with steady gait at 1022.

Fainting; syncope Emergency room visit: low blood pressure, high heart rate, administered a bag of fluids to hydrate High fever, chills and lightheadedness

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Medium, Systemic: Vomiting-Mild

First 3 days, arm was sore, fever, nausea and day 3, vomiting. Every single day since, off and on throughout the day: fever (99-101.9), nausea, headaches in the front part of the head, clammy feeling and lethargic. Starting 5/1, now been dizzy every day. We are on day 22 since the vaccine and this is still happening.

Patient became light headed and her head started to nod in post waiting area. Brought ice and gatorade and sat with her and mom for 20 minutes. She continued to nod and close her eyes but responded to verbal stimuli when prompted. She eventually became fully awake and mom and her decided she was well enough to go home.

White blister rash that started at injection site then spread quickly over back, chest, other arm, legs. Light headedness, and tingling and numbness in lips and face. Was given Benadryl 25mg and 2 Tylenol. The rash and numb feeling persisted for 3-4 hours. Several hours later symptoms were followed with a fever and nausea. These symptoms remedied within 24 hours and she was just tired and sore.

Site: Pain at Injection Site-Mild, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Medium, Systemic: Headache-Severe, Systemic: Unable to Sleep-Mild, Additional Details: mom called to report adverse reaction to 2nd dose of pfizer vaccine. pt had chills on monday, fever on tuesday, wed morning child passed out in the kitchen mom heard her fall, she did call 911. child was transported via ambulance to strong ER. pt was diagnosied with syncope. pt is now home with mild headache/lethargy and recovering. mom has called pcp waiting to talk to her.

Patient describes feeling nauseated, lightheaded, and dizzy about 20 minutes after vaccine while in waiting observation area. Mom states she looked over, patient's eyes were rolled back, she was shaking, and not responding to mom. Patient does not remember this part. She states the next thing she remembers is looking up at nurses looking down on her. Mom thinks she was out for a few minutes. Of note, patient had not had anything to eat or drink on day of vaccination. She also has a history of syncopal episode after a toradol injection, and with illness.

Pt reported blurry vision and lightheaded. @1115 BP 110/54, HR 63, OxSat 92%. At 1125 BP 108/70, OxSat 98, HR 64. At11:39 BP 106/62, HR 74.

Client was lightheaded post vaccine--breathing was not in distress. Client was diaphoretic and pale. Raised clients legs , propped her head up and applied ice packs to her neck. Client recovered in 10 minutes. No 911 call or meds received. Client walked out of clinic feeling "normal".

Patient arrived to post vaccine area after receiving second dose of Pfizer COVID 19 vaccine. Patient reported to post vaccine nurse feeling lightheaded with tongue tingling, headache, nausea and feeling flushed/itchy. Initial vital signs 123/83 85bpm 99% O2. At 1730 patient given 25mg PO Benadryl per standing orders. Patient monitored by post vaccine nurse. Symptoms resolved at 6:15pm, and requested to leave. Last vitals: 117/78 HR 90 O2 99%. Patient had arrived with mother and agreed not to drive. Instructed to call 911/emergency services if symptoms return/worsen.

Patient developed nausea, dizziness, lightheadedness, tingling and contraction of hands within 5 minutes of receiving vaccine. Resolved with po fluids only.

Client received her second dose of the Pfizer COVID-19 vaccine (Lot #EW0179 Exp. 8/2021) at 10:03 AM. EMT saw client stand in observation area. Client appeared "unsteady on her feet". EMT rushed to patient and guided her slowly to the ground while protecting her head. Patient then fainted. EMTs assisted patient to gravity bed where patient regained consciousness. Patient was alert and oriented to person, place, time, and event (AAO x 4) immediately following the incident. Client's vitals were assessed every 5 minutes. They were recorded as follows 10:19- Blood Pressure (BP) 100/74, Heart Rate (HR) 86, Oxygen Saturation (SPO2) 99%, and Respiratory Rate (RR) 18; 10:24- BP 100/72, HR 81, SPO2 99% RR 18; 10:29- BP 100/76, HR 82, SPO2 99% RR 16; 10:34- BP 102/74, HR 84, SPO2 99% RR 18; 10:39- BP 100/72, HR 82, SPO2 99% RR 18; 10:44- BP 110/76, HR 86, SPO2 99% RR 18. Client was given a bottle of water and instructed to remain in a semi-fowler's (45 degree) position until vitals stabilized. Patient remained on vaccination site for 30 minutes following the episode of fainting. EMT obtained orthostatic vital signs (vital trend from lying down, to sitting, to standing). Patient was negative for orthostatic hypotension. Symptoms resolved as indicated above in vital signs. Patient stated she was "feeling better" and declined EMS transport. Patient and father were educated by RN on home care (rest and fluids) and to seek emergency medical attention if symptoms persisted or worsened. Patient left the vaccination site at 10:45 with father and sister with steady gait and in no change in status.

17 year old stated she was feeling lightheaded and anxious. Client slump to the floor. Father caught client sustained no injuries. No loss of consciousness. B/P 104/62. Client laid in supine position for 10 minutes. Transfered to observation area. rechecked B/P 108/72 P102 R 20. Client stated she felt better. Patient sat in wheelchair for 30 minutes. Rechecked B/P 110/70. Client released for father to take home.

While sitting in vaccination chair, patient immediately started c/o of dizziness, and hearing sounding muffled, diaphoretic and hot. Alert and oriented with BP 110/88 P52 and O2 99% on room air. Cold water given with gatorade insert. Cold compress also placed on patient. After 5 minutes, patient stated she "felt better." Alert and oriented x3. Left with mother. No acute distress noted.

Dizziness, Migraine, and nausea. 8:40- assisted to the floor. vitals checked P: 95 , O2 100% RA, assisted to the floor. BP 123/61, R 19, Temp 93.1. Client was offered water and emisis bag. Parent was called to pick up client. Client states she has chronic migrains and is suppose to take migrain medication daily, but hasn't taken it in the last two week. Client was cleared by nurse

Immediately after giving the injection, patient felt lightheaded, nauseated, had a decrease in her hearing and became pale. She slumped down in her chair and became limp and was carried to a reclining chair where her legs were elevated. Ice packs were placed on her neck. Her pulse was 70 and a few minutes after this her BP was 100/60. Dr. and an EMT were onsite and did help to monitor her status.She drank water and ate some food and by 10:25 was feeling well enough to return to her classes. She was escorted to class by a teachers aide.

HPI Pt is a 17yo female, otherwise healthy, who presents with right side of her face with decreased movement, some pain, and eyebrow twitching x 5 hours. Symptoms started out of the blue. No trauma. No hx of similar symptoms in the past. No fevers, upper respiratory infection symptoms, cough, sore throat, nausea, vomiting, diarrhea, rash, dysuria. Does have a blister on her lip x 2-3 days. No weakness to her muscles. No slurred speech. No headache, dizziness, vision changes. She is having trouble blinking her right eye and closing her right eye. Normal oral intake, urine output and activity level. No sick contacts. No known COVID exposures. Got the Pfizer vaccine #1 on 4/27/21.

Patient felt tired, light headache and developed rash at lower right abdomen. Given Benadryl and monitored 30 minutes. Itching stopped but continue to feel tired.

Syncope following vaccination. Patient reported blurry vision, dizziness. Had patient rest with feet elevated and gave patient bottle of water. Observed patient for 30 minutes. After 30 minutes patient reported feeling back to normal.

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

Dizziness, followed by brief syncope, all resolved within 2 minutes. She fell out of chair on to ground and immediately woke. Sweaty and pale, placed cool compress on back of neck and gave her a cold water to drink. She remained upright on the floor for approximately 5 minutes until she felt like she was fully recovered. Her father was present the entire time. She stated that she had no injuries or pain from falling out of chair. No rashes, bruising or bleeding observed. Mgr came over and patient's father declined to file a report for injury.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

pt c/o dizziness , no SOB, No change LOC pt. was assietd to lie on gurney with BLE elevated to promote circulation to brain. Vitals monitored V/S o2 Sat 98% RH P-73 BP-101/66 RR- 18 Patient verbalized no more dizziness vitals- BP:105/66 P- 73 R-18 O2 Sat 99% RA #21 pt stable and went home

Pt felt dizzy after the 1st dose of Pfizer vaccination. As I was walking out to check on her, she fainted. She regained conscious immediately. I gave a small soda to drink and she threw up after but she didn't faint again. She felt better right after she threw up and stated that this never happened before. After about 45 minutes, pt stated that she felt much better and wanted to leave with her dad.

Patient received Pfizer Covid vaccine dose #1 at 4:07pm, 10 minutes later patient said that she was not feeling well. She felt her left arm was going numb, light headed, dizziness and chills. at 4:10 BP was 127/81 pulse 70. At 4:25 bp was 136/82 pulse 83. She was still feeling light headed, cold, and shaking. Pt given orange juice. At this point patient stated she has a hx of losing hearing and then a feeling of passing out. This has occurred more than one time. Pt also stated having lost feeling in both legs with no explanation as to why. 4:35pm bp 133/82 pulse 85, she was feeling cold and shaky. 4:42 pm patient stated she was getting colder and was still light headed. 4:56pm very cold, chills and dizziness. Pt was given another blanket. Both pt and father were asked if emergency services should be called. 5pm per parent;'s request were ok to give 480mg of tylenol, she was very dizzy and cold bp 132/85 pulse 89. Father approved of us calling for emergency services. Pt symptoms not improving. Emergency services arrived pt was able to get onto her feet and walk to the stretcher. Pt stated she is still very dizzy.

Patient received shot and sat down in waiting area, after about 5 minutes started to feel lightheaded. Mom noticed she started shaking and then slumped over in chair, mom immediately grabbed hold of pt and stabilized her while calling out for help. Within a few seconds of me running over, pt was already awake and answering questions. She removed her face mask for better air circulation, asked for some water. Mom and I continued to hold pt until she felt ready to sit on her own accord. I asked mom if she wanted me to call, EMT, She declined. Pt has had this reaction before during blood draws. I asked them to wait at pharmacy for 30 minutes, periodically checking in. After 30 minutes mom and patient left pharmacyand she said she felt better

Client states she was feeling flushed and light-headed. EMT assessed and BP 104/56; 112/62, O2Sat 98%, HR 82 ACC check 132.

Patient complained of tingling/numbness in her hands. She became dizzy and needed to sit down. Symptoms progressed to what the nurse practitioner called "strokelike symptoms". She was conscious but could not respond to requests such as smile or say your name. Her blood pressure was high when taken. It was probably 30 minutes before the EMTs took her to the hospital.

While in observation, patient reports being lightheaded and hot. Patient became diaphoretic and pale. Mother and patient state she does this after every injection. Ice pack, cold water, and snack provided. Pt feet propped on chair. Pt. waited additional 15 minutes and states she was feeling better and ready to go. ER/UC precautions given.

Pt rec'd Pfizer vaccine, completed 15 minute observation period without complaint, then returned to clinic around 10:30am reporting numbness in entire left arm. Pt states she was not able to move fingers in left arm. Upon initial evaluation by nurse left arm was pale and cold to the touch. Paleness and coldness resolved within a few minutes. There was slight weakness in left hand when patient was asked to squeeze nurses hands. Right Arm- b/p: 112/82, O2: 99%, heart rate: 91 BPM. Left Arm- b/p: 98/77, O2: 98%, BPM: 87. Pt was asked again to squeeze nurses hands, pt was able to squeeze slightly harder, however slight weakness compared to right arm was still noted. Pt verbalized improvement in feeling and movement, however states still did not have full feeling or movement back. Advised to stay with school nurse for 1 hour and re-evaluate weakness. If weakness persisted, advised to call physician. Upon f/up from school RN, pt remained in clinic until 11:40am when student stated she felt "much better" and strength of left hand was almost that of the right. School nurse states "vitals remained good".

lIght headed, tingling of fingers, pale, diaphoretic, c/o tingling of the throat briefly. sips of gatorade. hypotensive: 80/40, 88; placed on stretcher semi-trendelenberg . BP: 120/P, No LOC.

Patient was in recommended observation and was on the phone with her father and told him she began to feel nauseous. Shortly after she leaned forward from the chair and fell to the ground passed out. Her blood pressure was checked immediately and found to be 121/81. She was immediately responsive and said she still felt nauseous and light headed. EMT was called and they arrived within 10 minutes. Her father also arrived on scene. EMT determined that no serious medical treatment was required and patient left with her father to drive her home.

Headaches, dizziness, fatigue, injection site pain starting approximately 10 hrs after injection and lasting an additional 24 hours

Pfizer-BioNTech COVID-19 Vaccine EUA 101.9 F fever, severe right arm pain, not being able to move any part of body without my right shoulder hurting. Nausea, and mild fever for 24 hrs

Patient was sitting in observation for about 10 minutes and complained of feeling dizzy and fuzzy. Pt was pale and sweating. This RN assisted patient to wheelchair and escorted patient to EMS room. Pt was lying on the cot; ice pack was applied to Pt forehead and neck. BP 102/60, P 80. Pt refused drink and snacks when RN offered. Pt reported of feeling better after 15 minutes. Patient's mother was with Pt at all times. Pt and her mother left at 15:30 without any complications.

Approx 2 minutes after receiving dose, patient became dizzy. Per pt's father, patient became stiff and tremored some. He lowered patient to the floor at which time there was LOC. Reaction clinician used smelling salts which brought patient to (pt was out for approx 1 min per staff) No loss of bowel/bladder. Pt was brought to med obs 1 via stretcher. Vitals taken, water and crackers given Pt feeling well and discharged to home with father and sister Vitals: 11:46 HR 82, Resp 16, BP 109/70, O2 100 12:02 HR 86, Rep 16 BP 102/70, O2 100

faint; Fever; chills; body ache; diahhrhea; nausea; light headed ness; unable to move cause in so much pain- arms felt like lead weights; unable to move cause in so much pain- arms felt like lead weights; ring in ears; lethargic; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration administered in left arm on 29Apr2021 13:00 (at the age of 17-year-old) (Batch/Lot Number: EW0172) as 2ND DOSE, SINGLE for COVID-19 immunisation. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination and has not been tested for COVID-19 since the vaccination. Medical history included seasonal allergies and known allergies to non-steroidal inflammatory drugs (NSAIDs), tree nuts, and pitted fruit. Concomitant medications included cetirizine hydrochloride (ZYRTEC ALLERGY) and mometasone furoate (ASMANEX). Historical vaccine includes first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, batch/lot number: EW0150), administered in left arm on 08Apr2021 at 01:00 PM for COVID-19 immunization and experienced foggy head and sore arm which was treated with Tylenol. On 29Apr2021 at 23:30, the patient experienced fever, chills, body ache, diarrhea, nausea, light headedness/faint, unable to move cause in so much pain- arms felt like lead weights, ring in ears, and lethargic. Therapeutic measures were taken as a result of all events. On an unspecified date, the patient recovered from all events.

Patient felt light headed and fainted. Patient was alert and aware immediately and did not sustain injury. Ambulance was called but patient did not end up needing.

PATIENT PASSED OUT IN DAD'S ARMS, CAME TO WHEN WE LAID HER DOWN SWEATINESS AND DIZZINESS RESOLVED ON ITS OWN

Patient felt lightheaded and states everything "went black" immediately after vaccination. Patient brought to lay down on cot. Vital signs stable. Patient states dizziness passed and she sat up and drank water/ ate a snack.

While waiting at the pharmacy after receiving the COVID19 vaccine at 6:17 pm , I have been called by the patient?s sister that her sister needs help. When I reached the patient was on the floor conscious, had pulse and reported no shortness of breath, but seemed lightheaded. Customer?s mother held customer while she?s sitting on the floor , no injury reported by customer. Pharmacy associate, was asked to call 911, and to alert Management . EMS arrived and checked patient and confirmed that the patient?s vitals were good and found out from customer that she did not eat anything since yesterday. Customer stated that she was feeling good and told EMS personnel that she did not want to be taken to the hospital. After EMS had left, customer was asked to wait at the pharmacy until she felt it's safe for her to leave. At 7:09pm , customer was asked to go home along with her mother and younger sister. Customer seemed alert, conscious and mobile.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: syncope/seizure like activity-Medium, Systemic: Hypotension-Medium, Additional Details: Patient experienced a syncope/fainting/hypotensive event immediately post vaccination that had characteristics of possible seizure activity. Patient regained consciousness after a few minutes and seemed disoriented but stable (still hypotensive). Transported to reading hospital (tower health) emergency room for evaluation

Around 10-15 minutes after receiving 2nd dose of Covid vaccine, pt complained of feeling dizzy/nauseous and having lightheadedness. She had a brief moment of blackouts. 911 was called and she was transferred to the hospital.

Fainting/syncope; high fever; lightheadedness; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 29Apr2021 at 14:30 (at the age of 17 years old) (Lot Number: EW0171, unknown expiration) as 2nd dose, single for COVID-19 immunization. Medical history reported as none. No known allergies. The patient's concomitant medications were not reported. The patient also received first dose of BNT162B2 on 08Apr2021 at 16:30 in the left arm (at the age of 16 years old; Lot number: EW0150, unknown expiration) for COVID-19 immunization. The patient experienced fainting/syncope, high fever, and lightheadedness on 30Apr2021 at 06:45 AM. The events resulted in emergency room/department or urgent care visit. The patient received IV fluids as treatment for the events. No COVID prior to vaccination and was not tested for COVID post vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient is recovering from the events. Information on lot/batch number was available. Additional information has been requested.

patient experience dizziness after receiving immunization and later fainted . Patient sat on ground before completely fainting to floor with help of mother and regained consciousness about 1 minute later. patient complained of muffled voices and trouble hearing for about 4 minutes, sweating , dizziness and shakiness. patient received water and Gatorade and cool cloth behind neck area. patient able to leave after approximately 20minutes in care of mother feeling better.

Patient began to feel faint within 2 minutes after receiving vaccine. Became pale and diaphoretic. Patient was brought to floor and began to show improvement immediately. Patient remained in observation until 9:05 AM (25 minutes after vaccine administration) and was cleared to discharge home with father at that time.

Patient felt dizzy and anxious after Pfzier dose. Patient was anxious. Had her lay flat with her legs elevated. BP was 116/70. Pt left home with mother OK.

Patient was waiting in the waiting area for 6 minutes after getting the pfizer covid vaccine when she started to feel like she was going to faint. Her mom was with her. Her mom had already given her a snack when I was notified. Pt stated her vision was blurry and her hearing was "like she was in a tunnel". She was feeling cold and was feeling scared of that feeling. I asked if I could apply a cold pack and asked her to rest the back of her head against the wall and to close her eyes. I applied the cold pack to her forehead and observed her. She started to sweat and was calmer. She was feeling better and her hearing and vision was back to normal. I had her wait for a total of 30 minutes and had my technician stay with her at that time. She was feeling better and I asked her mom to hang on to her while walking to their car. I followed up with the patient 4 hours later and she was doing well. She said she was feeling well and her arm was not even sore just some fatigue.

2nd dose Pfizer vaccine administered patient was in Observation Area and c/o of sweating and dizziness. Patient fainted for about 2 seconds. Patient arousable and VS were within normal ranges, blood sugar was 68 when being cared for by EMS. Pt states she has had this history of reaction before to vaccines. She had not eaten or drank anything since around 8pm the night before. Patient given water and a food and stated she felt better. Patient remined in Obs area for an additional 40 minutes with EMT, RN and Physician oversight.

Patient experienced syncope shortly after receiving vaccine while standing. Patient fell and remained on ground per advice of EMTs who arrived and escorted via ambulance for evaluation due to the patient experiencing nausea and vomiting upon rising back up.

Client received 1st COVID vaccine of Pfizer (Lot# EW0185 expiration 05/23/2021). At 1347, RN assisted Client to stand up from vaccination chair. Client began to have unsteady gate. Both RN and RN assisted Client back to the gravity chair. At 1348, RN and PHN responded to the event. At 1348, vital signs are blood pressure 116/72, heart rate 64, oxygen saturation 100%. Client reported no blurry vision no headache, appearance is pale. Client is accompanied by mother. Per client's mother, Client has no medical history, allergies to dogs, and a history of syncope and lightheaded with needles/vaccines. At 1352, vital signs are blood pressure 118/82, heart rate 62, oxygen saturation 100%. Client reports lightheaded, feels tired, no shortness of breath, no headache. Supplemental nutrition and fluids provided to Client . Client accepted. At 1357, vital signs are blood pressure 116/76, heart rate 63, oxygen saturation 100%. Client reports no headache, no blurred vision, lightheaded improving, feels "sleepy", and skin tone returning to appropriate ethnicity. PHN educated client and mother ED precautions, common adverse effects of COVID vaccine, and emphasize a follow up with primary care provider. At 1400, vital signs are blood pressure 118/72, heart rate 63, oxygen saturation 100%. At 1402 Client stood up with no complains. At 1403 Client walked out of vaccination facility with a steady gait accompanied by mother.

Shot given 11:58am. Within 2 minutes symptoms began with feeling symptoms: nauseous, hot forehead. I asked CVS for the nurse to help. By 12:01 patient was feeling extreme pain in her stomach, was sweating profusely, felt tingling sensation from head down to her stomach (including her arms and hands). Patient began screaming in pain. Her hands became rigid and paralyzed. She was completely unable to move both hands. Patient was able to feel if someone was touching her hands. Her face began tingling and feeling numb. Patient was lying down and almost passed our. I asked CVS to call 911 and if they should administer an epi pen. The epi pen was not administered. I (mother) went w/ child in the ambulance to Hospital. EMT monitored her vitals, which were normal. Patient was still unable to move her hands until after she was admitted to Hospital. Patient did not receive any IV r medication at Hospital. The sensation in her hands slowly came back with the numbness subsiding after about 1.5 hours in the ER. Patient was discharged at about 2:00pm on 5/16/2021.

Pt c/o feeling dizzy, muffled hearing & sweating. Pt escorted to observation and placed on cot in supine position. Pt's VS obtained by clinical staff and (EMS) called. EMS assessed and monitored pt. VS WNL. Medical incident duration from onset to medically cleared by EMS was 7 minutes. Pt reports "I am feeling much better." Pt cleared by EMS that it was safe to go home and driven by her mother.

Client was vaccinated at 1539 and was being observed for 15 minutes. After 13 minutes, client stated that she took off her bandaid and looked at the vaccination site and it made her feel faint. Client was noted be slumping out of chair and was moved into Trendelenburg position on the floor. Vital signs were taken at 1553- 115/72, 75, 18. Once responsive and interacting with mother, she was moved into chair and @ 1603, a second set of vitals taken: 118/77,70, 18. Client remained in observation and noted to be chatting with mother. Final set of vitals were obtained @ 1415: 121/75, 70, 16. Client left on own accord accompanied by mother.

Passed out; Vasovagal reaction; Dizzy; Skin was sweaty; Pale; This is a spontaneous report from contactable Pharmacist. A 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 06May2021 10:15 am (Lot Number: EW0171) at the age of 17-year-old as single dose for covid-19 immunisation. Medical history reported as none. No known allergies. The patient was not pregnant. The patient's concomitant medications were not reported. Vaccine was given, patient was sitting with her mother. Approximately 10 minutes after vaccine, she slumped to the side and passed out. When the reporter got to her she was just waking up. She still felt dizzy, skin was sweaty and pale. Paramedics arrived within 5-10 minutes to evaluate. They said they had seen this vasovagal reaction with the covid vaccine. Patient left on gurney with the paramedics. Adverse events start date was 06May2021. Events resulted in Emergency room/department or urgent care. The outcome of the events was unknown. The patient had no covid prior vaccination, no Covid tested post vaccination.; Sender's Comments: Based on a positive temporal association, a possible contributory role of the suspect BNT162B2 cannot be excluded for the reported event of Loss of consciousness. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

While waiting for 15 mins monitoring after getting Pfizer covid vaccine, she fainted and fell off the chair. She fell on the ground and hit her head. Nurse and pharmacy staff rushed to her aid. She appeared to have convulsions for about a couple seconds but regained conciousness right away. We checked vital signs : low blood pressure but high heart rate, oxygen level was good. We placed ice pack on her head where said was hurting. She and her mother refused to call 911. She felt better, however we recommended her mom to take her to urgent care for further evaluations

Pt. Is a 17 y/o female with NKA, no past medical history. Second dose of Pfizer was given in L deltoid at 1536. Approx. 1543 pt. Began to c/o of nausea and dizziness. Pt. Was moved for privacy, she verbalized wanting to lay on the floor for comfort due to her history of fainting after injections. Pt. Was A&O x4 during event. VS were performed before patient departed. 1546: 100/70 HR:71 o2:91% RR 19 (Laying) 1550: 110/80 HR: 93 o2: 99% RR: 19(sitting) 1552: 120/90 HR:93 o2:99% RR:20 (standing)

(Vasovagal Response) Felt tired and ?felt like fainting? immediately after shot. Pt laid down and elevated feet. No additional treatment needed. (Initial BP 87/58)

Attendee developed tingling in the left arm and felt slightly dizzy 5 minutes after receiving the vaccination. Assisted to a cot and her legs were elevated. HR 69 BP 118/62 RR 18 O2Sat 99%. One minute later reported that her left leg was also tingly. One minute later she was given some water and she said that she was feeling better. She was assisted to a chair and her vital signs were Hr 80 BP 120/60 O2Sat 100%. 15 minutes after receiving the vaccine she denied symptoms and was discharged to home with her mother. They were both educated on adverse reactions and she was advised to rest and drink plenty of water. Attendee walked out of the clinic independently with her mother at 5:15 pm.

Patient lost conscious and fell to the ground. hit back of head. Patient is alert and oriented. Brought to ED.

Patient became light headed and fainted from a seated position about 10 minutes after her first Pfizer COVID-19 vaccination. She doesn't think she lost consciousness. Her skin was quite warm and sweaty after this event. I had her remain laying down on the ground while she recovered and I assessed her symptoms. She felt better almost immediately so I had her move to the pharmacy office for observation for an additional 15-20 minutes. She then reported that she has fainted with shots before and she hadn't eaten anything today. Her mother said this has happened before and drove her home once she felt well again.

Patient felt light-headed and was not responding to questions. She was lowered to the ground by the pharmacist and technician. She became responsive and was confused. EMS was contacted. Blood pressure measured 110/68. Patient remained on the floor until EMS arrived and took over care.

Syncopal episode resulting in 911 response. Pt became lightheaded then lost consciousness for approximately 30 seconds. Pt did not fall and no trauma was sustained. She was taken to a private recovery area where she was placed in trendellenburg?s. Vitals signs monitored every 5 minutes. Upon EMS arrival, pt was assessed with findings unremarkable. Pt refused transport by EMS and was released from the clinic after she displayed no symptoms for 10 minutes.

Patient was extremely nervous prior to vaccine. Got shot, walked out of room to waiting area. about 2-3 minutes post vaccine, realized did not feel well. Passed out. Mom said patient felt a touch rigid and twitched a couple times, then came too. Did hit head when patient fell to floor, although was not a major hit. Patient was worked up after coming to.

Immediately after injection pt stated: "I feel like I'm going to pass out" complained of "ringing in ears" EMS lowered the patient to cot, felt nauseas at that time. Vitals: 94/56, HR 74, OxSat 98%. At 1320 pt feeling a lot better. At 1320 VS: BP 106/60, OxSat 94%, HR 66. After standing patient has no complaints and is ready to be discharged with mom.

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

Two days after receiving the vaccine, the patient fainted at the home. Has had intermittent shortness of breath, and dizziness

Patient was feeling dizzy after getting her second Pfizer Covid shot. EMS believed patient was having anxiety attack. Patient felt better after about 30 min and she went home with her mother.

Pt felt lightheaded and sweaty and heart rate dropped to 50 and blood pressure dropped to 70/30. Paramedics were called 911 and arrived at 12:32 the episode happened at 12:30 by the time the paramedics arrived she was feeling better she had been put on the floor with her legs elevated on a chair and her blood pressure has come up since then she had refused to go to the hospital because she fell back to her normal.

Pt diaphoretic, pale, nauseas, blurred vision, difficulty hearing, lightheaded, SOB, 10 minutes after receiving pfizer. Given water, vital signs obtained. HR low into the 50s, O2 sat 93-94%. Placed on a stretcher. After vitals obtained pt color returned and she stated she started feeling better. HR improved to 70s, O2 sat 97% on RA. BP stable throughout.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient recovered in about 20 to 25 minutes.

Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Fever-Medium, Systemic: JAW AND THROAT PAIN-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium

1-20 minute bouts where tics appear "seizure-like," repetitive; many persistent involuntary tics including coprolalia and violent motor tics; had one minor chronic tic before vaccination/many persistent involuntary tics including coprolalia and violent motor tics/Noticed increase in severity and frequency; many persistent involuntary tics including coprolalia and violent motor tics; Tics often include hitting oneself and banging head against things/violent; significant distress; persistent headache; chronic fatigue/sleepiness; lightheadedness; decrease in appetite; feeling of pressure in certain locations inside the head; intermittent earaches in both ears; persistent feeling of brain being "on fire," and "like a parasite has invaded the brain."; chronic fatigue/sleepiness; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female non-pregnant patient received bnt162b2 (PFIZER BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration, administered in Arm Right on 26Mar2021 as first single dose and on 16Apr2021 as second single dose (Batch/Lot number was not reported) for covid-19 immunization. Facility where the most recent COVID-19 vaccine was administered: Other. Medical history included asthma, allergy to nuts, penicillin and ongoing chronic tic. No other vaccines within 4 weeks prior to the COVID vaccine. No covid prior vaccination. Concomitant medications included duloxetine; atomoxetine; hydroxyzine; loratadine. The patient previously took amoxicillin and experienced allergies. The patient experienced neurological symptoms included many persistent involuntary tics including coprolalia and violent motor tics. Smaller tics can be suppressed for minimal amounts of time before uncontrolled, violent/loud tics occur in rapid succession. Tics often include hitting oneself and banging head against things. The patient had one minor chronic tic before vaccination. Initial onset occurred nine days after vaccination from 04Apr2021. Noticed increase in severity and frequency approximately nine days after second dose of Pfizer vaccine. Symptoms cause significant distress. Additional symptoms included: persistent headache (from date of first vaccine to present); chronic fatigue/sleepiness; light-headedness; decrease in appetite; feeling of pressure in certain locations inside the head not related to the skull or skin; intermittent earaches in both ears; persistent feeling of brain being "on fire" and "like a parasite had invaded the brain, start date was 26Mar2021; and "1- 20 minute bouts where tics appear "seizure-like," repetitive, violent, and controlling". The patient underwent lab tests and procedures which included Spit test: negative (other) on 26Mar2021 and Apr2021, Covid test: negative on 26Mar2021 and on Apr2021. The events resulted in: Doctor or other healthcare professional office/clinic visit. No treatment received; the patient was not recovered. Information on lot/batch number has been request.

Site: Pain at Injection Site-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: BP 103/65 Pulse 62-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: EMS was called but she went home with her mother and slept the rest of the day, she had a sore arm on Tuesday but was otherwise fine per mom.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Headache-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: Patient was given Pfizer vaccine, told to remain in waiting area for 15 minutes. Immediately after shot she seemed and and was conversing with me normally. 2-3 minutes later her dad noticed that she was tipping over and called for help. When I rushed over, pt was moved to the floor, close to passing out, very weak and shaky. We called 911 - she was responsive. she laid on the floor until ems arrived at which point they took over and took patient to get further checked out.

Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium

Syncope approximately 3 minutes after shot with resulting head injury. Pt conscious on paramedic evaluation with hematoma on forehead. Unable to walk without assistance. Pt's mother chose to drive her for follow up at ED against recommendations of reporter. Fire Department wheeled pt to personal vehicle. Unknown dispositions/outcome.

Within 2-3 minutes she felt sick and dizzy, then became clammy and unresponsive. She was moved to the floor and regained consciousness within 1 minute. Was given water and a snack and felt better. She left happy and healthy, she does not like needles/vaccination - so she had anxiety from the vaccine.

The patient felt dizzy and weak then fainted while her mom was holding her . Her mom gradually led her to the floor from a sitting position. She felt nauseous and dizzy. I laid her on floor with her feet elevated on a chair with her head to the side so she would not aspirate if she vomitted.. She felt better after a while and wanted to sit. When she was sitting in the armchair she vomitted and said she felt worse, so I then called 911. They evaluated her and her blood pressure was very low and they gave her iv fluids and took her to the emergency room

Pt experience dizziness & temporary blindness post vaccination. BP 88/56; HR 73; RR 17. Rechecked BP 10 min later 97/68; HR 72; RR 16. Pt was stable & released from vaccination site

FELT DIZZY AND HAD A WITNESSED SYNCOPAL EPISODE, TRANSPORTED TO COT, APPEARED DIAPHORETIC AND PALE. PARAMEDIC CAME, BP 86/51, HR 49, OFFERED HYDRATION, SX RESOLVED, NO TRANSPORT, AMA SIGNED.

Patient was very anxious and breathing heavy. About 5 minutes after the vaccination they started to hyperventilate and ended up throwing up. After letting them sit and relax for 5 minutes, the patient then had to throw up again and told their mother they felt like they were going to faint. Mother and myself stood by, while patient did end up fainting. We slowly lowered them to the ground, and on the way down their body got stiff and patient had uncontrollable movements and was hardly responsive. Mother and myself finally got her safely to the floor as they came to and was responding to verbal ques and stimulation from mother. Mother went to get water and i stayed with the patient to ensure no other things happen. Patient ended up doing alright after relaxing for a few and then i walked them and mother to their car and ensured they were feeling good enough to go home. I then advised the mother to seek medical attention.

First on Saturday May 22 had sore arm, then pain that thought was possibly heartburn/indigestion, fever over 100. Took acetaminophen and tried Tums. Then on Sunday May 23 chest pain that didn't feel quite like indigestion and fever over 100. Continued acetaminophen and Tums. Monday May 24 felt like heart was fast, hot flash type feeling like could faint and some light headedness/off feeling, continued chest pain. Pediatrician prescribed omeprazole to see if helped, did EKG. Checked in on Wed May 26, no change except no fever and light headedness improving. Referred to cardiology.

Roughly 2 minutes after receiving her I am Pfizer vaccine, patient told mother that she was feeling slightly lightheaded. She proceeded to lose consciousness. Mother honk the horn and alerted staff to come to help. Patient was in the car on the passenger side, patient was fully sitting up. I reclined her all the way down in her passenger seat, she was slightly gasping for air, Ambulance was called for evaluation. She had loss of consciousness for approximately 30 seconds. She regained consciousness and said she was feeling confused as to what it happened. Denies any feelings of needing to vomit, Or post ictal symptoms. EMS and fire we?re on scene by then, report given to paramedics on site. Patient declined further medical treatment and Ian made with the ambulance. after this stating she was a little tired. She continue to wait for 30 minutes, she had 1 episode of emesis and felt better. At the site with no issues.

Patient developed warmth, clamminess, nausea and lightheadedness shortly after her shot. She admitted to near syncope, but there was no LOC. No tunnel vision. Symptoms resolved on their own. VVS throughout. No orthostasis.

Pt w/ Syncope and dizziness. BP 115/71, HR 65, RR 12 -- > 115/68, 73. Pt stable and released from the vaccination site.

Patient experiences blurred vision, hot, dizziness at the observation area after the vaccination. Her pupils were dilated and her lip was pale. She felt better after zip of water and felt normal after few minutes.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Patient received 1st dose of pfizer vaccine. Less than 1 minute later patients mother alerted us that the patient had lost consciousness. She was immediately laid down and gained consciousness within 10 seconds. She stated feeling lightheaded, sweaty, looked pale and felt like she was in a trance. 1st BP reading (111/67), 2nd BP reading done 15 min later (106/59 & HR 65). After 30 min of monitoring patient was able to leave.

Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: Following 2nd covid-19 vaccination, patient became very lightheaded and fainted while seated in chair. After coming to again, she was very pale, having a hard time controlling her breathing and stated she couldnt see. 911 was called and upon the paramedics arriving, blood pressures both sitting and standing were taken, as well as a blood glucose reading. The patients blood pressure was low but stable, and her blood glucose reading was normal. Patient walked out of store with paramedics and Mom.

patient was nervous/anxious about the shot. Sat in chair and received shot in the left deltoid with no issue. Stood up to leave a minute later and told her mom that she felt dizzy and nauseous. We had her sit back down and she got a little shaky. Face seemed to loose all its color. she said everything went black and she was dizzy. she closed her eyes and laid her head back against the wall. I left the vaccine room to alert my pharmacist and as I walked out the door the patients brother said that she had started shaking like she was having a seizure and she passed out. She was seated and mom was supporting her while we called 911. patient came to within 30 seconds or so and was lethargic and dizzy still. Pharmacist too her blood pressure while waiting on emt and it was 102/52, heart rate 64. emt arrived and took over. emt was with the patient for about 10 minutes then left with her on a stretcher. emt left notes that her vitals while sitting were 93/56, heart rate 66, o2 100%. standing 80/50

Patient had nausea and dizziness after the vaccine ; patient vomit but after that felt better and left the pharmacy

Patient exhibited a seizure like episode that lasted approximately 15 seconds. Patient was placed on the ground in a supine position where she regained consciousness. 911 was notified at 1401. Patient with clammy and pale skin. At 1405 BP was 122/69, HR 100, RR 18. Attempted to put patient in chair, once in chair she began to feel dizzy and was placed back on the ground in a supine position.. At 1410 BP was 122/58, RR 20. Blood sugar at 1413 was 92. Patient was able to sit up on the ground and was given juice and crackers. Patient continued to have pale and clammy skin. Alert and oriented x 3. EMS arrived and patient transported to hospital.

received the first dose of the Pfizer COVID-19 vaccine and also recently started taking Depo-Provera. After receiving the first dose of the Pfizer COVID-19 vaccine her daughter developed a blood clot; tired and frail; feels lost and light headed; cramping pain; This is a spontaneous report from a contactable consumer (Patient's mother). A 17-year-old female patient received first dose of BNT162B2 (BNT162B2) via an unspecified route of administration, administered in Arm Right on 03May2021 15:00 (Batch/Lot number was not reported) as 1ST DOSE SINGLE for covid-19 immunization and medroxyprogesterone acetate (DEPO-PROVERA), route of administration, start and stop date, batch/lot number and dose were not reported for contraception. The patient's medical history and concomitant medications were not reported. The patient experienced received the first dose of the pfizer covid-19 vaccine and also recently started taking depo-provera. after receiving the first dose of the pfizer covid-19 vaccine her daughter developed a blood clot, tired and frail, feels lost and light headed and had cramping pain all on unspecified dates. It was reported that after receiving the first dose of the Pfizer COVID-19 vaccine her daughter developed a blood clot. Her daughter, who is currently on Depo Provera got her first dose of the Covid 19 vaccine. The daughter has been experiencing blood clotting and would like to further document this experience. Is also seeking medical advice to inform her daughter. Her daughter Has been on Depo Provera for 4 to 5 months. Since she had the Covid vaccine, she has been having bad blood clotting and has been having a continuous period. When she got the shot, she has been getting blood clots straight for three weeks. Patient is Tired and frail: She is a waitress, so all of this has made it hard. It started right when she got the shot and has pretty much stayed the same. She will feel like she is lost when she wakes up and is light headed from the loss of blood. It occurs when she is doing activities, like working. Patient took some Midol one day for cramping pain but it barely did anything. The action taken for medroxyprogesterone acetate was unknown. Outcome of tired and frail was not recovered. Outcome of all the other events was unknown. Information on Lot/Batch number was not available. Additional information has been requested.

Client Received the 2nd dose of Pfizer COVID vaccine lot #ER8735 and expiration date 07/04/21 at 1:34pm. At 1:34pm, client reports to vaccinator that she feels dizzy. Vaccinator offer client water and client starts drinking it. PHN 1 & PHN 2 arrive client reports she "feels weird" PHN asks client to explain and client is unable to describe. Client is alert and oriented X 4 and is already seated in zero gravity chair due to reporting history of syncope. Vaccinator offered client water and client starts drinking it. Client reports no headache, no shortness of breath, no blurred vision, no chest pain, just dizziness. At 1:34PM vitals heart rate taken manually by PHN :72 and blood pressure: 128/74, unable to get oxygenation due to long acrylic nails. PHN gets report from mother that client reports with the first dose something similar happened that she experienced dizziness after vaccine. Client was kept in observation and symptoms resolved prior to client going home. Clients mother reports no medical history, no medications and no history of allergies. At 1:36PM PHN gets called away for another adverse reaction and PHN stays with client. At 1:39pm client reports dizziness is resolving but still "feels weird", PHN asks client to clarify what weird means and she says "it feels like my heart is slower." At 1:40pm client reports she is feeling sleepy, PHN attempts to call 911 and gets disconnected. At 1:41pm vitals: blood pressure: 130/82 and pulse:134. At 1:42pm PHN calls 911 again to reconnect and observes clients lips look purple, closed eyes but able to answer questions and speak in complete sentences. Ask RN to get AED as instructed by 911 dispatcher. At 1:45pm, client reports having trouble breathing and RN placed zero gravity chair to laying position and assist client with coaching her to take slow deep breaths. Fire department paramedics arrived at 1:47pm and assumed care. Client was wheeled out on a gurney at 1:50pm.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PT fainted several minutes after vaccination and fell out of the chair. Pt regained conciousness immediatly after fall but suffered minor injuries to the face and knee (rug burn). She felt nauseous, light headed, dizzy and was pale and had cold clammy skin. She regained her complexion after 15 minutes and rested for 45 minutes before leaving.

Patient received Pfizer vaccines on 5/7/21 and 5/28/21. On June 1, 2021, she started to notice LEFT arm weakness while texting. She presented to the emergency room June 2 2021 with LEFT arm and leg weakness, difficulty walking, and slurred speech. Over the next few days, sx progressed to dense hemiplegia of the LEFT arm > leg.

Day after vaccination, patient reports intermittent fevers (Tmax 104F), neck pain that radiates down her back, and is interacting a lot less than usual, The following day, she was unable to walk at all and required being carried to use the bathroom. Patient denies and fevers, cough, gi distress. She does states that she is not feeling short of breath at this time, but is having weakness in her hands as well as her legs. Additionally patient states that she has been having chest pain today that comes and goes. On neuro exam Mental status: Appears to be distressed due to photophobia. Lethargy, however easily arousable, able to have a conversation, attention intact to spelling "globe" backwards, intact to high and low frequency words. Able to name and repeat. Speech: Mild dysphonia Cranial Nerves: II: Pupils equal, round reactive III/IV/VI: EOMI. Pupils move in all four cardinal directions VII: Face symmetric when talking, however limited effort to excursion on command VIII: Responds to voice IX/X: Voice normal XI: Turns head side-to-side XII: Tongue midline Motor: Normal bulk and tone. Resistance met to passive motion of BLE RUE/LUE: shoulder abduction 4/5, elbow flexion/extension 5/5, wrist flexion/extension with give-way weakness up to 4+/5, finger flexor 4/4 RLE/LLE: On command, 0/5 -however able to support her legs in a flexed position bilaterally, with encouragement 5/5 on dorsiflexion. Able to support her weight on her legs, however does not walk slowly sits back on the bed. Sensory: Intact to light touch, proprioception intact Coordination: No obvious dysmetria on FNF testing DTR: 2+ brachioradialis, bicep, patellar, ankle b/l. Plantars mute. Absent pathological reflexes: Hoffman, cross adductor

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PT fainted and fell out of the chair several minutes after administration of vaccine. Pt regained conciousness immediately after fall. Suffered minor injuries to the face and knee (rug burn) and felt dizzy, lightheaded, and nauseas for at least 15 minutes before regaining complexion. PT discloses after incident that she has issues fainting with blood draw and some injections. PT rested for 45 minutes in the store before leaving. Vitals reviewed are normal before leaving the store

Pt reported that she felt dizzy and sleepy and endorsing weakness after covid vaccine. Pt was sent to the emergency department. Pt felt better after eating and was able to ambulate with no dizziness or weakness. Pt stated she "feels better" and left.

Per the caregiver, the patient developed dizziness after the 15 minute post COVID vaccine observation. Caregiver advised the patient to tell the nurse about it but patient stated that she wants to just leave. While walking to the car, the patient was still conversant and still dizzy. In the car, the patient was noted to be none conversant. Caregivers asked for assistance. Code Assist was called at 3:50 PM. MD and nurses arrived, VS were within normal, patient was just having blank stares and not responsive to verbal commands. 911 was called. EMS arrived and took over. At 4:08 PM, the patient got out of the car and transferred to the gurney. Patient was awake and still not responding to questions.

Patient reports that her 2 menstrual periods post vaccination over the last 2 months have been accompanied by severe cramps, lightheadedness and dizziness and nausea. Concerned that this is related to the Covid vaccine.

17 y/o F with a hx of asthma and GBS presents to the ED for weakness and difficulty moving beginning on 6/7/2021. Pt got her second COVID-19 vaccination on 6/6/2021 and has had an intermittent fever since (Tmax 104 F). Pt has been taking Motrin and Tylenol; last dose was at 07:00 today. Note, pt only had a fever after the first COVID-19 vaccination. Mother reports pt's baseline includes normal range of motion. However, in 2016 pt was diagnosed with GBS and was hospitalized for temporary paralysis for 1 month. Pt was also diagnosed with mononucleosis in 2017. Mother reports pt has also had neck pain that radiates down her back, and is interacting a lot less than usual. Pt denies any confusion, but admits to a mild headache. Differential Diagnosis: Guillain-Barre Syndrome, status post vaccine, tick paralysis, thyrotoxicosis, consider meningitis and other infectious causes like UTI, URI. Patient admitted to hospital.

PT WAS SITTING IN WAITING AREA, WAITING THE REQUIRED 15 MIN POST-VAX, JUST A FEW MIN AFTER ADMIN, PT STARTED TO FEEL FAINT, LOOSE COLOR IN FACE AND BREAK OUT IN SWEAT. NO S/SX OF ANAPHYLAXIS. LOWERED PT TO THE FLOOR AND ELEVATED FEET. COLOR IMMEDIATELY RETURNED TO FACE AND PT REPORTED FEELING BETTER IMMEDIATELY. PT REMAINED CONSCIOUS THROUGHOUT. CHECKED BP 113/79 PULSE 69. HAD PT WAIT ANOTHER 15 MIN THEN LEFT WITH NO FURTHER COMPLAINTS.

Patient became dizzy, had heaviness in her limbs, was pale,had blurred vision - none of these symptoms improved, so 911 was called.

Within seconds of receiving the 2nd PFizer covid vaccine, the patient slumped over sideways in her chair, losing consciousness. Next, her arms went straight and locked, both her hands locked in a curled position. I looked up at her face and her eyes had rolled back into her head and her body started jerking. Shortly after, she sat upright in chair with her eyes open and didn't realize what had happened. She said a tingling sensation had gone up her arm. She was extremely pale. My tech called 911. I took her blood pressure which was 88/46 with a pulse of 45. As we were waiting for paramedics, she said she was sweaty and started getting abdominal cramps. Paramedics arrived and took over her care.

4 minutes, post injection, became dizzy, was laid on cot - vitals stable, remained dizzy - was given orange juice (had not eaten this day) & her mom gave granola bar, was closely monitored x15 minutes, then was assisted to sit up and closely monitored x15 more minutes. Felt her usual and left site with her mother.

17 y/o F with a hx of asthma presents to the ED for weakness and difficulty moving beginning on 6/7/2021. Pt got her second COVID-19 vaccination on 6/6/2021 and has had an intermittent fever since (Tmax 104 F). Workup including brain and spine MRI, and Lumbar puncture with CSF studies all normal. Of note patient had Guillan Barre Syndrome in 2016 which required 1 month of hospitalization.

Passing out; Feeling very faint; high fever (103 degrees Fahrenheit); Body aches; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient (not pregnant at the time of vaccination) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 27May2021 16:00 (at the age of 17years) (Batch/Lot number was not reported) as unknown, single for Covid-19 immunization. Medical history included ADHD (attention deficit hyperactivity disorder) and known allergies to Sulfate. Concomitant medication included tilactase (LACTAID) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 28May2021 12:00, the patient experienced very high fever (103 degrees Fahrenheit) for at least more than 2 days, body aches, feeling very faint, passing out whenever she stands up for more than a couple of minutes. There was no treatment received for the adverse event. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. The outcome of events was not recovered. Information on the lot/batch number has been requested.

She has fainted and pass out; She has fainted and pass out; She fell down and hit her head and all of her left eye; She fell down and hit her head and all of her left eye; she was like in pain; she needs help with her balance, walking; This is a spontaneous report from a contactable consumer (patient's grandfather). A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) (at 17 years of age), dose 1 via an unspecified route of administration, administered in arm right on 27May2021 17:15 (Batch/Lot Number: EW0187) as 1ST DOSE, SINGLE for COVID-19 immunisation. Medical history was none. Family history included her grandmother had diabetes. The patient's concomitant medications were not reported. It was unknown if the patient was pregnant. The patient did not have any prior vaccines. It was reported that the patient received Pfizer vaccine. She was under 18, she was 17 and she had a very bad side effect from it. She got her first dose yesterday (27May2021) and she had a bad reaction and was rushed to the emergency room. She fainted and passed out and she was like in pain and she was out like about four minutes. Just all of a sudden and then after she got out of it and then they needed to rush into the emergency room. She fell down and hit her head and all of her left eye. They took her to the emergency room. They did every test, they checked everything, and they said it was a bad side effect from the vaccine. She got her vaccine around, it was like about 5:15 pm in the afternoon and the incident happened like about 7:20, 7:30. She was trying to recover, she needed help with her balance, walking. She was trying to rest. The doctor in emergency room said that she had to rest, if side effects continue or happen again then she had to go back to the emergency room. Not really. They did some lab tests yesterday (27May2021) in the hospital. They don't know what they did. There was complete blood, there was CBC done. They did CT scan of her head, X-rays for her arm. They have here PMP, the reporter was not sure as they have different kind of blood test. They have calcium level 1, glucose level, there are so many different test names such as WBC and RBC. When asked about treatment it was reported that 'No, they did not prescribe her any medicine'. They told her for any pain, from the fall she found hit her head she could take Tylenol regular'. The events occurred on 27May2021. The outcome of 'fainted and pass out' was recovered on 27May2021 (she was out like about four minutes); 'she needs help with her balance, walking' was not recovered; while outcome of other events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

About 10 minutes after vaccination, patient felt lightheaded, nausea and appeared to be pale. She was nervous and felt scare at the time of vaccination. We found out patient didn't eat and wasn't hydrated. We provided water, orange juice and father approved for us to call paramedics. Paramedics didn't take her away. We were informed that patient had low blood pressure but did not go to the hospital. I followed up with patient and she said she was okay and she had food to eat. I informed patient to try to reach out to the family physician for follow up and discussion about the vaccine.

Patient had vaccine administered at 10:11AM. Patient returned to pharmacy with parent (mom) visibly weak and incoherent approximately 15 minutes after receiving vaccine. Patient was moved to pharmacy waiting room and blood pressure was immediately taken. Patient did not report difficulty breathing, swelling of lips, tongue or throat. Just that she was very dizzy and could not hear. Blood pressure 75/30, Heart Rate 44 bpm. with first reading. Second reading 75/30, Heart Rate 50 bpm. EMS was activated immediately and arrived approximately 5-7 minutes. Patient was provided with bottle of water and remained under pharmacist observation until EMS arrived. Patient did not lose consciousness and reported feeling better after sitting down. EMS reported her blood pressure was 80/54 and patient was taken to the hospital for fluids and further observation.

Patient had syncopal episode within 4 minutes of vaccination and felt to floor. Hit head. Regained consciousness and was transported to ER by EMS.

seizure like event; Dizzy; Her head, neck, back and legs stiffened up/her entire body stiffened; This is a spontaneous report from a contactable pharmacist. A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 27May2021 (at 17-year-old) (Batch/Lot number was not reported) at 1st dose, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On Thursday 27May2021, a few minutes after the shot she started having a very small episode of seizure that lasted for maybe 1 or 2 seconds then after that she felt a little dizzy after that and then she was fine. It's described as a very brief seizure like event. Her head, neck, back and legs stiffened up and if she would have been sitting on a stool she probably would have fallen out of her seat. She was sitting in a chair that had a back to it, though, so she did not fall out of the chair. She did not every lose consciousness and he stated that this was not a syncopal event. He reported that it happened very quickly and multiple people did not even notice that it happened. Her entire body stiffened, however, "she stayed with us throughout the entire event and it only lasted a couple of seconds before her body went back to normal position, The reporter offered to call an ambulance the day of the event but the mother of the patient declined. The mother was advised to have her daughter seen by a medical provider for follow up care given the event. The mother also told the pharmacist that the patient would not be receiving the second dose and the pharmacist encouraged her to have this conversation and make that decision with the pediatrician or medical provider. Caller stated that he personally gave about 100 doses of the Pfizer BioNTech COVID-19 vaccine on that day and this was the only serious reaction that he witness. The outcome of the events was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based from timing of occurrence, the event that occurred with the patient post vaccination which Is seizure like phenomenon cannot be totally ruled out to be not related suspected drug BNT162B2. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Tinnitus-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium

At around 9:25 am on Thursday, June 17th, 2021, seventeen-year-old patient walked into the vaccination site. She was accompanied by two guardians, along with 14 other minors. The minors came in for their 2nd shot of Pfizer Covid-19 vaccines. Patient signed all necessary consent forms and pre-vaccination checklist requirements with guardian and entered the vaccination section at around 9:35 am. The Pfizer vaccine was administered at 9:39 am. Observation nurse reported that around 10:06 am the patient complained about having a severe headache, ?seeing stars?, feeling very dizzy, and not feeling well. Nurse assisted patient to lay down on the mat in case the patient may faint. Charge nurse obtained a pulse oximetry reading of 95% and a pulse of 96. Charge nurse checked if the patient experienced any symptoms of hives/redness, shortness of breath, or any difficulty breathing or swallowing. The patient complained to observation nurse that she was having a hard time breathing, severe headache, and chest pain. Observation nurse instructed patient to be calm and to relax. Charge nurse instructed the patient to take deep slow breaths to help increase O2 levels but the patient complained to the observation nurse that she cannot breathe through her nose. At 10:15 am charge nurse continuously monitored the patient?s B/P, pulse, and O2 level readings. The BP reading was 117/64 with a pulse of 78 and an O2 level of 100%. At approximately 10:16 am, patient started showing signs of change in LOC and lost consciousness for a few seconds. First responder paramedics from the first minor incident were still at the scene waiting for the 2nd ambulance to arrive. The first responder paramedic did a sternum rub using his knuckles with a closed fist to the center of the patient?s chest and immediately after the patient gasped for air and regained consciousness. The patient remained in a sitting position on the floor to be able to breathe easier. At approximately, 10:18 am charge nurse took another BP reading of 121/76, a pulse of 96, and O2 level of 99%. At approximately 10:20 am, patient started exhibiting a change in LOC and was very disoriented again. Observation nurse kept calling the patient?s name but did not get a response. This lasted for around 30 seconds while the patient gasped for air before becoming responsive again. At this time observation nurse observed that patient could not recall her name and did not know how she got there. At approximately 10:22 am, charge nurse took another BP reading of 165/133, a pulse of 122, and an O2 level of 96%. At around 10:24 am, the charge nurse took another BP reading of 112/78 and pulse of 112 with an O2 level of 96%. The second ambulance arrived at approximately 10:26 am and took over. The second ambulance?s first responder paramedics left with patient at approx. 10:29 am and took her to hospital for further observation.

I felt really dizzy. Every-time I bend down to get something or when I get up to fast, I get a rush to the head and get dizzy. I get headaches every now and then but it?s only happened when I had the shot

around 7:00 pm in the evening, she had a syncope episode. Video footage shows she is standing in line with other children, and just faints and falls to the floor. Initially she was not responding much to EMS and to FNP that received her, EKG was completed, and VS were within normal limits. She received lab work, UA, and CT of Head as she appeared to have hurt her head at time of fall. Few hours later, when FNP checked on her again, about 9:50 pm, she was more responsive, answering his questions and doing much better than when she initially arrived to hospital around 8 pm. She was verbal, and VS were within normal limits during my time with her at the hospital

Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient nervous/anxiety about shot, patient received shot. Approximately 5 min after vaccine, during patient's 15 min, patient became lightheaded, then fainted. Patient then became responsive less than a minute after fainting. 911 was called at 6:58pm. EMT arrived, took over and patient/mother declined to hospital transportation. Patient left pharmacy on own.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Tachycardia-Mild, Additional Details: EVENT OCCURED WITHIN 5 MINUTES OF ADMINISTRATION. DURATION OF LOSS OF CONCIOUSNESS LESS THAN 10-15 SECONDS. PULSE PRESENT AT WRIST IMMEDIATELY FOLLOWING REGAIN OF CONCIOUSNESS. PER PATIENT AND CAREGIVER, PATIENT HAS HISTORY OF SYNCOPE WITH IMMUNIZATION/BLOOD DRAWS. PATIENT ABLE TO WALK OUT OF BUILDING FOLLOWING 30 MINUTES OF OBSERVATION INCLUDING ELEVATION OF FEET, EVALUATION OF BP/PULSE (104/60 MMHG/87 BPM), AND INGESTION OF WATER AND CRACKERS.

Bilateral knee swelling and pain (severely limiting mobility to the point of being unable to walk due to pain/swelling), rash (c/f erythema nodosum) for 2-3 weeks (presented on 6/18/21). Concerning for flare of JIA vs other autoimmune etiology (infectious studies mostly negative, though some studies pending). Diagnostics ongoing.

Systemic: Body Aches Generalized-Medium, Systemic: Hyperventilation-Medium, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Pt began to display symptoms related to anxiety that progressed to hyperventilation/nausea/full on body aches/ pt states she was then unable to move her arms/legs/hands due to body aches. Pt reported that her body was aching and that she was feeling nauseated. Pt's fingers were turning blue due to intense clenching. Paramedics/Ambulance called for so pt can be further evaluated.

About 5 minutes after shot, pt felt extremely unwell, really hot, pale, blurry vision, confusion, and feeling of fainting. After an ice pack , and Gatorade pt felt well enough to go home approx. 30 minutes after shot

Patient parents reported their daughter "froze 2 times like a seizure happened" a few days after the second Pfizer dose had been given. Patient also reported dizziness, arm soreness, and many severe headaches. patient mom said her daughter has recovered, however she continues to have some headaches.

Upon walking to recovery area patient went pale and fainted. Witnessed fall, fell and hit head on the floor. Vital signs taken: BP:110/60 HR:70 SpO2: 98% in RA. Pt initially did not recall receiving vaccine but when asked orientation questions, she answered all appropriately (A&Ox4). Within five minutes EMS on scene to assess pt. Pt could not recall last meal, BG checked and was 91. Upon sitting up pt was nauseated and dizzy. Pt transferred to ED for follow up care.

Severe abdominal and back pain starting at 7:20 May 25, 2021. No otc med worked to relieve pain. Could not get out of bed. Called pediatrician.

whole body ache; dizziness; chills overnight; bad headache; Nausea; This is a spontaneous report from a non-contactable consumer (patient). A 17-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL3248; expiration date: not reported) first dose via an unspecified route of administration, administered in arm left on 14Jan2021 at 15:30 as 1st dose, single and second dose via an unspecified route of administration, administered in arm left on 04Feb2021 at 15:30 (lot number: EN5318; expiration date: not reported) as 2nd dose, single (age at vaccination was 17 years) for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient did not receive any other vaccine in four weeks and had no COVID prior vaccination. On 05Feb2021 at 01:30, the patient experienced chills overnight, whole body ache, bad headache, dizziness, and nausea. No treatment for reported for the events. The patient had not COVID tested post vaccination. The outcome of the events was resolving. No follow up attempts are possible. information about lot/batch number cannot be obtained.

Severe neck and upper back pain, headache, dizziness, and vision disturbances began 5/22/21. She was seen at urgent care about 5/27/21 and at her doctor the following week- misdiagnosed twice with myofascial pain. Symptoms mostly persisted. On 6/22/21 she saw an optometrist for the visual disturbances and was diagnosed with bilateral papilledma. Optometrist called us 6/23/21 and advised us to take her to the emergency room immediately. After many tests (below) she was diagnosed with Idiopathic Intracranial Hypertension.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Additional Details: She has a history of vasovagal reaction to needles and blood draws. Provided her with water and crackers and observed for about 30 minutes.

This was the patient's second dose of the Pfizer COVID19 vaccine. The patient came with her mother. She was slightly nervous before getting the vaccine. The vaccine was given to her; she was pleasantly surprised that it barely hurt and even said "wow that was nothing!". Her mother did mention that the patient got her first dose at a clinic where the pharmacist who gave it to her gave the vaccine very roughly and the patient and her mother were in tears after the FIRST shot at clinic so they were so thankful that it barely hurt for her SECOND dose. Then we started talked about traveling and everyone was engaged in a pleasant conversation for about 5 minutes. Then suddenly the patient almost fell to the side but thankfully the chair that the patient was in had armrests and her mother caught her. We gave the patient a bottle of Sprit soda for her to drink. The patient was still in her chair and resting against her mother and said "I'm fine" but her mother insisted that we call 911. So 911 was called while a pharmacy team member stayed in the room to help keep and eye on the patient. After 911 was called that patient didn't need to rest against her mother anymore but she looked very pale and looked like she wanted to throw up. Shortly after the fire department and EMS came and took over the situation. When EMS came they said it probably sounded like a vasovagal reaction. Afterwards they cleared the situation and the patient and mother were fine afterwards (patient regained color in her face and looked and sounded normal).

The patient came in for her first dose of vaccine. I verbally asked if she had any health conditions, allergies, andy reactions to previous vaccines. The mother answered for her and declined all. Once the patient filled out the paperwork and received the vaccine she stated she felt light headed. I noticed quickly she was about to faint. We put a chair under her and sat her down. She became unresponsive, but was breathing fine. She began to sweat and her pulse decreased. I asked for someone to call 911 and find her mom. I attempted to check her blood pressure but was unable because of her positioning. She was breathing fine and was answering short sentences but was speaking slow. Right after we called the ambulance she asked what happened and said she was feeling better. Shortly after the ambulance arrived and checked her out. Her mother declined transport to the hospital.

light headnes and down to floor but was concious and speakable and mother and patient refused to call 911 eventhough pharmacist on duty offered.

Vaccine given at 1845 @ 1851 Raven describes feeling dizzy, hot, and ringing in her ears Was in standing position , encouraged to sit, denied nausea- offered juice, applied pox/HR monitor HR 78 , pox 98% on RA 1855 ringing in ears subsided, verbalized feeling better drank full offering of apple juice and some sips of water Continued to monitor for full 15 min post vaccine Escorted to door at 1900, verbalized feeling well

Dizzy; Headache; This is a spontaneous report received from a contactable consumer, the patient. A 17-years-old non-pregnant female patient received unknown dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EP7534) in the left arm on 22Mar2021 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history included alopecia and eczema. The patient was allergic to peanuts, tree nuts, sesame, shellfish, gluten, corn. Concomitant medication included ALLEGRA, PROBIOTIC, unspecified birth control pill and biotin. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 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 22Mar2021, within 20 minutes of vaccination, the patient was dizzy and had a headache. The event of dizziness lasted for a couple of hours. The patient did not receive treatment for the reported events. The events did not result in doctor or other healthcare professional office/clinic, emergency room/department or urgent care. The clinical outcome of event dizziness and headache was resolved on an unknown date in Mar2021. No follow-up attempts are possible. No further information is expected.

Ongoing low grade fever 99-101 that has not dropped. Worsened chronic fatigue, brain fog, pain, and orthostatic intolerance that worsen with exertion. (Symptoms alleviated after the first 3 days but did not disappear and are debilitating. Not able to work/be up for more than 1-3 hours a day). Still in the process of diagnosis. Please contact the listed doctor for more information.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Pt fainted/blacked out while sitting down on her mothers shoulders. She blacked out for a few seconds may have had a mild seizure or could have been shaking. Laid patent flat and used moms soft backpack to put under her head. Had bystander call 911 when onset of shaking/seizure that lasted for a couple seconds 2-3 minutes. Fire department came to evaluate pt. All vitals were normal. They think it was sycopy and pt was scared and nervous of needles and only had a protein bar for lunch.

Patient experienced vomiting/dizziness within minutes after administration. She felt better after drinking water and eating crackers.

symptoms of dizzyness started 3 weeks after receiving 2nd COVID vaccine and were occurring daily at the point she was seen in office on June 18, 2021 Instructions were given to increase hydration and salt intake, consider if symptoms could be related to oral contraceptive use;

Severe muscle spasms in which her legs from her waist down was jerking upward. It would lift off the bed or off the floor. She couldn't walk. The jerking was every two minutes. Uncontrolled twitching or muscle spasms. It lasted from 05:00 am until about 11:00 pm. We took her to the ER. She also had a migraine and then her left foot where she has the nerve pain was inflamed. They gave her the Taradol and that and the calcium seemed to calm it down. They followed up with the neurologist at the hospital while she was there as the doctor in ER said she hadn't seen anything like that before.. We were sent home at midnight and by the following morning, it was gone. Doctor's notes: lower body twitching/lower extremity twitching. No treatment at home after the ER visit.

The Chief Complaint is: 17 y/o F with history of PCN allergy (reports "anaphylactic shock" as a child) presents for first COVID vaccine. Discussed risk of remote PCN allergy and merits additional observation here after vaccination. Patient agreed to vaccination. During observation period the patient became tearful and stated she was feeling dizzy. This was about 15 minutes after the injection. She was taken to the treatment area for assessment. Endorsed dizziness, headache, twitching, anxiety. Denied dyspnea, itching, globus, chest pain (or pain of any type), abd pain or swelling. 17 y/o F with dizziness, anxiety but does not appear to be having a vasovagal or anaphylactic reaction. Recommend further observation - called EMS for evaluation and transport to medical facility No treatment given as BP normal, no rash or symptoms of anaphylaxis. Will file VAERS follow up but most likely cause for symptoms currently is anxiety.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tachycardia-Severe, Additional Details: pt was very complusive and her eyes rolled back. Started sweating, pulse rate going up, light headed

Knee is so swollen that he cannot stand up/walk; knee is so swollen that he cannot stand up/walk; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old non pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: Unknown); via an unspecified route of administration in the left arm on 25Mar2021 at 12:00 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient did not take any concomitant medication. The patient had no known allergies to medications, food or other products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 25Mar2021 at 19:30, the patient experienced swollen knee that she cannot stand up/walk. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the reported event. The clinical outcome of the knee swelling and walking difficulty was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained

After the shot was administered, patient was asked to sit for 15 minutes for monitoring. Within 5 min after administration, patient said she was feeling hot and sweaty. We provided patient with a cold bottle of water and ask her to take small sips. Also gave her ice pack to apply to get her to cool down. After few more minutes, patient stated that she was itchy and having burning feeling thru her body. We asked the mother to see if she would like us to call 911 but the child told the mother she will let us know if that was necessary. We asked her to sit longer at this point because of how she was feeling. Few more minutes passed by and patient was starting to feel a little better but the burning didn't go away. She tried to take a walk with her mom in the store to see if she can shake it off, but returned after about 10 min stating that when she walks, the burning feeling is getting to be excessive in her feet. So I asked her to sit for few more min and said they are ok to leave when they feel comfortable but if condition worsens, they should go to ER. I told mom to keep very close eye on her and that she should lay down when she gets home. Next morning, I followed up with a phone call. Spoke to patient and she said everything seems fine now and that it started going away after few hours of administration.

pt received her shot and was told to sit and wait for 15 minutes- pt instead walked around the store and then felt lightheaded and fainted. pt was conscious and claimed to feel nauseous as well. we gave her water and some crackers and pt felt better and like she did not need any further medical attention. called pt this morning to check on her and pt father reported that she is fine and doing well.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: Patient fainted immediately after vaccine administration, she remained seated upright and came to within seconds of fainting episode. She state she was nervous before hand and mentioned in the car that she felt like she was going to pass out, and has passed out while receiving other vaccines in the past. RPh was not made aware of this by mother prior to administration. She was monitored for over 25 minutes, ate a small snack her mother had and drank some water, we gave her an ice pack/fan.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: vomited-Mild, Systemic: Vomiting-Mild, Additional Details: pt passed out shortly after vaccine. turned white, gave some water and she strate trowing up. we called EMT WHO TOOK OVER. pt refused to go to hospital. went home, follow up with dad she was ok and was keeping her hydrated. had a call into md

On the day after vaccination, patient was pale, dizzy, tired, and fainted. Mother called and went to ED. Vitals and tests were normal and she was discharged home. Patient is feeling better, but remains tired.

17 year old patient getting vaccine with her mom. She was scared to get the vaccine. Stood up too quick after getting it felt faint and dizzy couldn't see or hear. got her some water she was sweaty. medics were called they checked her out. she did not go with them or to hospital she went home with mom.

Fatigue, enlarged left breast and lymph nodes. Dizziness, had the feeling of blacking out, headache, muscle weakness, BP was stable 58-60 when patient sitting, spikes to 100 when she stands.

Approximately 3 minutes after injection, pt. reported that her vision had gone black, her ears were ringing, and she felt faint. I notified the nurse immediately. Within another minute her breathing became rapid and faint. She was given water and coached to breath slowly and deeply. The nurse checked her blood pressure with a result of 67/22. A second BP check resulted in 70/27. The nurses transferred her to the ER. In the ER, a third BP check 20 minutes after injection resulted in a normal reading of approximately 110/70. She continued to take oral fluids for approximately one hour before being released. The medical staff reported to us that this is a completely normal reaction for many people to all vaccinations, and suggested that she should get the second dose of Pfizer vaccine in 3-4 weeks. However, when we check the CDC website we find that these are anaphylactic symptoms and should not get the 2nd dose of Pfizer, so we are greatly concerned and decided to report the event.

Dizziness; Hot flashes; Cold flashes; So much sweating; Headache; Full body soreness; Vision started to get blurred; Felt weak when standing; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 28Apr2021 at 11:45 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history included depression. Concomitant medications included bupropion hydrochloride (WELLBUTRIN SR). The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN) via an unspecified route of administration in the left arm on 07Apr2021 at 12:45 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 28Apr2021 at 17:45, the patient experienced dizziness, hot, cold flashes, sweating, headache, full body soreness, vision started to get blurred at the dudes and felt weak when standing. It was reported that the patient had to take the day off school because she could not get out of bed. The patient received treatment with TYLENOL for the reported events. The adverse events resulted in doctor or other healthcare professional office/clinic visit. The clinical outcome of the event dizziness, hot, cold flashes, sweating, headache, full body soreness, vision started to get blurred and felt weak when standing were resolving at the time of report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Systemic: Chills-Mild, Systemic: patient reported some dizziness and tingling and anxiety. Patient had a pulse of 125 and temp 98.4 Called emergency services and continued observing patient till they arrived; symptoms lasted 0 days

Patient felt dizzy and short of breath. Complained of feeling like her heart was racing and chest pain. Was seen in the ED and received antihistamines and was monitored. Continued to complain of symptoms 7 days after receiving the vaccine and called in to work that day as well.

about 15 minutes after getting vaccine, she felt lie head is spinning and about to faint. She reports not having eaten much today. Also says she does not remember having any other vaccinations before. She sat down and rested, ate some food and drank some water and felt slightly better.

Vasovagal episode. pt briefly passed out after reported blurred vision, dizziness and tingling arms. Staff supported patient by moving pt to ground and elevated pt feet. pt did not lose consciousness and reported feeling better after laying down for a few minutes. We moved her to a sitting position on the ground, then to the chair. continued to monitor and pt reported feeling fine. Patient recovered within 10 minutes of episode.

Systemic: cramping fingers, tightness in the chest, trouble breathing, dizziness-Severe; symptoms lasted 1 day

Immediately after vaccination patient reported feeling lightheaded, diaphoretic. Witnessed syncopal episode in bay (no head trauma), assisted to recliner by vaccinator. BP 90/80 at start of event. Given Gatorade and crackers with minimal effect. 15 minutes after treatment BP 80/70 and administered O2 via nasal canula. Transported via wheelchair at 12:06pm.

1 min post inj cc/lightheaded, dizzy, blurry vision, ringing in ears. Pt reported vasovagal effects with needles. Subsided after 5 mins.

patient starting shaking and fell down to the ground from chair. No LOC or confusion. Also felt light headed with VSS. EMS called. no known history of seizures. Transported to the ED

Patient felt light headed and needed to sit down, she said her tongue we itchy, paramedics were called, Breathing was fine, Pulse was fine, blood pressure was fine, paramedics thing patient had anxiety

On Fri 3/5 one of the RPhs on duty administered the vaccine around 2:45 PM. RPh advised patient to wait in the waiting room for 15 minutes to make sure she felt fine. Around 3 PM patient told another patient sitting in the waiting room that she was feeling light headed and told her to call the pharmacy staff, which she did. One of the RPhs went out of the pharmacy into the waiting room to check up on her while the other pharmacist called 911. RPh who went to check up on her found her on the floor slouching. RPh tried to shake her awake and she appeared nodding off and on. Finally after a minute of two, she became more coherent and conscious. Team member grabbed orange juice to give to her. Other patient who grabbed our attention stated she was slowly sliding off her chair. RPh stayed by her side until paramedics arrived. Although she marked "No" on Section B #5 on the VAR form, she stated that she gets light headed and dizzy whenever she gets blood drawn or at the dentist. Paramedics checked on her vitals, was within normal range. Patient opted not to be taken to the hospital. RPh advised patient to call a family member to pick her up because although she felt ok to drive, she stated she felt a little nauseous and her head kind of hurts. Mother picked her up about an hour after the incident occurred.

Asthma; Syncope; Dizziness; Nausea; Vomiting; Severe headache; Fever; Muscle weakness; Muscle twitching; Fatigue; Chest tightness; This is a spontaneous report from a contactable consumer (patient). A 18-year-old female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot no: Em9810), on right arm via an unspecified route of administration on 23Feb2021 10:30 at single dose for covid-19 immunisation. The patient medical history was not reported. There was no known allergy. Concomitant medication included sertraline, amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL). Historical vaccine of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 02Feb2021 04:45PM on Arm Left for covid-19 immunisation. On 23Feb2021 10:30 patient experienced syncope (medically significant), dizziness, nausea, vomiting, severe headache, fever, muscle weakness, muscle twitching, fatigue, chest tightness, asthma. No treatment was received for the event. Patient not having COVID prior vaccination. Patient not tested COVID post vaccination. Outcome of the events was recovering.; Sender's Comments: Based on the strong temporal association, the association between the event syncope and the vaccine BNT162b2 administration cannot be completely ruled. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Pallor, vomiting, dizziness within 5 minutes of administration. Patient was given receptacle to vomit in, wet paper towels for head and neck, juice and snack to eat, and lowered to floor. Patient's color returned after snack/juice and rest for approximately 20 minutes. Was up and walking with her father after 30 minutes.

Pt. stated she started feeling dizziness 5 mins. after getting vaccinated. Seconds later she had a syncope episode for around 10 seconds. At. 5:10 pm she was conscious and dizziness went away. Vital signs were done BP101/60, R 19, O2 sat 100%, HR 62. Pt stated, "I always have episodes of syncope when I get medical procedures, This is not the first time." At 5:25 pm pt stated she is feeling ok, pt is alert and oriented x4. At 5:38 pm pt stated she wants to go home. Pt. went home at 5:40 pm.

BECAME NAUSEATED AND VOMITED IMMEDIATELY AFTER VACCINE DOSE. BECAME DIZZY WHILE WAITING IN OBSERVATION STATION. BLOOD PRESSURE WAS LOWER THAN USUAL. TREATED WITH ORAL REHYDRATION IN THE FORM OF WATER

Within 15 minute waiting period after vaccine administration, patient's mother alerted staff that patient had just had a seizure-like episode after becoming light headed. Patient started flaring with flexion and shaking of upper extremities, nonverbal during event. Staff examined patient and found no signs of a seizure. Patient was sent to the emergency room for further evaluation. Mother states that patient had a similar episode at age 8, but no further details provided. Patient was stable and discharged from the emergency room with a referral to follow-up with primary care physician.

patient became diaphoretic and light headed. Patient was anxious and did not eat breakfast before vaccine. Patient was instructed to lay in the floor and she did so with no difficulty and did not pass out. BP and pulse taken all within normal limits and juice and fruit snacks given and consumed with no difficulty

Patient felt like she was going to pass out so laid down on floor. Staff responded assessed and helped into wheelchair and took her to observation area. Vital signs were stable. Gave patient juice, water and granola bar. Patient stated that she has had episodes like this in the past when getting injections. Also stated she had not had lunch or fluids prior to COVID injection. At 2:17 pm sat patient up and dangled her legs. Patient became dizzy and laid her back down. Rechecked vitals and blood pressure had dropped. Kept her for another 15 minutes and set her up, reviewed blood pressure and nurse assisted her to observation area. Patient was fine and left to go home with mother.

Patient received the 1st dose of the Pfizer Covid Vaccine (Lot: ER8732, EXP: 7/21) on 3/27/21. Shortly after the injection the patient's arm started itching and a rash developed. Patient was dizzy, hot, and had an elevated blood pressure. Patient was transported to Emergency Department by EMS.

After getting my second shot, I felt extremely dizzy and disoriented. My vision became blurry and I had trouble breathing. I also threw up several times. I felt lightheaded for a few more minutes and then I was able to stand again.

Immediately after receiving her vaccination she developed lightheadedness. She has an aversion to needles.

PATIENT FELT DIZZY. EYES CLOSED AND FELL FORWARD FROM HER CHAIR ONTO THE FLOOR. BP MEASURED AT 141/90. EMS WAS CALLED. THE PATIENT DID NOT WANT TO GO TO WITH THEM. EMS CLEARED HER AND THE PATIENT GOT A RIDE HOME

Client became light headed and dizzy after injection. Pale skin and some chest tightness. Denied any difficulty breathing.

I was already dealing with C Diff and still am, but it caused me to become extremely motion sick in the car ride home and I had to keep pulling over to vomit. As soon as I got home my injection arm started to hurt really bad and now the morning after I can't move my arm due to the pain.

Patient has history of lightheadedness with vaccination. Patient became lightheaded immediately post vaccination. Patient was placed in observation area. B/P 100/49, Pulse 90, O2 100%. At 1101 patient had increased lightheadedness B/P 89/40/ Pulse 87, O2 100%. EMS was called . 1105 - B/P 131/75 Pulse 110. o2 100%. 1109 EMS arrived patient refused EMS and patient left with father at 1112.

My daughter had intense sweating and felt like she was going to pass out. This started a few minutes after receiving the vaccine. The reaction after the shot only lasted for roughly 5 minutes, but her clothing was completely soaked from sweat. After 5 minutes, it passed and she felt much better. Medical personnel gave her water and had her sit another 30 minutes. She seemed fine after that, but they told to report the reaction.

PT STATED NOT FEELING WELL AND SHE SAID SHE IS NOT ABLE TO SEE. PT FELT DIZZY AND FAINTED. SHE FELT BETTER AFTER ELEVATING FEET AND WAITED 30 MIN FOR OBERVATION.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: Patient fell out of chair #7 in pharmacy. This author caught patient and brought to floor. EMS called at 12:44. Nurse on site took patients BP 108/66. Could not get HR. EMS arrived at 12:52. EMS evaluated patient. Gave patient cold water. Patient declined hospital transfer. Patient was over 18 and EMS gave her paper that stated she declined hospital care. EMS left 12:57.

Pt received vaccine and approximately 5 minutes later pt got light headed fainted and hit head on the floor of the waiting room. Pt begun to seize for approximately 30 seconds then regained consciousness. Pt was stabilized and monitored. 9-1-1 contacted immediately and handled pt care once they arrived.

client received covid vaccine approx 5-10 min later c/o feeling sick to stomach and light headed. client vomited moderate amount of brown liquid. client was pale and clammy. client was checked by ems.

17 y/o female, 5 minutes post vaccination c/o lightheaded ness, pt. Fainted for <15secs, upon assessment pt is pale, cold, clammy. Paramedics V/S taken, HR 72, BP 107/75 (sitting), standing HR 92, BP 80/50, NS bolus was given and pt still c/o lightheaded ness, dizziness, nausea. Taken to Hospital for further evaluation. Taken by Paramedics.

Patient with known allergies to PEG. Had a slight reaction of hives following 1st dose. Patient consulted with her PCP and oncologist and her oncologist was adamant that she was to receive her 2nd dose, not an option to not receive despite documented PEG allergy. After receiving 2nd dose approx 5-10 min later in monitoring area reported to EMS RN feeling dizzy, flush, and eye flutter. EMS evaluated, vitals HR 104, RR 21, BP 137/98, PulseOx 97%. RN noted patient was very anxious and this contributed to the patients symptoms. However, the patient did begin developing mild flushing and small red patches on arms, legs, trunk. Hives and flushing resolved within 30 minutes. Approx 45 minutes post reaction symptoms, patient reports feeling better, flushing resolved. Denied wanted further workup or transfer to ER and left with her mother.

The patient reports experiencing blurred vision, vertigo, throbbing unilateral headache upon arrival to her seat. The medical team assessed her and found her HR to be 76 bpm, BP 142/80, BG of 72, and her oxygen saturation was 99%. She reported that she had not eaten all day and had not had a lot of water during work. She reported that she typically gets migraine headaches lasting for several hours. She was given some water and her symptoms started to resolve. She asked if she was able to go home.

Patient received dose at 11:30am, proceeded to obs area. Within minutes, she experienced c/o nausea, lightheaded feeling, and headache. Denies SOB, chest pain, or pain otherwise in body. Denies feeling of weakness. Patient reports exact symptoms with first dose, lasting all day. 11:45 BP 110/75, pulse 75 steady. Clinically stable, symptoms no worse. Patient mother agreed to transport patient home to recover, plans on calling provider re: mast cell activation and symptom management. Patient transported to personal vehicle via wheelchair without incident. NP

Patient had dizziness, BP 102/60 HR71 RR18, later improved to 111/75, HR78, RR18, left in stable condition

Patient appeared to be faint, moderate dizziness, and low heart rate. Was assisted by pharmacist and paramedic, declined to be admitted. Patient was alerted to place, person, time, and situation.

after vaccination while waiting 15 minutes, patient felt dizzy. mom noted eyes rolled up , head tweisted to left side, body stiffened. mom put her to floor and called for help. episode lasted 20 seconds with also shaking of her upper body not sure if lower. taken to er . in er continued to be dizzy. given ivf 1 liter

Feeling nauseous at 7 pm, started to feel dizzy at 10 pm and passed out briefly, friend witnessed. Had 1/2 dinner at 7 pm and 3 water bottles between vaccination and 10 pm. Took shower next morning and felt dizzy getting out, tried to lay down and passed out briefly.

acute sinus infection; bilateral cerumen impaction; Bilateral otitis media; Had a syncopal episode; Dizzy; This is a spontaneous report from a contactable physician. A 18-years-old female non-pregnant patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER8730), dose 1 intramuscular, administered in right arm on 24Mar2021 as single dose for covid-19 immunisation. Medical history included dysmenorrhoea, menometrorrhagia, obesity, guillain-barre syndrome. Concomitant medication's included ethinylestradiol, levonorgestrel (LUTERA) taken for an unspecified indication, start and stop date were not reported. The patient previously took fluconazole (known allergies). Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was tested for Covid test post vaccination on 25Mar2021 show the negative result. Patient claimed she became dizzy within 15 minutes of the vaccine and had a syncopal episode. She stated that it occurred twice since the vaccine. This MD conducted physical exam on 30Mar2021 and found bilateral cerumen impaction that was cleared. She reported that this revealed bilateral otitis media and she was diagnosed with acute sinus infection and treated. Although her symptoms can be explained by these findings, this MD was continuing work up for Guillain-Barre. The adverse event result in Emergency room/department or urgent care. Treatment received for the adverse event are supportive care, antibiotic for sinus infection and clearance of impacted cerumen. The outcome of the events were recovered with lasting effects. No follow-up attempts are needed. No further information is expected.; Sender's Comments: The event syncope is assessed as possibly related to the suspect vaccine BNT162B2 based on strong temporal association, but consider also possible contributory effects from patient's medical history and/or concomitant medications. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Immediately after injection, felt lightheaded, queasy, diaphoretic. BP- 70/34, p-70, repeat BP- 87/55, p-72 given juice, water, and laying down on gurney. After 30 minutes, reports feeling better, repeat BP- 96/60, p-73, O2sat- 98% Able to sit and stand without feeling dizzy or lightheaded. Discharged home with mother and ER precautions

Pt has moyamoya, frequent dizzy spells, symptoms were similar. BP 143/90, given water, felt better, discharged in stable condition

Pt has Moyamoya, has frequent dizzy spells - sx similar. BP 143/90; HR 76; RR 16. Pt declined vitals, talking A+O x3. Given water, rested, felt better.

approximately 2 minutes after vaccination patient began to have light headed sensation- near syncope without long term disability or injusy

Right after patient received vaccine, she experienced severe dizziness that she had to sit down. She also had shivering, warmth, nausea and vomiting

patient was given her injection where she developed itchiness of her throat, neck, chest, and abdomen. then she began to get lightheaded. 12:31 BP 192/ 86 HR 85 12:38 BP 179/84 HR 99 she then began to develop a raised macular rash on her chest and neck 12:45 patient given 25 mg of po benadryl. 13:00 BP 150/77 hr 87 oxygen sats of 98% room air patient feeling better rash disappeared 13:07 BP 150/82 hr 78 oxygen sat 100 % room air 13:10 patient was released with her mother and she was escorted to the exit with staff

dizzy after a few minutes of receiving vaccine lowered onto ground with assist of staff stood by self and repositioned onto stretcher taken to OBS 1, pt feeling better once laying down on floor pt given apple juice in obs area, pt feeling better vs monitored as noted. pt feeling better and denies further symptoms after repositioned to sitting, dangling and standing okay to leave obs amublated to exit by self without difficulty at 1121 vs 1104 bp 127/83 hr 77 rr 18 o2 100 1109 bp 129/82 hr 76 rr 18 o2 100 sitting up, 1115 dangling bp121/77 hr 76 rr 18 o2 100 1120 standing bp137/69 hr 82 rr 18 o2 100

Pt reports day 1 post vaccination fever, throat tightness; diffiuclty swallowing; difficulty breathing "a little"; dizziness; lightheadedness. Pt sent to ER

Dizziness/weakness post vacination. Refused transport, Medic assessed, PT was stabilized, symptoms improved, EKG and pulse ox, vitals normal

Patient sat in observation area and this RN noticed patient had head down between her legs. Patient reports feeling lightheaded and mother reports patient has a history of passing out with blood draws. This RN assisted patient in to wheelchair and wheeled her to the private observation area. Assisted patient on to stretcher. Patient removed mask and had patient recline. Patient also reports nausea. Gave patient apple juice and granola bar. VS as follows: 1002-BP 95/63, P 58, RR 20, 99% RA, no pain. 1007-BP 101/68, P 68, RR 20, 100% RA, no pain. 1013- BP 100/66, P 65, RR 16, 100% RA, no pain. After 30 minutes patient reports feeling back to baseline. Patient driven home by mother.

Patient was given vaccine. A couple of minutes after the vaccine, during observation period, patient was in and out of consciousness, feeling faint, and was very pale. Fire rescue was called and all vitals were fine. Patient opted out of leaving with fire rescue and decided to go home.

[April 10; Evening]: Headache with small pounding feeling, a slight fever. [April 11, Morning]: Slight pressure on injection sight, weak limbs, vomiting, fatigue. [April 11, Evening]: Unconsciousness, nausea, delirious, fever. [April12-14]: Extreme Migraines, dizziness, loss of balance while walking, unconsciousness, loss of appetite. Took Pedialyte and liquid pain reliever everyday.

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

Pt became nauseous/sweaty/dizzy 10 minutes after 1st vaccine. Passed out w/ EMS for about 20 seconds then vomited. Pt fully recovered and hydrated. Released home.

shortly after vaccination patient began to feel light headed and dizzy and became flushed and hot. Patient broke out in splotches over chest. Pt was given 25mg of diphenhydramine. Pt began to feel better after 30 minutes of observation .

Patient reports she felt dizzy two hours after the shot. She went to a quiet area and had a witnessed syncopal episode and seizure like activity for 10 seconds with urine incontinence. She said she woke up on the ground. She did not go to the ER or call 911. She didnt report the episode until April 20, 2021, when she showed up for her second vaccination. She was declined the second vaccination.

At 2:58 pm, Pt. reported feeling light headed and her vision getting blurred. Pt was alert and oriented X4, BP=137/82, hHR=88 , RR=22. Pt. was laid on a flat surface, legs were raised, cold ice pack applied at the back of the neck, slow deep breaths were encouraged and performed. at 3:02 pt reported symptoms had subsided, pt. was offer room temperature water and observed further for 20 minutes. At 3:39 pt. was d/c home in a stable state with mom.

1:50 Called into observation room by RN. for assistance with this patient. Pt had Dose 2 of Phizer at 1: 16 pm and was now complaining of nausea and lightheadedness. Pt asissted to floor, legs elevated up on a chair. Pt is alert .He stated, his name is (unlisted). Skin: pale, hands diaphoretic. Immediately, pt 's chest was pounding;HR was elevated , pt's eyes closed and he appeared attempt to answer this RN's questions as to how he feels, however, could not. Would not/could not open eyes. It appeared that he was shaking/mild jerking as with the chills, however, this RN was discerning if it was seizure like activity. Upper body flushed/red. This lasted about 30-45 seconds. Then pt.'s shakiness slowed down, heart pounding resolved and he opened his eyes. Able to squeeze nurse hand. 1:53 pm DPN Came to assist.Ice pack to forehead Pt was still shaky, but now responding. Still w/ complaints of nausea, lightheadedness. 2:05 still lying on floor with legs elevated. 2:10 Sat up for 5 minutes. C/o nausea. Placed in wheelchair. Within 1 minute, pt. Is pale, shakiness returns, and c/o nausea. Returned to the floor , legs elevated and 9-1-1 initiated. HR steady, respirations -steady. MOC now present.Pt. now responding to MOC or RN's commands to squeeze hand or Speak. Eyes closed. HR and RR steady. 9-11 arrived at 2: 15 pm and pt. Left facility with paramedics and MOC.

Approximately 5 minutes after vaccine administered, patient started feeling nauseous and dizzy. She was also pale and clammy. Offered patient water and allowed to remove face mask. Instructed on breathing slowly in through the nose and out through the mouth. This helped briefly but then patient verbalized that she was feeling more light headed and thought she should lie down on exam table. Remained at patient's side but did not allow her to stand up in order to relocate from chair to exam table. Approximately 7 minutes after vaccine administration, patient briefly lost consciousness for less than 30 seconds and had slight jerking movements during this time. Remained at patient's side and prevented her from falling out of chair, hitting head, or other injury during syncopal event. After patient regained consciousness, she began sipping on water. A cold, wet paper towel was placed to the back of her neck. Continued to observe patient in exam room for another 5 minutes then she was escorted to waiting area by provider. Waiting area was just outside exam room and patient remained in the presence of a patient care technician, as well as her mother. Patient remained in waiting area for a total observation time of 30 minutes. No other adverse events occurred. Patient and mother both reported that patient does not do well after vaccines and has had similar symptoms after other vaccines in the past.

Fast heartbeat, shortness of breath, dizziness. Started 1-2 hours after shot administered. Intensity increased around 5PM. Had to seek emergency medical help. Admitted to ER at Medical Center at 6PM, discharged about 9PM.

Dizziness and rapid hearbeat within 15 minutes of getting the shot. Symptoms persisted for 7 days after the shot.

lightheaded; BP was taken 3 times: 70/40 @1535; 105/61 @ 1540; 104/77 @1548. Client has hx of syncope with sight of needles, and client stated she ate a light breakfast and lunch.

She received the shot walked a couple steps had a blank stare on face sat her in a chair where she sat for a couple seconds and just stared at me then head jerked and right hand curled and eyes rolled back into head. tried shaking her to respond she passed out .She came to opened eyes wasn't speaking but followed my command to spit out gum then again went limp with head shaking and hands twitching. Got her to the ground with help and called 911. She laid on ground then came to . She did not remember incident but was responding appropriately to questions. drank orange juice and placed ice bag under neck while laying. By the time paramedics arrived she was awake and appropriate. Pulse ox, blood sugar and EKG normal. Blood pressure was low but not unusual for her. Prior to shot she was well hydrated and had eaten. After being checked out by paramedics we denied need to go to hospital and she did walk out on her own. Observed her closely over night and had no further symptoms.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Severe, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Medium, Systemic: Vomiting-Mild

losing vision; almost passing out; After second dose: fever; chills; headache; body ache; pain at injection site; dizziness; This is a spontaneous report from a non-contactable consumer (patient). An 18-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 09Apr2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation, at 18 years old. The patient medical history was not reported. There were no concomitant medications. No other vaccines if four weeks. Patient received the first dose of bnt162b2 at 12Mar2021 16:30, arm left for covid-19 immunisation, at 18 years old. Patient is not pregnant. The patient experienced after second dose: losing vision, almost passing out, dizziness, fever, chills, headache, body ache, pain at injection site on 10Apr2021 00:00 (12AM). Treatment was not given. Outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient said they felt light headed. We had her lay down. First blood pressure was low 80/64, then 99/64, after sitting went to 110/69 with pulse of 55 which patient and parent said was normal. Patient was feeling good upon leaving. Note, patient said they had a very light breakfast and might have been a factor.

After vaccination, patient became lightheaded as she left the room. Mother lowered patient to ground with feet resting on chair in hallway. Pulse was mildy tachy and patient had severe pallor at that point per Dr. Patient was taken to urgent care via wheelchair. Blood pressure 92/61 at 1646, pulse 76 BPM. Patient felt improvement lying on bed. Patient had been hiking that morning and admitted to not drinking enough water that day. Dr. suspected dehydration and vasovagal reaction.

Patient described feeling "dizzy." Felt faint and slumped to floor. Became immediately responsive, vital signs stable throughout. Patient covered with blanket. Patient left clinic with friends.

Patient, Received her first dose Pfizer vaccine (LOT#: EW0179 EXP: 8/2021) at 1347 on 4/28/21. Patient was anxious and nervous at vaccination table. Patient was moved to the gravity chair by RN to vaccinate patient. Patient felt anxious and dizzy after vaccination. PHN recommended patient stay 30 minutes for observation. Patient agreed. EMT took patients vital signs at 1407. BP: 110/75, pulse: 85, O2: 100%. Patient was given orange juice. Patient stated that she felt much better after relaxing and sipping her orange juice. EMT reassessed patient and re-took vital signs at 1425. BP: 110/75, pulse: 75, O2: 99%. Patient stated that she was feeling much better. Patient completed observation time. Patient walked out of vaccination site unassisted and with a steady gait.

I was on my menstral cycle and the cramps were more intense. Dizziness and feverish though no fever. Tired and pain in shot arm

The patient received the shot, and after a few minutes the patient passed out on the chair. After noticing the patient slumped over we made sure the patient was still breathing. We got the emergency equipment and contacted the emergency protocol, and the patient woke back up promptly and communicated that they felt dizzy. We allowed the patient to lay down and waited for the emergency services. She felt better as time passed and by the time her dad made, they refused to go to the hospital and made it home on their own accord

CLIENT PASSED OUT OR FAINTED AFTER RECEIVING THE VACCINE WHILE VACCINATOR WAS PROVIDING HER WITH INSTRUCTIONS. CLIENT WAS ASSISTED TO THE FLOOR. NO INJURIES OBTAINED. CLIENT CAME TO IN SECONDS AND EXPLAINED SHE OFTEN FAINTS AFTER VACCINATION. CLIENT REMAINED UPRIGHT FOR 10 MINUTES AND DRANK WATER. WHEN ABLE TO WALK, CLIENT WAS ESCORTED TO A COT IN THE MONITORING AREA AND LAID DOWN. CLIENT WAS STABLE AND REMAINED AT FACILITY FOR 30 MINUTES UNTIL ABLE TO WALK AND WAS NO LONGER LIGHT HEADED.

Patient received the shot. They felt dizzy and passed out after receiving the shot during the monitoring period. After establishing that the patient was conscious and breathing. We initiated the emergency protocol. The EMTs came and checked blood pressure and blood sugar. The patients dad also came in and after concluding that the patient was okay they decided to forgo going to the hospital. They went home on their own accord. I called them again after 3 hours to verify that they were still okay.

Adverse events: Extreme chest pain, couldn?t move arms very much, hands went numb and tingly, throat pain Treatment: went to the doctors and the hospital and have tried over the counter pain medicine which didn?t work, prescribed prednisone which didn?t work, prescribed naproxen 500 which didn?t work, prescribed famotidine which didn?t work, all blood and heart and lung tests came back fine Outcome: still in a lot of pain and nothing is helping and nobody can figure out what is wrong

Approximately two minutes after vaccine injection, pt started to feel dizzy, saw spots, felt like she was going to pass out. Someone got a wheelchair and we took her back to observation/treatment area. Patient was very drowsy, felt nauseous, hands were tingling, and was cold and clammy. We asked her to text her Mom, who was sitting out in the parking lot, to have her come inside. Pt reported passing out with HPV vaccine and on blood draws. We moved patient to pt bed and took vitals (listed below). Patient was able to recover without any medication administration under close observation. After about 20 mins in obs/treatment area, she was feeling better and we moved her to the observation room with her Mom. We had leftover vaccine syringes, so Mom received her first dose of vaccine. They waited together until Mom's 15 mn obs time was over. Patient and someone left the clinic feeling fine and under their own power around 1845.

After the Covid-19 vaccine, Patient said that she had back, ears and neck pain. She also felt dizziness and shortness of breath. A few minutes later, these symptoms was improved. After about 10 minutes, the patient was back to normal.

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

Patient was nervous about the vaccination. She was seated for observation then fell to the ground during observation. She did not lose consciousness and was asked to stay until she fully recovered.

Immediately upon receiving vaccine, patient complained of dizziness and request an ambulance. Ambulance arrived within a few minutes. patient vitals were obtained and was asked if she'd like to go to the hospital. Patient decline additional care as she was feeling fine and not dizzy anymore

Pt reported feeling dizzy as she approached monitoring table. Pt was assisted by EMS fire & M.A. Agee. Vitals taken x4 and water /snacks given. Pt reported improvement in condition and was released by fire/EMS to leave with family. Pt. self ambulated with family to exit of building. 3:48PM BP82/36, HR 60, OxSat 99%, BS 105. At 3:50PM bp 80/41, HR 80, OxSat 98%. @ 3:52PM BP 98/59, HR 77, OxSat 97%, @3:57PM BP 116/61, HR 92.

Every time I work out or my heart rate goes up, I get incredibly dizzy, lightheaded, and I feel like I?m going to pass out.

Client explained she felt dizzy and then vomited 5 minutes after receiving vaccine. Vitals signs were: BP 110/72, 98% O2, HR 72, RR 16. Client status improved after some rest and water mouth rinse. Client explained she doesn't like needles and was feeling anxious before and after receiving the vaccine. Client educated on importance of eating a full meal and to call doctor if vomiting continues.

Patient was near syncope. After receiving the vaccine about 2 minutes she started getting light headed. Patient was given water and animal crackers to get. She was feeling a little better but when she turned her head she still felt lightheaded. I had her eat and drink some more water. I asked how she was feeling. She stated that she was feeling better so i had her sit the rest of the way up with her feet hanging over the bed. I asked how she was feeling. She stated that she was feeling good. I then had her stand up with me standing in front of her and asked how she was feeling. She stated that she was feeling light headed in the middle of her forehead. I had her sit back down and gave her an ice pack to put on her neck. I then asked how she was feeling and she stated that she was feeling better and while she had the ice pack on her forehead she kept eating and drinking. I then had her stand up and she stated that she was better. i took her vitals at 11:24 am heart rate 75, o2 99 and BP 115/81, again at 11:30 am heart rate 79, o2 97 and BP 117/82. I released her to go home with her mom and dad at 11:41.

Systemic: Confusion-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Feeling of passing out, in and out of consciousness, general weakness, sweats, weakness in breathing-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Weakness-Severe

Pt complains of light headedness and dizziness. BP 127/67, HR 42, RR 18 -- > 119/68, 60s (Atypical). Back to baseline before being released from vaccination site.

Shortness of breath, dizziness, faint, anxiety, headache and arm pain. Transported to ER and not able to reach patient for follow up.

8:26am Client complaint of dizziness and anxiety. Client evaluate by EMS onsite. BP 65/34, P 34, O2Sat99%. 8:37am EMS onsite started IV on client's right arm. Client reported feeling better. 8:46am client was transported to Hospital. BP 74/30, P 69, O2Sat 98%

18 YOF had a brief syncopal episode after receiving the vaccine. She felt lightheaded associated with nausea prior to the syncopal episode. Pt has a fear of needles and reports that she did not eat much this morning. Denies CP, SOB, palpitations, difficulty breathing or any other complaints. There was no head injury.

slight chills; cold; Extreme nausea/slightly nauseous; Extremely fatigued; Dizzy; Shakiness; Fever/ 101.6 fever/temperature was 100.3; Dehydration; Headache; Muscle ache; Arm pain; Pain; This is a spontaneous report from a contactable consumer. A 18-years-old non-pregnant female patient received bnt162b2 (Pfizer, Solution for injection, Lot Number: EL9264), dose 2 via an unspecified route of administration, administered in arm left on 06Feb2021 12:45 (at the time of 18-years-old) as second dose, single for covid-19 immunisation. Medical history included partial aortic bicuspid valve, aortic dialation, sulfa wellbutrin allergies (known allergies) and postural orthostatic tachycardia syndrome. No other vaccine administered in four weeks. The patient had not covid prior vaccination. The patient had not tested positive for covid post vaccination. Concomitant medication included ethinylestradiol/ferrous fumarate/norethisterone acetate (JUNEL FE) for an unspecified indication, from an unspecified date and unknown if ongoing. The patient previously took bnt162b2 (Pfizer, Lot no EL8982,Administration time=12:15 PM,Vaccine location Left arm, Dose no 1) on 16Jan2021 for COVID-19 immunisation. She received the vaccine at 12:50 PM and my temperature was 98.6 with no symptoms. At 1 am, her temperature went up to 99.6° and a headache, muscle aches and slight chills started. At 4:20 AM, woke up with a 101.6 fever, extreme nausea, dehydration and shakiness. In the morning at 9:00 AM temperature was 100.3 and when I got up around 12:00 PM, was extremely fatigued, dizzy when standing, and slightly nauseous which made it hard to eat normal foods. At 1:20 PM, temperature was 100.7. At 7:00 PM, nausea subsided slightly and was able to eat normal foods. At 10:00 PM, cold chills began in and at 11:00 PM, temperature was 100.4. The next day (08Feb2021), my temperature was at 97.8 upon awakening and felt dizzy, tired and winded with regular activities throughout the days but no fever. By the next day (09Feb), patient was completely syptom free. Arm pain was very minimal, pain level 1, on the day of vaccination and the day after and gone after that. The patient underwent lab tests and procedures which included body temperature: 101.6 (at 4:20 patient temperature was 101.6), 100.3 (at 9 temperature of patient was 100.3), 100.7 (at 13:20 patient temperature was 100.7), 100.4 (at 23:00 patient temperature was 100.4), 99.6 (at 13:00 patient temperature was 99.6F) on 07Feb2021, and 97.8 (patient temperature was 97.8) on 08Feb2021. The patient not received treatment for events. The outcome of events recovered on Feb2021.

18 y/o F with no known prior medical conditions or NKDA presented for her first dose of Pfizer vaccine. 7-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.

PT REPORTED BEING DIZZY, SAW SPOTS, HEARING WAS MUFFLED BP: 90/70 HR:88 02:98 PT. OFFERED WATER AND WAITED IN OBSERVATION LONGER-SIGNED WAIVER AND LEFT ON THIER OWN

Client reported dizziness to nurse while in observation area. Client successfully made to trash can without incident where client threw up. Client was assessed by doctor. Client was encouraged to eat crackers and drink fluids when able. Client complied. Client denied discomfort, dizziness, light headedness or nausea at time information was gathered. Client is now stable.

Prior to vaccination, the patient reported a history of feeling light headed during and immediately after procedures involving needles. Patient completed pre-screening checklist for Pfizer COVID-19 vaccine and was administered 0.3mL of Pfizer BioNTech vaccine IM in left deltoid at 3:28pm. At 3:30pm patient began to appear pale and lethargic. Patient reported that she felt light headed and dizzy. Patient's mother encouraged her to drink water. Patient was assisted to lie down on ground. The first set of vital signs were taken at 3:34pm. Pulse was 68, regular and thready. Respiratory rate was 12 breaths per minute and unlabored. Blood pressure 73/43. Oxygen saturation 98%. Pt reported soreness in left arm and no other pain. An ambulance was called. At 3:40pm, vital signs were PR 71, RR 12, BP 86/59, O2 Sat 98%. Patient reported minor nausea. At 3:45pm vital signs were PR 71, RR, 14, BP 106/70, O2 Sat 96%. Patient reported a headache. Ambulance arrived at 3:48pm. Patient was assisted to stand and walk 10 feet to stretcher. Ambulance Unit transported patient to Hospital.

During her observational 15 minutes, patient was having dizziness and blurred vision. Patient had a loss of consciousness for 30 seconds. After regaining, patient was alert and oriented. Patient was given water and asked to sit for 15 minutes.

PT BECAME PALE AND FAINTED, FALLING FOrward OUT OF CHAIR AND HITTING HEAD ON FLOOR. SCRATHES AND BUMP Appeared on forehead. ice packs were applied to back of neck after sitting patient on floor , leaning against chair. pt sat for several minutes and felt better so she left.

Brother told doctor at clinic patient was feeling dizzy & lightheaded. Doctor assisted patient from chair to ground and layed her on floor. Cool compress was applied to forehead. No loss of consciousness and pulse maintained throughout conversation. No history of syncope in the past but brother passed out in eye doctor in the past. After few minutes patient felt better was able to sit up on the floor and take some fluids. after feeling better doctor assisted to walk to car.

Patient received the vaccine and shortly after became light headed and dizzy. We told her to remain seated and got her a water. She then vomited into the trashcan. She stayed in the pharmacy waiting area with her brother until 6 pm when she said she felt fine and left with him.

18 y/o F with PMHx of anxiety and panic attacks began to have upper extremity stiffening, wrist extension and absent stare x 20 seconds. She became incontinent and lost postural tone shortly after. She states that she was very anxious about getting the vaccine; states that came into the parking lot of the facility yesterday and "psyched [herself] out" so much that she could not come in to get vaccinated. She was evaluated by EMS and clinical leads. Mother states that she tends to have a lot of panic attacks but has never had a reaction like this. Patient's mother also states that she is seeing a therapist for her anxiety and panic attacks but is not currently on any medications.

Patient received the vaccine at 4:15 pm. 4:27 staff notified of symptom onset. 4:30 BP 110/88 P 92 Patient reports feeling lightheaded and throat feels swollen 4:35 Lightheadedness comes in waves. Last ate around 12 noon. Feels like "lump in throat" slight pain with swallowing. Denes SOB, itching or N/V 4:57 No progression of symptoms, no new onset of symptoms. educated patient and Dad on signs and symptoms of severe reaction. Left with Dad at 4:57

After about 2 minutes of getting her shot she passed out and fell onto the floor. She became conscious again within a minute we gave her some water. I had somebody call 911 and an ambulance came. While the ambulance was here she seemed to be turning pale in the face. The ambulance ended up taking her to the hospital for further evaluation

Problems with her heart; Shortness of breath; Pain the chest; Low blood pressure; Passed out; Started shaking "like a seizure"; Started shaking "like a seizure"; Dizziness; Tiredness; Stomach pain; Chills; Fever; Sweats; Nausea; Vomiting/throwing up; Inflammation in the chest, muscle or maybe heart inflammation; Inflammation in the chest, muscle or maybe heart inflammation; Inflammation in the chest, muscle or maybe heart inflammation; Pain in the heart; Not feeling well; Had a severe allergic reaction; Headache; Weak; This is a spontaneous report from a contactable consumer (patient's mother). An 18-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0169; Expiration date was not reported) on the left arm on 20Apr2021 as a 1st dose, single dose, with route of administration unspecified, for COVID-19 immunization. The patient had no relevant medical history and concomitant medications. On 20Apr2021, the patient had passed out; started shaking "like a seizure"; dizziness; tiredness; stomach pain; chills; fever; sweats; vomiting/throwing up; and nausea. The patient was brought to urgent care/emergency room (ER) due to the reported events. On 21Apr2021, the patient had shortness of breath; pain in the chest; and low blood pressure. On 22Apr2021, the patient had problems with her heart. The patient was brought to urgent care/emergency room (ER) due to the reported events, and for cardiac work up. On an unspecified date in 2021, the patient was not feeling well; had a severe allergic reaction; headache; and was weak. In Apr2021, the patient had "inflammation in the chest, muscle or maybe heart inflammation". The patient received treatment for the events, pain in the chest and "inflammation in the chest, muscle or maybe heart inflammation" (double dose of naproxen. The patient's laboratory tests included normal blood pressure on 22Apr2021; chest x-ray on 21Apr2021 (results were not provided); echo sonogram on 22Apr2021 (results were not provided); electrocardiogram (EKG) was normal on 21Apr2021, 22Apr2021 and 23Apr2021. The outcome of the events was not recovered for tiredness; was recovered on an unspecified date in 2021 for chills, sweats, vomiting/throwing up; was recovering for pain in the chest; and was unknown for all the other events. The patient's primary care provider was writing a doctor's note recommending that she not receive the second dose based on her reaction to the first dose, and the PCP recommended that the mother call Pfizer as well.

Patient passed out and fell on a cardboard display box, fortunately her dad who was standing next to her picked her up immediately, and said that she had anxiety and she was ok. I spoke to the patient and when she said she was ok I had her sit down on the chair. After about 15 minutes patient and father left and confirmed that she was doing ok. Next morning patients dad called and said she was doing fine, that we might need to fill out paper work regarding the incident to submit it at patients school so she would not have to take the second dose.

Fainting (Syncope) patient Received the vaccine while she was sitted in a chair and within 3 min. she was not Responded a question. patient showed syncope symptoms patient said she Felt dizziness & a little nauseous However . she seemed not get better Called ER. 4:33pm Called patient she was at home & ok 5/30/2021 10:24AM Called PC pt is ok

within 34 hours of the 2nd dose of the Pfizer Covid shot, patient began to break out in welts/hives behind her knees. She woke up in the middle of the night with her scalp itching and her ears hot as well as the welts behind her knees. Given Benadryl which helped a little for about 2 hours but then the hives just kept spreading and growing into huge swollen itchy patches on her body. By Friday afternoon, she had tried Benadryl and calamine lotion only to have it continue to get worse. We ended up with the Urgent care by 4pm Friday, 4-30-21. They gave her Prevacid and prescribed steroid cream. They told us if it got worse or affected breathing to go ER. We went home and kept taking the benedryl every 6 Hours and using the steroid cream. as one welt would begin to disappear, others would pop up. the steroid cream did not help in that regard. the benedrul would give about 50% relief for about 2 hours before the itching got very bad. Unable to sleep to do anything, we took patient to the pediatrician that Sat morning 5-1-21. She examined her and told her to take Claritin in the morning and Zyrtec at night to help. She was hestiant to prescribe any steroids due to unknown interaction or affects with the Covid shot. She told us to keep checking in with her and also if it got worse or spread to her face/mouth or any trouble breathing to go to the ER. We went home and tried to take an oatmeal bath. It only made things worse. By 10pm that Sat night 5-1-21, the hives had spread to patient's face and lips and were affecting her throat. Her voice got very raspy. we decided at that point to take her to the ER. They started her on steroids that night. She continued taking the steroids for 5 days after that. The steroids did help make her hives go away. However, within 2 days of finishing the steroids, patient noticed that she still did not feel 100%. That Saturday 5-8-21, She began to feel light-headed and off. She also began to feel fatigued. She came home from an errand needing to lay down and feeling dizzy. A few days after that, she began to have gas and indigestion, feeling like something caught in her throat and feeling nauseous. She also noticed that there a few nights in all of this that she would wake up shivering for no reason. The shivering would continue until she woke up in the morning. This report is being filed on 5-30-21. Since her 2nd shot and after the hives, we have been dealing with ongoing dizziness, fatigue, tiredness, lightheadedness and nausea to varying degrees. She has not been able to resume regular activates of being active or working out. WE have been back to the dr.

Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: patient said she felt dizzy, and the pasted out. Her boyfriend was with her, and helped me lay her on the floor. She Shook or seized for a few seconds and then came to. She was confusion at first, but then recognized her boyfriend. She asked him to call her Mom. I talked to her Mom on the phone while she was starting to feel better. We got her some water and a fan. I had her wait an extra 30 minutes after she come to.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient got the pfizer vaccin 11:00am and after 2-3 min after din't answer back my question like you have to stay 15 min then i'll give your immunization card which will be 11:15am but was mummering and showed syncope symptomes soI make th patient kind of lie down and check patient in 2 min. but she was still said feld so dizzy so I had to call 911 and 911 came check bp & Temp. BP was low so 911 team took her ER. About 4:33 pm patient came home checked 5-30-21 she was fine

SYNCOPE IS WHAT PATIENT EXPERIENCED. PATIENT LOST CONSCIOUS COUPLE MINUTES AFTER RECEIVING THE VACCINE. SHE FALL OFF THE CHAIRE SHE WAS SITTING AT , BUT WOKE UP DIRECTLY AFTER. PATIENT DID NOT HIT HER HEAD AGAINST THE FLOOR, NOR DID SHE HAVE ANY INJURY OTHER THAN A SCRATCH ON HER ARM. SHE WAS ALLERT, ORIENTED AND HAVE PROVIDED ME WITH EVERY SINGLE INFORMATION I NEEDED TO COMPLETE THIS REPORT. SHE LEFT THE PHARMACY WITH HER FATHER.

While we were observing patient for 15 minutes after the vaccination, patient fainted and hit her head on the floor on 6/1/21.

minutes after receiving the 2nd dose, patient felt dizzy and passed out on the floor. she regained consciousness within a few seconds, and was responsive, she waited about 20 minutes before leaving the store, EMS was not called, she reported no other adverse effects

Pt felt fine after vaccination and proceeded to waiting area and sat down to wait 15 minutes. A few minutes after she sat down she felt faint and fell out of her chair and bumped her forehead. We helped her back into the chair and held on to her. With her permission we had her sniff an ammonia inhalant and she said she felt a little better. She did not want us to call 911 or anybody at home. A pharmacy technician sat with her for about a half hour and a store manager filled out a report and said we will follow up with her later. She said she felt better and was able to leave on her own.

36h after "broke out with hives and patches all over the body with extreme itching; 36h after "broke out with hives and patches all over the body with extreme itching; her ears turned red and became very hot, the hives spread to her face and into the throat; her ears turned red and became very hot, the hives spread to her face and into the throat; gastrointestinal issues; very gassy feeling of something stuck in the throat; skaes and shivered out of blue; felt lightheaded and dizzy with extreme fatigue; felt lightheaded and dizzy with extreme fatigue; nausea; This is a spontaneous report from a contactable consumer (Patient's Mother). An 18-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; formulation solution for injection; Lot number was not reported), via an unspecified route of administration, on an unspecified date as 2ND DOSE,SINGLE DOSE for covid-19 immunization. The patient's medical history included Hashimoto's Disease. The patient's concomitant medications were not reported. The patient previously took first dose of BNT162B2 on 31Mar2021 for covid-19 immunization and experienced severe indigestion, vomiting and did not feel well. On an unspecified date (36 hours after receiving the second dose of vaccine), the patient broke out with hives and patches all over the body with extreme itching, her ears turned red and became very hot, the hives spread to her face and into the throat. The patient was prescribed steroid creams, and she self-administered three antihistamines included Zyrtec, Claritin, & Benadryl. The hives went away. After that on an unspecified date, the patient had gastrointestinal (GI) issues, she had very gassy feeling of something stuck in the throat, and had nausea to the point of being unable to eat. Also, she shivered and shakes out of the blue, felt lightheaded and dizzy with extreme fatigue. The patient received treatment with steroid creams, and antihistamines included Zyrtec, Claritin, & Benadryl for the events 36h after "broke out with hives and patches all over the body with extreme itching and her ears turned red and became very hot, the hives spread to her face and into the throat. The caller (reporter) mentioned that she heard that the vaccine causes problems in fertility hence caller asked for information on fertility studies with regards to the vaccine in response she was explained reports on the possible side effects, mentioned no information found for non-reported AEs, and referred to health care professional (HCP) for further guidance. Further, caller asked for information on how to treat or go about with the side in response she was informed that Pfizer was unable to make treatment recommendations specific for individual patients and referred to HCP for further guidance. Again, Caller asked, "how the vaccines work" in response she was explained about vaccine mechanism and CDC information. Caller asked if there was a way to measure the spiked proteins in the body as caller wanted to know how to measure/assess immunity after vaccination in response she was being explained about CDC recommendation, and referred to HCP for further guidance. Moreover, caller asked if there were other proteins in the body/organs/cells that were similar to the spike protein that our body could possibly react to in response mentioned that no information found on body components similar to the SARS-CoV2 Spike Protein, and she was referred to HCP for discussion. Caller complained and mentioned "reporter don't think all this information is being made public, it just seems to me like the issues for the vaccine is much worse for her than as if she got COVID19. Reporter really hope that the Doctors/ CDC / Pfizer and all organizations would reconsider this, especially on the possibility on the issue on the body attacking its own self." The outcome of the event hives was considered as resolved while the outcome of all other reported events was unknown at the time of this report. Information on Batch/Lot number has been requested.

Patient felt dizzy about 10 minutes after receiving the vaccine. Patient was alert, oriented, and responsive but her skin looked pale in color. Patient was assisted to lay down on the exam table. No fainting or near syncopal episode noted. Vital signs were taken and were stable. Patient was offered a water bottle to drink. Patient laid down on the exam table for a bout 10 minutes and left in a stable condition.

fell straight over on her face, hitting her chin and splitting it open; felt dizzy; cold sweating; panic attack; significant memory loss; mild concussion; dehydration; fell straight over on her face, hitting her chin and splitting it open; insufficient food intake (had not eaten yet); felt more sick then usual; This is a spontaneous report from a contactable consumer. An 18-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8736, expiration date: not reported), via an unspecified route of administration on 14May2021 as single dose for Covid-19 immunisation (Age at Vaccination: 18years). The patient medical history was not reported. Concomitant medications included fluoxetine hydrochloride (PROZAC) 10mg/day (as medications in two weeks) taken for an unspecified indication, start and stop date were not reported. No known allergies and no other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient had not been tested for COVID-19. On 15May2021, the patient felt dizzy, had cold sweating, was scared, and thought she was having a panic attack but felt more sick than usual. On 15May2021, the patient stood up from couch, walked 15 - 20 steps and then fell straight over on her face, hitting her chin and splitting it open; she was conscious when rolled over by her parents but had significant memory loss (knew her name but not her school grade or which classes she was taking). She was taken to the hospital, computerized tomogram (CT) Scan, electrocardiogram (EKG) was normal, and no evidence of seizure were there. On 15May2021, the patient was diagnosed with mild con-cussion and got stitches on the chin as therapeutic measure for her chin splitting. Doctor suggested dehydration may had been a factor, also insufficient food intake (had not eaten yet) (start date: 15May2021). The patient stayed home from school for a week with memory improving each day and still did not remember completely a period of 48 hours starting around time of vaccination however, other symptoms had resolved. The patient had never fainted before. The treatment for rest of events was unknown. The patient underwent lab tests and procedures which included CT scan and EKG both as normal, both on 15May2021. The outcome for mild con-cussion and significant memory loss was recovering; and rest all events were resolved.

Patient fainted approximately 5 minutes after receiving vaccine. She was walking around the store and fell onto the ground. The patient sat in a chair and drank water for approximately 15 minutes until she felt better and was able to leave the store with her mom.

patient first felt dizzy and nausea. she also has blur vision and tingling on extremities. up on checking blood pressure first it was error, than switch arm it was 70/52 HR 66; 2 minutes later blood pressure went back up to 103/77 HR 90; continue monitor patient for the next 20-30 minutes, sent patient home with her mother who is the ER nurse when the patient was stable at blood pressure 128/88, HR 99. vision came back, no more tingling sensation when she was leaving the facility.

she fell on the floor and become unconscious; she fell on the floor and become unconscious; She got sick; she lost all energy; She hurt her throat its like she can read but she has very heavy under her neck; She hurt her throat its like she can read but she has very heavy under her neck; This is a spontaneous report from a contactable consumer (Father). An 18-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection, Batch/Lot Number: EW0185), dose 1 via an unspecified route of administration, administered in Arm Left on 28May2021 16:00 as 1ST DOSE, SINGLE for covid-19 immunisation. Patient Medical history and concomitant medications were not reported. The patient did not receive any other vaccine in four weeks. It was reported that, On 28May2021 caller stated that we took our daughter to get vaccinated on 28th and she loss of conscious and she got sick, and it took almost 24 hours to recover so we need to get the forms, so she does not get her second shot and we do not want to have a second shot for her because of the lot reaction on her body. In the 22nd day later she fell on the floor and become unconscious, and she lost energy and you know it takes time to come up and it take 2-3 minute to come up and she lost all energy and she hurt her throat it's like she can read but she has very heavy under her neck. The event loss of consciousness, fall and illness was recovered on unspecified date in 2021.The event musculoskeletal discomfort oropharyngeal pain and asthenia was unknown. Therapeutic measures were taken Tylenol and green juice as a result of she fell on the floor and become unconscious (loss of consciousness), she fell on the floor and become unconscious, she got sick, she lost all energy, she hurt her throat it's like she can read but she has very heavy under her neck, she hurt her throat it's like she can read but she has very heavy under her neck (oropharyngeal pain). No follow-up attempts are possible. No further information is expected.

Difficulty walking. Blurry vision. 2 Emergency room visits 3 weeks after shot. Diagnosed with FND cohen's hospital.

After vaccination, patient was sitting in a chair and got up to say she was feeling lightheaded then fainted. Patient regained consciousness within seconds. Patient was helped up in a seated position in a chair and was instructed to take deep breaths and keep head between knees. Patient was also given water and fruit snacks. An ice pack was also placed on the back of patient's neck because patient complained she was feeling hot. Patient was able to communicate and remember details. Patient did not complain of any pain anywhere on the body. Pharmacy technician was at the patient's side the entire time after she regained consciousness. Patient was able to call her mother to pick her up and drive her home.

Patient received second pfizer vaccination at 13:01 and ambulated to the observation area unassisted. At 13:14 she stated she was feeling dizzy. VS: 89 bpm, 98%RA, 112/89, RR 14 non labored. Patient has (DM1, Graves Disease, Asthma, Autism) per mother. Patient has electronic glucose monitor and pump, Mother insists this is functioning as site was changed and inspected yesterday. BS per monitor reading 331. EMS with patient and she was moved to inversion chair via wheel chair. When asked how she felt patient shook her head no in response. Per mother patient most likely would not give more information because of her Autism. Patient given a water and demonstrated the ability to drink. When asked more specifically the patient denied nausea but admitted to still feeling dizzy and tired. Patient is awake, pink, warm and dry, alert but mother states this is not her baseline cognitively. A brief period intermittent audible grunting noticed but then resolved on its own, breathing non labored and even. Patient holding and checking her phone periodically. Two episodes of patient closing her eye observed not lasting more than 2 seconds. Mother states patient has "uncontrolled epilepsy". Denies any itching or throat discomfort but is now stating she has chest pain. Patient unable to describe the pain to the RN. HR manually 98 bpm. Skin remains warm, pink and dry, Alert. VS: 99%, RR 16 non labored, 100 bpm, 108/65, Mom states she would feel more comfortable if patient went to hospital "to be checked out and given fluids". At 1342 patient transported to Medical Center via ambulance with Grandmother.

The evening after receiving the vaccine, pt began having headache, lightheadedness, shortness of breath, nausea, loss of appetite. Th next day (6/10) she notedmyalgias in lower back and hips with shooting pains in her knees and vomiting. She also noted mild fever and chills, nasal congestion and discharge with mild sore throat, and substernal chest discomfort. She described it as tightness with radiation to her throat and jaw, and right arm, witout radiation to her back, not associated with nausea, but is associated with shortness of breath and diaphoresis. Chest discomfort worse with lying down. Rapid COVID test negative. Upon arrival to ED on 6/11, her troponin was mildly elevated (0.039ug/L), D-dimer elevated at 348ng/mL, CRP also elevated at 5.96 mg/dL. ED physician diagnoses acute myopericarditis and patient was admitted to Critical Care Unit. On 6/13/2021 patient was discharged stable (limited bedside echo showed small pericardial effusion). Pt denies pleuritic chest pain on day of discharge.

6/16/21 patient had an episode of syncope within 5 minutes of vaccine administration - fell and hit tailbone first, then hit head against the ground and had brief seizure witnessed by mother (full body shaking), LOC, unresponsive, pale and cold/clammy. lasted for several seconds. no PMH of syncope, seizures. no medical problems

I started experiencing pain in my calf on 4/21 that same night of the vaccination. There was a tight feeling in my knee and every time I took a step with my right leg there was pain that radiated down my calf. It almost felt like a muscle pain so I ignored it for a few days. By 4/24 the pain had gotten so bad that I didn't want to walk anywhere and cried when I walked. My mom came and picked me up and took me to the urgent care center. They asked me a few questions and told me that I needed to go to the ER to get checked for a blood clot. I went to hospital on 4/24, and an ultrasound of my knee was done. The doctor diagnosed me with a blood clot and told me to stop taking the Xulane which was my birth control at the time. They told me to follow up with my OBGYN and a hematologist. (I had been on my birth control for about 6 months and I have never had any issues with blood clots and they do not run in my family. The NP is who told me to report my blood clot to the CDC because she is a little suspicious that the shot is where it come from.)

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: After vaccine, pt bled slightly at injection site. She saw the blood and started to feel faint, tingly lips, flushed and then lost color in her face. I instructed her to deep breath and elevated her feet since she felt she couldn't move to be laid down. Finally she was able to stand up, I assisted her to the floor the pharmacy, elevated her feet, and she improved immediately in the supine position w/ feet elevated. She recovered 100 percent without fainting or losing consciousness.

Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe

looks like fainting but she begin to convulse in her legs in her arms; seizure event; looks like fainting but she begin to convulse in her legs in her arms; seizure event; She couldn't see that her vision was blurry and she was seeing spots in front of her eyes; Dizzy; She couldn't see that her vision was blurry and she was seeing spots in front of her eyes; This is a spontaneous report received from a contactable pharmacist. An 18-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EW0185 and expiration date 31Aug2021), on 07Jun2021 (at the age of 18-year-old) as 1st dose, single dose (reported as first COVID vaccine) for COVID-19 immunization. The patient's medical history was reported as no appointment history. The patient's concomitant medications were not reported. It was unknown if patient was taking concomitant medications, reporter believed they said like birth control pills. The pharmacist stated that he/she did not believe that patient received other vaccine within 4 weeks, he/she did not know, they did not report that. Pharmacist stated that he/she administered the vaccine to the patient, about he/she would say less than 5 minutes later she said she had been having the reaction to the vaccine she said that she could not see that her vision was blurry and she was seeing spots in front of her eyes. Pharmacist saw, wanted step down and he/she asked her if she was having any signs of the anaphylactic reactions like swelling of the face or top of the lip or tongue if she could swallow correctly, If she felt that she could breath and all of those things were normal however she said that she felt very dizzy so he/she suggested to lay her on the floor because he/she assumed that she was like she was going to faint and then started to, like her eyes sort of curl she looks like fainting. Pharmacist also stated that so, he/she would asking for questions about how she felt and then she said she felt dizzy and he/she suggested that they potentially put her on the floor in case she might faint and then she started to looks like fainting but she began to convulse in her legs in her arms and he/she would say that it happened for roughly he/she did not know 5 seconds only the mom and his/herself the mom really pulled her on the floor urgently and once she was on floor all of all of it stopped and she regained consciousness and the mom was not it was just normal thought she was fainted or she had a seizure event. The mom said that this was not something that ever happened to her daughter before with the vaccination. Pharmacist stated that the event was resolved but she was going to the hospital for a neurological (as reported). Pharmacist did not know if lab data were performed. Pharmacist stated that as he/she know of no treatment due to the event was administered. Reporter's seriousness was not specified. The outcome of the events was resolved.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of events Seizure and Fainting cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

passed out (head flew back)/her head went back to where she appeared to of lost consciousness for about 10 seconds and then they called EMS; HA/Headache; nausea; dizziness; elevated BP; This is a spontaneous report received from a contactable nurse from Pfizer sponsored program. This is first of three report. An 18-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Lot Number: ER8727; Expiry Date: 31Jul2021), via an unspecified route of administration on 17Jun2021 (at the age of 18-years-old) as a single dose for COVID-19 immunisation. Patient's medical history and concomitant medications were not reported. Patient had previously received first dose of BNT162B2 on an unknown date for COVID-19 immunisation and had no reaction. On 17Jun2021, patient experienced passed out (head flew back)/ her head went back to where she appeared to of lost consciousness for about 10 seconds and then they called EMS and had HA/ headache, nausea, dizziness and elevated BP. About 10 minutes after the injection, patient started complaining of a headache, nausea and dizziness. She got to the point where she had appeared to pass out when she was sitting. The observation nurse was with her when she had complained of the headache, nausea and being dizzy and then her head went back to where she appeared to of lost consciousness for about 10 seconds. After that 10 seconds she was responsive again but she was still complaining of a headache, nausea and dizziness until the EMS arrived. Reporter stated that they have been administering this particular lot number at that location for about 2 weeks now without any incidents until today all of a sudden. 2 of the patient's reactions were kind of typical reactions that they have seen in the past. No further details provided about reactions in the past. The other one (reported in report 1 of 3) that had to be treated with an epinephrine (EPIPEN) was a pretty significant reaction and they have never had multiple reactions back to back like this. Reporter seriousness for events, her head went back to where she appeared to of lost consciousness for about 10 seconds and then they called EMS, complaining of a headache, nausea and dizziness were reported as not serious. Verbatim event relatedness: COVID vaccine: her head went back to where she appeared to of lost consciousness for about 10 seconds, complaining of a headache, nausea and dizziness were unrelated. Seriousness: She would even call it a mild to moderate reaction. She thinks that she would of been fine without medical intervention. She was okay during the time in observation without actual medical intervention other than helping to calm her down and that type of thing. Causality: She doesn't think the COVID vaccine caused the reaction necessarily. She thinks it may of been anxiety induced symptoms. The outcome for events headache was unknown and for other events was recovering. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: Based on known drug safety profile and temporal relationship, there is reasonable possibility of causal association between the event Loss of consciousness, Headache, nausea, Dizziness, Elevated BP and the suspect drug BNT162B2. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

PATIENT INITITALLY STATED FEELING NAUSEOUS. SHE ASKED FOR A BARRELL IN CASE SHE GOT SICK. WHEN ASKING, SHE SAID SHE WAS STARTING TO FEEL LIGHT HEADED. RPH CAME OUTSIDE TO ASSIST HER TO HER CHAIR. DURING TRANSPORT PATIENT SAID HER VISION WAS GONIG BLACK AND SHE COLLAPSED. I, THE RPH, CAUGHT HER BEFORE SHE WENT DOWN. 911 WAS CALLED AND I REMAINED WITH THE PATIENT UNTIL HELP ARRIVED. WE PROVIDED HER WITH WATER AND A SNACK AS SHE STATED SHE HAD NOT EATEN OR DRANK ANYHTHING THAT MORNING. BY THE TIME HELP ARRIVED SHE WAS FEELING BETTER, BUT WAS STILL CHECKED OUT. DECLINED TRANSPORT.

Patient got dizzy immediately after getting vaccine at the pharmacy. After sitting down for few minutes and drinking water , patient was perfectly fine and went home with parent.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient was seated at the post vaccination area on a bar stool provided by the store when she felt light headed and fainted. Upon falling off the bar stool she hit her head on a water fountain located next to her. Her ankle was also tangled within the constructs of the chair and was broken upon falling. 911 had to called for assistance and she was taken away.

AE: patient feeling light headed and dizzy upon vaccine administration. Patient states that she has not eaten anything this morning prior to the vaccine. Patient also states that she feels nervous and sweaty. Treatment: patient was placed on the Trendelenburg position as well as offered water and crackers. after few minutes, patient stated she no longer feels light-headed or dizzy. outcome: Patient was discharged to /Home.

The patient began to feel dizzy within a few minutes (2 to 3 minutes) of receiving the vaccine. We had the patient sit and drink a small water bottle and called 911. They complained of ears ringing, nausea, stomach pain, and black spots in their vision. We had them lie down on the floor until the paramedics arrived (within a few minutes, approximately 3). They took a BP reading of around 80/60 and advised the patient to go to the hospital and the patient agreed and was taken out on a stretcher.

Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Vomiting-Mild, Additional Details: 911 was called. Evaluated and all vitals were good. Rescue felt it was a panic attack. Mom told to follow up with ER visit- rescue offered to call ambulance but mom denied. Patient left feeling better.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient fainted after several minutes of the vaccine administration. She hit her head and twisted her ankle when she fainted according to witnesses/mother.

Patient received 1st dose of covid vaccine and instantly felt dizzy. Client's skin pale, patient eventually vomited. Patient stated they were very anxious over their 1st dose. Patient fully recovered. Symptoms no longer present.

I was having trouble breathing.; I felt like I was going to faint/I was dizzy.; I was dizzy and hot; I broke out in a sweat; This is a spontaneous report from a contactable consumer (patient). A 18-years-old non pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0217), via an unspecified route of administration, administered in Arm Left on 26Jun2021 at 13:15 (at the age of 18-years-old) as DOSE 1, SINGLE for covid-19 immunisation. Patient had no medical history and past drug history. Patient had no known allergies. The patient's concomitant medications were not reported. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. Patient had not received any other medications within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. On 26Jun2021 at 13:30, the patient experienced patient was having trouble breathing, felt like patient was going to faint, patient was dizzy and hot, patient broke out in a sweat. Facility where the most recent COVID-19 vaccine was administered was Pharmacy or Drug Store. Events resulted in Doctor or other healthcare professional office/clinic visit/physician Office Visit. No treatment was received for events. Patient had no prolonged hospitalization. On 27Jun2021, the outcome of events was resolved. No follow-up attempts are possible. No further information is expected.

Client was observed dizziness and fainting in the observations area, and lost consciousness for 1 second, client was accompanied by mother and didn't fall or hurt, EMT and NP assessed clients, VS stable, client stated that she didn't eat lunch today, provided client with water and snacks, client recovered and went home with mom.

Patient received vaccine at seemed ok initially. No history of adverse reaction to vaccines previously and felt ok after injection, so went to pick up prescriptions and was asked to stay in store for monitoring for 15 minutes. While checking out at counter after approximately 3 to 5 minutes, patient tensed up and passed out, falling backward and hitting her head on the floor. Patient came to within 15 to 30 seconds, but complained of being hot, slightly nauseated, and was very pale. Patient was brought back into private health room with her mother and monitored by pharmacist and RXOM, and ambulance was called. Patient showed improvement and after EMT vitals came back normal, patient declined ambulance ride but was advised by pharmacy staff to contact PCP in regards to her reaction. Patient chose to leave after a few more minutes saying she felt ok.

Patient with syncope event 5 minutes post vaccination. Patient falling forward out of chair and hit forehead. Immediately aroused and neurologically appropriate. Placed in recumbent position, given juice and water. Sat up about 10 minutes later and hypotensive requiring being placed in recumbent position for another 10 minutes. Escorted to ED.

Pt fainted shortly after getting the pfizer covid vaccine, she fell and hit her head. no loss of conscientiousness. Called 911, obtained VS, and kept pt immobile until cleared by EMTs. EMTs cleared C-SPINE, and wanted to take pt to the hospital, but pt refused. Pt left with her friend who drove her home. Pt was fully awake without deficit when she left, driven by her friend. I called pt approximately 1 hour after the event and she said she was doing fine. Instructed pt to go to the ED should she have headache for N/V. And to call 911 for any difficulty breathing or any other concerns.

Within 2-3 minutes post vaccine, dizziness, felt like I was going to faint, weak, nauseated, loss feeling both hands, burning pain pressure back of nape of neck which spread to overall head. Sat down right away, pharmacist (? tech ; administered vaccine) were both very attentive. Stayed there 30 minutes. My grandmother who is a nurse was right there with me. I live with my grandmother; and she checked my BP at home: 120/86, Apical pulse 88 regular; rechecked today 7-20-21 and it was 98/78, Apical pulse 72. That night and next one to two days some dizziness and diff. sleeping due to pressure sides of head which is slowly improving and no more dizziness.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: At about 5:30pm on Saturday 07/17/21, patient was given covid vaccine, patient verbalized that she was very nervous while receiving the vaccine. Five minutes after the vaccine was given, patient fell on the floor, no loss of conscious, Alert and oriented x3, able to move all four extremities, no shortness of breath, responded to all questions. Patient assisted to chair by pharmacist and patient father. After 15 minutes patient stated she feels good. Patient refused to go to hosp.

She was instructed to sit on a chair outside of the pharmacy for observation. A bout after 10 minutes I heard someone is asking for help. I saw she was sitting on the floor and complaining about dizziness and not feeling good. We called 911. She was able to talk to them and explain her symptoms. Her mom came by too. they decided to take her . I called them about 2.00PM. and talked to her mom. She was home and doing well.

Presented dizziness; tight chest; blurry vision; This is a spontaneous report received from a non-contactable consumer. An 18-year-old female patient (unknown if pregnant at time of vaccination) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jul2021 at 12:00 PM (Lot number: EW0172) as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunization. The patient's medical history and concomitant medications were not provided. Unknown if covid prior vaccination; unknown if covid tested post vaccination. On 06Jul2021 at 12:00 PM, patient presented dizziness, tight chest, blurry vision; refused EMS. Treatment received for events including first aid, vitals. Outcome of events was unknown. No follow-up attempts are possible. No further information is expected.

Blood rushing from head to arm of injection. Also, tingling in arm of injection. Also, feeling light headed just after injection.

Woke up at 4:00 AM with nerve pain followed by weakness in both legs. Difficulty walking: unsteady and shaky. Went to the emergency room immediately, and the neurologist claimed that it was most likely nerve inflammation.

Patient fainted and fell down from the chair in the vaccination waiting area following first dose of Covid-19 vaccine . Syncope(fainting) , Fall from chair, : Paged "Code White", called store management over, Cleaned wound and blood with alcohol, have her drink water, have patient rest until she felt normal. Advised patient to take Tylenol or Advil for pain. Called to verify if patient was ok next day . Called Supervisor and spoke to pharmacy manager regarding the event . Reported the event into center System.

After getting the shot, patient sat down on the floor while the other family member was getting the shot. When I was giving the shot to the family member, felt like she was going to pass out, so asked her if she was ok, she said yes. But then I went near the patient to hold her as she almost passed out. lied down in my lap for a minute and then she was back to normal. asked her to sit, gave her water bottle and watched her for few minutes. After that asked her to sit outside the immunization room in front of pharmacy, she was able to walk by herself, waited for 15 minutes and then left the store

2 hours later after vaccination, patient started feeling uncomfortable. She felt better the next day, but started having persistent symptoms on 06/30/21 with difficulty to take deep breath and felt uncomfortable in the throat as well. Patient also felt dizziness on 07/01/21 - not anymore on 07/03/21. Provider scheduled a F/U visit on 07/05/21. On 07/05/21 televisit, patient chest discomfort persistent but stable; prev episodes of shortness of breath, throat discomfort, and dizziness still recurring intermittently. Provider recommended immediate evaluation; patient declined. Provider scheduled a F/U visit on 07/06/21. On 07/12/21 televisit, chest discomfort persistent but stable. Patient was no show on 07/06/21 and self reported to ER. Patient stated that easily fatigued and needing to take deep breaths; denied palpitations, LOC, MS change, or other neuro/cardio/pulmonary symptoms. Provider referred patient to F/U with cardiologist.

Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Joint Pain-Medium, Additional Details: Patient claims to have had dizziness, stiff neck, nausea, and stomach irritability the following day after administration as well as up through today (7/26/21). Patient has not confirmed symptoms have not ceased as of yet (note: 3 days after administration).

It was like the first 5 mins my temperature went up by four degrees, my blood pressure go really high, I felt dizziness, lightheaded like I was going to pass out. I had to go to the ER, said my body reacting so quickly because I had COVID a month prior.

Initial bilateral lower extremity pain within 24 hours post-vaccination. Red sores/welts developed on thighs bilaterally, buttocks, and bilaterally on back upper arms. Welts grew in size and pain. No swelling in joints (knee/ankles). Began to have difficulty walking. APAP was taken but did not alleviate pain. Hot water from shower aggravated welts.

Hypotensive - 106/62, 98/57; Lightheadedness; Flushed Monitored for 35 minutes total Placed in Trendelenberg position. BP 121/74. HR 85 Released from clinic.

Dizziness with Pfizer-BioNTech COVID-19 vaccine second dose 0.3 mL IM in right deltoid. Called RRT. Obtained vitals, which were stable. After monitoring, patient released without treatment.

I woke up this morning (approx 18 hrs post injection of my 2nd dose) feeling some myalgia, joint pain (perhaps 7/10 on a pain scale) and fatigue. I was able to work out (exercise bike 30 mins) and shower despite the pain. Then, around noon today (nearly 24 hrs post injection) I began feeling increasingly dizzy and warm. I stood to go to my bed and lost consciousness and collapsed. I was only unconscious for perhaps 15 seconds. I woke up feeling very shaky and cold and breathing rapidly. I was able to slow my respirations. My skin on my face and hands was very pale (lips were whitish blue). My housemate had called 911 for me: FD showed up and took a couple sets of orthostatic vitals. My BP when seated on the floor was around 110/80, pulse 80, and my BP when standing was around 90/70, pulse 100. I was able to walk to the bed without help so I decided to stay home and just hydrate, sleep, and keep a close eye on things. Now (1620, around 4 hrs after passing out). I still feel lots of soreness, but only very minor dizziness.

19 year old female reaction to Covid 19 vac; she is alert and orientated; complaining of rash, difficulty breathing, dizzy, lump in throat, headache, nausea, cough. 1 dose of Benadryl 25 mg given at 1430. Patient states she is medical fragile and has a HX of epilepsy. EMS called at 1500 evaluation mild allergic rxn will transport to hospital for further evaluation.

Pain in arm like a tents shot for about a day and a half; headache; dizziness; This is a spontaneous report from a contactable other hcp, the patient. This 19-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (Lot number: EK4176) (dose #1), via an unspecified route of administration in the left arm on 04Jan2021 at 19:00 (at the age of 19-years-old) as a single dose for COVID-19 vaccination. Medical history included depression from an unknown date and unknown if ongoing, panic disorder from an unknown date and unknown if ongoing and a weak immune system from an unknown date and unknown if ongoing. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient was not pregnant at the time of vaccination. Concomitant medication included escitalopram oxalate (LEXAPRO) and an unspecified antiacid. On an unspecified date in Jan2021, the patient experienced pain in arm like a tents shot about a day and half, some headache and dizziness the first few hour. No pain or symptoms reported after 3 days following the vaccination first dose. No therapeutic measures were taken as a result of the events. The clinical outcome of pain in arm like a tents shot about a day and half, some headache and dizziness was resolved on an unspecified date in Jan2021. It was also reported that since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible. No further information is expected.