Pfizer

Patient received COVID vaccine at 1317 today. At monitor station c/o feeling lightheaded. At 1323 patient assessed to be sweaty, pale and c/o feeling hot. Yawning and looking faint. Patient seen by provider.. At 1330 patient transferred by wheel chair to an exam room to lie down. Vitals obtained. Patient began to feel better and feelings of lightheadedness began to resolve. Lungs CTA, no signs of allergic symptoms, color to skin returned At 1340 patient wanted to sit up. Orthostatic vital signs obtained. Patient had no complaints of dizziness. Patient was discharged at 1355, ambulatory, alert, NAD.

seizure like symptoms; Dizziness; lethargy; fatigue; This is a spontaneous report from a contactable pharmacist. A 16-year-old male patient received first dose of intramuscular BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 02Mar2021 at 12:00 at single dose in left arm for COVID-19 immunisation at the age of 16-year-old. Lot number was EN6205. Medical history and concomitant medications were unknown. On 02Mar2021 at 12:00, the patient experienced Dizziness, seizure like symptoms, lethargy, fatigue. It was unknown if the patient was treated due to the events. The patient recovered from the events in Mar2021. It was unknown if the patient had COVID prior vaccination; it was unknown if the patient was tested for COVID post vaccination.; 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 event Seizure 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.

Patient received vaccine and went to sit down in front of pharmacy. He then immediately started feeling lightheaded, his eyes rolled into the back of this head and he had a couple of convulsion. He did not lose consciousness and was immediately aware. He was pale, lips were blue tinged, pulse was 60, sweating and blood pressure was 98/50. Paramedics were called but he had recovered by the time they got there. They said he had a fainting episode due to the vaccination and did not have a seizure. The patient had not eaten anything the whole day and he felt that contributed. Followed up with patient's parent and he is feeling just fine now.

Pt reported lightheadedness within 15 minutes s/p vaccination. Instructed pt to lay supine in car seat with lower extremities elevated. Pt reported resolution of sx within a few minutes. Consistent with mild vasovagal reaction.

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient and his mother presented about 30 minutes after receiveing vaccine stating he passed out in the car for about 15 seconds and fell on his way back into the store. He lied down for a while and said he was fine. Mother said do not call an ambulance, she would take him to the emergency department.

After vaccine pt showed signs of severe nausea, dry heaving, and dizziness. Pt laid down for 30min. Patient revealed of symptoms, vitals are stable. Patient escorted by dad home.

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

C/O dizziness. Denies chest discomfort. C/O HA Hx of anxiety with needles per Dad. Vital Signs: BP 104/64 HR 88 Resp 18 O2sat 99 Skin Signs: Warm and dry Circulation: Cap refill <3 sec Respiratory: Breath sound clear bilaterally Initial Treatment: Full set of vitals and observe. Bottled water and granola bar 11:35 AM Vital Signs: BP 104/62 HR 68 Resp 18 O2sat 98 Skin Signs: Warm and dry Follow up Treatment: Moved from triage to observation area for additional 15 min Patient smiling and conversing with RN. Driven home by parents

Eight minutes after receiving his vaccination, he developed lightheadedness and had a brief episode of syncope. He had a small laceration on his right for head.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium, Additional Details: Patient felt like he was going to pass out, said he has never had a reaction to needles or shots. EMS evaluated the patient and determined he could go home.

patient reported feeling hot and dizzy 5 minutes after injection and collapsed to the floor next to his mother. Denies loss of conscience or injury. Patient was transported via gurney to EMS room for observation by physician, patient reports he had not ate anything this morning, apple juice and granola bar given to patient with no issues. Mother reports that this has happened in the past. Patient denies chest pain shortness of breath nausea, discharged into mothers care in no distress @ 9:55am.

Patient received 1st dose of vaccine. Minutes after, while in the observation area, pt appears to have had a vasovagal reaction with a brief loss of consciousness, pt fell to the floor, had very brief shaking activity followed by immediate arousal by patient as medical provider has seen in other vasovagal incidences. Pt was alert and oriented upon arousal and pale. EMS was called by a store patron. Upon EMS arrival, Patients blood sugar was taken and found to be 55, pt does not have a history of diabetes. Pt stated he had had a waffle that morning for breakfast and had not eaten since the morning (time of event is estimated around 11am). Vital signs within normal limits. Patient stated he felt like he was having an anxiety attack prior to event. Parents decided to take patient to the hospital for further testing. Mother stated patient was discharged from the hospital that day and tests were normal.

Pt was sitting down, and mother was standing by patient. Pt fainted and fell out of chair, Did not hit head per mother. Patient was awake and aware right away and sitting up. EMS came to evaluate patient.

Patient was nervous upon receipt of vaccine. It was an unscheduled (expiring) dose. Per parent, he had fallen asleep outside vaccine room and they had to wake him up to get vaccine. I gave immunization and asked him to stay for 15 minutes afterwards. His Mom ran to consult window to notify staff patient was passing out. I was sanitizing vaccine room so I immediately ran to him and his Dad and I caught him as he was slumping over. He was shaking really hard, weak, and clammy. He was coherent b/c I asked him his name but did not have clear recollection of timing of vaccine. He was very pale in color. His Mom grabbed him a Gatorade and he seemed very thirsty as he was drinking. He mentioned he felt dizzy and that both arms were hurting and the arm I gave vaccine in felt like he had sweat dripping off it. (I felt his arm and it did not). I grabbed an instant cold pack and placed on his neck to help cool him off. His color returned over the 30 minutes. I asked parents if they wanted me to call ambulance but they wanted to wait and see how he responded. He looked at his iPhone data and his heart rate had spiked. Unclear if right before vaccine or right after but I believe he mentioned it went up to 120 when Mom said his normal resting heart rate was 60. He ate some gold fish and seemed to perk up and have a few funny conversations showing his personality. I explained to him very important to let parents know if he experienced any other side effects after leaving. He was able to stand up and walk out of RX with parents.

About 5 minutes after shot he said arm is tingling then fell off chair and hit the floor. He passed out for a couple of minutes and then opened eyes and said my throat is closing up. The EMS gave Benadryl and used the Epi Pen. He was transported by ambulance to the hospital.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Weakness-Medium, Additional Details: PT PALE AND WEAK

4/9/2021 Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, he experienced an adverse reaction with the following symptoms: diaphorectic, light headed..pale. Assessment : Time of assessment 1105, pale, diaphoretic, light headed. Sitting on floor, transferred to wheelchair Actions taken: Vitals sign taken VAERS form completed 1105- BP - 79/33, P- 51, O2- 100%, 1110: BP- 84/44, P- 52, O2- 100%, Jiuce and granola bar given, at 1118- Bp- 97/60, P- 57, O2-97%, 1141: BP-97/60 , P- 56, O2- 99% Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the system. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/9/2021 11:00 AM

Nausea, dizziness, change level of consciousness, diaphoretic. Patient transferred to floor, feet elevated, patient alert and oriented x 4. No shortness of breath or throat swelling. Pulse lowered from 57 to high 40's briefly. Patient transferred to doctor's office. Vital signs stabilized and symptoms resolved. Patient was then discharged home with his mother.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: Patient was felling hot and had anxiety before getting the shot. He said he had breakfast at 7am and recieved the shot around 11:30 am.

11:15 Patient fell out of chair and hit his head on the gym floor, he lost conscientiousness, after he work up, he stated " I have a headache." Blood pressure elevated, sweating, kicking, confused initially but quickly able provide his name, birthdate, and current location. B/P 147/85 HR: 100 Oxygen Sat: 100% 11:20 am B/P 153/78 HR: 99 Oxygen Sat: 99% 11:40 Patient states " I'm not feeling alright but I think I'm going", patient was talking on the phone to his dad, unable to complete his sentence and began to fall out of his chair, patient eye's began to twitch, legs kicking, but patient was able to state his name. Patient was sent to the Emergency Room via ambulance. Father of the child will meet them at the hospital for further evaluation.

4/10/2021 Patient was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening . During the observation period, he experienced an adverse reaction with the following symptoms: dizziness. Assessment : Time of assessment 0918. Alert and oriented. Actions taken: Vitals sign taken VAERS form obtained and completed by RN. VS at 0918- BP- 146/81, P- 77, O2- 100%, 0920- BP- 158/89, P- 80, T- 97.9, VS at 0934- 138/81, P- 72 Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the system. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/10/2021 8:33 AM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: EW0162

Post vaccine, patient vomited, felt dizzy & was pale. Empress EMS checked out. PT transported to Medical Center.

Patient felt warmth in his arm and became faint. He had his eyes open and remained sitting, but became pale and not responding appropriately. He was reclined with his feet up, cold cloth and returned to normal rather quickly. His vitals were withing normal limits, drank water, was observed x 30 minutes. His mother, who was present the entire episode, stated he has had a sililar reaction to a previous routine vaccine. Instructed to contact Primary Care MD to discuss further immunizations. Patient walked out with his mother feeling fine.

Patient had syncopal episode. Continued lightheadedness, abdominal discomfort, nausea. Patient with hypotension and bradycardia. Transferred via EMS to hospital.

I was informed the customer who I gave the Pfizer-Biontech vaccine had reaction. His mother told me that his head tilted back while he was sitting he felt dizzy . he looked pale. Pharmacy called EMS and they came after 10 minutes . The vital was good EMS

Syncope and dizziness, BP 125/75, HR73, RR16. Patient experienced syncope and fell to floor from chair. Regained consciousness after ~3 seconds. Vital signs stable, released in stable condition

Patient reports feeling "ringing in ears, head spinning, and vision going dark" on vaccine floor. Upon arrival to observation area at 1632, patient appeared pale, alert and oriented. Vitals 1635 HR-65, RR-18, BP- 101/39, Pulse ox- 99%, 1641 HR-72, RR-18, BP- 100/53, Pulse ox- 99%, 1645- HR-65, RR-18, BP- 100/58, Pulse ox- 100%, 1648 (while standing)- HR-64, RR-18, BP- 104/51, Pulse ox- 100%. Patient stated he felt better. His mother stated she felt comfortable taking him home. Patient left accompanied by mother.

after injection pt felt dizzy, brought to Observation 1 in wheelchair. Given apple juice and crackers at 09:28. Vitals at 09:20 a.m. BP 124/73, pulse 86,resp. 16, O2 96%. Pt. lying down. Vitals at 09:38 am, bp 111/64, pulse 68, resp.18, O2 98. Pt reports feeling better , gait steady, discharged in wheelchair at 09:42 a.m.

Patient felt dizzy, hot and light headed immediately following vaccination. He lied on the floor for about 5 minutes and had some water. He sat up since he was feeling better. He then became nauseated and lied back down. After another 5 minutes he was feeling better. He slowly went from lying to standing to walking. He sat outside for another 5 minutes and felt back to normal.

Vomiting, Dizziness, Sweating (possible anxiety sweating per mom), BP 91/64, HR 53 RR 16, 99% RA (1425) -- > BP 110/76, HR 72, RR 16, 99% RA (1429)

Syncope, Flushing/sweating Pt felt light headed, assisted to ground by RN. Placed in wheelchair and moved to med bay. VSS on arrival. Pt eating and drinking w/ no issues. Feeling normal. Ovbserved patient to stand. Stron/steady gait. BP 130/85, HR 93, RR 22 -- > 130/80, 81, 18. Patient stable and released from vaccination site. Grass allergy

Patient fainted in chair and regained consciousness and transferred to med bay. Patient states vision and hearing went fuzzy, nausea, lightheadedness. Pt given juice, decreased ____, A&Ox4. Mild HypoTN and Brady at baseline. BP 103/58, HR 50, RR 16 -- > 114/66,52, 16 Pt able to stand and walk. Released from vaccination site.

Recipient experienced brief loss of consciousness (few seconds per report) / vasovagal syncope from a standing position. He fell and hit his right frontal bone of skull upon fainting. Patient awoke after a few moments per report and was AAOx4 within moments of this reporting clinician's arrival to scene. Vital signs stable. Patient's frontal bone with minor red abrasion / erythema and scant swelling. He did not complain of changes in vision/ nausea / emesis. Neurological and Musculoskeletal exam intact without issues.

vasovagal response, pt fell and hit his head, pt was okay, ambulance came but he did not leave with them

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: After getting the vaccine, patient was feeling lightheaded while he was sitting down. He tripped over the chair and fell over when he tried to get up too quickly. Patient fainted briefly as we were trying to get him to a chair and was pale initially. 911 was called. After he was given water and the paramedics arrived patient got better. paramedics tested vitals and everything was in normal range. patient reported being nervous about getting the vaccine. paramedics left after collecting info

Patient went to observation area and was sitting with his mother after receiving vaccine at 03:41 PM on RA. Patient told nurses at 03:45 PM he felt lightheaded, was seeing blurry vision, and his stomach hurt. Patient was pale, diaphoretic, and had unstable vitals. First set of vitals was taken on the RA at 03:46 PM with BP 80/40 mmHg, HR 90 bpm, RR 18 bpm, and oxygen at 98%. Patient was told to take slow deep breaths, was given an ice pack for the neck, water to drink, and some pretzels. At 03:48 a second set of vitals was taken on the LA with BP 120/60 mmHg, HR 56 bpm, RR 18 bpm, and oxygen at 100%. Patient claimed vision was no longer blurry, he was no longer lightheaded, and stomach no longer hurt. Patient was no longer diaphoretic and was no longer pale. Last set of vitals was taken on the LA at 03:50 with BP 122/78 mmHg, HR 56 bpm, RR 17 bpm, and oxygen 100%. Patient stayed for an additional 15 minutes and left at 04:16pm with his mother. He claimed to feel back to normal. Both patient and his mother, father, and sister were educated on what to do if he starts to feel these symptoms again.

Flushing, sweating, dizziness. BPs 104/55 (pulse 68), 102/60 (pulse 64), O2 sat 100%. Water, juice, and crackers given.

Fever, chills, headache and swallen axillary lymphnodes. Pain and redness in left axillary area limited left arm and shoulder range of motion. Tylenol and warm compress was used to provide comfort. Today a call is going out to the Dr. to provide any further instruction as today is day 3 and there is still quite a bit of axillary discomfort.

Patient had a syncopal/near syncopal episode shortly after vaccine given, becoming very lightheaded/dizzy. Had a very short period of unresponsiveness, approximately 5 seconds. He does report having a similar situation after flu vaccine in the past. He was placed in supine position, cool compress applied to forehead. After several minutes was able to consume water and lollipop. He was made to remain in the treatment area for 30 minutes post vaccination, at which time he recovered without any further treatment and was able to leave with his mother, ambulating steadily without assistance.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient fainted and hit his head and scratched his right arm

Pt vaccinated, 5 minutes later pt was standing with his mom and brother at the register. At this time, the pt lost consciousness briefly and fell to the floor. Pt complained his nose hurt(probably from hitting it on something on the way down, lip slightly broken open and shaky). 911 was called, pt refused transport and said would drive themselves. Pt left on their own.

Patient start walking unstable after getting up from vaccination table loss consciousness after being sited on the chair but quickly regain consciousness shortly.

Day 1 (4/16/21): non-emergency allergic reaction = itching all over Day 2 (4/17/21): still itching all over, scratchy throat, hurt to swallow, (normal side effects = elevated temp 100.3, steady headache, dizziness, slight achiness) Day 3 (4/18/21): itching all over, small number of hives on right arm, scratchy throat, inside ears itchy; (normal side effects = nauseous - worse after eating, dizzy, headache, elevated temp 99.6 Day 4: itchy all over, hives now up & down both arms, scratchy painful throat (normal side effects: above but less. Day 5: all improving

5 MINUTES AFTER VACCINE ADMINISTRATION HE FELT LIGHT HEADED THEN COULDNT SEE (BUT HAD EYES OPEN), BLACKED OUT, WAS DREAMING AND THEN WOKE UP. DURING THE TIME HE WAS DREAMING PHYSICALLY HIS EYES WERE OPEN AND HE WAS MOANING, HIS BODY STIFFENED UP AND FACE WENT WHITE. HEART RATE WENT UP TO 125BPM BUT THEN DECREASED TO 65 BPM AS SOON AS HE CAME BACK. HE WAS MONITORED FOR 35 MINUTES LAYING FLAT ON FLOOR, ATE CHOCOLATE BAR AND HAD SODA. FELT MUCH BETTER BEFORE LEAVING AND REGAINED COLOR.

Customer 30 seconds -1 minute after administration of the vaccine became unresponsive, and had facial twitching and overall body clenched down for 15 seconds--seizure like. Customer woke and assisted customer to ground, he reported lightheadedness, customer was pale. Customer was fasting. Customer reports within 5 minutes on the floor that he felt better. Assisted customer into sitting position and observed for 20 more minutes. customer reports being 100% at time of departure. Customer with his father.

Pt became dizzy, pale, and lightheaded about 5 minutes after receiving his COVID-19 vaccination. He states that he feels like this every time he gets a shot. Denies shortness of breath or nausea. After drinking water pt stated he was no longer experiencing symptoms. He was observed for 20 minutes and then left after all symptoms had improved.

Patient appeared pale, light headacheness, near fainting, tunnel vision, skin cold and clammy within 10 minutes of 2nd Pfizer injection. Patient rested on gurney and felt better. 1st BP taken at 10:45 BP 85/47, HR 56. 2nd BP taken at 10:55 BP 95/57, HR 61. Patient left the facility 30 minutes after his vaccination with stable condition.

Patient received Covid-19 vaccine (first dose) at our store today at 9:40 am. Patient was advised to stay in the area for 15 minutes for observation. Patient was sitting in the waiting area. At around 10:00 am, patient's mom knock on the door saying that her son might have an adverse effect. Patient stated he was feeling dizzy and was about to lose consciousness. He also stated he lost his vision. Patient was alert and was able to answer questions. Medics arrived and took his blood pressure. He was transported to the hospital

5:24pm Pt called staff over and sad he felt faint and then fainted. Parent in car, layed pt back in car, talking to him to help orient him. Vitals obtained, temp, 96.2 temporal, 62HR, 100 %spo2, 116/60 Bp. 116/60. 5:32 Pt awake enough, stable to be observed for another 10 minutes. Pt stated he is fasting ad thats probably why i fainted/ 5:47 pt awake and stable enough to leave. Mother is ok with Pts condition.

16 year old received Pfizer dose #1 (Lot # EW0158) @ 1155 am. While in the recovery area @1156 began feeling dizzy and faint. Was lowered to the floor and placed in Trendelenburg position. First set of vital done at 1158am. 138/62, 18, 92, @ 96% O2 sat. Mom stated that this is not a new event, has a history of syncope with injections. Second set of vitals @ 1158, 118/60, 84, 99% O2 sat. Returned to chair. Had a second episode, and was once again lowered to the floor, and positioned with head between knees and did deep breathing exercises. Next set of vitals at 1209 am, 118/62, 77, 18, 98% O2 sats. Returned to chair when stating he felt better. Discharged from Recovery with Mother to home at 1233 am with final set of vitals of 110/70, 64, 18.

16 y/o VR present with father received vaccine and approximately 1 minute later became unresponsive, falling forward and hitting his face on the carpeted floor. VR became rigid with posturing that lasted one minute. VR regained consciousness. VR had a 2.5cm laceration to the left eyebrow and abrasions to the left face. Hemostasis is achieved with pressure. NIHHS is 0 at the time VR regained consciousness. CN exam intact as tested. Cerebellar exam is intact – gait is deferred. VR had been fasting. BP 90 /50, HR 50, 99% on RA, RR 16. Sitting causes lightheaded/dizziness. Ambulance was called and VR transported to Emergency Department. Father present throughout the likely multifactorial syncopal event.

PATIENT PASSED OUT AFTER RECEIVING HIS FIRST DOSE OF VACCINE. PATIENT STATED THAT HE HAD NOT EATEN ALL DAY. HE ONLY PASSED OUT FOR A FEW SECONDS, AND THEN FELT DIZZY FOR THE NEXT 5-10 MINUTES.

About 5 minutes after the vaccination by our pharmacy student, the patient reported that he wasn't feeling well. He said he was hot and dizzy. His hands were clammy. He said he felt like his body was numb. We had him remove his mask and got him some water. He never actually lost consciousness. Eventually we had him lay down and put his feet up. His father was contacted and came to pick him up. We spoke to his mom later and she said he was feeling much better.

Patient received vaccine around 745 am on 4/22/21. He did not have any side effects or concerns until 4/23/21 at approximately 9:30 am when he had what Mom describes as a grand mal seizure while at school. Patient was reportedly sitting in his chair at school. He stretched his arms above his head then fell onto the floor with full body convulsions for just under 1 minute. Patient vomited about 20 minutes later. Our office was informed by mother around 10:30 am. Patient at home and sleeping. Advised Mom to take patient to local ED for further evaluation and monitoring.

Patient started to feel dizzy for about one minute. His father states that patient was sitting up on a chair and he started to fall backward, so his father caught him and lowered him to the ground. He did not hit his head. He was not responsive for approximately 10 seconds, per the father. Clinical monitors arrived and patient was alert and oriented to name, place, date/time. He was slightly pale and clammy but he denied any dizziness, chest pain, palpitations, shortness of breath, headache, changes in his vision/hearing, or nausea. He was laying on his back on the ground with his legs elevated on a chair and he started to feel better, and his blood pressure and oxygen saturation were stable with mild bradycardia per the vital signs obtained by one RN. He said he was feeling better and he was smiling and joking with staff. He slowly started to sit up and sipped bottled water. Stated that he had not eaten since 11am, and he agreed to a snack. I left to get him a snack, and RN said that he started to "zone out" and he lost consciousness again for approximately 20 seconds. When I came back, he was sitting up, conscious, and had spit up saliva and water onto his shirt. His breathing was steady. He again stated that he was feeling better very quickly, again in good spirits, but his father and I agreed that it would be best to call 911 to transport him to the ER just to be safe. He did not hit his head. He denied dizziness, chest pain, palpitations, shortness of breath, nausea, changes in vision, and headache. He was alert and oriented to name, place, and time. EMS was requested and they arrived, took his vitals, and he was transported to the Emergency Dept for futher care. He and his father were confident that he would recover quickly as he had a history of syncopal episodes related to vaccines in the past.

after vaccination patient start feeing dizziness and fainting. Pharmacist on duty helped the patient by checking blood pressure and pulse rate. Patient was give orange juice, after 10 minutes patient starts feeling better left pharmacy

Light headedness, headache and visual changes. Hypotension. Pt placed supine and provided with water. Observation for 30min, symptoms resolved and pt sent home.

Immediately after receiving the Pfizer COVID19 vaccine, patient began feeling sick, dizzy, lightheaded. Patient was shaking and went unconscious for a few seconds. Patient regained consciousness but was able to sit and drink water until paramedics arrived. Administering pharmacist suspects it was a seizure but that was not verified. Patient left with paramedics.

Syncopal episode after receiving covid vaccine. He became acutely lightheaded, describes tunneling of his vision, then his head rolled back and his eyes fluttered. Event was witnessed by his mother. Did not fall to ground. No injury. Taken to ER no further care required and symptoms resolved. Has happened before with blood draws and other vaccinations.

Dizziness. 100/50, 111/58, HR 58 Blood Sugar 81. C/O dizziness after COVID vaccine. Pt. will be monitored at home.

5 minutes after dose while standing and watching sister receive dose of vaccine, patient experienced presyncope. Patient started to sway and lost muscle control. I helped to the floor and laid him out. Patient conscious whole time and never stopped breathing. Did not lose cognizance. Had momentary feeling of nausea that immediately passed. Did not believe necessary to call 9-1-1 as patient did not exhibit any allergy symptoms of any distress during the whole episode. Allowed to lay on floor for about 5-10 min. Supplied patient with bottle of water to help with dry mouth and he drank and felt better. After another 10 minutes patient was up on feet and feltmuch better. Mother called an hour and a half later (about 5 min ago as I prepare this form) to inform me that he was back to 100%.

After reporting symptoms of dizziness, Patient was monitored by RN at vaccination site. While monitoring, RN noticed patient exhibiting muscle tremors throughout his body that he reported not being able to control. Reaction intensified with patient advising that the was having sharp right sided chest pains that he rated on a pain scale of 0 to 10 as being an 8. In addition he stated that the felt as though his throat felt as though it was closing off. EMS were notified and while en route, RN continued to monitor patient. Patient remained able to speak with RN, pulse remained 70s bpm and respirations within normal range of 14 to 20. Patient did not display any symptoms of having trouble breathing. EMS arrived to evaluate patient; administered oxygen therapy and ran a 12-lead echocardiogram. Patient's parents opted to take patient local hospital to be evaluated, but declined to do so via the ambulance and transported patient via private vehicle.

Covid vaccine site: Per chart pt received covid vaccine at 1413 accompanied by his Grandma. About a minute later, pt had a syncopal episode while walking to observation area. Per grandma, pt hit L-side of face on plastic chair. Medical staff responded to incident, RN and Dr, pt supine on ground - awake and alert. Dr examined pt. VSS taken: BP: 130/60 HR: 74 O2sat: 99% RA. 1420: With permission from Dr, pt stood up to sit on the wheelchair. Pt wheeled to observation/triage area. Intervention: Ice and gauze dressing. Pt is awake and alert, mild swelling to L side of-face, under eye - small break in skin noted, bleeding controlled. Pt had some juice, water and crackers, no difficulty swallowing. Pain 2/10, tolerable. Cold compression on and helping. Grandma remains with pt - per grandma, pt has history of passing out with blood draws. 1440: Pt remains awake and alert, NAD, no new or worsening complaints. Grandma remains at bedside. 1505: Orthostatic BP done per Dr. Results given to MD. No new orders. 1510: Dr OK'd pt to go home with grandma. Grandma and pt stated they are comfortable to go home. Instructed pt and grandma to monitor for symptoms and to call PCP or 24 hour advice line for new or worsening symptoms. Call 911 or go to emergency if has emergent symptoms. Grandma and pt verbalized understanding and agreed. Pt and grandma exited triage area, ambulatory with steady gait and in no apparent distress. Grandma will drive pt home.

Extensive hives, joint swelling; swelling over left eye. I saw him on 4/26/21. He had some minor hives. I prescribed an epiPen, prednisone (40 mg daily), and benadryl (25 mg tid prn rash, hives). He came back on 4/27/21. He had more hives, swollen left upper eyelid, joint pain, difficulty walking because of hives on soles of feet. He had no respiratory distress. His chest was clear. I admitted him on 4/27/21 to the Hospital.

Immediately after the injection, patient was lightheaded, had tremors, felt like he was gonna pass out, had a hard time breathing and couldnt swallow.

had his injection at 12:15pm without incident and went to monitoring area and sat at table. lost consciousness and fell to the floor, staff alerted RN who came over to . regained consciousness right away. stated that he remembered leaning forward over the table looking at his phone and texting his sister and then he was on the floor. A wheel chair was brought over and was laid down on the cot where he stated he already felt better. PHN assessed for injuries. He denies pain, no injuries noted except for right eyebrow that is red and starting to swell. At 12:20pm BP 108/64, P-63, Os Sats 96% and R-18.

Patient self-reported to this office pain in his left testicle which began within 30 minutes of receiving vaccine. He walked home from school/vaccination site and by the time he got home he had so much pain he could barely walk. He denies swelling or discoloration of scrotum/testes. Called my office at 342pm and pain was lessening. Mom reports that he went to bed at 730 pm and pain was completely resolved when he awoke this AM. Discussed care with patients PCP and was given triage advice for testicular pain and vaccine reaction.

Patient reported light heade fullu recovereddness and had syncopal episode for few seconds. no shortness of breath or respiratory symptoms. he was table with heart rate 98 and oxygen 98%. patient is not taking any medications but did report has ADHD. Patient advised to lay flat with legs elevated after a couple minutes. Water offered. No medications and patient encouraged to hydrate. Patient left premise once no ADHD. Patient fully recovered.

Pt was in the waiting room waiting 15 mins post vaccine. He was sitting with father and felt dizzy and put his head down. Father said pt has fainted in past and was expecting this reaction. Pt was dizzy for less than a minute and we gave some orange juice and he felt better.

11:55am Pt. reported feeling like he was "fading out and dizziness," denies SOB, chest pain. Airway patent. Patient and patient's Mother declined emergency care. 12:00pm. 122/82 58 21; 12:05pm 120/86 67 21; 12:15pm 122/82 72 20; Disposition: 12:35pm. Pt. in no distress, declined offers for emergent treatment. Pt. left with Mother in no distress via personal vehicle.

was sweating profusely and breathing heavy then he passed out; was sweating profusely and breathing heavy then he passed out; was sweating profusely and breathing heavy then he passed out; he started getting dizzy; felt nauseated; This is a spontaneous report from a contactable consumer (patient's parent). A 16-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 11Apr2021 14:30 (Lot Number: EW0150) (age at vaccination: 16-year-old) as SINGLE DOSE for covid-19 immunisation. Medical history was reported as no. No COVID prior vaccination, no COVID tested post vaccination, no Known allergies. There were no concomitant medications (no other vaccine in four weeks and no other medications in two weeks). Right after the patient was administered the vaccine, he started getting dizzy and felt nauseated, was sweating profusely and breathing heavy then he passed out. They were in the car so the nurse reclined his chair. He passed out and then woke up and then passed out (twice) -They gave him water and gum to chew and remained laying flat. After about 20 or so minutes he felt better and nurse checked his pulse and heart rate during the ordeal. The adverse events start date was reported as 11Apr2021 14:30. No treatment received for the events. The outcome of the events was recovered.

Approximately 10 minutes after being administered with Pfizer COVID vaccine patient became lightheaded and almost fainted. Patient did not fall out of chair, but did slouch over in chair. The patient's father alerted pharmacy staff and the nurse administering vaccines today, and I went out to check on him. Patient was sitting up in chair at this time, but was very sweaty, pale and cloudy. Nurse instructed him to place his head down by his knees and provided him with water, Gatorade, and cold compresses. Once patient was feeling a little bit better we moved him into a private room with father and let him lay down at rest. When patient felt okay to leave he was advised to lay flat when he got home and eat. Father was also advised to stay with him until he was feeling 100%. Event lasted approximately 30 minutes. A call was placed to parents around 3pm to check on him and he was doing well. (moving around and playing video games)

Patient fainted and proceeded to feel nauseous. Patient was in chair when the mother asked for help and the patients head was slumped over. Patient was put in cot and counties to feel headache and dizzy.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Severe, Additional Details: Patient passed out and lost conciousness. EMS called. Patient was breathing. O2Sat >95%. EMS arrived after patient regained conciousness. Patient refused transport to hospital.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted after injection but was fine after laying down for roughly 15 min. gave h2o and waited 30 min before ok to drive home. consulted parents... will drive son to next appt.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Additional Details: 16 years old male suddently have low blood pressure, light headache, not feeling well, gave him a dose of tylenol 500mg, a bottle of water, and call 911.

Difficulty awakening; tingling to hands; difficulty standing up; difficulty with mobility; unable to answer questions; hyperglycemic; incoherent; vomiting; weakness; dizziness; increased white blood cells; increased lactate value; Concomitant medication included an unspecified vaccine given on 08Apr2021; Concomitant medication included an unspecified vaccine given on 08Apr2021; This is a spontaneous report from a contactable consumer (patient). A 16-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration, on 08Apr2021 13:45, as single dose, for COVID-19 immunization, at a hospital. Medical history included asplenic, diabetes, Ehlers-Danlos syndrome (EDS), and autism. The patient did not have COVID-19 prior to vaccination. The patient previously took gabapentin and lactose and experienced allergies. Concomitant medications included an unspecified vaccine (reported as "other vaccine") given on 08Jan2021; and other unspecified medications. On 08Apr2021 at 22:00, the patient experienced difficulty awakening, tingling to hands, difficulty standing up, difficulty with mobility, unable to answer questions, hyperglycemic, incoherent, vomiting, weakness, dizziness, increased white blood cells, and increased lactate value. These events resulted to physician's office and emergency room visits; and hospitalization for one day (unspecified date). Treatment for the events included IV fluid and IV antibiotics. The patient had COVID nasal swab on 09Apr2021 and tested negative. The patient recovered from the events on an unspecified date. Information on batch/lot number was requested.

After waiting in the waiting area for about 10 minutes the PT said he felt light headed and passed out falling to the floor. Mom was at his side and stated that he went to 'dead weight' and then she lowered him to the floor as best as she could. Mom said that she started 'shaking' and then stopped after about 15 seconds. After PT was stood up he felt like he was going to vomit but he did not. PT was extremely diaphoretic.

Patient was sitting down and said he felt dizzy, guardian with him stated that he passed out briefly and then just said he felt dizzy. He wanted to get some air so him, myself, and his mom went outside and waited for the paramedics to arrive . Once outside, patient said he felt better but a little dizzy. Paramedics came to make sure he was okay, he went to the hospital after that,

Pt fell off chair and hit head on ground. EMS and 2 vaccinator RN's came to help. Pt lost consciousness for few seconds. Pt vitals and glucose were stable. Pt alert and oriented when awoke. Pt transported to hospital with EMS with mother.

PT FELL TO THE FLOOR, DID NOT HIT HIS HEAD, THEN PT REGAINED CONSCIOUS. DID NOT EAT LUNCH PRIOR, VSS, REFUSED TRANSPORT.

PT FELL DOWN, THEN REGAINED CONSCIOUS, VSS, DID NOT EAT PRIOR, REFUSED TRANSPORT. DRIVEN HOME BY DAD.

Approximately 5 minutes after receiving his vaccine, pt started to feel light headed on his way to the observation area, and sat on the ground. As Medic approached, I helped patient to his feet and walked him over to a chair and sat him down, about 10 seconds after sitting him down he stated he was going to pass out, medic immediately braced patient and held him up and pt did go unconscious for about 15 seconds. Pt quickly regained consciousness and was alert and oriented but still feeling light headed, he was helped to a wheel chair and taken to the cot area for eval. Pt skins pale, cool, moist, pupils perrl, lungs clear bilaterally, vitals: BP 120/84, HR 52, RR16, SPO295%, pt asked if he has a slow heart rate and he declined, HR did return to normal at 82 BPM approximately 10 minutes later. PT kept on cot for 30 minutes, and felt much better after. Pt released to his father who stated that everyone in the family always passes out when they get shots.

Patient complained of feeling dizzy. He appeared diaphoretic and vomited. Stated he had no ate anything for breakfast besides milk this morning. Vitals: BP 110/70, HR 60s, 98% O2 stats. Glucose 96 BP 120/80 Patient laid down, ate a snack and drink water/soda. Symptoms improved. Discharged after 30 mins of observation.

Patient got dizzy, vision was blurry, body felt tingly and hot. Patient felt like he was going to faint. His face/lips turned a gray color. We called emergency number. Patient did not have anaphylaxis. Symptoms started within a few minutes of the dose.

Syncope, dizziness, pallor, hungry, no breakfast. Stable and released with mother after significant improvement.

Shortly after receiving his COVID shot, patient began to feel nauseated and lightheaded. He was standing up near the bleachers and an assistant initially brought a trash can over to him. He was extremely pale and started to nod off as if he was going to pass out. Chair placed so could sit down and instructed to breathe slowly and VSS obtained. BP=122/70-98% spot oximeter-78 pulse. He was able to drink some water and part of a cookie. He fully recovered and was able to return to class after 25 minutes.

Patient reports feeling lightheaded. Patient reports being at a track meet this morning and thinks he is just dehydrated. Assisted patient to wheelchair and wheeled him to private observation area and assisted him into recliner. Patient reports no reaction to first dose of vaccine. Vital signs at 1255 were BP 135/76, P 48, 100% on RA. Gave patient water, Gatorade, and granola bar. After about 20 minutes patient reports feeling back to baseline.

Child woke up at 3 am with severe nausea. Within minutes he complained about not being able to breathe. His lips turned blue and he was about to pass out. As I was able to keep him awake, I am not sure whether he would have had a febrile seizure (it very much looked like it) or just fainted. The fever spike was too fast, and his body couldn't handle it. His extreme nausea persisted for four hours (but he didn't vomit). He was completely debilitated. Fever spiked to 103 but stabilized at 102 for the following 24 hrs.

seizure; passed out; light headed; fell out of chair and hit floor; making a gurgling/growling sound; his right arm was contracted and tight; his right arm was contracted and tight; This is a spontaneous report from a contactable consumer, the parent. A 16-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: ER8736), via an unspecified route of administration in the left arm on 23Apr2021 at 09:30 (at the age of 16-years-old) as a single dose for COVID-19 immunization. Medical history included Ehlers-Danlos syndrome. The patient had no known allergies. The patient was not diagnosed with COVID-19 prior to the vaccination. Concomitant medications were none. The patient did not receive any other vaccinations within 4 weeks of the vaccine. On 23Apr2021 at 09:45 (reported as 13 minutes after the vaccine), the patient said he was lightheaded and then fell out of the chair and hit the floor. He started making a gurgling/growling sound. After the nurses flipped him over, they noted that his right arm was contracted and tight. They were unable to determine if he had passed out or had a seizure. He had no seizure history. He regained consciousness after about 45 seconds to a minute. The patient was not treated for the events. Since the vaccination, the patient was not tested for COVID-19. The clinical outcome of passed out was resolved on 23Apr2021, while of seizure, lightheaded, fell out of chair and hit floor, making a gurgling/growling sound, his right arm was contracted and tight was resolving.

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

Vasovagal reaction, awaked quickly, tolerated , ambulates with difficulty, no further symptoms, no medication taken then released at 08: 30 AM

Pt reports feeling very hot and dizzy. Pt appears very anxious. BP 89/54, HR 73-- > 1min later BP 122/99 -- > BP 105/56, HR 81 prior to D/C. Pt given ice pack, observed x15min. Patient stable and released from vaccination site.

5/7: c/o fatigue and headache 5/8: Chest pain, shortness of breath, headache and heart racing 5/9: Worsening left sided chest pain with dizziness. Presented to an urgent care and then transferred to the hospital.

Initial complaint: feeling lightheaded, couldn't see, diaphoretic, pale 12:10 BP 60 systolic HR 64 Patient diaphoretic, "can't see". Ice pack, granola bar and water provided. 12:15 BP 56 systolic Second ice pack provided. Reports "feel better" Noted having ringing in right ear 12:20 BP 98/42 HR 60 only complaint is the ringing in his right ear. Still Pale 12:25 Color improved. Skin warm and dry. Alert, continues to have ringing in ear. 2nd granola bar offered and encouraged to drink the water 12:30 BP 100/52 HR 64 Right ear "barely ringing" 12:35 BP 104/62 HR 68. Reports ear ringing "gone" 12:40 Discharged with parent. Instructed to inform vaccinator of incident when he comes in for his second vaccine 5/11 Unable to reach for follow up

Pt. felt dizzy immediately after vaccine. Sweating profusely and was not able to speak. Vitals: HR 78, BP/105, O2 98 and EKG heart seemed to have prolonged QT but EMT used pump to stimulate heart. Pt. transferred to hospital.

Approximately 5 minutes post vaccine, mom alerts the pharmacist that patient is experience some visual disturbances. The patient states that he felt dizzy/eyes were "going black" in and out. Heavier breathing than normal. States it feels harder to breath, but no reports of swelling or itching. Also states that ears were ringing. Pharmacist attempted to check blood pressure on patients left arm with an automatic cuff, but the machine errored twice. Then attempted to check BP with a manual cuff. Reading was varied due to patient moving his arm and hard to hear. Seemed to be around 90/50, but not precise. After 10 minutes, patient stated he was starting to feel better, just felt thirsty. Pharmacist rechecked BP on right arm with a different automatic cuff and reading was 104/62, with a pulse of 101. Patient continued to improve, stating that visual disturbances were gone and hearing had returned to normal. Was able to stand and walk around without feeling dizzy. No difficulty breathing reported at that time. Patient and mom waited another 5 minutes to ensure he had no symptoms and then were able to leave approximately 25 minutes post vaccine.

Pt became dizzy & pale after vaccination. BP 123/74; HR 71; RR 18. Recommended that pt lay down prior to getting 2nd dose. Stable & released from site

Pt feeling lightheaded & sweaty 15 minutes after vaccination given. BP 92/64 P64 Parents say she blacked out for a few seconds but did not fall. She was transported per w/c to Observation area & laid down for 10 min. BP 118/76 Pt discharged with parents w/o assistance.

Patient is a 16-year-old male patient admitted with seizure like activity. One day prior to admission patient received his second COVID vaccine, Pfizer brand. On the day of admission Patient woke at 0200 with pain in the left side of the chest, mid-axillary per patient's description it was cramp-like pain and he was able to go back to sleep. At 0500 he got up to use the restroom and went into the kitchen. He told his mom he didn't feel well and fell forward making a gurgling sound, arms rigid, was unresponsive, and this lasted 1.5minutes according to mom. Mom called EMS and when he awoke he stated he was nauseous. After EMS arrived it was 2-3 minutes and he did not feel well again, he stood up and head fell back, eyes open, he was shaking, and making a gurgling noise again, this episode lasted 30 seconds. Upon awaking he was disorientated for a few minutes then back to baseline, he was nauseous again and very tired. He came to the ED where EKG (pending), CBC (normal), PT/PTT/INR (slight elevation), CMP (normal), TSH (normal), Ethanol (None), Troponin (normal), Head CT (normal), and chest xray (normal) were done. He received a NS bolus was given. He was admitted to the pediatric hospitalist for further evaluation and management. This is where he had a 24hour Video EEG with normal EEG he was discharged home.

114/72, 99 Pulse ox, heart 68. Pts. mono alerted nurses to fire rescue that boy was dizzy/lightheaded. His fitals were checked and drank water. He instantly began to feel better and refused further treatment.

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

patient developed dizziness about 5 hours after vaccine and began sweating profusely. initial blood pressure was quite low in the 77/46 however subsequent reading was 108/76 and patient exhibited no other signs of anaphylaxis. paramedics were called in case reaction became more severe but patient recovered and was back to baseline within 15 minutes or so. no intervention given.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Mild, Additional Details: 911 was called for vitals after patient passed out. Paramedics stated that patient experienced syncope when standing up. also has history of anxiety.

Patient started feeling dizzy about 5 minutes after injection. Was seated and lost consciousness for a couple seconds and popped back awake. Patient complained of nausea, dizziness and vision disturbance. No SOB or wheezing and no hives. Paramedics were called and patient was starting to feel better upon arrival of paramedics. Patients blood pressure was low 90/50, and vision still not normal. Paramedics recommended taking patient to hospital. Patient mom, consented and patient was taken to the hospital.

While sitting in the observation area, patient was sitting in chair then fell forward and hit the right side of his head on the floor. Patient was turned onto his side. BP 100/58 P68 SpO2 99% on room air. Pt did not lose consciousness. Alert and oriented x3. Patient stated before he fell onto the ground, he felt "warm and zoned out." EMS activated. BP 130/90 P72 SpO2 99% room air. water given. Sister who is legal guardian stated to cancel EMS and she would take patient to the hospital. Left facility at 1:23pm. No s/sx of distress noted.

ANXIOUS, LIGHTHEADED, DIAPHORETIC WITH SYNCOPE S/P VACCINATION. PARAMEDICS CAME, VSS, SX RESOLVED, REFUSED TRANSPORT, AMA SIGNED.

Post vaccination pt began s/s lightheaded ness, anxious and diaphoretic. RN and I transferred patient into cot, patient had syncopal episode of 2min, paramedics on site. Vital signs stable, patient states feeling, ? a lot better? after a few minutes. Patient and mother refuse going to the hospital. AMA was signed. Patient then transferred himself into wheelchair with minimal assistance. Patient waited in observation for 30min and left home with mom.

PT REPORTS DIZZINESS AND LIGHT HEADED. PT STATED THAT HE DID NOT EAT BEFORE COMING. CRACKERS AND COLD WATER WAS OFFERED AND PATIENT FELT BETTER AFTER 15MINUTES

PATIENT WAS EXTREMELY NERVOUS, STATED DOES NOT LIKE NEEDLES. WITHIN 2 MINUTES FELT CHEST TIGHTNESS, LIGHTHEADEDNESS, STARTED SHAKING AND EYES ROLLED UP BEFORE PASSING OUT. COME TO WITHIN A FEW SECONDS BUT WAS NOT COHERENT. COULDN'T ANSWER BASIC QUESTIONS AND LOOKED AS IF WAS GOINT TO PASS OUT AGAIN. COULD NOT STAND, TALK ETC. HE WAS LIKE THIS FOR 10 MINUTES OR SO. CALLED 911 THEY STATED TO LAY PATEINT CAREFULLY ON THE FLOOR TO RECOVER BLOOD FLOW UNTIL THEY COULD GET THERE. PATEINT STARTED COMING BACK AROUND WITHIN THE NEXT 5 MINUTES. MOTHER REFUSED LEAVING IN AMBULANCE BELIEVED SON WOULD BE FINE.

After receiving the first dose of Pfizer vaccine, the patient walked over to the observation area and fell from standing to the floor and hit back of head on floor. When medical personnel approached, the patient's eyes were open and he tried to get up from the floor. Answering questions appropriately. A neuro assessment was performed (PERL), oriented x3, equal grasps, 911 was called. Transported to local ED with mother.

Immediately after injection Patient began to faint and clench his arms. His head tilted back and eyes were glazed over. Lips became pale and face was pale. He was clammy to the touch on the back of his neck. His blood sugar at the time of injection was 113. He had not eaten breakfast yet. This lasted about a minute or so. He was finally able to say that he felt ok, but asked what happened. This happened a second time about 4minutes after the first time. But didn't seem to last as long. I gave him some juice and saw that his blood sugar was dropping to 85. Then a few minutes later his blood sugar was at 62. He continued to drink the juice and had 3 4carb glucose tablets. He started to feel better about 15 minutes later. He states that he felt numbness in his hands and feet initially. All feelings returned and color to his face and lips. His blood sugar began to rise again and he was feeling better. No hives or rash was noted on his body and the injection site was normal.

(Vasovagal Response and Mild Urticaria) ? Felt faint, had very mild rash on both arms. Pt said he saw a flash of ?blue light?. Possible to d/t laying out in the sun. Mom noted possible allergic reaction to cats at home. (Initial BP 100/62 ? 10 mins 118/68). Treatment: Diphenhydramine 50mg/ml injection on right arm.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: Patient started to get lightheaded while sitting in a chair during his post vaccine observation time. He was hypotensive and had lost the color in his face. His mother and I were able to get him over to a bench to lay down, where he also drank a bottle of water. After roughtly 45 minutes he felt strong enough again to walk around and leave.

upset stomach, chills, tingles, vomiting, unable to even drink water bc i puke it up, light head, 100.4 fever

Syncopal episode with loss of consciousness and fall with left head injury 2 minutes after vaccine administration. First Aid was administered immediately to stop the bleeding. Patient was awake and alert and declined further medical assistance. Pharmacist monitored for 30 more minutes before patient was able to walk away on their own.

patient slumped, syncopal episode for less than 2 seconds. Awakened stating "I feel light headed". Site staff reported event to NP right way, at 10:30am, BP 120/80 pulse of 58, Patient's mother came to patient's side, repeat BP 120/78, pulse 58; , repeat again at 11:20 116/80, pulse 60. Mother declines EMS. Patient in good spirits, A&ox4, and left site with mother normal gait and affect.

pt began to have headache, chills, light headedness, and sweating approx 12 minutes after administration of vaccine. complained of throat feeling slightly constricted with feeling of gag reflex approximately 20 minutes after administration of vaccine. pt did not show signs or feel like lips or tongue were swelling but 50 mg liquid benedryl was given orally as a precaution. pt remained stable in described condition until was taken home by parent 50 minutes after initial vaccination time. pt contacted 2 hours later and reported no change in condition (neither better or worse)

Patient was feeling dizzy. Patient was put on the floor with there feet up in the and then the patient was feeling better so the patient was on the chair when we went out to get him. Patient was given water and a snack. We took the patients vitals at 8:40 am heart rate 61, resp 18, Blood pressure 84/46 and o2 99%, 8:56 heart rate 66, resp 17, Blood pressure 94/58, o2 98%, and again at 9:07 am heart rate 67, resp 18, Blood pressure 91/52 o2 100 %. Mother stated that he has low heart rate. Patient was feeling better so we released the home with his mother at 9:16 am.

10 minutes after vaccined. pt felt dizziness, feeling lightheaded, cold skin and sweating. mom had pt lied on floor and elevate the legs. after symptoms subsided and was checked by paramedic. pt left without any help.

Patient fell on another student after feeling faint. Stated he hit his knee. Patient was put in trendelenburger with feet up until less fit. Remined seated for 20 min for observation.

pt with history of vasovagal in medical settings felt dizzy, was laid to the ground, vitals WNL and pt felt better before leaving with family

One week after 2nd dose, developed extreme fatigue, numbness and weakness in both legs, aching/pain in legs, loss of feeling in feet and occasional pins and needles feeling in feet. Some numbness/tingling in hands as well. Difficulty walking, just needs to sit. Difficulty raising arms. Complaints of legs and arms feeling very heavy. Shortness of breath.

Patient received the Pfizer COVID vaccine at 1745. Patient states he didn't feel right but stood up to go to the observation area and lost consciousness causing him to fall backwards to the floor where he was witnessed hitting his head on the gym floor. Patient was unresponsive for approximately one minute and was then alert and oriented but c/o dizziness. VS at 1756 BP 137/63 HR 85 and O2 Sat 98%. Patient remained in the supine position for approximately 10 minutes and was then aided into a sitting position on the floor and then assisted into a chair. Patient was then observed for 30 minutes by staff where he continued to c/o lightheadedness and dizziness. VS at 1806 BP 115/68 HR 84 O2 Sat 97%. EMS was then called to assess patient for continued dizziness. VS by EMS sitting BP 122/77 and standing 117/70. Patient was offered to be taken by EMS for further assessment but patient and grandfather both declined further care at this time. Patient and grandfather were instructed to call 911 immediately for any change in mental status, nausea/vomiting, or any other reaction symptoms with verbalization of understanding and agreement. Patient was advised upon discharge to stay hydrated and rest for the remainder of the evening. Patient and grandfather were also encouraged to discuss reaction with patient's PCP prior to receiving second dose.

Within 30 minutes sharp pains in stomach. By evening fever of over 101degree. The sharp pains in stomach, loss of appetite, dizziness, vertigo, on and off fever, sweats persisted for almost a week. Sought medical attention with primary care physician.

Two minutes after receiving Pfizer vaccine, member complained of lightheadedness and nausea. Member was given juice and graham crackers and V/S were taken: 1004: 104/60, 77, 98% (room air), 1006: 114/71, 79, 100%, 1009: 127/46, 78, 99%, 1012: 93/52, 85, 99%, 1014: 105/37, 83, 99%. Member stated symptoms resolved after drinking juice and crackers. He stated he did not eat anything today prior to receiving vaccine. Member's mother was at his side. Clinic manager was also called to member's side. Member was transferred to observation via wheelchair for further observation in stable condition, alert and oriented x4, no signs of respiratory distress, denied all complaints. In observation room nurse noted: After episode of nausea and lightheadedness, pt continued to improve in observation area. He remained 30 minutes as VS continued to improved (final check was BP=111/71, HR=60, O2=99%, RR=20). He stated feeling better and facial color much improved. He left the clinic via wheelchair with his mother and brothers.

Previously healthy 16 year old male presenting to hospital as a transfer for chest pain and elevated Troponin levels concerning for myocarditis. Patient has otherwise been healthy. Two days ago he received his second dose of COVID vaccination. He initially felt fine, but later that day had some body aches. The next day he felt feverish off and on and had dull left upper sternal border chest pain intermittently. Today, he reports sharp 7/10 mid sternal chest pain, lightheadedness, sweating, chills, and intermittent non-productive cough. He presented to original hospital for evaluation. The patient admits to tactile warmth since Sunday with no documented temperatures. He recently received his second dose of Pfizer just before onset of these symptoms. He reports difficulty sleeping since Sunday, but no shortness of breath, rashes, syncope, nausea, or vomiting. He has not had any other recent illness, fevers, or known COVID-19 exposures. He denies any history of prior cardiac disease and there is no known family history of cardiac disease, arrhythmias, or sudden death in the child or adolescent period. He denies illicit or recreational drug use. In the ED, he was well appearing with pain now 1 out of 10. POC troponin was 16.8 ng/mL. He had labs pertinent for ESR 10, CRP 3.0, BNP 24. RP2 PCR was negative. UDS was negative except for opiates (s/p morphine). IV was placed and patient was started on IV fluids. EKG was obtained and showed questionable left atrial enlargement per ED read. Cardiology was consulted and performed Echocardiogram in the ED at bedside and was within normal limits. Cardiology resident team contacted for admission. Past Medical History: No major medical diagnoses Past Surgical History: Orchiopexy, T&A Family History: No cardiac family history Social History: Lives at home with mother. Has two healthy siblings not living at home Immunizations: Up to date Medications: None Allergies: NKDA Etiology of likely myocarditis remains unclear at this time. In his age group, this would most likely represent a viral myocarditis. He would likely benefit from cardiac MRI during this admission for further evaluation of myocarditis. His EKG findings with his age group are unlikely to be secondary to myocardial infarct. No arrhythmias or heart block noted on EKG at time of admission or telemetry in ED. There is no family history of autoimmune disease or cardiac disease to suggest an autoimmune component or genetic etiology.

AE: felt like patient was going to pass out Tx: no medication was given. water resolved the symptoms Outcome: Patient was discharged to POV/Home.

WIthin 30 minutes, same symptoms as 1st dose. Severe stomach pain, fever, dizziness, vertigo, lethargy. These symptoms lasted almost 1 week and he is still not right.

Diagnosed with hemophagocytic lymphohistiocytosis on 5/7/2021 after bone marrow performed on 5/5/2021. Presented to our office on 5/5/2021 for evaluation due to the finding of pancytopenia on 4/28. Mom states he received his second COVID vaccine on the 10th of April and since then he has been hurting head to toe, complaining of his throat, and feeling dizzy. He has had low grade temps mostly from 100-101, but it has gone as high as 103.6 deg F. They presented to urgent care 1 week after the vaccine and was told that it was likely due to the vaccine, he had fluid in his ears and he was prescribed an antihistamine. He went back to urgent care a few days later and saw the same NP who told them to go to their PCP. At their PCPs office he tested "faintly positive for Flu A" and was given tamiflu and zofran which has since completed. No bruising, bleeding, gum bleeding, nose bleeds. He has been having leg pain/difficulty walking and his friends brought him a cane to use. He has had possible night sweats, mom reports he "burns up constantly." Decreased appetite, lost 4lbs, hasn't eaten much since last week. Labs were performed at the PCPs office on 4/28/2021: WBC 1.7 Hgb 10.3 Hct 30.1 Plts 118K ANC 500 Mono was negative. A referral was placed to our office on 5/4/2021 and he was brought to our clinic today for evaluation.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was very worked up and nervous before receiving vaccine. Seemed to calm down after vaccine administration. Within a few minutes patient fainted. Had patient lie down with feet up. Once patient could sit up, blood pressure reading 75/42. Patient was given water and laid down/sat for about 30 minutes. Feeling better and blood pressure reading of 98/69 before leaving store.

SEVERAL MINUTES AFTER RECEIVING HIS VACCINATION, PATIENT STARTED TO EXPERIENCE LIGHTHEADEDNESS AND A RACING HEARTBEAT. HE PUT HIS HEAD BETWEEN HIS KNEES, APPLIED AN ICE PACK TO THE BACK OF HIS NECK, AND DRANK SOME GATORADE. HE FELT BETTER AFTER ABOUT 10 TO 15 MINUTES.

Reports did not eat today, usually eats. Reported lightheadedness that resolved within about 2 minutes, followed by nausea for about 2 minutes resolved - was followed by hunger, and muffled hearing for about 3 minutes resolved. Denies chest pain, change in vision, and other s/sx. 03:57pm LUE 112/62 P62 R20. Reports lightheadedness, nausea, and muffled hearing, all s/sx resolved, stated "I feel normal", drank a cola and ate a protein bar. Observed for 30 minutes. Ambulated with steady gait off floor with his parent.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient fainted roughly 2 minutes after receiving COVID 19 vaccination

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: After confirming that the patient did not have allergies or any previous adverse reactions to any vaccines in general, immediately after the vaccine, the patient's eyes had rolled to the back of their head and he began to go limp. His body shook for a few seconds. He quickly regained consciousness but was very weak and confused. His sister stated that he has a fear of needles. He felt nauseous (did not vomit) and felt like his heart was racing but his pulse was normal.

PATIENT RECEIVED 1ST DOSE, THEN SAT IN OBSERVATION AREA WITH HIS MOM. PATIENT SLUMPED IN CHAIR AND HAD FAINTED - MOM YELLED FOR HELP. I CAME OVER TO HELP THE PATIENT DOWN TO THE GROUND AND ASSESS. A BYSTANDER CALLED 911. PATIENT WAS PALE, HAD A PULSE. PATIENT HAD A PULSE AND WAS BREATHING, COLOR STARTED TO COME BACK TO HIS FACE. HE WOKE UP AND PULSE WAS ABOUT 60-64BPM. PATIENT KNEW WHERE HE WAS. THE AMBULANCE CAME AND TOOK HIM TO THE HOSPITAL.

PT felt nausea, dizziness, and light headed after injection. Transported to med obs 1 via wc with mother. PT reports working out earlier today. Vitals taken and monitored. Per on-site physician - pt experienced vasovagal reaction - resolved. released at 1:55 with mother 1340 LYING - BP: 98/63, HR: 50, Sp02: 99 1343 LYING - BP: 104/68, HR: 71, Sp02: 98 1345 LYING - BP 112/74, HR: 76, Sp02: 99 1354 Standing - BP: 138/81, HR: 78, Sp02: 99

2 MINUTES APPROXIMATELY AFTER RECEIVING DOSE SAID I DON'T FEEL RIGHT, THE INJECTION SITE DOESN'T FEEL RIGHT, I FEEL DIFFERENTLY, I FEEL LIKE I'M GOING TO PASS OUT" STATES HIS PUPILS DILATED, EYES ROLLED BACK, COLOR IN THE FACE CHANGED (PALOR) AND THEN HE FAINTED AND PRVENTED HIM FROM FALLING. HE DESCRIBES FEELING THAT THE VISION HAD CHANGED, LOOKED BLACK AND SPOTTY, AND THE HUMIDITY, THE GROUND LOOKED SPOTTY TO HIM. IN LESS THAN A MINUTE HE CAME TO CONSCIOUSNESS BEFORE WE COULD ADMINISTER AMMONIUM SALTS. PULSE RATE WAS STEADY AND POUNDING, FELT NORMAL. TOOK VITAL SIGNS, PULSE OX 98%, WITH PULSE OF 55 ON THAT DEVICE AND THEN WITH WRIST B/P READ B/P OF 174/75 AND HR UP TO 66BPM, PATIENT KEPT FOR ADDITIONAL 25 MINUTES FOR OBSERVATION AND DOING JUST FINE NOW.

at 2:30 pm pt stated that he was felling dizzy and light headed. after checking his BP he reading was 83/54 heart rate 61. pt stated that the last time he ate was more than 12 hours. after eating some snacks and drinking some fluid he started to feel fine. at 2:53 pm his bp reading 110/73 heart rate was 69. Pt felt a lot better and he left the facility at 2:57 pm per his request

Patient became lightheaded, with a head ache and patient stated he was about to faint. Patient received fluids. Patient states that symptoms no longer present.

Pt received the 2nd dose of the COVID vaccine (Pfizer Lot # EW0161 expiration date 07/05/2021) at 1603. At 1612 the client stood up with his father and both started walking towards the zero gravity chair. Client was being supported by his father. PHN and EMT responded and helped the client into the zero gravity chair at 1612 and raised the client?s feet. Client stated that he felt ?dizzy and lightheaded, and I knew it was happening.? Client was pale but alert and oriented times four. Client was offered a juice, which he accepted and started to drink. Vital signs were taken at 1613 (blood pressure 78/32 oxygen 98% heart rate 48). Client?s father stated, ?he has a history of passing out with needles.? At 1617, color started to return to the client?s face, and client stated, ?I?m feeling fine.? Vital signs were taken at 1617 (blood pressure 98/58, heart rate 74, oxygen 96%). Client finished the juice at 1619, and the color had completely returned to his face. Vital signs taken at 1624 (blood pressure 98/48, heart rate 58, oxygen 96%). Client?s dad stated that the client?s blood pressure is ?normally under 100,? and that his vital signs ?are normal for him.? Client does not have any medical conditions and is not taking any medications. Client is allergic to peanuts and shellfish. Vital signs taken at 1636 (blood pressure 102/50, heart rate 58, oxygen 96%). Vital signs taken at 1642 (blood pressure 104/52, heart rate 59, oxygen 96%). PHN provided client and his father education on when to seek emergency services and to follow up with his primary care provider. At 1642 client stated, ?I feel fine,? and left the facility unassisted with a steady gait.

PATIENT RECEIVED FIRST DOSE OF COVID VACCINE. WAS IN WAITING ROOM SITTING AFTER THE SHOT WAS GIVEN. AFTER A WHILE HE GOT UP TO LEAVE AND GO HOME. AFTER SEVERAL STEPS, HE PASSED OUT AND HIT THE GROUND. HE WAS ONLY OUT FOR SEVERAL SECONDS AND CONTINUED TO LAY ON THE GROUND. AFTER HE TRIED TO GET UP, HE BLACKED OUT AGAIN FOR SEVERAL SECONDS. WE CALLED 911 AND PARAMEDICS WERE ON THE SCENE SHORTLY. AFTER EXAMINATION AND PATIENT FELT BETTER, HE WAS CLEARED TO GO HOME.

After receiving vaccine, patient stood up from chair and started to feel "dizzy." Patient was assisted back to chair by staff. Upon assessment, patient was pale to face and warm to touch. BP 102/58, P88. SpO2 99% on room air. Given gatorade water to drink and cool compresses applied to neck. Extended monitoring done in recovery. Patient ambulated from facility with mother. No s/sx of distress noted.

PT EXPERIENCED FAINTING, DIZZINESS, NAUSEA/VOMITTING AFTER COVID VACCINE. PARAMEDICS ARRIVED AND TOOK PT TO ER. VITALS: BP 105/68, RR: 22, HR 71, O2 99%

Pt rec'd first dose of Pfizer vaccine at approximately 0950 and immediately after reported feeling nauseous and dizzy. MA retrieved a water bottle for pt and called for the RN. The RN, also responded, pt was pale, moist, coherent. At 0954, pt had seizure activity while sitting in chair, dad held pt, hands, arms, and legs stiffened and pt's head rolled back. Pt was secured by dad and activity lasted approximately 7-10 seconds. Immediately after this activity, pt was oriented to self, place, date, and situation, then reported increased nausea. At approximately 0958 pt started vomiting. 911 was called by the RN, at 0955 and provider, was retrieved immediately from COVID testing tent. During this time, pt started to report seeing purple lights at approximately 0957. Vitals were attempted at 0954 but pt started seizing. At 1001 pt reported total vision loss. At this time, EMT's arrived on site and began to obtain vitals. Pt's BP was 50/30, EMT's started an IV and prepared pt for transport to gurney. At 1008 pt reported sight returning. 8L of 02 were applied to pt via non-rebreather at approximately 1000 at which pt's 02 sats registered at 72%. EMT's placed pt on gurney at 1008 and started en route to Hospital. Prior to seizure activity, pt's medical hx, medication list, and allergies were confirmed with pt's father. Father reported pt has no medical hx, does not take any medications, and does not have any known allergies. Father denies pt having any seizure before, any hx of brain tumors, hx of epilepsy, hx of diabetes. Father remained with pt during duration of incident and accompanied pt and EMT's in ambulance to the hospital.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: a patient passed out in the store today after receiving their 2nd shot and they hit their chin on a shelf in one of the isles when they were falling. An ambulance came and the patient left in the ambulance. The patient was awake and alert when the ambulance arrived. The patient was made aware to sit and wait 15 minutes after the shot was given but the patient did not wait and preceded to leave but the patient did not wait and preceded to leave and that?s when he got dizzy walking

Patient had a vasovagal reaction. Was sitting in a chair in our waiting area and fell off his chair and "passed out" for no more than a few seconds. After that he reported he felt weak and dizzy and nauseous

Per report, patient parked beside tent to wait 15 minutes after receiving vaccine. Driver blew horn to alert nurses. Upon visual assessment of patient, the nurse patient regaining and losing consciousness. The nurse reports that patient maintained consciousness and stated he felt nauseous and dizzy. EMS called to further evaluate. Patient and guardian declined transport to hospital.

1610: vaccine given 1611: Pt experienced syncopal event, laid down supine on floor. juice given. Pt reports "this reaction runs in the family". VS: BP 131/72, HR 41, O2 95%, RR 12 1618: VS: BP 125/59, HR 66, O2 98%, RR 16. VS: 126/64, HR 71, O2 98%, RR 16. 1621 Patient taken from floor and placed into sitting position. No dizziness noted. 1630:Pt reports return of dizziness. bp: 122/73 HR:74 02: 95% RR:16 1635: BP: 102/58 HR 79 02 100% RR 16. Pt sitting up and denies any further sx's. Father denied need for further medical intervention. Pt was helped to standing. VS remain stable. Denies dizziness. Ambulated safely to personal vehicle and departed to home.

Adverse Effect: Guest had an episode of dizziness and passing out per report. Treatment: Guest lowered the floor, ice pack applied to back of the neck: EMS assessed - juice offered accepted. VSS. Outcomes: Guest provided 45 monitoring time, mother with guest. Guest stable and released by EMS to mother's Care.

Patient was dizzy, woozy, pale, disoriented briefly . He sat on the floor for about 5 minutes, then we transferred to a chair. We gave him a cool cloth, crackers, juice and water. He waited in the pharmacy until we were sure he felt better and then left with his mother at 3:45 pm

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium

The patient felt dizzy and had blurry vision about 5 minutes after the vaccine administration. I talked to the patient and mother who reported a history of anxiety that may be contributing. They asked if he could lay down in the vaccine room and upon entering he lost his balance and fell to his knees but did not get injured or lose consciousness. The patient said he was not hurt but I called 911. they arrived about 15 minutes later and evaluated the patient. The patient revealed he had ran 2 miles earlier that day and had nothing to eat or drink besides a Yoo-hoo all day. The EMTs said he was very dehydrated. The patient felt fine after another 10 minutes and the mother declined medical transport.

Pt felt nauseated and dizzy after receiving vaccine, one emesis , nausea and dizziness resolved, no further issues noted.

PMH: deniesALL: deniesVS: 96%, HR 54, BP 98/64 (intiial)99%, 49, 110/75 (after 30 min and full recovery) Symptoms: This is Dose#216yM developed immediate dizziness, warm rush and darkening vision after injection that lasted about 3-5 minutes and improved without intervention apart from supine position. No medication given. Father reports pt has history of presyncope with blood donation. Assessment: slightly flushed appearing, complete sentences, coherent, alert and oriented. chest is clear, good air entry bilaterally, no respiratory distress or facial/oropharynegeal edema noted. Heart rate mildly decreased on auscultation but otherwise regular with normal S1S2. No distress. Treatment: none Patient observed for 30 minutes with snack and drink given. Symptom resolution and driven home by father. Patient is a high school athlete with slim build. Father reports heart rate is usually low/normal

Pt stated that he was feeling lightheaded and dizzy while sitting in post-vac after receiving Pfizer (EW0196) vaccine. Pt became pale and clammy to touch and sat down on floor. Pt's mother stated "he gets like this when he gets shots." Pt denies any SOB, itching, pain, or other discomfort. Pt has no orofacial swelling or visible hives/rash. Pt was given juice to drink and stated that he felt better afterward. Pt's skin returned to normal and he sat up in a chair. Pt was released at 12:40 into care of mother. Pt stated he was no long symptomatic and felt "back to normal." Pt left clinic with mother, walking with steady gait, and in no apparent distress.

Next day on Saturday; developed fatigue & extreme tiredness. Slept most of the day. Did eat two meals with a slight headache. Sunday headaches worsened with ear aches, fatigue & slept all day. Gave Patient Tylenol, pushed fluids to tolerance & used cold compress towels on his head for his headaches. Monday symptoms persisted & taken to his primary MD & was given medication (Tylenol) & was instructed to administer Ibuprofen if symptoms of headache continue. Prior to MD visit he fainted & vomited attempting to use the toilet. Unable to tolerate any light from the house with sensitivity to his vision. Encouraged to hydrate with GatorAid & fluids with meals to tolerance. Was instructed to take patient to Emergency if symptoms persist till Tuesday to obtain IV hydration. Tuesday late afternoon 4:30 pm, took patient to Emergency & was assessed for blood work which was normal & given IV hydration while there. Wednesday- symptoms subsiding with no further headaches & is now able to walk by himself with improving strength. He ate 3 meals today & hydrating most of the day. Sitting up more & trying to improve his strength & endurance. Less sensitive to light.

6/3/21 at 1230 pm: Sudden onset of right arm numbness progressing to transient blurry vision, difficulty walking, right lower extremity weakness, difficulty moving his mouth, stuttering, imbalance, and right sided facial droop. He was admitted to hospital on 6/4/21. Found to have a demyelinating process (see imaging report below). He received IVIG treatment and IV steroids with some (but incomplet)e improvement and was discharged to Rehab on 6/16/21 on oral steroids. However, he had recurrence and progression of symptoms and was sent back to hospital on 6/19/21 with worsening right sided hemiplegia. He underwent repeat high dose IV steroids and initiation of plasmapharesis. He has currently (as of 6/25/21) completed 3 of 5 runs of plasmapharesis with marked improvement in symptoms but still has significant right sided motor deficits. Neurologists here now feel comfortable making a diagnosis of multiple sclerosis. He will likely be discharging home for ongoing therapy and treatment after he completes plasmapharesis on 6/28/21.

We were sitting in the after-shot waiting area for the mandatory 15 minute wait period. Patient was getting restless and started asking to leave ~13 minutes after shot. I said ?no, we need to wait the full 15 minutes they recommend?. About on minute later, or ~14 minutes after shot, Patient said he felt like he was going to pass out. As I turned my head to look at him to began to slump towards me unconscious and I held him up by his shoulder and waved the paramedics over. He was unconscious with eyes closed for about 5 seconds and by the time the paramedics got there his eyes were fluttering, but he remained unresponsive for another ~10-15 seconds as they were calling his name, tapping his shoulder, and asking him questions. Then he finally came around and, while groggy, he was able to answer questions. He sat there a couple minutes talking to paramedics and they had wheelchair, but he said he could walk and got up slowly to walk slowly back to clinic area.

After administration of the vaccine, the patient got light headed and clammy. The patient never loaded consciousness. His heart rate is normally in the 80s according to his mom, who is a nurse practitioner. His heart rate dropped to 69. The mom did not want an ambulance called. Monitored the patient for 20 minutes. He was completely alert and held a conversation the entire time.

After the patient got the first dose of covid shot, patient started to feel light headed and sweating. Patient also stated that he started can't see thing or heard thing. But after he drink some water and sitting down waiting for ambulant he was feeling ok. EMT came and checked him out and he was ok

Patient was administered the 1st dose of the Pfizer Covid-19 vaccine, approximately 5-7 minutes after the dose he reported dizziness, loss of vision, and trouble breathing. No signs of a rash or hives. Parents were asked if Epi-pen could be administered. Parents refused administration of Epi-pen. Patient was told to sit down and given water along with Benadryl (25mg, 2 tabs). After 5 minutes still reported no improvement and trouble breathing, 911 was called and paramedics were called on site. Patient was observed for 15-20 minutes, at which point he reported feeling completely fine. No trouble breathing/swallowing, and no dizziness reported. Patient declined any medical transport, and went home with parents.

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

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: pt became very white, started to look like he was going to faint, got wet towels and applied to face, neck, arms. kept him conscious be talking to him, called ems but by the time they arrived, he had color and was ok

Site: Pain at Injection Site-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild

Afyer 15 imuutes of administration patient refers nausea, dizziness and confusion After 45 minutes symptoms still present

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Additional Details: Patients BP was 120/87 after the 15 minute period. Symptoms resolved after giving the patient water.

After completing the immunization, the patient stated he needed a moment because he felt dizzy. Within seconds, his head fell back and his eye had rolled to the back of his head. The patient was caught by the administering pharmacist and asked for assistance. The patient was placed on his back and allowed to gradually get his bearings. The patient's mom states he has experienced fainting following or during other medical treatments since the age of 6. The patient was given water, and after about 30 minutes felt well enough to leave the store with his mom.

Patient received his first Pfizer shot on 7/12/21 around 4:45pm and was sitting down for observation when after a few minutes fainted and fell off from his chair. Patient was already alert and had gotten up himself when pharmacy staff came to assist patient. He said he was fine and did not need further medical care. Patient mentioned he has not gotten a vaccine in a long time and was probably nervous. He finished the rest of his 15 mins observation time (with mom waiting with him) and was feeling good to go home.

Patient experience light headedness and drowsiness. Had patient sit on floor against wall, gave patient ice pack to apply to back of neck. Symptoms resolved approximately 10 minutes after onset.

Complained of not feeling well, collapse to the floor while walking, rapid sweating, pale skin, dizziness and nausea, loss consciousness for about 10 seconds

Immediately following 1st dose Pfizer COVID vaccine client turned pale and had a syncopal episode. Client was assisted to a supine position on the floor. Client regained consciousness within 20 seconds of syncopal episode. Client skins were pale for ethnicity, clammy and cool. Vital signs were taken in supine position: BP 121/71, HR: 69, RR 12. Client's mother denied any medication use, stated client was positive for Asperger's syndrome, denied any NKDA or allergies to foods/ environment. Client was assisted to seated position in wheelchair vitals: BP 105/46, HR 60, RR 10, skins returning to normal color for ethnicity, dry and warm. Client was assisted to zero gravity chair without incidence. Client complained of nausea, dizziness and tingling of Left arm and hand. Denied SOB, CP or HA. EMS called. Client care transferred to EMS. EMS BP: 98/50, 12 lead EKG revealed NSR. Client's mother signed client AMA from EMS care. Client stayed at observation site an additional 30 minutes. Last set of vitals BP 117/69, HR 76 RR: 10. Client stated he felt much better and all symptoms were resolved. Client's mother instructed on ED protocols and advised to follow up with PCP. Client left observation site with his mother on his own accord and with a steady gait.

I had a 16 year old with his mother come in for a covid shot. Got all the info then headed over the shot room where he was waiting. Looked as nervous as any other kid. His mother was close by watching. I usually carry a conversation with the kids asking them questions as I get ready and give them the shot. I was successful in giving him a shot. Told them to wait 15 minutes before they leave. Got a knock on the door from the mother only to find the kid sprawled out on the floor which alarmed me. The mother said he was light headed. I talked to him he said he felt dizzy and his head was spinning. I asked if he needed some water which he said yes. I went back after fetching the water and suggested he stay there and that I would check on him in 5 minutes. Went back and he was sitting on the chair with his mother next to him. Mother said he has a phobia of needles. Mother was thankful I was checking up on him. He and his mother walked away 5 minutes later.

pt was checked in 13:45 for their covid-19 (Pfizer)vaccine. I walked with Pt to the room and asked to verify his full name and DOB. Before administering vaccine I told him to relax his arm take deep breaths in and out. Pt was very nervous about receiving vaccine. At 14:00pm I administered covid vaccine on his R Deltoid. Pt did well with administering vaccine. I told mother to schedule appointment for 2nd dose and then after have a seat in the waiting room with Pt, and wait 15 minutes to make sure pt does not have a reaction to the vaccine. Pt stepped out of the room with mom. One of the clerks came in my room and told me pt was on the floor. I rush to help pt and notice he was laying on the floor. Clerk was going to call a medical emergency but Doctor was near by and seen me needing help and approached the pt. Doctor asked me to grab a Gatorade so I went to grab one for him. When I returned Medical Assistant was taking his BP. BP was taken at 14:07 and it was 142/98 and oxygen at 97%. Mom said pt has type 1 diabetes and Doctor asked to grab glucometer to check sugar. I then went to grab somebody from lab to take his blood sugar. Blood sugar was at 240. Pt was still laying on floor but was able to respond to questions like how are you feeling and responding with "a little dizzy" Doctor and medical assistant helped pt to a room and had him sit on a chair. Doctor ,and mom staid with him. I continued on with covid clinic. at 14:25 I returned to the room to retake vitals and they were 139/81 pulse 66 and oxygen of 97 I told him BP was still a little elevated and to still remain sitting for 20 more minutes. I then left the room and came back at 14:45 to retake vitals at that time BP was 126/85 pulse 68 and oxygen of 97%. Doctor then said it was ok for pt to leave.

Patient became very faint and nauseous 5-10 minutes after receiving the Pfizer COVID vaccine. When supplied with a bucket, paper towels, and a cold compress pack, patient began to vomit and complained that he couldn't see. Patient may have also passed out during this time period. The store manager was contacted and emergency medical services were also contacted due to severity of the reaction. the patient was taken to a local medical facility as of the writing of this report.

Systemic: Dizziness / Lightheadness-Medium, Additional Details: called 911, emt came, per emt seemed okay and offered to bring to hospital, pt and family refused, rested for a bit more and left the pharmacy

Patient pre-screened and given 1st dose of Pfizer vaccine then transferred to the post vaccine waiting area. After 15 minutes patient was on his way to the car and accompanied by mother and sister. At exit threshold patient reported "feeling woozy" and fell forward onto his face possibly chipping 2 teeth. Patient's mother rolled him to a supine position and called for help. Upon arrival this RN instructed mother to lower head. 2nd RN, arrived and elevated feet. Pt responding to verbal stimuli, unable to recall syncopal episode but otherwise oriented to person, place, time, and all events leading up to episode. During assessment patient stated he works outside and has been participating in football conditioning/practice outside and not drinking enough fluids or replacing electrolytes. Mother confirmed. Vital signs taken and as follows: HR 74, Bp 86/70, SpO2 100%, Pulse strong and regular, breath sounds clear on auscultation. No generalized redness, rash, or hives. Patient denies shortness of breath. Snack and juice provided. After 10 minutes patient reports improvement and was assisted to an upright position. No dizziness or lightheadedness reported. Patient assisted to a standing position prior to being seated in a wheelchair. Patient wheeled to and assisted to personal vehicle driven by mother who took the patient to Emergency Room across the street. Assisting RN,, called report to receiving ER.

Pt c/o lightheadness and nausea. vs 98.4, BP 102/74, HR 82, Bld sugar 115 evaluated by Physician and Nurse Practitioner; sent to the Clinic for further evaluation; given fluids. Pt emphasized some change in mental status and sent to the Hospital for evaluation; evaluated treated with fluids and released back to the clinic. 7/15 vital signs stable, c/o slight pain at injection site; no other c/o any issues Later on 7/15 pt c/o sl chest pain and discomfort-examined. vital signs stables dx with controchondritis-treated. No further c/o any problems after COVID injection 7/8 left the clinic and reunified with family

Pt was about to sit in a child when he fell to his knees, caught by medical provider and placed in a cot. Temp 97.8, Resp 24, BP 126/83, P 88, glucose 130 Child transferred to medical clinic where he was monitored, provided fluids-child improved and was released

Developed shortness of breath with chest tightness 2 days after vaccination, accompanied by injection site pain, loose stools, and malaise. Chest tightness progressed over 1 day to become chest pain with diaphoresis, dizziness, and continued dyspnea. Patient evaluated twice at Pediatric ED; 1st time (2 days after vaccination): EKG and troponin were normal, discharged home on ibuprofen. 2nd time (3 days after vaccination): elevated troponin and ST-elevation on EKG; admitted to Pediatric ICU.

Patient described rapid onset sweating and flushing. Said he felt light headed as well. Gave Benadryl 25 mg with continued observation for 30 minutes and he said he felt mostly better, but still tired and weak. Followed up next day and his mother said he was doing better.

Patient felt lightheaded and confused. He laid down and rested for about 5 minutes. The EMT took vitals and they improved with rest. The patient was transported by ambulance to Hospital for additional observation because they are a minor.

After receiving the vaccine or states he began to feel faint. Pt and Pt?s mother state this happens when he has blood drawn. Pt was seated in a wheelchair and moved to the exam area. Pts vitals are stable. Pt states he is feeling better and would like to leave. Pt?s mother states she is comfortable with leaving. Pt did not require transport to hospital.

Patient was normal and little nervous before vaccination. After receiving vaccinations about 2 minutes patient stated he could get up and was shaking. He was pale and sweating. Pharmacist Rima left the room to get another pharmacist. Patient mom reported she saw him passing out and eyes rolling. Patient was conscious after and had difficulty breathing but return to normal after a few minutes. We gave him a ice pack and called 911 to be ready on hand but was not dispatched. Patient rested in the room and left on their own.

Patient felt dizziness, weakness, and a fast heartbeat immediately after receiving injection. Patient was observed by EMS onsite and then went to ED for visit. Patient discharged from ED with no issues.

Rapid pulse 121-133; fever 101.3; chills; dizzy; body aches; This is a spontaneous report from a contactable consumer (parent). A 17-years-old male patient received bnt162b2 (BNT162B2, lot number=EM9709) second dose, vaccination location of left arm, via an unspecified route of administration on 14Feb2021 17:15 at SINGLE DOSE for covid-19 immunisation. Medical history was none. No Allergies to medications, food, or other products. The patient's concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 on 24Jan2021 16:00 (lot number=EL9261; vaccine location=Left arm). The patient experienced rapid pulse 121-133, fever 101.3, chills, dizzy and body aches, all on 15Feb2021 14:30 with outcome of recovering. No treatment received for events. The patient underwent lab tests which included body temperature: 101.3 on 15Feb2021, heart rate: 121-133 on 15Feb2021. The events reported as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient not been tested for COVID-19.

5 minutes post vaccination, patient became pale, cool, clammy, lethargic, lips blue with brief loss of consciousness (15 seconds). When regained consciousness pt. reports continued dizziness & ligh-headedness. Assisted to floor, legs elevated. V/S 110/70, 71-HR, 96%-O2, A&Ox4. EMS activated. Upon EMS arrival EKG, orthostatic VS, and FSBS taken, all reported to be WNL, with BS being low normal @ 66. EMS administered PO glucose tube, FSBS rechecked by EMS, 78. Patient reports to no longer feeling dizzy or lightheaded, declined to go to hospital, left site with mother.

about 30 after vaccine, patient starts to feel weakness on his legs, dizzy and when turn had side to side, pt noticed delayed reaction (delayed fuison)

After administering the covid 19 vaccine to patient, patient was observed for 15 minutes for any adverse reaction, then patient was taken back to his room and about 30 minutes after receiving the vaccine patient experienced seizure attack, felt and hit the wall. Seizure attack lasted for less than 1 minute as per staff who was monitoring him, 911 was called. Upon my arrival patient was back to normal and sitting on the chair. 911 arrived and took over. patient was transported to nearest ER.

Anaphylactic Reaction. Throat began closing up, difficulty breathing, dizzy, disoriented. Received several treatments of Epinephrine, Streroids, Benadryl, and Ativan. Put on Oxygen. He is now on Benadryl every 6 hours for the next 3 days and been told to carry around an Epi-pen in case he has more adverse reactions. Follow-up with his primary care is scheduled for tomorrow 3/19/21.

PT FELT FAINT AND SHAKY AND STATED THAT HIS VISION WAS VIBRATING. HAD THE PATIENT RECLINE AND ELEVATE HIS FEET APPLIED COLD PACKS TO THE BACK OF HIS NECK AND WRISTS HAD HIM SIP SOME WATER.

Mother says history of loss of conscious after shots. My son fainted after receiving the vaccine for having looked at his brother who also fainted. Paramedics called 911 as brother became unconscious then patient also fell to ground was breathing normally - Paramedics treated paramedic took vitals

3-23-21 4:07PM BROUGHT TO MEDIC TENT PER WHEELCHAIR - 'FEEELS LIGHTHEADED'. DAD WITH PT. PALE, ORIENTED X3, NO LOC, RESP WITH EASE, W/D. PLACED ON COT WITH FEET ELEVATED. 4:10PM PT STATES HE 'FEELS BETTER NOW'. COLOR IMPROVED. 4:12PM HOME WITH DAD - TO EXIT PER WHEEL CHAIR. NO ACUTE OR OBVIOUS DISTRESS. A/O, PINK, W/D, RESP WITH EASE.

Per father patient has a history of "passing out" following vaccine administration and blood draws. Following this vaccination administration patient c/o of being lightheaded and displayed a brief moment of generalized syncope while seated in chair and diaphoresis noted. No trauma no fall. Vital signs taken and patient assessed by staff. HR 52, BP 98/76 . Patient a&o x4 conversing with staff. Patient able to eat and drink.

17 year old male had syncope episode with fall from seated position to floor with spontaneous regain of consciousness. 911 was called. Normal vital signs. Legs were elevated. Patient assessed by paramedics, PA and NP. Patient declined transport to hospital for further medical evaluation and was encouraged to seek medical care if symptoms worsened. Yes

Patient immediately felt faint after needle was withdrawn from arm. Patient was able to verbalize this. Assisted to the floor and legs elevated. Patient monitored for 30min. Juice and chips given. Mom with patient. 2nd dose scheduled. Will have patient lying down for 2nd vaccine on April 14th

immediately after receiving her vaccination he developed lightheadedness. He has an aversion to needles.

Immediately after receiving her vaccination, she reported feeling lightheaded. She was taken to a private section of the arena and monitored.

Patient became Pale, Diaphoretic, clammy, Experienced N/V, and Dizziness. Patient vomited x1 , given cold compress and escorted to cot. Vital signs obtained P: 67 , R: 18, B/P: 90/60, O2 sat 98% on R/A. Patient monitored for 30 minutes and symptoms improved , no medication required. Vitals P: 79, R: 18 , B/P: 102/70, O2 sat 98% on R/A. Patient color pink, lungs sound clear, no further distress noted, patient stated he felt better. Father advise to have second vaccine give with PCP. Discharged home.

2 minutes after vaccination patient felt "warm, dizzy, lightheaded, nausea "and c/o tingling in hands and feet. Provided cooling measures and food and drink. Resolved within 15 minutes.

During monitoring, patient c/o nausea, dizziness and became pale. Vitals: systolic BP 52; pulse ox 88%. Patient lost vision and pupils slow to react. Called EMS and gave 2L supplemental 02 via rebreezer. Patient moved to hospital bed and had legs elevated. Upon recheck blood pressure improved and patient responsive to questions (suspected vasovagal response). After EMS arrived, patient's family declined to send patient to hospital via EMS, and ultimately left the clinic with his family.

Dizziness, fell x 2 on knees. Patient was anxious, no breakfast. Given water, juice, graham crackers. Final BP 92/62.

pt was waiting in the post-dose waiting area and came over to let us know he felt like he was going to faint. he was instructed to sit down and keep talking to us and ice packs were applied. he lost consciousness and we laid him down on his back and put his feet up and he regained consciousness and after laying for a few more minutes, he was slowly put back into the chair. he was instructed to sit there for a while longer until all his symptoms resolved.

Patient passed out, complained of being lightheaded and having loss of vision post 2nd COVID-109 vaccine. EMS was called. EMS evaluated patient and recommended going to the hospital for observation. Patient's father denied transfer to hospital and patient left with father to go home.

Pt was in observation area and stood up from chair then synopsized with some jerking motions and fell to the ground not confirmed to have struck his head or neck. His mother was at his side and holding his head up. H r was awake not confused or post ictal, no tongue biting or bowel bladder incontinences. He was able to get up into the wheel chair with assistance. He was subsequently diaphoretic and pale, with dilated pupils, His mother reported that he takes dexmethylphenidate and escitalopram for ADHD.. She said he runs cross country and he reported he didn't eat since the night before, He received narcan nasal spray and was transferred to a stretcher and placed in Trendelenburg position. He subsequently improved with resolution of pallor and improvement in pupillary dilation. He went to the ED via EMS

After leaving vaccination room with mother, heading towards the lobby for minimum of 15 minutes post-vaccination observation, patient collapsed/ fainted and fell to floor. Mother was able to catch and support patient's head as patient slowly fell to floor. After only seconds, patient alert again and speaking and answering questions correctly. Patient attempted and was able come to a complete unassisted standing position, but was immediately encouraged to stay lying down until EMT has arrived. EMT arrived, assessed patient vitals, and encouraged patient and mother to go with them to hospital if they were concerned, but mother declined and signed affidavit. Patient and mother left to go get late lunch, as it was revealed patient had not eaten breakfast or lunch yet and was nervous about getting the shot.

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: FAINTED AND SCAR ON FACE-Mild, Additional Details: PATIENT SEATED AT SEAT 5 FELL AFTER FAINTING AND INJURED ON HIS FACE WITH BRUICE ON RIGHT SIDE AFTER HITTING GROUND WITH HIS GLASSES. PATIENT GOT CONSCIOUSNESS IMMEDIATELY AFTER. OFFERED MEDICAL HELP AND ATTENTION. GAVE WATER TO DRINK. HE WAS MONITORED FOR 30 MINUTES AND LEFT PHARMACY HIMSELF.

After receiving vaccine client stated he was experinecing dizziness, having tremors. He was lowered to the ground by staff and mother, both legs elevated on chair. Mother stated " he has a way with needles and gets like this sometimes". MD on site and paramedics responded accordingly. Vitals taken by paramedics and assessment done by MD.Client is now verbally responsive , sitting in chair, hydration fluid given PO. Mother stated client has a hx of black out spells along with auto immune disease. Escorted to observation area in wheelchair with parents and MD. Last Vitals Bp 106/68 HR 73 O2 98% blood glucose 104

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

Systemic: Fainting / Unresponsive-Mild, Systemic: light headed, fainted after 5-10mins received vaccine-Mild, Additional Details: After received vaccine 5-10mins, he started feeling light headed, fainted. RN notified him to floor leftside, cold water to back of neck and forehead. BP: 91/66 -90/70, HR 91-85 when left side lying, BP 123/87, Hr 100 when sitting on floor. BP 122/85- 117/83, HR 99-95 when sitting in chair. He went home acoompanied by his mother when feeling better. He has fainted in past with shots and blood draws

4/8/2021 Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, he experienced an adverse reaction with the following symptoms: Feeling light headed and weak. Assessment : Time of assessment 0947, patient sloughing in chair feeling faint. Able to answer questions. Actions taken: Taken to stretcher, Vitals sign taken VAERS form obtained and completed by RN. 0947- 142/78, P- 88, RR- 16. O2- 100% 0957- BP127/66. P- 84, - 0952- CBG- 84 Water given. Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 45 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the system. Mom with patient. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/8/2021 9:42 AM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: ER8729

Patient fell back in chair, the chair fell and patient hit his head on the floor, slight swelling noted on right forehead. BP 93/41. HR 58. He was transferred to the ED via gurney. Lost consciousness for 1 minute. Recovered and was discharged home.

Shortly after receiving his Pfizer vaccine, patient began to feel lightheaded. He was accompanied by his mother at the clinic and had come prior to going to the family business. Assisted in fanning patient and applying wet wipes to forehead and neck to cool down and he complained of being hot. His face began to become flushed. VS initially at 2:40 pm, BP=122/70-56 HR and regular-14-96% spot ox. Recovered after ingestion of fruit snacks and 1 bottle of H2). Stayed in observation for 30 minutes total and then left with mother. Contact information given to patient to reach if any further problems.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Vomiting-Mild, Additional Details: Received dose. Felt a little lightheaded, then vomited. Provided cold pack for forehead, and cold bottle of water. Patient waited until better, with parent/guardian. Related sometimes has problems with shots. Then when feeling better, left under own power, with accompanying adult supervision.

15 MINUTES AFTER VACCINATION PNT FELT CLAMY/SWEATY AND NAUSEOUS. PNT FELT LIKE HE WAS GOING TO FAINT TO HE LAID DOWN ON FLOOR. PATIENT DID NOT FAINT . BLOOD PRESSURE WAS MONITORED AND RANGED FROM 80/60 TO 90/60. 911 WAS CALLED TO CONTINUE MONITORING HIM

Patient fainted and fell while standing, hit head on floor, brief loss of consciousness, pupils PERRLA. Minor head pain, BP hypotensive (80/54) in wheelchair. Gave juice and crackers (hadn't eaten that day), glucose 91. Patient stable upon leaving, recommended ER visit for head evaluation.

Patient had an episode where he started stumbling, feeling diaphoretic, with diffuse muscle cramping 100 m from finishing a 5K race. He reports a sore throat, headache, and some dyspnea. He reports no adverse reaction to the first COVID vaccine. The patient had great symptomatic improvement with hydration. Patient was recommended to follow up with PCP and cardiology.

Feeling faint after vaccination Vital Signs: BP 150/85 HR 62 Resp 10 O2Sat 96 Skin Signs: Warm and dry Circulation: >3sec Respiratory: Breath sound clear bilaterally Initial Treatment: Laying down on cot 1:50 PM. Given 1 juice box, peanuts, water. 2:05 PM Vital Signs: BP 140/90 HR 79 O2Sat 97 Skin Signs: Warm and dry Circulation: 3sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Released to mother Disposition: Walked to car with mother

Severe, debilitating fatigue to the point of not being able to stay awake for more than a couple of hours a day. This continues, although minimally improved, 1 month out from 2nd vaccine Migraine-type headache- daily, continues 1 month out Dizziness Thrombophlebitis Initial low-grade fever and arm soreness resolved within 2 days

Throat had sensation of closing up and sore arm yesterday evening. Took Benadryl. Today muscle and body aches, low grade 99.9 fever, dizziness.

After receiving first Pfizer vaccine, patient had a vasovagal episode. Patient states he became dizzy, lightheaded, and became diaphoretic prior to syncope. There were some mild seizure-type activity after the syncope. Patient was transferred to the ED In the ED, patient experienced no further episodes of seizure activities. Patient was evaluated, observed, and later discharged with PCP and neurology referral.

Pt c/o of lightheadedness, diaphoretic, pallor 15 minutes after vaccine administration. Pt placed flat on ground with pillow and feet elevated. apple juice, water and cold compresses provided. 15 minutes later pt still symptomatic, transferred to Ste 285.. Bp 128/75(88), pulse 83, o2 99%, RR 20.

Post vaccine pt became dizzy, sweaty and experienced nausea. Pt transferred to med obs. Accompanied by parents. Pt reports immediately feeling better after lying down on stretcher. Vitals obtained and monitored. Per on site physician - pt experienced classic non syncopal vasovagal reaction - resolved. Pt released at 0857 with parents. Vitals as follows: 0845 LYING BP 120/83 HR 65 RR 18 SpO2 97% 0840 SITTING BP 113/67 HR 78 RR 18 SpO2 100% 0850 STANDING BP 130/75 HR 93 RR 18 SpO2 96%

2 minutes after receiving Covid vaccine- patient felt numbness in his left hand. About 1 min later he felt numbness in his right hand. About another minute later- his vision started to darken and he felt like he would faint (he was sitting down during this entire experience) and his face started to tingle. His vision went completely black but he did not lose consciousness. His eyes were very blood shot during this and he was very pale. He recovered from all symptoms after about 10 minutes. He felt very thirsty after this and throat felt dry.

At 10:16 patient's mother brought him to our attention regarding how he was feeling. She states that patient was feeling hot and took off his sweatshirt and complained that he was starting to feel "dizzy" - then he started looking "grey" and not responding to any of her questions. States that he was progressively getting worse over time. Patient was flushed and hypotensive (80's/40's) initially followed by bp of 90/50 then before he left 102/60 at 10:45am. Initially his heart rate was 74 bpm and before he left it was 82 bpm. His temperature was around 97.5. Patient had not had anything to eat or drink prior to appointment. Patient was given a snack and water before leaving.

Approximately 5 minutes after vaccination was administered patient has numbness and tingling in both hands in addition to nausea and dizziness. We gave him 50 mg of diphenhydramine with his mother's permission. By 10-15 minutes after the vaccination he was feeling much better and the numbness had gone away.

On 4/16/2021 at 2:17 PM, 17-Year-old white male received his first dose of Pfizer vaccine lot #ER8729 0.3 ml to his right deltoid. At 2:28 pm while patient in the observation area, patient noted pale in color, he was complaining of dizziness, blurred vision. Patient taken to designated area while provided complete privacy. Vital signs as followed: BP 90/60, respiration 16, pulse 54, o2 sat 97% on room air, patient lowered to the floor with his feet elevated . 2: 33 pm Patient voiced that his feeling better. Patient skin color improved 100/80, respiration 18, o2 sat 98% on room air. Patient endorsed allergy to penicillin which he describes reaction as hives, also as per patient and his mother who currently in vaccine clinic, patient had similar above reaction to flu vaccine a year ago. Patient denies any known past medical history nor currently on medication. 2:38pm Sitting vital sign : BP 110/70, pulse 76, o2 sat 97%, resp 18, Patient denies any further symptoms. 2:43 Pm Standing BP 120/80, pulse 65, o2 sat 97%, resp 18. Patient remained stable, able to ambulate steady gait. No complain voice Patient released thirty minutes post observation accompanied by his mother in stable condition. Writer recommended to patient if symptoms reoccur to sick immediate medical help. Patient and family verbalized understanding.

Patient c/o dizziness, temporary loss of hearing, weakness, nausea and sweating . Took vital signs B/P was low 104/47. After 9 minutes B/P was up to 110/70 and patient's symptoms were resolved. He refused to be transported to ER to be evaluated and was taken home by his friend. Parents were notified of the event.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: After recieving vaccine within 10 minutes, patient complained of feeling light headed, dizzy, appeared pale. Assisted patient to lay down on the floor. Seen by EMS, Temp 98, Pulse 63, 90/70. Patient stated that he had taken medication for anxiety prior to vaccination. Per patients mother, he took \"Hydroxyzine 25 mg Tablet\". 2nd set of vital signs were taken, BP 100/60. Patient assisted back to chair and observed for an additional 10 mins. Refused transfer, patient went home with mother.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Additional Details: place in supine position on the floor with feet elevated. VS- @ 1839; BP 130/70, HR 40, RR 18, SPO2 95% RA; reassessment- VS- BP 122/78, HR 42, RR 18, SPO2 92% RA. Never loss consciousness but became very groogy. orange juice given, returned to baseline in < 15 minutes, sent home with mom as driver.

A few minutes after patient received dose this morning around 9:20am, he became pale, developed hot flashes, shaking, nausea, dizziness, and hands feeling numb/tingling. Provided the patient with a cold pack for the back of his neck and water to drink, and encouraged him to sit with his head lowered. The patient's father pointed out that he had not had anything to eat that morning, which could have contributed to his response. After a few minutes, most of the symptoms abated, and patient was feeling much better. His father left the store with him at that time. Called the father later that day, and he said patient was feeling better. Had taken nap and was only feeling a little tired. I explained possible side effects from vaccine and father thanked me for our time and concern.

Patient started to feel dizzy and lightheaded about 15 minutes post vaccine and became pale. Patient was sitting the entire time. Kept him seated, provided a cold cloth, grabbed some water if needed, and monitored the patient until he felt better.

About 10 minutes after getting vaccinated, patient felt dizzy. We let him lay down on the floor and monitored his blood pressure. His blood Pressure (average of 2 readings) was 119/85, pulse 86. Patient felt ok after 5 minutes. We observed him for extra 5 minutes before he left the clinic feeling well, without any symptoms of dizziness.

Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: light headed, sweaty, notable to respond verbally, closing eyes, unable to sit up by himself, pressure in ears. Paramedic team came. Patient recovered. Patient does not need to go to the hospital.

Patient was sitting in observation for approximately 5 minutes , started feeling light headed and passed out. Patient was out for approximately 15 seconds before recovering. There were no seizure like symptoms or post-ictal state. Patient was helped onto a cot and a set of vitals was taken, BP 118/84, O2 98%, HR 84. Patient was advised to wait at least 15 more minutes and told not to leave until after the 15 minutes had passed and he was no longer having any symptoms. Patient was brought home by a family member.

within seconds of the vaccine he felt light headed and started gagging. he drank water, and had a chocolate brownie. Regained color within 15 minutes and felt much better. has history of lightheadedness with vaccine injections

Patient walked into the observation area around 5:16pm after his vaccination. He was with his stepfather. He was with normal mentation, walking on his own, and talking with his stepfather in the waiting room. Within 1-2 minutes in the waiting room, he leaned to the right in his chair, hit the glass (glass did not crack or shatter, no head injury), and was not responsive for about 5 seconds. His father called his name and grabbed his hand but no response. I rushed over and patient became responsive and endorses not remembering what happened. He does not remember the event. No body shaking, tongue biting, or incontinence. He was taken back to the vital room, and his first BP was 70/35, pulse in the 60s. He denied any symptoms, and physical exam including neurological exam were normal. He was speaking coherently and with good mentation. He was given a water to drink. Repeat blood pressure 5 minutes later improved to 96/59 with no medication. He was moved to a clinic room and was laid supine with his legs elevated. Orthostatic blood pressures were within normal limits (111/63 supine, 110/72 sitting, 109/69 standing). Patient was able to walk out on his own and was in normal mentation. No medications were given or interventions wee done.

Flushing/sweating, dizziness, nausea, vision problems. BPs 122/64 (pulse 61), 88/47 (pulse 65), 106/62. O2 sat 100%.

Client felt dizzy after injection. Laid on cot , had gatorade and felt better. B/P 108/58, 99% O2sat, HR 78. Left under Mother's care, to call 911 or go to ER is new symptoms occur.

Pt started feeling lightheaded/dizzy after vaccine (second dose), and was escorted to treatment area where history and vitals were obained. Pt stated this is a common reaction for him following any injection. He was given water and monitored. Initial VS: P=72, BP=112/66 P. Ox=97% After several minutes and pt stating he was feeling fine, he sat up. VS: P=88 BP=126/64 P. Ox=98% After a few more minutes, he stood up, felt fine. VS: P=94 BP=122/80 P. Ox=98% Pt discharged home without further incident. Advised to get next shot laying on cot.

3 min after receiving the vaccine pt verbalized feeling faint. Staff offered pt a cool pack for his neck. Patient accepted. Pt reported not having had breakfast and leaned back into the chair and became pale. PTA eyes were noted to be rolled into his head. Pts body became rigid. Staff assisted pt to the floor to a supine position. Staff obtained baseline vitals (127/75, HR 66) while simultaneously dialing EMS. Pt a color retuned within approx 2 min and pt was talkative. Dad reports pt with fear of needles with hex of syncope in past. Pt reported feeling fine upon EMS arrival. Pt declined EMS transport. Tolerated water and muffin without difficulty. Pt without injury. Self ambulated out of clinic after additional 15 min observation period.

Blurred Vision, Dizziness, given juice, evaluated by paramedic on site, mom reported he didn't eat breakfast and mowed the lawn, color returned, went home with mom

Pt felt dizzy after receiving his vaccine. While walking towards the observation room accompanied by father and vaccinator nurse patient had a fainting episode. He was lowered to the ground by nurse/father and an assessment performed. VS within normal limits Fainting episode lasted a few seconds. Pt reported no medical conditions or hx of fainting . Pt also mentioned he hadn't eaten anything before receiving his vaccine. Vitals signs as follows: BP at 0830 110/55, HR 60, O2: 96%, at 0837: BP 107/58, HR 69, O2 97%. Pt observed for approximately 25 minutes and discharged home in stable condition accompanied by his father.

Patient received vaccine and came and sat down next to his father in the waiting area. Approximately 5 minutes after sitting down he fainted and fell out of chair. His father guided his fall. It took 2-3 minutes for patient to gain conscientiousness. He was disoriented, pale, groggy. 911 was called and arrived approximately 20 minutes after event. After the paramedics examined patient, he regained his bearings and color. The family decided to go home at approximately 10am. I spoke with mother at 7pm tonight and patient has been fine all day.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: Family History: Both parents had sezuires after being immunized in the past and this was their son's first immunization. Otherwise, the patient was calm and healthy.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Patient received shot and vision went black after about 5 mins. Vision began to return blurry within 15 mins with paramedics.

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

Patient became very nervous five minutes after having vaccination, fainted to the floor with body tremors, BP 81/38 P45, Resp. 18, EMT at side with nursing staff, was put on stretcher, and complained of dizziness, nausea and lightheadedness, Later BP 114/55, P67 Resp.17. Patient transferred to ER. Recovered, no medications administered.

Patient had syncope (BP 100/59 -- > 97/63), flushing/sweating, dizziness, nausea. Stable -- released from vaccination site.

After I administered the vaccine, patient said to his mother "that was it", he also told his friend on the mobile that he just got the injection, then he said "I feel dizzy", I said "are you serious?" He said "Yes" and he just went out of consciousness in his mother's arm. I shout "call 911" and held his head which tilt backwards with eyes rolling back. together with his mother we lowered him to the floor and I supported his head at all times; as he was flat on the floor, he raised his own head and regained consciousness. Both mother and I tried to talk to him and keep him awake when he closed his eyes, he was laying on the floor flat and talking until EMT arrived at 16:42. EMT pulled him off the floor and took him to the ambulance.

pt got lightheaded and passed out. pt informed us he had not eaten all day so we are not sure if the lightheadness is from that or the vaccine

Patient was seen in COVID vaccine clinic for first dose of Pfizer vaccine. Patient has a history of vasovagel episodes related to anxiety and past healthcare appointments. Per mother patient has "White Coat Syndrome", and has been 2 years since previous episode. Given history patient laid supine on examination table for vaccine. Immediately following vaccine patient complained of lightheadedness and lost consciousness for approx 30 seconds. Patient woke up to stimulation but continued to complain of "fuzziness". Initial vitals HR 45, BP 100/51, MAP 73, RR 14, and sats 99% with bounding pulses.

bp 128/76 pt w syncope 5 mins into monitoring. hit head on front left. monitored for s/sx of concussion. denies blurred vision head ache. monitored for 15mins post fall 09:07 am pt c/o blurring in right eye peripheral vision pt to check with pcp if symptoms continue or worsen.

Patient fainted 25 minutes after receiving the vaccine. He was seated at the time, and fell forward out of his chair. He hit his head on the hard floor. The medical staff on site treated him and called for EMS. He was taken by ambulance to the hospital because of a continued low blood pressure and to rule out any problems due to hitting his head.

PATIENT FELT HOT AND FAINTISH ABOUT 2 MINUTES AFTER RECEIVING THE IMMUNIZATION. PATIENT MOM SAID HE KEPT LOOKING AT THE BLOOD AND THEN THE SYMPTOMS CAME ON. DURING THE OBSERVATION, THE PATIENHAD ON A SWEAT SHIRT, SKULL HAT AND HEAD BAND. ALL THREE ITEMS WERE REMOVED, PATIENT LIED DOWN ON THE FLOOR WITH FEET UP IN A CHAIR FOR 10 -15 MINUTES. AND A COLD COMPRESS TO THE NECK. PATIENT NEVER LOST CONSCIENCE AND ALWAYS KNEW HIS NAME A DOB WHEN ASKED. MOM AND SON SAID HE STARTED FEELING THIS WAY WHEN HE LOOKED AT THE BLOOD ON HIS BANDAGE. THE PATIENT NOR HIS MOM WANTED US TO SEEK MEDICAL 911 ATTENTION AND WALKED OUT ON HIS OWN LATER.

vasovagal response: BP 70/40 with dizziness and diaphoresis. legs elevated, given PO fluids observed for 30 minutes

Patient received his 1st dose of the Pfizer COVID19 vaccine and within a few minutes reported feeling faint. Pt was diaphoretic and lost color is his face. Pt was moved to a cot to lay down and elevate his feet. BP: 89/45 repeat 76/50, repeat 100/71. HR 110, repeat 59. RR 16.O2sat unable to read properly, reading 60%-80%. EMS called immediately, pt was evaluated by EMS and began to feel better. Pt?s mother signed refusal for transport to the hospital. Pt?s mother was given ED precautions and advised to notify the pt?s pediatrician. Pt?s mother verbalized understanding and agreed to the POC.

Patient passed out and ended up falling off the chair hitting his forehead (left side)on the concrete flooring. Patient seemed to be doing okay after being observed by EMS for about 45 minutes. BP 110/74, denied dizziness or nausea but was complaining of headache. Patient's mother refused transport to ER.

Patient was in his usual state of health. On Wed, 4/7/21, at 10:20am, he received the first dose of Pfizer COVID-19 vaccine. No immediate vaccine reactions. He went home, complained of pain at the vaccination site and took a nap because he stayed up late the night before. On Thursday morning, he woke up with chills and feeling like having a fever. He took Tylenol and then took a nap. On Thursday night, he began to have chest pain but he did not tell his parents. On Friday, he continued to have chest pain so he told his parents about it. His father told him that if chest pain got worse, they would go to an ER. On that night (Friday) at 1am, he told his parents that he was not feeling well, his chest pain had gotten worse and he wanted to be taken to an ER. He also had abdominal pain, dizziness, disorientation, and he vomited. He was taken to ER where he was found to have elevated troponin of 10. The ER recommended transferring for further work up and the father drove him to the hospital. At the hospital, he was found to have elevated troponins and NT-proBNP concerning for myocarditis of unclear etiology. He was monitored on telemetry and had no concerning ectopy. He had an echo on admission that demonstrated no structural abnormalities, trivial mitral valve regurge, and normal biventricular systolic function. EKG was unremarkable. Troponins were trended q6h and decreased from 32 -- > 23 -- > 17. NT-pro-BNP decreased from 439 to 322 at discharge.

Felt dizzy - patient laid down snack and juice given, felt better. Able to sit up then stand without difficulty, ready to leave. Informed to seek medical attention with any further problems.

Pt received his 1st dose of the Pfizer vaccine, immediately after he began to feel faint. Pt reported losing his hearing . Appeared diaphoretic and pale. Ambulance on site. Pt was laid down on a cot. BP: 110/60, HR 60 O2Sat 99%. Mom reports this happens to the pt every time he has a vaccine or blood work. Mom was given the information for the high risk vaccination clinic, she will contact them to schedule the pt's second dose in the hospital setting. Pt felt better, signed a refusal with Ambulance and went home.

Patient given first dose of COVID vaccine today. After being vaccinated patient walked over where his brother was sitting. Soon after siting he felt weak and fell to the floor, patient appeared to be shaking for 2 seconds, generalized, witnesses unsure if he hit his head. No eye rolling, no foaming of the mouth, no incontinence noted. Patient was monitored and assisted off the floor to a wheelchair. While being assessed at a nearby cot, while siting, the patient's eyes rolled back, upper limb shaking for 2 seconds. Patient does not remember either episode. Vitals: 120/70, HR 88, RR14, Oxygen 100%, Glucose 113, exam: patient alert and oriented x3, PERRLA, heart RRR, normal S1 and S2, no murmur, lungs cleared. Due to second episode occuring, 911 was called. Mother was on site and full report given to her. Patient was getting up and heart rated noted to drop to 56, he felt dizzy at this point and sat down, then laid down. The patient was evaluated by EMT and was taken to hospital for further evaluation.

Client presented with Diaphoresis, light-headend feeling. Administered one, 4 oz. orange juice and 4 oz. h2o over fifteen minutes. Client reported feeling recovered after fifteen minutes rest. Client left ambulating under his own control with his mother and father.

Immediately after receiving the vaccine patient felt faint, light headed, dizzy, and exhausted. We laid him on the floor with his feet up on a chair. He felt better after a few minutes so he sat up, then stood, then walked to the waiting area. He again felt the same symptoms and was placed back on the floor. After about 20 minutes he slowly was able to get back up and felt fine to go home.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient stated vaccines always give them vasovagal response. Patient had vaccine. Felt dizzy and had vasovagal ususal response. Had patient immediately lie down. Blood pressure was 141 76 with pulse 56. Symptoms resolved and patient was fine after 30 minute rest time.

pt received injecton and immediately he advised it was alot more pain the the last one. Said he felt alittle dizzy but said he felt he could make it to chair. On the way to chair walking with RN on one side and father on other side pt had a sycopal episodes. legs gave way. EOA was a few feet away and assited pt to cot. directly upon being laid on cot pt was A&Ox3, V/S B/P 90/60, pulse 78, 02 sat 98%. at that time stated he remember getting dizzy following the painful injection. Father, mother and sister all have this same reaction when receiving injections. Pt observed for 30 min no problems noted. denies any problems. Pt sat on end of cot. Denied any dizziness. stood up no problems V/S retaken 90/70, pulse 84, O2 sat 98%, Instructed mother good idea to take to primary MD for check up. Pt stable released home.

Visually observed patient looked faint for approximately 5 seconds Patient was reclined on cot, given juice & crackers, BP checked 1st 110/70 BP was weak Patient was observed for 30 minutes, patient verbally reported he was feel much better Left the facility with his father & told to go get food & water

Vasovagal event with hypotension and dizziness after vaccine (patient stated did not eat that morning)

The 17 year-old patient fainted and lost the consciousness for approximately 3 minutes, 10 minutes after he received his first Pfizer vaccine. He was laid down on the ground, was given water and started to gain his consciousness slowly. He was palpitated, sweating, dehydrated, dizzy and nauseous. Blood pressure was checked 126/78, glucose 118. The reaction could be related to his diet as he has been fasting. He got better gradually when the medical team came. He was advise to keep hydrated and to eat. Patient was taken to the hospital for further check-up

Pt c/o car sickness PTA, per his report. Pt reports he only drank gatorade and had one slice of bread PTA. Reports dizziness, blurred vision, diaphoresis prior to arrival to med obs #1. Denies LOC. Provided juice and saltine crackers. Mother and brother brought to bedside. Pt improves improvement of symptoms after eating/drinking. No s/s of distress noted. VSS. VS are as follows: 1137: BP 87/55, recheck 109/89, HR 77, RR 17, O2 sat 97% on RA 1142: BP 115/77, HR 66, RR 16, O2 sat 98% on RA

Received vaccine. Five minutes later he stated he had a severe headache and was dizzy. He sat down and an ambulance was called. He was transported. Spoke with mother. Hospital advised her that he had more of a reaction from the act of receiving the vaccine then to the vaccine itself.

During his 15 minute observation period after receiving his second shot, patient felt ill and started turning pale. Pharmacy staff came to his side and gave him wet, cold compresses and water. He was feeling dizzy and clamy but never lost consciousness. The pharmacist could see that the patient was wearing a CGM. The patient was able to see his blood glucose levels on his receiver and they were high. We were able to rule out hypoglycemia. The patient threw up three times in the waste basket. After about 20-30 minutes he started feeling better.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium

Approximately 25 minutes post vaccine, attendee began to complain of dizziness, clammy, nausea and arm numbness. Patient's vitals were taken. 50Mg of Benadryl was given. The attendee was monitored for 45 minutes and released from site. He was accompanied by his older sister. No loss of consciousness was observed. The attendee remained alert and oriented the entire time.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Visual Changes/Disturbances-Medium

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Severe, Systemic: Vomiting-Medium, Additional Details: Patient began to seize/faint in chair within 5 minutes post-vaccination. Paramedics were called as I stabilized patient on floor. Consciousness regained within 60 seconds, patient confused/unaware of what had occured. Patient flush, lightheaded, vomiting. Paramedics arrived and confirmed patient was stable and safe to leave scene without further intervention.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Visual Changes/Disturbances-Medium.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadedness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Mild.

Pt became dizzy/lightheaded after receiving his covid vaccine and then watching his mother receive her covid vaccine. Pt was instructed to lie down on exam table, mother brought patient juice, cold compress applied to head and neck. Pt mother notes pt last ate around noon. After 15-20 min patient felt better. Was able to leave clinic with mother as escort without incident.

Patient feeling lightheaded, sweat and blurred vision. He also reported numbness, tingling bilateral hands. dizziness and blurred vision subsided within 5 minute. Patient was encouraged to hydrate and wait full 15 minutes prior to leaving. Patient was feeling well enough to leave and mother was able to drive him home

Dizziness, pallor, hungry-small breakfast. Stable and released with mother after significant improvement.

Fainting twice the next morning; Tachycardia (up to 145 bpm); somewhat disoriented for about 24 hours; Chills and fever starting that evening; Chills and fever starting that evening; Very lightheaded; This is a spontaneous report from a contactable consumer (patient). A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in right arm on 22Apr2021 15:00 (Batch/Lot number was not reported) at the age of 17 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included colecalciferol, fish oil (VITAMIN D WITH OMEGA 3); saccharomyces boulardii (FLORASTOR); and multivitamins; all taken for an unspecified indication, start and stop date were not reported. Historical vaccination included bnt162b2 on 01Apr2021 (product=COVID 19, brand=Pfizer, Lot number=ER8737, Administration time=03:00 PM, Vaccine location=Right arm, Dose number=1, age at vaccination=17 years) for COVID-19 immunization. On 22Apr2021 20:00, the patient experienced fainting twice the next morning, tachycardia (up to 145 bpm), somewhat disoriented for about 24 hours, chills and fever starting that evening, and very lightheaded. No treatment was given for the events. The patient was recovering from the events. The patient was not diagnosed with COVID prior to vaccination and has not been tested for COVID since the vaccination. Information on the lot/batch number has been requested.

ABOUT 10 MINUTES AFTER RECEIVING 1ST PFIZER COVID19 VACCINE, PT COMPLAINED OF EXTREME NAUSEA AND DIZZINESS, AND APPEARED ANXIOUS. PT WAS MONITORED CAREFULLY AND ENCOURAGED TO BREATHE AS COMFORTABLY AS POSSIBLE. AFTER 5 MINUTES, PT STATED HE WAS FEELING MUCH BETTER AND SAID THAT HE WAS FINE. AMBULANCE SERVICES WERE CALLED, AND PT LEFT WITH AMBULANCE PERSONNEL UNDER HIS OWN AMBULATION AND WITHOUT RECEIVING MEDICATION. PT WAS TRANSPORTED TO HOSPITAL, WAS APPARENTLY CHECKED-OVER, AND RELEASED IN ABOUT AN HOUR. PER TELEPHONIC FOLLOW-UP LATER IN THE DAY, PT CONFIRMED TO PHARMACY MANAGER THAT HE FELT FINE, AND THANKED PHARMACY MANAGER FOR FOLLOW-UP.

Site: Pain at Injection Site-Mild, Additional Details: Patient was waiting after the his first covid shot and he was talking with his parents, they had a conversation for 5 minutes and then the patient fainted, fell down, had seizure for few seconds and then woke up in few seconds. Patient was sweating, feeling hot. He was breathing normal. Face was red. .911 was called. Patient had no issues with needles. HR was 104. Patient felt better after 10-15 mins and left with his parents. No hospitalization needed.

Patient MRN 1277090 Per recovery RN notes: "C/o lightheadedness. BP 73/34 1641 101/70 1643 88/52, pulse 62 1645 94/54, pulse 57 1650 122/75, pulse 60 Was sent home with father"

Systemic: Dizziness / Lightheadness-Severe, Additional Details: After getting pfizer vaccine, patient was waiting in the observation area. Patient started to complain of lightheadness and was about to fell off the chair, so the observer catched him and helped lay him down flat onto the floor, while calling 911. Pt was totally consious and confirmed no trouble with breathing, just lightheadness. The paramedic came and took him to the hospital for further checkup.

Approximately 10 minutes after vaccination, patient began jerking and passed out. Patient was placed on the floor and vitals were taken which were normal. After approximately 10 minutes, patient was brought to sitting position and after a few minutes began jerking movements and felt faint. After approximately 10 minutes, patient was walked to a chair but after a few minutes he again began jerking and felt faint. Patient was returned to the floor. Parents refused transport to the hospital. Father helped patient to the car and he was placed in the back seat lying down. Father stated he may take him to the ER if he seems like he needs it.

Patient came for second dose Pfizer COVID vaccine at location. He got his vaccine at 315pm. Immediately following the immunization he had a vaso-vagal reaction. He became light-headed, diaphoretic and pale. Dr. examined him and he was walked to a litter to lay down. He was given an ice pack and water. His legs were lifted. He felt better after laying down. He left for home at 235pm after the symptoms resolved.

Pfizer vaccination administered into left deltoid at 0849. Reporter, RN arrived to patient at 0855 after being notified patient had fallen off his chair. Patient found to be laying facedown and unconscious near the chair he was sitting in. No initial response by patient to verbal and physical cues. Patient was pale in color and diaphoretic. Patient was placed into right side laying position. After about a minute of being in side laying position and continued verbal/physical cueing, patient awakened. Assisted patient to supine position, cool packs placed to armpit area, Excess sweat on face wiped. Two small abrasions noted to left side of face; nose and near top of mouth. Upper and lower extremities also had small abrasions. Patient reported he started to feel dizzy and tired shortly after receiving the Pfizer vaccination. Patient does not recall falling. Mother confirmed patient had eaten breakfast, no history of low blood glucose levels. Denied experiencing shortness of breath prior to fall and while nursing staff was present, No neurological deficits noted during assessment. No rash noted. Patient continued to be diaphoretic. Reported stomach was upset. Vitals taken at 0902; blood pressure 116/74, pulse 74, respirations 18, oxygen saturation 98% on room air. Permission by parent given to treat patient with epinephrine. Patient received 0.5 mg of epinephrine at 0900 and again at 0905. EMS arrived at 0912. Patient more alert at this time and diaphoresis subsided at this point. After EMS obtained further information, patient was assisted into a sitting position on the floor. Patient complained of stomach upset again and vomited two times. Ambulance arrived at 0935 and patient placed onto gurney. Ambulance departed at 0935 to transfer patient to Medical Center for further observation.

Seizure; Felt dizzy; Eye sight was blurry; Shake and jerk; Shake and jerk; Skin turned pale; Heart rate was high; Nauseous; This is a spontaneous report from a contactable consumer. A 17-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 28Apr2021 16:00 as unknown, single for covid-19 immunisation. The patient medical history was not reported. Concomitant medications included fish oil; magnesium [magnesium citrate]; vitamin d [vitamin d nos]; probiotic [bifidobacterium lactis]; vitamin b complex (VITAMIN B). The consumer stated, approximately 20 minutes after receiving the vaccine (28Apr2021 16:15) the patient felt dizzy, eyesight was blurry, and he began to shake and jerk. It resembled a seizure. His skin turned pale, heart rate was high, and he felt nauseous. It took him approximately 5-10 minutes to feel "normal" again. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The adverse event result in emergency room/department or urgent care. There is no treatment for AE. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was resolving. Information about Batch/Lot no. has been requested.

1:02pm Patient complain about being light headed. 1:12pm Patient reported feeling better, requested water to drink. 98/81, HR 57, O2Sat 98%, 1:14on Patient reported that he feels better, left with mother. Informed parent that if patient still experiences symptoms to call 911 or primary care doctor. Understanding verbalized.

Patient given vaccine, within 30 seconds became sweaty, shaky, pale, dizzy, complaining was dizzy and nauseous, had shallow breathing. EpiPen was administered within 2 minutes and 911 was called. Paramedics arrived, patient's BS and BP was good. Had nothing to eat or drink prior to the shot. Was deemed okay but taken to Salem Hospital anyways. Had no car but patient was taken with paramedics to hospital.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt was repositioned in a charm with arms and head down. pt offered and consumed juice; symptoms resolved in 3 minutes

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Medium, Additional Details: patient felt dizzy and lightheaded and fainted off the chair. never lost consciousness. recovered after staying in laying down position with knees bent, then had a bottle of water and another drink. walked out after 40 minutes with mom

Systemic: Fainting / Unresponsive-Mild, Additional Details: patient had second vaccine in series and fainted. fell face forward from chair and hit cheek and left eyebrow area. patient was laid down and told to put feet on chair. blood pressure and heart rate were lower than noraml. patient was monitored for blood pressure and heart rate until vitals normalized. patient and careprovider declined emergency services offered.

Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag. Pt was seen at ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up. Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS. By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.

PT FINISHED WITH OBSERVATION, WALKING AROUND, STATED NOT FEELING WELL AND FELL TO THE FLOOR, CODE CALLED, PT LOOKED PALE, VSS, PROVIDED WATER AND SNACK, SX IMPROVED, NO TRANSPORTATION

After patient received the vaccine, went to sit on a chair for observation, he fainted and fall on the floor. He reported to fill dizzy and sweaty. Applied cold pack in the neck area on the back. The ambulance was called and patient was taken to the hospital for further treatment.

Pfizer-BioNtech Covid-19 Vaccine. Patient reported dizziness, headache, and lightheadedness right after receiving the vaccine. He had to lie down for 20 minutes to recover from this symptom.

within first few moments after injection- arm/hand numbness . the following day- lightheadedness and severe headache

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted a few minutes after getting shot but regained concisousness in less than a minutes

Fainted; Dizziness; Sweaty palms; Heart rate dropped; Weird burning sensation in the back of his neck with tension; Weird burning sensation in the back of his neck with tension; Disorientated; Lost his color; Weird sensation in throat; Headache; Had pressure in his ears; Gassy; This is a spontaneous report from a contactable consumer (mother of the patient). A 17-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: ER8731; Expiration date was not reported) on 15Apr2021 (15:00) as a single dose, with route of administration unspecified, for COVID-19 immunization at the clinic (not a military facility). The patient had no relevant medical history and concomitant medications. On 15Apr2021, after the first dose of vaccination, the patient had fainted; dizziness; sweaty palms; heart rate has dropped; had weird burning sensation at the back of the neck with tension; was disorientated; and had lost his color. In Apr2021, the patient had weird sensation in the throat; headache; had pressure in his ears; and was gassy. The outcome of the events was unknown for 'lost his color'; was not recovered for 'headache'; and was recovered on an unspecified date in 2021 for all the other events. Information on lot/batch number was available. Additional information has been requested.

Shortly after receiving vaccination patient experienced blurred vision, lightheaded ness, loss of balance, headache and tiredness, profusely sweating Called 911, provided water and a safe sitting position

Patient fainted (loss consciousness) a couple of minutes after receiving injection. Mom caught him and called for help and reported his eyeballs rolled up and he started down when she caught him. by time Pharmacist and store staff got there (less than a minute) he had regained consciousness but very lightheaded. No breathing difficulty. So got a chair and had him sit with head down and store staff observing. After another 10min he still reported lightheaded and nausea, so ambulance was called. When they arrived and checked him out everything checked out normal and he was feeling better so they released him to his parents care. Called on 5/24/21 at 10:10am and spoke to mom who reported he was doing fine and no apparent after effects.

After vaccination, the patient fell onto his buttocks, then hit his head. He did have a small abrasion on the back of his head and small abrasion on his elbow. There was no LOC observed. The patient did seem slightly confused. He vomited once. Was alert and fully oriented.

Significant morbiliform rash noted to bilateral arms, abdomen, back, and proximal legs with erythromelagia to hands and feet, including the palms and soles (accompanied with significant pain which caused inability to ambulate)

Pfizer-BioNTech COVID-19 vaccine - Immediately after receiving his second dose of the Pfizer covid-19 vaccine, pt expressed dizziness and lightheadedness. Prior to receiving his second dose, he informed the pharmacist administering the vaccine to fainting after receiving his first dose. The pharmacist was prepared and when the pt expressed dizziness after second dose pt was able to lay down on the ground with feet up prior to becoming light headed. Pt also experience sweating and was given an ice pack. He remained on the ground for approximately 10 min until lightheadedness subsided and was then brought to the observation area where he was observed for an additional 20 minutes without incident.

Patient fainted 10 minutes post-vaccination and reportedly had shaking/seizure-like activity. Patient felt cold and dizzy and requested transport to ER. Transported to medical center by EMS.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Medium, Additional Details: Patient and his father sat down in the observation area post vaccination. Within less than 5 min, the father called for help and pharmacy clerk notified the pharmacist that the patient needed attention. Patient had turned white and started to twitch lost consiousness for less than 30 seconds. Epipen was administered by pharmacist (pt was conscious, alert, and oriented nearly immediately after Epipen) and patient was reclined on his back on the floor. BP/ HR monitored while waiting for 911

-After receiving 2nd dose of Pfizer, the pt stated that his arm started to hurt, became light headed, the pt began to slump into the seat-assisted to the floor by administering nurse. The pt begun to seize for approx 30 min. Shortly afterwards, the pt became responsive, able to voice name, location and name. MOC was present at side. Client/MOC both verbally deny any previous sz.

A 17 Year old boy, received his first dose of COVID -vaccine, Pfizer. He walked out of the health room feeling fine. Stood outside in the waiting room talking to his mom during his 15 min observatory period. within 10 mins, he fainted and fell on his face on the floor. Till the pharmacist came out to him, the pharmacist kept tapping his shoulder and called his name out loud, he recovered and woke up. pharmacist checked his BP and was 121/71 and 68 HR. 911 was called , and paramedics came in, checked his vitals and all were normal . He just hit his chin when he fell, and bled from his gum, no loose teeth reported and a chin wound that might need glue stitches per paramedics. Patient was fine and talking when paramedics transported him to the hospital.

Patient received the Pfizer vaccine in the morning, then woke at about midnight. He went to get a drink of water, and was holding a glass of water in his hand. He started to feel as if the room was spinning, became very sweaty, had ringing in both ears, and lost consciousness, striking his head on the counter. The event was unwitnessed. He reports waking approximately 1 hour later with a bad headache. He had a headache and felt disoriented. He denies urinary/bowel incontinence or tongue biting. He was able to walk back to his room without difficulty, took ibuprofen, and went back to sleep. He woke the next morning with nausea and vomited, but this did not impact his headache. He has not had any notable neurologic symptoms since that time, but continues to have a minor headache. He has not had any further vomiting. Headache has not subsequently woken him from sleep and does not worsen with recumbent positioning. He denies visual changes, memory changes, difficulty swallowing, shortness of breath, ringing in his ears, or dizziness. He says his headache is located mostly around his forehead and at the top of his head that is now mild and feels like pressure ?like a tension type headache.? His mother is a nurse, and evaluated him the next day. The family did not feel that he needed to be seen in the emergency department, or prior to this visit. He has not had any previous episodes that were similar. Patient was evaluated in my clinic. Complete neurologic exam was within normal limits. He has been referred to neurology for further assessment.

Site: Bruising at Injection Site-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe

Client became lightheaded and clammy. Responsive to verbal and tactile stimulation. No loss of consciousness. Alert, aware and responsive. Skin noted to be moist and clammy to touch. Pale complexion. Dad was present during event. Dad stated client was recovering from COVID-19. Had his last negative test on 5/14/2021. Dad did not want 911 services activated, however, he stated and nursing also advised that he take client to see his PCP. Upon exit, client was alert, verbal and ambulatory. No sign of acute distress. Exit at 3:47pm.

Patient complained of diaphoresis and dizziness. At 1803, BP 111/71, HR 60, R 14, O2 sat 97%, T 98.0. Patient was taken to another room to lay down on a stretcher. Patient was given water. BP 116/74, HR 59, R 16, O2 sat 99%, T 97.5. After, patient stated he was feeling fine and was able to stand for 2 minutes without dizziness. Patient was discharged to father.

Approximately 15 mins after vaccination, patient had complaints of feeling lightheaded, nauseated, with diaphoresis. RN arrival at car noted skin of patient cool and clammy. Patient reported minimal dietary intake. Patient given OJ and gummies. VITALS: T 97.8, HR 72 , BP 122/82, O2 97% RA, RR 20. Lungs CTAB. No pruritis or SOB. 12:59 PM--patient reporting that symptoms resolved, patient had companion in car and did not drive home and left site in NAD.

Light-headed, dizziness after receiving vaccination Vitals: BP 125/76 HR 84 Resp 16 O2Sat 96 Skin Signs: Warm and dry Circulation: 2 Respiratory: Breath sound clear bilaterally Initial Treatment: Moved patient to triage. Put patient in supine recovery. 6:20 PM Vitals: BP 121/78 HR 80 Resp 16 O2Sat 99 Skin Signs: Warm and dry Circulation: 1 Respiratory: Breath sound clear bilaterally Notes: Patient stated he was feeling better and moved into seated position. Patient advised to seek further medical attention if symptoms returned/worsened.

Patient felt very dizzy couple minutes after receiving the Pfizer Covid Vaccine. he felt tire, could not hear well, and was very pale. His blood pressure was 80/47, pulse was 49. 911 was called and his blood pressure went up slowly to 90s/70s.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: AFTER GETTING PFIZER COVID VACCINES,PATIENT GIVEN INSTRUCTIONS TO SIT DOWN FOR 15 MIN TO MONITOR,AFTER 2 MIN,PHARMACITS (MYSELF) OBSERVED THAT HE IS FALLING DOWN,HE FELT DIZZINESS,I WAS ABLE TO REVIVE HIM IN 3O SEC,HE WAS RESPONSE AND TALKING,I LET HIM SIT DOWN ON A CHAIR,HE ASKED FOR WATER,GAVE WATER,HE FELT VERY GOOD,HE LEFT THE PHARMACY AFTER 40 MINUTES,THEY DIDNT HAVE A PRIMARY CARE DR YET,BUT SPOKE WITH DAD,AFTER 6 HRS,PATIENT DOING VERY WELL,DIDNT HAVE TO GO TO HOPSPITAL!

Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: pt became lethargic , dizzy and visual disturbance. called ems laid pt on the ground and monitored vitals ok gave water and snack pt stayed extra and was ok with parent when left called later pt doing well and resting

Pt was given second dose of Pfizer vaccine on 6/1/2021 at 1050, pt complained of feeling dizzy, lightheadedness, and diaphoretic at 1057. Pt was observed- pt was pale, diaphoretic, drowsy but arousable, pt oriented x4. Vital signs were taken immediately: BP 62/33 (44), HR41, SpO297% RA, vital signs were repeated at 1105 as followed BP 68/28 (41), HR 41, SpO2 97% RA. RN STAT and 911 were called. Ice pack was applied to back of neck, ammonia was used for pt to smell, pt states he had breakfast in the morning but did not drink a lot of water. RN tried to take manual BP, attempted twice, unable to obtain bp. RN STAT nurse arrived, report given to RN STAT, pt placed in gurney to be taken down to treatment room. At treatment room, pt looked "regained his color, not as pale as before" according to patient's mother. Mother at bedside throughout whole event. Vital signs were taken once arrival to treatment room at 1116: 117/41 (72), HR50, SpO2 97%. EMS arrived to treatment room, EKG taken- sinus bradycardia shown on screen, pt's mother unable to verify pt's resting HR. Pt states he is an athlete, runs track in school. Blood glucose 98. Pt stated he felt back to normal, mother said she would monitor him from home.

Patient felt lightheaded, dizzy, popping and ringing in ears, blurred vision, and fainted for a few seconds. This occurred about 5-10 min following vaccination. Most likely a vasovagal syncope reaction. No history of allergic reactions nor syncope. After laying patient down and elevating his legs, he felt much better. Patient remained in this position for about 15 minutes. He then sat up, ate a snack, and drank water and was observed for an additional 15 minutes. Vitals were within normal range. Patient stated feeling"normal" and "fine" after this and he was able to go home without additional issues.

Vaccinating nurse noticed patient became pale and fixating his eyes after receiving first dose of pfizer covid-19 vaccine. Vaccinating nurse asked patient if he was okay and the patient responded "I feel lightheaded. I think I will faint." Vaccinating nurse guided patient to the floor and elevated legs on chair. Lead nurse and EMT responded to the patient in nurse station. Patient was alert and oriented x 4 during whole interaction and stated he felt better within two minutes. Patient was able to sit up against wall and was offered water. Vitals were taken: BP 130/90, HR 67, O2 SAT 98%. Patient offered gravity chair and patient stated he was ready. Patient was stood up with two person assist and after 10 seconds of standing patient was able to verbally state "I feel fine now, I can walk to the room." Lead nurse directed EMT to monitor for 30 minutes in gravity chair and take final vital signs and escort patient with father to car.

Approximately 10 minutes after receiving 1st covid Pfizer shot, patient reported feeling light headed and dizziness. He reported blurry vision,ringing in ears and was looking very pale. He was evaluated and monitored any other symptoms until paramedics came. Water and ice was given to patient while he waited. paramedics came and monitored patient and left

Patient passed out at the discharge table 15 minutes after Pfizer COVID-19 vaccine. Medical assistant at discharge table able to catch patient and patient was assisted to ground by clinic staff. Patient skin warm to touch and pale. BP @ 1700 147/77, HR 68, RR 16, O2 saturation 94 % on roomair. Patient complains of dizzyness and numbness tingling sensation to vaccinated left arm. Patient verbalized eating a small meal this am, exercising , and not drinking fluids. Ice pack applied to patients neck. Patient drinks water and sports drink. Doctor present to assess patient. Patient observed in discharge area an additional 30 minutes. Patient ambulated for 5 minutes in the discharge area per physician instructions. Patient stable, denies any dizzyness, or numbness to left arm. BP @1727 was 149/85, HR 76, RR 18, O2 saturation 96% roomair. Patient ambulated independently to exit with family.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: fast heartrate-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: patient was not feeling well sitting, so he laid on ground. went to check up on him, he felt clammy sweaty, but responsive. mom was there but not terrible concerned, declined 911 call. gave patient water and he was okay half hour later

6-4-2021 15:30. Subjective: This 17 y/o male pt presented to the vaccine administration site and was administered his first dose of the Pfizer Covid-19 vaccine. Prior to receiving the vaccine the patient had made a comment in regards to not liking needles. Following vaccine administration the pt stated that he began to feel dizzy and ?then things went dark.? The patient was seated vertically in a chair and had fallen forward onto the ground. Patient care was immediately administered and the patient was moved supine with his lower extremities elevated. The patient regained consciousness immediately and asked if he had ?fainted?? The patient then stated that he was very warm and had not eaten or drank very much today. The patient attempted to then sit up rapidly from a supine position causing him to have a second vasovagal syncopal episode. The patient was placed in a supine position following this and cold packs were administered as well as vitals were taken. The patient remained A&O X4 with a GCS of 15 for the remainder of patient contact. EMS was called and the patient was then transported with consent of his legal guardian to the nearest E.D. Objective: Pt was noted to have two consecutive vasovagal syncopal episodes following his first dose of the Pfizer Covid-19 vaccine. The patient stated he had not eaten or drank very much today. Assessment, PE,VS: The patient was noted to have a small abrasion to the right side of his face secondary to his glasses striking him after he had fallen. The patient's BP was noted to be 100/60 mmhg with a pulse of 64. The patient was A&O X4 with a GCS of 15 following his two separate syncopal episodes. HEENT: All findings normal, pt?s pupils PERRLA at 4mm. Cardiac: Normal Pulmonary: Normal, however verbal respiratory rate control was advised to the pt. Abdomen: Normal, cold compress applied. Extremities: Normal, Cold compress applied. Plan: Pt was continuously monitored and transferred to EMS care for transport to the nearest

pt complained of feeling hot, sweaty and lightheaded approximately 10 minutes after vaccine administration. pt was moved to a cool area and given the opportunity to lie down after drinking a few sips of water. pt very quickly calmed down and stated that he was feeling better, though he was kept for a 30 minute observation. at the end of the period, he was reassessed and found to be ok. pt was released to the care of his mother.

Client became light headed and clammy. Responsive to verbal and tactile stimulation. No loss of consciousness. Alert, aware and responsive. Skin noted to be moist and clammy to touch. Pale complexion. Dad was present during event and stated client was recovering from COVID-19, had his last neg. test obtained on 5/14/21. Dad did not want 911 services activated, however, he stated and nursing also advised that he take client to see his PCP. When exit, client was alert, verbal and ambulatory; no sign of acute distress. Exit at 3:47pm.

feeling exhausted/fatigue/he felt tired; not feeling well/feels crummy; body aches; fever/temperature was 99.1; running nose; stuffy head; a little weak; barely could get out of bed; sore throat; This is a spontaneous report from a contactable consumer (parent) via medical information team reported for a 17-year-old male patient (son). A 17-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection) via an unspecified route of administration on 29May2021 11:00 as single dose for COVID-19 immunisation. Medical history and Concomitant medications were not reported. Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) for COVID-19 immunisation. It was reported that caller was calling about his son who recently had his second covid vaccine. He had the first one, no issues and the second shot on Saturday at 11 am. Patient was feeling exhausted/fatigue/he felt tired on 30May2021, not feeling well, body aches, fever all in 2021, took Advil for it and felt normal. still has running nose, stuffy head, sore throat all in 2021. Since then he has felt worse. Each day, he has symptoms. He was feeling a little weak, body aches and temperature was 99.1 and he feels crummy all in 2021. He doesn't know what it seems like, we all had the vaccine. We had Moderna was it normal to have these symptoms. It didn't onset for a couple days later and now its Wednesday he received it on Saturday. He felt a little crummy then on Sunday worse. He wants to know if that's normal or if it continues for another day take him to the doctor. What should he be doing or looking for and today he barely could get out of bed in 2021. The outcome of event malaise was not recovered, for fatigue, general body pain, fever was recovering, for remaining events was unknown. Follow-up attempts not completed; information about lot/batch number cannot be obtained. No further information expected.

after injection. patient stood up and fainted. the patient hit his head on the floor. staff elevated legs on chair. patient regained consciousness. LOCx4., responsive, warm to touch, Denies headache, SOB, lightness and dizziness. EMT arrived at 0906: vital within normal limits. 0910 Fire EMT arrived. patient's mother refuse to go hospital. Vitals: @0906 1st, 130/62, 96% O2, 77 HR and Glucose: 105. 2nd vitals @ 01917: 130/64, 99% O2, HR 93. NP; NP reassessed and released patient after 30 minutes inn observation.

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: LOSS OF VISION SHORT TERM-Mild, Systemic: Flushed / Sweating-Mild

within 1 minute of administration pt felt dizzy and was helped to a chair. He went pale and eyes rolled back. He had trouble holding his head up, he continued to wobble his upper body around while seated. Mom reported he shook/seized. We gave him a bottle of water and monitored. He continued to appear pale and his head rolled back, and onto a merchandise shelf. 911 was called. In < 10 minutes from initial symptoms EMS arrived. Pt sysolic bp was 80 per EMT. pt was taken to ER for further evaluation

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: LOSS OF VISION SHORT TERM-Mild, Systemic: Flushed / Sweating-Mild

not able to function; sleeps all day; lost 14 pounds since the second dose of the vaccine/lost another 4 pounds over the weekend; chest hurt; Shortness of breath; fatigued and very weak; fatigued and very weak; Headache; cannot focus on school online; blood pressure goes up and down; heart rate goes up and down; Dizziness; muscle mass depleting; This is a spontaneous report from a contactable consumer (patient's parent). A 17-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), dose 2 via an unspecified route of administration, administered in the right arm, at age 17 years, on 12Apr2021 (Batch/Lot Number: EW0158) as 2ND DOSE, SINGLE DOSE for COVID-19 immunisation. Medical history included pressure in his eye from an injury, asthma (diagnosed when the patient was about 2) and has family members with asthma and heart conditions. Patient is in perfect health, he works out 6 days a week, and does football conditioning 5 days a week. 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) was none. Concomitant medication included timolol taken for pressure in his eye from an injury from an unspecified start date to 20May2021. Additional vaccines administered on same date of the Pfizer Suspect was none. The patient historically received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Lot Number: EP7534) at the left arm at age 17 years on 22Mar2021 for COVID-19 immunization. The patient got his second dose of the vaccine on 12Apr2021 and shorty after on 19Apr2021, he became very fatigued, very weak, his chest hurt, and he had shortness of breath. On Apr2021, patient had dizziness. The patient used to have bulky arms and now you can see his muscle mass depleting in Apr2021. The patient cannot focus on school online because of the headaches from 19Apr2021. The patient's blood pressure goes up and down from 19Apr2021. For days from 19Apr2021, the patient's heart rate will be fine in the 60s and it goes up to 120 or 130 with chest pain, it fluctuates depending on the day. The patient visited the emergency room on 05May2021, but was not admitted and no one knows what was going on with the vaccine. It was also reported that the patient lost 14 pounds on 25Apr2021 since the second dose of the vaccine. They knew the patient has already lost 10 pounds and then yesterday, 25May2021, the patient weighed himself and noticed he has lost another 4 pounds over the weekend. Patient had bloodwork on 20May2021 and it was all negative. The primary care provider was concerned about the weight loss so she ran a bunch of blood work. The patient is negative for COVID test and chest x-ray on 21May2021 and he has had multiple tests done. The patient went to his primary care provider on 25May2021 (yesterday from the time off reporting) and the reporter mentioned that maybe can they look at this as being a side effect from the vaccine. The patient's doctor laughed and said nothing has been proven yet about this. The reporter felt that this is a reaction to the vaccine. At the time of reporting on 26May2021, the patient was not able to function and sleeps all day. The patient also underwent lab tests and procedures that includes being tested negative for mono twice now (on unspecified dates). Clarified that they have not filed a safety report with Pfizer on the patient's events. The outcome of the events 'dizziness', 'lost 14 pounds since the second dose of the vaccine/lost another 4 pounds over the weekend', 'muscle mass depleting', 'cannot focus on school online', 'not able to function' and 'sleeps all day' was unknown; while for the other events, it was not recovered.

Headache, body numbness ,muscle cramp,tingling all over the body, extreme pain, not able to walk As of today, june 12 2021, he still in pediatrics department, since June 7 2021.

Patient was thirsty and clammy and felt like he was going to faint. He got up and started to fall. He was laid down on floor with feet elevated. After about 5-7 minutes he felt better and sipped some water. He was helped up to chair and remained seated for an additional 10 minutes at which time his mother stated he was feeling like himself and the left the pharmacy

I gave the Pfizer vaccine first dose to patient and consulted patient waiting in the store for 15minutes and told him common side effects. After 10 minutes sitting down, his mom notified us the patient fell on the floor. He hurt his right eye brown and caused bleeding and we called 911 . I took the patient sat on the chair in the lobby and tried to clean his opened wound on the eye brown. We gave him drink some water and he felt tired and light dizziness.After 20 minutes, 911 came and checked his pulse, oxygen, and clean his wound. After 30 minutes, patient felt okay and no longer having dizziness and he refused to go to Emergency. He still had pain from hurting eye brown.

Vaccine administered at 1215 pm. In waiting area around 1225 pt felt very faint sitting in chair next to grandmother. Patient appeared to have seizure like activity and paramedic called immediately. After 1 to 2 minutes patient started responded well and just stated she felt very faint. Paramedics arrived and waiting for patient to fully recovered. They did state her blood pressure decreased to below baseline but quickly came back up to normal as patient started feeling better. They deemed patient to be stable and didn't think it was from the vaccine itself versus receiving an injectable vaccine as patient often feels faint after giving blood. They walked patient and grandmother to their personal car so she coudl be taken home.

The patient was walking around the store with parent waiting their 15 minutes to see if there was a reaction to the vaccine, The patients parent then yells out for help and yells that the patient has passed out and just received the vaccine. I ran over to make sure the patient was alert and he tried to stand up after falling so we escorted him to a chair and called 911. I waited with the patient until the fire department arrived, the patient was sweating, pale, and seemed to be breathing normally.

Patient was administered the COVID19 vaccine and 5 minutes later, while in the observation chair, fainted and fell to the ground. His mother was present with him and the pharmacy staff rushed over to help. He came to after a minute or 2, but the paramedics were called immediately. Patient was a sweaty, hot. Paramedics arrived, did some test and said his blood pressure was low. They proceeded to take him to the hospital. Mom called around 3pm 6/17 and informed the pharmacy staff he was administered fluid, they ran more tests and he was waiting to be released.

Patient received vaccination and shortly after patient started to feel dizzy. Patient then fainted for about 30 seconds then regained conciousness. Patient reported to feel hot after waking up. Otherwise back to normal.

Patient received dose 1 of the Pfizer COVID vaccine (lot ER8735, exp 7/2021) at 1015. At 1020, patient reported to LVN that he felt nauseous and dizzy. Patient was given emesis bag. Patient's sister reported patient had not eaten since the night before. Vital signs: blood pressure 110/60, pulse 90, respirations 16. PHN approached the patient, noting diaphoretic skin. Patient was placed supine in zero-gravity chair and given juice and granola bar. Patient denied allergies, medical conditions, and medications. At 1025, vital signs: blood pressure 112/60, pulse 80, respirations 16. Patient reported symptoms improving, PHN noted patient's skin was no longer diaphoretic. At 1030, vital signs: blood pressure 110/60, pulse 77, respirations 16. Patient finished snack and juice, reported feeling better. Patient reported similar reaction when having blood drawn previously. At 1035, vital signs: blood pressure 114/62, pulse 72, respirations 16. PHN encouraged patient to stay for monitoring for 30min. PHN educated patient about following up with medical provider and when to call 911. At 1040, patient sat up. Vital signs: blood pressure 110/64, pulse 70, respirations 16. At 1045, patient stood up closely monitored by PHN and EMT, reported symptoms had resolved. Vital signs: blood pressure 110/62, pulse 77, respirations 16. Patient drank water. At 1050, vital signs: 112/60, pulse 74, respirations 16. Patient left walking with steady gait at 1052 accompanied by sister to drive him home.

patient is a 17yo male who experienced a syncopal event approximately 10 minutes after receiving his first dose of the Pfizer covid-19 vaccine. while sitting in the observation area with his mother, patient began to feel light headed and nauseous. patient was assisted to yoga mat on ground with lower extremities elevated. Per pt and mother, patient has a significant history of anxiety, and also becoming light headed and nauseated, in association with medical procedures, specifically when involving needles. patient's mother also reports patient has "passed out" previously when he experienced a hypoglycemic episode. Patient reports only having eaten a cookie and a slice of bread for the entire day. Upon initial assessment, no acute distress noted, AOx4, verbal, able to make needs know, and answers questions appropriately. Respiration even and unlabored, lung sound clear to auscultation. after approx <1 minute, noted progressive decreased level of consciousness, patient was minimally responsive for <15 seconds. Noted patient with significant diaphoresis, patient skin and lips were slightly pale & intact. Respiration remained even and unlabored, lung sound clear to auscultation. no sx/sx of allergic reaction. patient's mother Denied any significant past medical history, or allergies. Patient was assessed while laying on yoga mat on ground with bilateral lower extremities elevated, in observation area. Physical examination and past medical history obtained simultaneously. Initial vital signs @ 1845 95/32 hr 49 O2sat 99% rr17. Patient started to regain consciousness after <15 seconds, with progressive alertness. After approx 1 minute patient was AOx4, verbal and able to make needs known. Patient was provided with a gatorade drink, and encouraged to finish entire drink. Continued to observe patient for an additional 30 minutes. No acute distress noted throughout that time. Respiration remained even and unlabored, lung sound clear to auscultation. denies dizziness, light headedness or other symptoms. Skin warm, dry and color appropriate for ethnicity. V/S@ 1853 111/51 hr 90 O2sat 99% rr18 , AOx4, no acute distress noted. @ 1900 Patient reported ?feeling better?, denied lightheadedness or nausea. V/S @ 1900 128/66 hr 92 O2sat 99% rr 18. Instructed patient's mother not to leave patient unattended for remainder of day, and encouraged oral hydration. Instructed to call 911 if experiencing return of initial symptoms, difficulty breathing or loss of consciousness. Educated patient and his mother on sx/sx of allergic reactions, and anaphylaxis. Encouraged patient to follow up with his PCP. patient and his mother expressed understanding of all instructions and education. V/S @ 1930 135/72 hr 83 O2sat 98% rr18, no acute distress noted, patient denied any symptoms at that time. Patient left home with mother @ 1930.

S/p COVID-19 vaccine and COVID-19 test uc reports "not feeling well" upon questions with Childcare translator. UC verbalized feeling dizzy, rapid HR, and weak.

17 y/o male presented to ED (6/21) after experiencing "chest pain" with exercise (playing basketball). This occurred 5 days after receiving his 3rd dose of his Pfizer vaccine (6/16). He received a 3rd dose at the recommendation of his PMD after being informed that his 2nd dose was expired at the time when he had received it on 6/7 Following this vaccination he "slept for 18-20 hours" and had subjective fevers which self-resolved after 24 hours. He developed dyspnea, acute onset of R-sided/mid chest pain and the sensation that his heart was racing. He presented to the ED and was admitted to the PICU for monitoring. Labs revealed elevated troponin (240 ng/L) which downtrended to 89 ng/L by 6/23. Concern for myocarditis vs pericarditis in setting of recent Pfizer COVID-19 vaccine; started on ibuprofen 400mg PO q6h.

Patient felt dizzy after receiving his vaccine upon walking to observation room pt fainted and was guided to the floor by his mother. Patient came to by the time the nursing staff reached him. vitals were assessed and were as follows bp 52/23, hr 58bpm, O2 sat 100% temp 97.2, respirations 16. Patient was given fluids and the site MD was contacted. MD came to see patient and gave more fluids and considered him ok as his BP began to slowly rise. Patient reported that he gets faint like that every time he gets shots or blood draws. Patient also stated that he didn't eat much today (a bite of chicken). Pt has a history of spitting out food and poor eating habits.

With in 3 minutes of receiving vaccine patient got dizzy and was brought the EMT on site. He sat there for about an hour due to dizziness and high blood pressure before I drove him home. Then nex day while driving he got dizzy and high blood pressure. Numbers were ranging from 150-170 over 99-108. Due to this he has several panic attacks and on medication for high blood pressure. He will not drive, work, or go many places since this vaccine and the panic attacks.

began 6/13 with chest pain and SOB, mild dizziness and sob. Sx persisted -went to urgent care- EKG showed ST segment changes - sent to ED for eval . In ED vital stable, labs showed elevated troponin of 81 Echo in ED normal ventricular function- CXR nl - admitted sx myopericarditis

Pt received first dose of Pfizer vaccine around 1843. Pt and father report that after about 30 seconds post vaccination, patient felt dizzy, became diaphoretic and pale. At 18:45 a RRT was called. B/P 80/50 and heart rate 60. Patient moved to stretcher and given ice pack applied to posterior neck. Patient transported to ED via stretcher with father and Nursing Supervisor.

Patient received his 1st dose COVID vaccine at 6:56 PM and immediately said he felt lightheaded and nauseated. Patient had an emesis x1 which was clear. Vitals taken: BP 92/60, HR 55, SpO2 100%, Temp: 99.0, RR, 20. Patient is present with his father who both decline that the patient have any past medical hx, patient denies taking any medications, denies any known allergies to food or medicine. Per the patient's father, "my son always gets like this after shots". Patient's father verbalized that his son always gets extremely anxious prior to getting any vaccine. Patient rested in a clinic room for 15 min with his father, was provided water, and said he felt much better post 15 min. Patient requested anti-nausea prescription. Zofran e-prescribed to patient's pharmacy. Patient stable prior to leaving clinic. Strong ER precautions provided. Both patient and his father verbalized understanding.

Fever, chills, and throbbing head pain on the left side of head. Light headed and very pale. He could not move or head will be throbbing and very painful.

PATIENT FAINTED ABOUT 2 MINUTES. PATIENT WAS PALE, SWEATING, NAUSEOUS, & DIZZY. PATIENT'S BLOOD PRESSURE WAS TAKEN 2 MINUTES APART UNTIL EMT ARRIVED. PATIENT WAS ASSESSED AND EVENTUALLY WAS ABLE TO LEAVE WITH PARENT.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: after getting second dose of vaccine pt felt dizzy, lightheaded and little faint. pt was place on floor in supine position result in improvement of symptoms. bp and pulse was normal. emt and 911 was called to be on safe side and pt ngot checked up in ambulance in case of additional issues.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted after getting second pfizer shot. was placed in supine position/water given later. bp,pulse was normal. emt/911 called and was checked in detain in ambulance.

A few minutes after receiving vaccination, patient stood up and passed out falling face first to the floor.

17 yo male with rash beginning approximately 24 hours ago on elbows, rapidly spreading to remainder of body, worse over the last 2 hours, pruritic. Had second Pfizer Covid vaccine 3 days ago ~12 hrs after which had fever to 102, headache, dizziness which all resolved after ~ 24 hours. Took Benadryl this morning ?25 mg, which decreased pruritus. No facial or intraoral swelling, no dysphagia, no wheeze, no shortness of breath, no nausea or vomiting. No known other potential precipitants i.e. no new foods, soaps, lotions, pets, plants, medications. PMH: Neg Allergies: None known Meds: vitamins Immunizations: UTD Surg: Undescended testicle repair Social History: Lives with family. Family History: No conditions relevant to this visit Final Diagnosis 1. Rash R21 2. Allergic reaction T78.40XA Assessment/Plan Rash likely allergic reaction, plan to treat with Benadryl. D/c, instructions given and explained with indications for immediate return to ED.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Patient received pfizer covid vaccine in left deltoid. 5 minutes after shot he complained of visual changes. He sat down and said he could not see then lost conciousness and had mild convulsions for about 10 seconds. He regained counciousness but still could not see. pupals very dialated. 911 was called. Patient had temp of 97.8 and osat of 99. vision loss continued for 10-15 minutes but patient was concious. EMTs arrived on scene. blood glucose 102, BP 92/46. very low. recommended he go to ER.

After patient received vaccine they fell to one side of the chair while sitting down. The patient woke within 10 seconds of passing out. Patient did not report any signs of allergic reaction. Patient was given water and monitored for 15 minutes.

Patient lost consciousness. HR and blood pressure were really low. patient was sweating profusely. Patient complained of being dizziness upon regaining consciousness. EMS was called. Patient drank some water and orange juice and began to become more alert and oriented. Patient declined medical transport and walked out of pharmacy with his mother.

Patient is a 17 year old male with only past medical history of anemia at 1 year of age (resolved with iron and vit C supplementation), who presented to an Hospital on 7/7/21 with 2 days of chest pain radiating to his L arm, generalized upper extremity weakness, SOB, vomiting, found to have an an elevated troponin level of 0.626 with ST segment elevation on EKG, echo reportedly normal. Patient reportedly tested positive for COVID-19 on 6/6 and subsequently went into quarantine, was re-tested on 6/21 and tested negative. He arrived on 6/28 and received his 1st dose of Pfizer COVID-19 vaccine on 07/03/21. Of note, he was told he might feel dizziness and arm achiness after the vaccine but denies he was informed about possible inflammation of or around the heart after the vaccine. On 7/5 he was awakened in the morning by chest pain 6/10 and shortness of breath that started in the right lower sternal border and progressively moved to the left lower sternal border and then to his L shoulder and arm which he describes as feeling like he had been "punched" or a constant achy feeling. He took Tylenol x1 on Monday with minimal improvement. He initially thought it was reflux pain and took tums but it did not improve. He had one hour of relief but then the pain returned. He reportedly felt dizzy Monday evening as well. The pain was absent on Tuesday, but he woke up this morning again with the same chest pain and shortness of breath, prompting him to seek medical attention. In the outside ED, he had one NBNB emesis that was not preceded by nausea. En route from Hospital to Hospital he complained of chest pain 7/10 for which he was placed on 2L O2 which reduced the pain to 4/10. During his admission his troponin levels initially up trended and peaked at 5.67 before beginning to downtrend. He was diagnosed with myopericarditis and started on ibuprofen three times a day around the clock. He was discharged home on 7/8 with specific return precautions, follow-up appointment with cardiology, and strict instructions to avoid exercising and strenuous exercising until cleared by cardiology.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Weakness-Medium, Additional Details: After recieving the pfizer covid-19 vaccine, Patient briefly passed out while sitting down less than 5 minutes after the vaccine. Subsequently his mother screamed out for help, I ran over took his pulse, which was present but slightly faint, and almost used the epipen but he came back to consciousness before it was injected. Upon inital observation when I came over the patient was very pale and sweaty. We called 911 and shortly thereafter the medics took him to emergency room.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium

On April 23, 2021, we flew from one location to another for a visit. Patient became dizzy with vertigo and nausea, which worsened as the day progressed. We had to visit the ER that evening. His heart rate was @ 103 bpm and the ER evaluated him for several hours. The ER prescribed Meclizine. When we returned home patient saw a vestibular specialist @ Hospital and was diagnosed with vestibular neuronitis.

FIRST COVID VACCINE WAS SUCCESSFULLY ADMINISTERED & WHILE PATIENT STILL SEATED IN CHAIR, BEGAN TO FALL TO ONE SIDE. THE IMMUNIZER GRABBED HIS ARM SO THAT HE WOULDN'T FALL OVER AND NOTICED HE WAS SHAKING. HE QUICKLY GAINED CONCIOUSNESS AND WAS BREATHING NORMALLY AND AWARE. HE WAS VERY PALE AND SWEATING & WHEN WE CHECKED HIS BP IT WAS LOW. WE ALSO APPLIED ICE PACK TO HIS FOREHEAD, BACK OF NECK AND WRISTS & CALLED EMS. THEY ARRIVED AND CHECKED PATIENT AND EVERYTHING WAS NORMAL.

10 Seconds after receiving the Vaccine the patient fell over in his chair and on how way to the ground I caught him and laid him down on his back. During this time the patient's eyes rolled into the back of his head and had small tremors occuring throughout his body. This lasted approxiamtely 10 seconds before the patient regained consciousness. The patient has had no history of seizures or any issues with the first dose. The patient had reported that they had not ate anything all day and felt like their glucose was low. After observing the patient for 30 minutes after the incident they reporting feeling okay and just that they probably needed to eat something. A follow up call with the patients mother was completed 2 hours later and the patient was feeling better and eating. They were informed to call back with any issues.

Four minutes after vaccination with 2nd dose of Pfizer Covid vaccine, mom and sister reported patient's eyes rolled back, closed eyes, "shook for a moment", and slid down chair. Family yelled for help and I called 911. Patient's eyes reopened and was feeling dizzy; seemed to understand questions but unable to speak immediately after. Wet paper towel was provided to put on forehead and patient was monitored for anaphylactic, seizure, and other symptoms until emergency personnel arrived. Patient was evaluated and fireman stated that patient likely had "syncopal reaction".

Patient felt faint a few minutes after injection. Patient fainted in chair, after 15 to 20 seconds he had some jerky movements and regained consciousness with a gasp. He lay on the ground for a few minutes and drank water I provided when he felt better. He ate a granola bar and left after 15 minute observation. Counseled mom on vasovagal syncope and prevention.

He actually woke up with vomiting/ he threw up; Couldn't walk for a week; The room was spinning and he threw up; Rash over the body and it's on one side of the body right now the inside they're little balls, bubbles with some kind of puss inside, water or puss; Rash over the body and it's on one side of the body right now the inside they're little balls, bubbles with some kind of puss inside, water or puss; Not sure, we look at pictures they look like shingles; He has side effects on his left eye; This is a spontaneous report from a contactable consumer (parent). A 17-year-old male patient (reporter's son) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on 03Jul2021 at around 10 at night (at the age of 17-year-old) (Batch/Lot number was not reported) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on an unknown date (Batch/Lot number was not reported) as single dose for covid-19 immunization and did not experience any adverse event. Reporter stated, "my son had the Pfizer and he in the states right now and he went to play hockey, he took the second COVID on the next Saturday, he got it around 10 o clock in the night on 03Jul2021 and on 04Jul2021 he actually woke up with vomiting, could not walk for a week, the room was spinning and he threw up, I don't know if I said that and barely made a back to the bedroom, woke up had a rash over the body and it was on one side of the body right now the inside they were little balls, bubbles with some kind of puss inside, water or puss". The reporter also stated "not sure, we look at pictures they look like shingles, I see on the internet that in some rare cases it can be activate shingles in your body and I want to know how rare these side effects are and what to do about it". When confirmed that the vaccine son took was Pfizer COVID-19 Vaccine, reporter stated, yes, he was 17 and he had to take it. When probed anatomical site where vaccine was administered, reporter stated, I don't know that. I know that he has side effects on his left eye (on an unknown date in Jul2021). I don't know what side he got the injection. I would assume you got it in his left hand because he uses his right hand for lot of things". The outcome of the events was unknown. Information regarding the lot/batch number has been requested.

Ongoing dizziness, fog brain, weakness, fatigue, poor appetite, loss 7 pounds, heartburn, increase of anxiety, no motivation to do the things he once enjoyed

**Please note - we do not have access to the immunization registry and cannot provide lot numbers or exact dates** Admission Date/Time: 07/18/2021 18:23:00 Discharge Date/Time: 07/21/2021 12:53:15 Chief Complaint COVID vaccine myocarditis Patient Narrative ILLNESS SEVERITY: The patient is returning to baseline, requires assessment. PATIENT SUMMARY: Reason for Hospitalization: Chest pain Admission HPI: a 17 year old young man with a remote history of asthma (last used inhaler 5-6 years ago) who is presenting with 1 day chest pain in the setting of recent Pfizer Covid vaccination. He received his second Pfizer vaccine dose 3 days ago. The following day, he experienced low grade fever to 100.4 and mild headache. He felt fine yesterday, but this morning he woke up with dyspnea and feeling like he "couldn't get air in all the way". He denied feeling chest pressure but endorsed mid sternal chest pain without radiation. The pain was not exacerbated by exercise and was not positional. He presented to an urgent care facility this morning, where they did an EKG that showed ST segment elevations diffusely. He was then transferred to Hospital. he was overall well appearing with slight tachypnea but otherwise normal vital signs. He initially was not endorsing chest pain. They drew a troponin that was elevated to 1515 ng/L with an upper limit of normal 54 (likely 1.5 on our scale). BNP, electrolytes, CBC were all within normal limits. Initial EKG did not have any ST segment elevation. They did a chest XR which did not show any signs of pulmonary edema or cardiomegaly. He later developed chest pain so an EKG was repeated which showed recurrence of the ST elevations diffusely; most prominently in V1-2. Repeat troponin was 2000. He was given a single dose of aspirin 81mg and transferred for further care. In the ED, he was well appearing and no longer endorsing chest pain. He was monitored on continuous telemetry with no abnormalities. His troponin here was 0.27 ng/mL, CRP was elevated to 2.6, he had a mild transaminitis of 41/37 and mildly elevated LDH to 236. Covid antibodies were positive. CBC, ferritin, d-dimer, ESR were all within normal limits, rapid Covid/flu/RSV negative. Repeat EKG was similar to the second EKG with very minimal ST-segment elevations. He denies any URI symptoms, rashes, N/V/D, and joint pain. He's had good PO intake until today. He is an athlete (currently playing baseball) and has never experienced chest pain with exercise. Surgical hx: T&A Family history: Negative for any cardiac pathology or autoimmune disease Allergies: rash with penicillin Social: here with grandma who is legal guardian Hospital Course: admitted to the cardiology floor for continued monitoring of his troponin levels and EKG. The morning after his admission, his troponin was uptrending slightly to 0.37 and echocardiogram showed mildly depressed systolic function and longitudinal strain, so the decision was made to treat. Cardiac MRI performed prior to treatment showed good systolic function but mild LV late gadolinium enhancement and corresponding hypokinesis. He received one time IVIG 2g/kg and IV methylprednisolone 30mg BID for 2 doses. His chest pain came and went throughout his admission and was treated with ibuprofen and Tylenol as needed. He was transitioned over to PO steroids on 7/20 which he tolerated well. On day of discharge, his troponin levels were trending down. Pt was scheduled for outpatient follow up including ECHO at that time. By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Chest pain was fully resolved. Prescriptions sent to preferred pharmacy. Follow up with cardiology in place. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan. Reasons for new, changed, and discontinued medications: Prednisone for myocarditis to complete 5 day steroid course (last dose morning of 7/24) Famotidine (GI protection while taking prednisone) Reasons for new, changed, and discontinued equipment: NA Relevant Diagnostic Images/Studies: Echocardiogram 7/19: ? Technically difficult examination due to suboptimal echocardiographic windows. Unable to evaluate the atrial septum, systemic and pulmonary veins, pulmonary arteries, and aortic arch. Coronary artery dilation is not excluded. ? Normal valvular function. ? Normal left ventricular size and low-normal systolic function. Reduced longitudinal strain. ? Qualitatively normal right ventricular systolic function. ? No pericardial effusion. Cardiac MRI 7/19: ? Normal left ventricular size and global systolic function. ? Basal inferoseptal, inferior, and inferolateral left ventricular late gadolinium enhancement with corresponding mild hypokinesis. ? Normal right ventricular size and global systolic function. No right ventricular late gadolinium enhancement or regional wall motion abnormalities. ? No significant valvular dysfunction. ? No coronary artery aneurysms. ? No pericardial effusion. Admission EKG 7/18: ST segment changes, non-specific. Discharge EKG: minimal ST segment changes, improved from admission. Tests Pending Adenovirus PCR QuaNT, Stool Adenovirus PCR QuaNT, Urine CMV Antibody IgG CMV Antibody IgM EBV Antibody IgG EBV Antibody IgM EBV Antibody to EA-D, IgG EBV Antibody to NA, IgG Enterovirus PCR QuaL, Stool HSV I/II Combined Antibody IgG Lyme Antibody, Total Mayo Misc Test Miscellaneous Lab Test Miscellaneous Test Arup Miscellaneous Test Arup Miscellaneous Test Arup Parvovirus B-19 IgG Parvovirus B-19 IgM Parvovirus DNA PCR QuaNT, Blood Respiratory Virus PCR Panel - sendout Viral Culture, Non Respiratory These tests will be followed by the Primary Service at Discharge after Discharge Vitals and Discharge Physical T: 37.1 °C HR: 64 (Monitored) RR: 20 BP: 120/58 SpO2: 96% HT: 167 cm WT: 94.9 kg BMI: 34 Discharge Physical Exam Gen: Well-appearing, well-developed teenager sitting up in bed. Appropriately interactive./ HEENT: Normocephalic, atraumatic. Moist mucous membranes. EOMI, no conjunctivitis. Resp: Clear to auscultation bilaterally, no increased work of breathing. No wheezes CV: Normal rate, RR with no murmurs, rubs, or gallops. Capillary refill <2 sec. Distal pulses 2+. Abd: Soft, non-distended, non-tender. Normal bowel sounds Ext: Normal range of motion of all extremities, no peripheral edema Skin: Pink, warm, no bruising Neuro: Alert, responsive, developmentally appropriate, normal tone Diagnosis List 1. Chest pain, 07/18/2021 2. Shortness of breath, 07/18/2021 3. Myocarditis, 07/18/2021 Procedure History No Procedure History Social History Smoking Status No Smoking Status Documented Allergies penicillin Laboratory Results Returned 48 Hours Prior to Discharge Labs Last 48 Hours Event Name Event Result Date/Time WBC 7.88 K cells/uL 07/20/21 Hemoglobin 12.6 g/dL 07/20/21 Hematocrit 36.6 % Low 07/20/21 Platelet 298 K cells/uL 07/20/21 MPV 9.1 fL Low 07/20/21 RBC 4.17 M cells/uL Low 07/20/21 MCV 87.8 fL 07/20/21 MCH 30.2 pg 07/20/21 MCHC 34.4 g/dL 07/20/21 Red Cell Distribution Width CV 11.9 % 07/20/21 Nucleated Red Blood Cell % 0 /100 WBC 07/20/21 Nucleated Red Blood Cell Count 0 K cells/uL 07/20/21 Absolute Neutrophil Count 6.38 K cells/uL High 07/20/21 Absolute Lymphocyte Count 0.97 K cells/uL Low 07/20/21 Absolute Eosinophil Count 0.02 K cells/uL Low 07/20/21 Absolute Basophil Count 0.01 K cells/uL Low 07/20/21 Absolute Monocyte Count 0.45 K cells/uL 07/20/21 Absolute Immature Granulocyte Count 0.05 K cells/uL High 07/20/21 Neutrophil/Band 81 % High 07/20/21 Immature Granulocytes 0.6 % High 07/20/21 Lymphocyte 12.3 % Low 07/20/21 Monocyte 5.7 % Low 07/20/21 Eosinophil 0.3 % Low 07/20/21 Basophil 0.1 % Low 07/20/21 Sodium 137 mmol/L 07/19/21 Potassium 5.14 mmol/L High 07/19/21 Chloride 102 mmol/L 07/19/21 CO2 21 mmol/L Low 07/19/21 Anion Gap 14 mmol/L 07/19/21 Glucose Level 133 mg/dL 07/19/21 BUN 11 mg/dL 07/19/21 Creatinine 0.61 mg/dL 07/19/21 Calcium 9.3 mg/dL 07/19/21 Phosphorus 4.5 mg/dL 07/19/21 Magnesium 1.9 mg/dL 07/19/21 Troponin T 0.21 ng/mL Critical 07/21/21 Troponin T 0.22 ng/mL Critical 07/20/21 Troponin T 0.22 ng/mL Critical 07/20/21 C-Reactive Protein 0.77 mg/dL High 07/20/21 Mycoplasma pneumoniae, IgG 1.87 High 07/19/21 Mycoplasma pneumoniae, IgM 0.47 07/19/21 Microbiology Results (Last 30 Days) Micro Results: Updates since 06/21/2021 00:00. Collection date displayed. Cytomegalovirus PCR, blood, QuaNT: (Blood) 07/19/2021. Final Report: No CMV detected by PCR. This test does not detect latent CMV infections. A reference range for this test has not been established. Results should be interpreted in the context of other clinical and laboratory information. This test should not be used to diagnose latent or previous CMV infection. People with latent or previous CMV may not have detectable CMV DNA by this test. The variability of this test should be considered when interpreting results. Changes of approximately three fold in the quantity of CMV DNA detected may be due to variation in the test rather than actual changes in the level of CMV DNA in the sample. Note: This test was developed and its performance characteristics determined by the Hospital. It has not been cleared or approved by the Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Epstein-Barr Virus PCR, QuaNT: (Blood) 07/19/2021. Final Report: No EBV detected by PCR. This test does not detect latent EBV infections. A reference range for this test has not been established. Results should be interpreted in the context of other clinical and laboratory information. This test should not be used to diagnose latent or previous EBV infection. People with latent or previous EBV infection may not have detectable EBV DNA by this test. The variability of this test should be considered when interpreting results. Changes of approximately three fold in the quantity of EBV DNA detected may be due to variation in the test rather than actual changes in the level of EBV DNA in the sample. Note: This test was developed and its performance characteristics determined by the Hospital. It has not been cleared or approved by the Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Health Care Proxy: Under 18 years old MOLST: Under 18 years old Follow-Up and Patient Instructions Patient Instructions He was admitted for management of myocarditis thought to be due to his SARS-CoV2 vaccination. Myocarditis is inflammation of the heart muscle that can happen with many different types of infections and virusesHe received IVIG and steroids. He had multiple EKGs, echocardiograms, and a cardiac MRI which showed mild changes but overall good heart function. His chest pain and heart studies improved throughout his stay and he was safe for discharge home. He should refrain from strenuous exercise for the next couple of months and you should discuss when it is safe to return to exercise with your outpatient cardiologist. Medications: --- Prednisone 30mg twice per day for _ days (last day _) --- Famotidine 20mg twice per day for _ days (last day _) It is important to minimize activity that raises his heart rate for the next 3 months. This will be discussed in more detail at cardiology appointment. Until then, no strenuous exercise. Attending Attestation CARDIOLOGY INPATIENT ATTENDING DISCHARGE NOTE: I reviewed the history and hospital course, examined the patient on rounds, reviewed the testing, discussed the findings with the Cardiology Team, and participated directly in formulation of the assessment and plan for discharge. I have reviewed and agree with the documentation above with the following additions/revisions:17yo admitted with COVID vaccine associated myocarditis, with repolarization abnormalities on ECG, elevated troponin, and chest pain within days after receiving his 2nd dose. He remained hemodynamically stable with preserved ventricular systolic function. Echo did show abnormal strain, and MRI showed LGE with focal hypokinesis. Due to increasing troponin level, he was treated with IVIG and steroids with improvement in troponins. No significant arrhythmia. Plan for follow-up next week with MISC/vaccine myocarditis group, and to complete a 5-day course of steroids. Restricted from sports and intense activity for likely at least 3 months.

The patient received 1st dose, about 2 minutes after felt dizzy then fainted. The patient was accompanied by mother and grandmother. He passed out for several seconds then came back and said he felt hot, fingers on right hand felt tingling. Looked like he might have passed out again but for only 1 second. My mom requested EMTs be called, EMTs called and patient taken by ambulance to hopital. Mother did call 2 hours later saying the patient was released and doing fine.

Site: Itching at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: At the time I was administering another COVID vaccination, and heard the patient fall on the floor upon which I noticed he was lying flat on the ground not responsive. I had one of the customers call 911 and assessed his vitals, he was breathing and conscious and speaking. He told me he still had trouble breathing and he felt very cold. By the time the paramedics arrived on the seen and helped the patient sit up on the chair he was feeling better. He was taken to emergency services soon after

Pt stood up after vaccine injection and passed out, falling over chair and hitting head on pavement. Pt responsive, awake and alert when lying on floor. Team Alert initiated. BP 102/36 hr 58 O2 sat 98%.Gauze applied to laceration above left eye. ER staff responded, pt transported to ER via wheelchair, accompanied by mother. BP 118/45 HR 82 O2 sat 98%.

PATIENT GOT LIGHT HEADED AND PASSED OUT AFTER LEAVING THE PHARMACY AREA. PATIENT STATED HE HAD NOT EATEN OR DRANK ANYTHING PRIOR TO COMING IN TO RECEIVE THE VACCINATION. PATIENT WAS ALSO NERVOUS TO START WITH ABOUT RECEIVING THE VACCINE

Pt describes falling with onset of weakness below the hip level about 6 inches above the patella with missing clonus reflex. The pt cannot squat down with associated observable loss of strength, pt is not able to stand up. The pt has fallen 7 times since symptom onset around lunchtime between 1200 and 1300. Pt denies LOC.

09:05 moved from his seat to lay on the floor stating he felt lightheaded and some nausea. At 09:07AM vitals were BP 118/62, SO2 98%, HR 53. He states he did not eat breakfast and he was very nervous to get the vaccine. At 09:08 water given and states he is starting to feel better. 09:11AM requested to sit up and states he is 100% better denying any symptoms. Nurse continued to monitor and discharged at 9:31AM. Nurse advised him to contact his PCP to inform them of today's event. Was present and they both verbalized understanding.

patient had received his vaccine and was still sitting at the vaccinators table, stood up to leave and became very dizzy and unsteady. Per the vaccinator she had him sit down on the ground. Patient was give water, BP was taken and WNL. Refused further intervention. Remained sitting for about15 minutes at the vaccinators table as well as in the waiting area for 30 more minutes and resolved. Encouraged the patient to let us know for the second vaccine and we will let him lie down for the second vaccine

Pt woke up 2 days later with excruciating pain in the knee throughout the day that has been semi relieved by ibuprofen 600mg TID. His knee buckled twice while walking. 1st time the knee collapse and he fell backwards. The 2nd time his knee froze with excruciating pain and had to fall over because it locked. Tonight, he is resting with his knee elevated and will schedule an appointment with his primary for further evaluation. (Only on the right knee.) (Today is day 2 of the symptoms of the knee buckling and pain. Day 1 was the arm pain, slight headache, weakness.)

Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Systemic: Weakness-Medium

PT was in observation period and came up to the consultation window asking if a numb arm was a normal side effect of the vaccines. At further inspection I noticed that he was having a rash . I had a sit for a few more minutes then his mom came up and we noticed that his arm started to swell. We gave him 2 capsules Benadryl 25mg and instructed him to go to urgent care. Called for a follow up later in the evening and found that urgent care send him to the ER. The rash was spread all over and well as the swelling. He swelled all the way to his toes. He also tuned white and became very lightheaded at the ER. They gave him IV Benadryl and dexamethasone and was sent home. It has been recommended by the ER doctors to not get the 2nd dose.

pt. experiencing lightheadedness/ dizziness, dry mouth & nausea. pt. denies any other s/s. Resolved with calming comfort measures. pt able to drink water & eat a snack.

Patient was nervous about getting vaccine. Discussed safety profile of vaccine and that many people are tolerating very well. Patient seemed much better after discussion and was ready to get vaccine. Gave injection and he was doing fine and went to sit down for 30 minutes as recommended. After giving next vaccine about 15 minutes later patient apparently tried to come across waiting room to speak to me and started to fall. Next patient was leaving room and caught patient, preventing injury and called for help. Multiple staff responded. Patient reported dizziness and seeing colors. Was breathing fast but not having any swelling or trouble breathing. Was able to stand after a minute and was taken to clinic that is right next to pharmacy for evaluation. Patient was evaluated and left within the next hour doing well. Spoke to patient in the afternoon and reports recovering well, has a headache that he thinks is stress related. Counseled to continue to monitor and seek medical attention if any worsening of symptoms.

Patient received the Pfizer Vaccine at 9:10 am at vaccination site then sat at the observation area for 15 min. for monitoring. Nurse was flagged down by observation staff stating patient c/o dizziness 15 mins after administration of vaccine. RN offered patient to laydown. patient refused stating only slightly dizzy. patient drank water, ate a candy bar, RN took VS and noted to be stable. Patient was monitored for 30 mins before departure. VS stable prior to departure. Patients father drove after appointment and RN instructed patient and family on Symptoms of Severe Adverse Reactions to report to health care provider or to go to the emergency room. Patient verbalized understanding.

Patient reported dizziness, lightheadedness, had progressive symptoms of diffuse flushing of the skin, fatigue. He was given 25 mg of Benadryl and placed on a caught to rest for about 30 minutes. After the dose of Benadryl and with time, his symptoms progressively improved. No itching of the throat, skin, no SOB or CP.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Patient was having tachycardia after his dose. His heart rate went up to 142. We checked his blood pressure and heart rate 3 times. His vblood pressure was niormal but heart rate was consistenly elevated. WE called 911 and they took him to er

Mild soreness when using shoulder on vaccine arm (left) at 7:58am Sudden headache, at 9:45pm Arm soreness increases substantially (cannot comfortably raise whatsoever) 9:45pm Chills at 9:50pm Fever 100 degrees F at 10:30pm Fever broke and chills stopped at around 3:00 am on 3/31 (the next day) Headache where it hurts to look to the side persists until 4/2 after which it gradually goes away becoming negligible by 4/4

My healthy 18-year old son had his first dose of Pfizer, and within a few minutes he felt dizzy. His heart rate was also rapid. He didn't think much of it, but the dizziness persisted and so they had him lay down with feet up. After about 20 minutes, he began to vigorously shake (rigors I believe is what it is called.) He felt numb in both arms and also his tongue and mouth. We had 3 nurses attending to him, and after about 30 minutes they decided to send him to the ER for evaluation since the very strong shaking and other symptoms were worsening. The shaking, dizziness, numbness all subsided after about an hour. He was given a Zyrtec upon first symptoms about 15 minutes after dose. The ER doc doesn't believe it was an allergic reaction but potentially a strong vasovagal response and immune response. He felt tired after but was completely fine 2 hours later. We were discharged from the ER a few hours later after evaluation. Vitals were in normal range including blood sugar, blood pressure and oxygen. He was fully hydrated prior and had a turkey sandwich and orange prior to coming so was not low on food either. The shaking was very extreme and concerning. It has been almost 24 hours and he is feeling fine other than a sore arm.

Pt. C/O feeling dizzy and nauseated. Had an episode of seizure that lasted for 5 sec, vomited small undigested food particles and became diaphoretic afterwards. A pkt of 125 mls of apple juice and water offered. (11 call made. Pt. finished the apple juice but had few sips of water. Pt reported having had similar episodes whenever he got blood draws and confirmed the reaction was related to sensitivity to needles ( vaccination needle) than the vaccine. Paramedic team arrived at 3:25 p m. Pt. and mom refused the Ambulance services to the ER, but agreed to remain in the observation room for further observation.at about 4:05 p m. Pt and mom left the recovery hall .

Have become extremely sick and nauseous and weak, exactly 1 week following vaccination. Constantly throwing up for almost 12 hours as well as being unable to walk or sit up without almost passing out. Stuck in bed for almost 3 days.

Patient received the COVID-19 vaccine (first dose Pfizer). He reported no previous adverse reactions to vaccines. During the 15 minute monitoring period, the patient fainted. He appeared pale and sweaty, and he reported dizziness, lightheadness, and blacking out. He laid down for several minutes and sat up in the chair with assistance when he was no longer lightheaded. His blood pressure was 108/71 with heart rate 76. EMS checked the patient and cleared him approximately 20-25 minutes after receiving the vaccine.

A nurse in observation was made aware of a patient feeling faint around 1430. This nurse responded to this patient. She stated patient looked gray and said his oxygen saturation was 78%. His blood pressure was 88/60. She poured cold water on his chest, thinking he could be overheated. She instructed another nurse to call 911. A call went out over the walkie-talkie for a Charge Nurse to come to the scene at 1440. At this time the other nurse was already on the phone with EMS. When I arrived to patient around 1441, patient's oxygen saturation was 99% and pulse was 80. He was pale. He was talking coherently. He stated he had not eaten all day. I gave him some hard candy to suck on. Around 1445, EMS arrived. They assessed him and determined he did not need additional care. He signed EMS forms and the patient's brother drove him home. Patient was advised to make sure he did not go a whole day without eating before getting his second dose of the vaccine.

Complains of nausea, near faint when walking. Brought to Triage 1 via wheel chair. 15:21: 109/32, HR 66, 97% RA 15:22 gave Orange juice 15:24: Pt took water Pt states feeling better 15:35: Pt feels fine. Walked out of triage and met his mom.

Patient hit the wall while looking at the cell phone and fall backward on the floor. Call 911 and monitoring him until EMS arrived. He was advise to sit and wait for 15 minutes but he decide to walk around right after the covid shot.

light headed when he stood up, taken to EMS room for observation and was discharged in stable condition

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

Throat hurt, felt dizzy, heart rate 110, bp normal, clammy; occurred about 20 minutes after administration and was ok 40 minutes after administration

patient "went down", hit his head, and got back up. Last ate 13:00. alert and oriented x3. no c/o injuries or discomfort, no obvious injuries observed. vitals signs as follows: 13:24 hr- 79 resp- 18 bp-144/86 o2- 98% RA 13:29 hr 100 resp 18 bp- 122/80 o2- 99% @ RA 13:34 hr 83 resp- 18 bp-120/82 o2 @ 99% RA patient released home by self.

Patient fell from chair in waiting area and experienced seizure-like activity for 5 to 10 seconds. EMS was called and promptly arrived and took patient to hospital.

Patient received covid vaccine, on the way to observation, turned and fell. Placed in a chair, automatic cuff unable to read bp, hr 40s, sats 94%, pale, diaphoretic, slow verbal responses. Observed patient, another nurse gave candy, applied ice to back of neck. Patient had another brief syncopal episode with quick recovery while seated. Code Medic called. Placed on sim lab stretcher after awake and feeling better while waiting for code team. Abrasion noted to just under chin. Bp improved to 115/74 with HR 67, spo2 100%. Code team arrived and assessed patient. Patient condition improved, attempted standing with observation by code team. Assisted to observation room. Given sprite and more snacks. Mom and patient state both are feeling better.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: 18 yo male fell out of chair and hit the left side of his head, ~5 min after receiving vaccine. The patient reported that he remembers becoming dizzy prior to falling out of chair. A nurse and pharmacist immediately placed him onto a sheet and elevated his feet. He was diaphoretic, warm to touch and awake. His initial blood pressure was 89/58. 2nd-4th readings were WNL. He was given water, an icepack for neck and abrasions on his face were treated. He reported that he was feeling much better.

Rapid Heartbeat, panic, dizzy- taken by ambulance to the emergency room less than one hour after vaccine.

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

Patient recieved vaccine without any issues on 4/16/21. Patient walked to waiting area with pharmacist, was not having any issues or concerns, and was observed for several minutes by the RPH. Approximately 5 minutes after receiving the COVID-19 shot, the patient passed out, fell out of his chair, and hit his head. The patient immediately regained concousness and sat back in his chair. The RPH immediately had a pharmacy associate call 911 and observed the patient. Patient stated he felt a liquid tingle go down his arm from where he received his vaccine then passed out. Patient stated he had a headache and appeared clammy. RPH provided an instant ice pack and observed patient until EMS arrived. EMS provided care to patient and determined he did not need to go to the hospital. Patient was advised to go to hospital if he becomes nauseus. Patient claimed he was okay and just has a headache. Patient's mother took him home.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Additional Details: Pt mother stated pt was nauseous and then that he was passing out. RN ran over to check on pt as pt eye rolled back and pt limbs fell limp. Pt moved to the floor by RN, rolled to the side by RN. Pt regained consciousness almost immediately and was laid on his back with feet elevated. Pt stated he felt fine, did not recall exactly what happened. Pt helped up into chair, given water and crackers. Pt stated he felt fine, observed by medical personnel for 30 min and pt was able to ambulate off site.

AFTER VACCINE GIVEN, DEVELOPED BLURRED VISION, DIZZINESS, FELT FAINT, APPEARED PALE PER STAFF, BROUGHT TO OBS VIA WHEELCHAIR, GIVEN SNACK/WATER/JUICE, REPORTED FEELING BETTER, COLOR RETURNED. VSS LYING TO STANDING, ESCORTED WITH FATHER TO EXIT WITH NO ISSUES ONCE SYMPTOMS RESOLVED AT 0900. 0840 INITIAL BP 105/70 HR 68 RR 18 SATS 98% ON RA 0850 STANDING BP 108/71 HR 63 RR 18 SATS 98% ON RA

Pfizer-COVID 19-EUA: The patient began complaining of nausea and being lightheaded about 5 minutes after receiving vaccine. Pt was sitting down and had a syncopal episode while in observation area. Pt was assisted to the ground. Pt was hypotensive and treated by staff with and IV and fluids. Pt improved with treatment and was transported to Hospital. Incident #. PCR was completed by staff.

0.3ML COVID-19 VACCINE administered IM left deltoid AT 11:50AM today 4/20/2021 at 11:55 AM patient complained of Dizziness, patient was visibly Flushed, Pale looking; Sweating profusely, Water 4oz given to him. AT 12:04, he complained of DIFFICULTY BREATHING, 12:05 EPIPEN 0.3mg one dose administered (left thigh); 911 ACTIVATED; PARAMEDICS ARRIVED AT 1211pm BP 87/55 at 11:55am; 87/57 at 12:00pm; Epi-pen 0.3mg at 12:05pm; 12:10pm BP: 114/75 Pulse 51; 12:55pm 90/58; one bottle of Pediatric Electrolyte plain 32oz given, patient declined EMS pick up. 1:00PM bp 100/63; Pulse: 51. O2 sat at 99 the whole time period . Patient went home with mom.

Patient presented for 1st dose of Pfizer vaccine today. Patient reported dizziness, difficulty hearing. Patient was assisted to the supine position, onsite EMS was called. Vital signs were taken (below) and were stable. EMS discharged the patient to the care of his mother. Patient continued to be observed following the event, left of own volition.

Client reported lightheadedness 4 minutes after vaccination. Visibly pale. Monitored by onsite EMS for 30 minutes. Reported that he felt better. Declined further monitoring. Encouraged to follow up with PCP or emergency services if needed. Verbalized understanding. Driven off site by his mother.

Site: Pain at Injection Site-Mild, Systemic: Abdominal Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: patients pulse and heart rate decreased -Severe, Systemic: Hypotension-Severe

Patient got light headed and started having blurry vision. Pharmacist gave Benadryl and called EMTs. EMT's came and checked him out and his vitals were fine and he was feeling better.

Patient complained of lightheadedness, dizziness feeling hot. Patient noted to be clammy. BP 84/55, HR 76, RR 24, O2 sat 97%. Pt given bottled water and graham crackers and tolerated well. BP 141/79, HR 85, RR 20, O2 sat 96%. Pt reported he felt improvement of symptoms and no longer clammy.

Received Pfizer dose 1, pts father requested help, the son almost passed out. Upon assessment pt very lethargic, and pale. Father stated that his son passes easily. Pt was alert and oriented x4. Nuero checks WNL, VS WNL ( 106/68, 98% SPO2 and 60HR. EMT notified and onsite. Within 10 minutes pt was alert and oriented x4 and refused need to go to ER.

Patient reported discomfort in throat and light-headedness while in the post-vaccination observation area after receiving the 2nd dose of Pfizer Covid Vaccine. Benadryl 25 mg oral solution was administered by mouth. Patient reported resolution of symptoms by the time of exiting the facility.

Pt stated they felt lightheaded and sweaty when injected. Pt stated they ate a rice cake at around 11:30 am. Pt was brought to Med. Obs. 1 and placed into t-berg position and given crackers and water. Pt began to feel better (slightly) in t-berg position within a few minutes. Vital signs as follows: Laying Down- 1:11 pm: BP-157/85, HR- 85, SPO2-100% 1:16 pm: BP-148/82, HR-85, SPO2-100% 1:22 pm: BP-132/87, HR-85, SPO2-100% Sitting Up- 1:27 pm: BP-155/95, HR-93, SPO2- 100% 1:58 pm: BP-162/111, HR-83, SPO2- 100% 2:06 pm: BP-106/79, HR- 85, SPO2-100% Standing Up- 2:11 pm: 157/100, HR- 85, SPO2- 100%

Sister observed patient's eyes roll back and slid and hit the floor , did not hit the floor Color returned after a few minutes, seen by paramedic, went home with father and sisters

Passed Out; feeling light headed/lightheadedness/being lightheaded; Fell Down Stairs/falling; hit his head and his knee; hit his head and his knee; This is a spontaneous report from a contactable consumer (patient's father). An 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in right arm at the age of 18-year-old on 07Apr2021 09:50 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included ongoing congenital diaphragmatic hernia (that prevented his lungs from developing before he was born). There were no concomitant medications. The patient previously took influenza vaccine (FLU) for immunization and without a reaction. Caller is a consumer, calling about his 18 years son who received the covid vaccine this morning and had an adverse event afterwards. Caller reported that his 18 years son had his first covid vaccine dose this morning. He has had all of his vaccinations, even the flu shot every year without a reaction. After having his covid vaccination, on the way home he said he started feeling light headed. He was supposed to go back to school once they got home but the caller noticed that his son hadn't left yet because he drives himself. He reported that his son's room is downstairs and when he looked his son was laying down at the bottom of the stairs and appears to have passed out. He reports that now he is fine and he has eaten. Calling now because he was concerned and "wanted to make sure there was nothing else I should do in this situation''. Caller stated that he took his two kids to get their vaccines. His son is 18 years old and his daughter will be 18 next Tuesday.Stated that they stayed at the site in case of a reaction to the vaccine and nothing happened. On the way back home the son became lightheaded. Caller thought maybe he needed to eat even though he had eaten a light breakfast before they went to get the vaccines. Stated his son got home and passed out. Caller had never seen his son pass out before. Said his son fell down the stairs while going to the basement where is room is located. Caller was concerned this could've been a reaction and is calling to see if there is anything further they should be concerned about. The son's vaccine, lightheadedness, passing out, and falling all took placed today 07Apr2021. Caller said he nor his son are certain if he was injured during the fall. His son thinks he hit his head and his knee and noticed that his shorts where ripped behind the leg on 07Apr2021. Caller states his son says he is feeling back to normal and fine. The son was supposed to go to school after the vaccine but the caller had him stay home so he could keep an eye on him. Caller stated it was scary. The caller opened the door and saw his son lying on the floor with the gum he had bought at the drug store strewn out everywhere. Caller stated they are believers in vaccines. Stated his son used to have a part time job at the grocery store bagging groceries for customers and was wanting to go back to work. Caller also said that his son was born with a congenital diaphragmatic hernia that prevented his lungs from developing before he was born. Caller stated that due to this him and his wife felt it was best for the son to get the vaccine since if he got the Covid virus it could have been really bad for him. Caller denies any medications, labs, testing or treatments that are relevant to these events. Caller stated his son is healthy. Stated when his son mentioned being lightheaded in the car, the caller didn't think much of it. The outcome of events was recovered on 07Apr2021. Information on the lot/batch number has been requested.

Patient fainted after waiting for 10 minutes. He did not lose consciousness. He responded to RPH commands. He did not have shortness of breath, rash, inflammation. He urinated himself after falling. He remained laying on the ground for 20 minutes, after which he stood up and had recovered from the dizziness/nausea. Patient and parents did not wish for 911 to be called or to go the hospital. They agreed to call 911 if patient has any further symptoms.

Patient received his first dose of Pfizer vaccine and waited 15 minutes in the observation area. Upon rising from chair, patient reported feeling dizzy and faint. Patient called for assistance. Patient reported feeling hot and sweaty and being unable to hear and see correctly. Pulse and SpO2 were taken, Pulse was initially 54 bpm and rose to 68 bpm after drinking water. SpO2 was 94-95% RA. Patient refused EMS. Patient reported feeling better after about 20 minutes. Hearing and vision improved. Patient remained in observation area for another 20 minutes before leaving in stable condition.

Client received vaccine and became pale, diaphoretic and lightheaded. Fire Rescue at scene to evaluate client Client's vitals wnl at the time of assessment. Client's color came back, sweating subsided and he stated he felt much better. Per Fire Rescue no further evaluation needed. Client released at 2:47pm.

Patient received Pfizer vaccine on left deltoid and immediately displayed seizure like activity while sitting down. Patient eyes rolled back and was briefly unresponsive for a few seconds. EMS was notifed at this time. The patient was assisted and carried down to the matted floor and feet were elevated on a chair. Patient did become responsive and was alert and oriented but continued be dizzy. Patient did not have labored breathing or respiratory distress at this time. Patient's vital signs were taken at 14:50: 130/71, 80hr, 95% PsO2, 18rr The fire department arrived and transported patient to Hospital. Patient did have another seizure like activity and patient's heart rate dropped into the 40-50s. Peripheral IV on right hand was initiated and bolused. Patient's mother, was notified of event and patient's sister who was waiting outside was brought into facility. Patient's sister who is 14 years old was later picked up by mother.

After administration, during the patient's required observation period, the patient started to feel lightheaded and dizzy. He went to stand up and then blacked out, falling to the floor. He did not injure himself or experience any trauma in the fall. He did not lose consciousness. I believe he was experiencing increased anxiety from the event as the patient mentioned several times that he did not like needles/injections. The patient remained sitting upright for an additional 15 minutes, drinking water, and his mother escorted him out of the store and drove him home.

% minutes after the patient was vaccinated he c/o abdominal discomfort, he told his mother that he felt like he was falling. Patient the fell to the floor and had a seizure the lasted approximately 5-10 seconds. Pt awoke postictal.

After being vaccinated felt headache, dizzy and nauseous. Notified medical observation staff after his initial 15 minute observation period was over. Vitals obtained, patient assessment performed, give water and observed for an additional 15 minutes. Released after this additional time period.

Patient experienced vasovagal reaction approximately 3 hours after receiving first vaccine. Patient was standing in the hallway, squat down and then when he stood up, he felt lightheaded and fell over (not hitting his head). He does not recall the event. Remembers a another individual helping him to sit up.

I administered first dose of Pfizer covid 19 0.3 ml via intramuscular route to this patient. About 2 minutes after the administration, the patient had syncope for a second. When I arrived to the scene, the patient was conscious. When he passed out, he felt and landed on his head. He had an abrasion. He stated ?he felt hot and dizzy?. He hasn?t had anything to eat all day. Due to the abrasion, he was rushed to the hospital About 3 hours later, I called to check on the patient. At the time of calling, the patient was discharged from the hospital in good condition. He stated he felt perfectly ok and wasn?t sure what had happened.

Sat in recovery for 30 minutes before stating to the monitor that he felt lightheaded, hot. His face was reddened and noted heavy hoody jacket around his neck. He stated that he had not had much to drink today, so started to hydrate with water. At 1:42 pm, VSS: 122/82-112 Hr-97% on room air. His vitals were rechecked at 1:59 pm HR-107, O2 saturation: 97% on room air. States that he works at specific location and needs the evening off to finish a paper that is due. Attempted to call the place of employment as continues to feel lightheaded. Card with contact information given to patient to show work and continued to hydrate until his release at 2:30 pm. He was able to walk out on his own.

18 yo WM c/o dizziness and feeling hot 15 minutes after receiving the 1st dose of the Pfizer vaccine. Patient evaluated by NP/EMS; VS, 12 Lead EKG and IV fluids stated. 911 called; PT PMHX of Asthma and Seasonal Allergies. NKDA; FD arrived, re-assessed, and transferred PT to Medical Center for further medical evaluation.

About 5 minutes later after administration, pt complained dizzy/sweating. Pt 's face turned pale and shows syncope symptom. Pt was still alert but he looks like almost fainting. Mom requested 911 and pt was transferred to hospital with paramedic. we provided Pfizer Lot number to mom and advise to contact us if she need any other information from us.

After receiving the vaccine, pt felt lightheaded, dizzy, and slightly nauseaous. He did not have an irregular H/R or breaths and did not eat today.

Patient states that he feels light headed. He was instructed to lie down on the exam table to elevate his legs. Patient offered water and a snack, he only drink water. Patient states he feels better and no longer light headed. BP 100/60 O2 sat 98% HR 56 Patient released to go home.

extreme hallucinations; not feeling well; chills; aches and pains; headaches; slight numbness in his extremities; difficulty walking; he did not get much sleep; fever; This is a spontaneous report from contactable consumer (parent). An 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 23Apr2021 at 12:45 (Lot Number: Ew0153) at the age of 18 years, as a single dose for COVID-19 immunization. Medical history included autism spectrum disorder, ADHD (Attention deficit hyperactivity disorder) combined, learning disabilities. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication taken within two weeks of vaccination included alfetamine aspartate/alfetamine sulfate/dexamphetamine saccharate/dexamphetamine sulfate (ADDERALL) taken for an unspecified indication. Historical vaccine included BNT162B2, dose 1 in left arm, on 02Apr2021, lot # EK5730. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 23Apr2021 at 21:00 the patient experienced extreme hallucinations, not feeling well, chills, aches and pains, headaches, slight numbness in his extremities, difficulty walking, he did not get much sleep, fever. The clinical course of events was reported as follows: My son reported to me at bedtime last night, the night of his second Pfizer vaccine dose, that he was not feeling well. I told him to take some Advil and go to bed. He had a very bad night with chills and aches and pains but most distressing was his description of having had extreme hallucinations. He said that he was aware they were hallucinations and not real during and after the experience, but it was nonetheless concerning. It is also concerning that he didn't wake me for help. At any rate, he did not get much sleep and I have to assume his fever went pretty high before morning. He described to me the need to hydrate during the night. He also relayed to me this morning an experience of headaches and slight numbness in his extremities, difficulty walking, but he is now feeling much better. He is dressed, has eaten, and is playing games on the computer. I am keeping a close eye on him today and should we return to that level of concern, we will take him to urgent care. The clinical outcome of the events was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Patient was given the vaccine and then about 2 minutes later he started to vomit and was light headed. Gave the patient some saltine crackers and water. I checked with the patient to see if the water and crackers were helping and he said yes. The vomiting stopped after having some water and saltine crackers. Took vitals at 10:02 am heart rate 82, o2 100%, and BP 116/61. I checked to see how the patient was doing and he stated that he was doing better. We released the patient with parents who were here to get there second vaccines. Patient was released at 10:14 am.

patient had a dizzy spell right after vaccination, fell and hit his head against the pharmacy counter. patient was asked to sit and rest for about half an hour and was fine after

Attendee was found laying on his back on the floor of the observation area and appeared pale skin, eyes open. breathing effortlessly. Attendee was assessed by me and I asked him his name. No response. Said Hello, can you hear me? Attendee responded "yes". I asked patient to tell me how he was feeling and he said I feel dizzy. Blood pressure was taken 152/ 66 pulse 76 SpO2 98%. Attendee informed he appeared to have fainted. Stated he did not have any symptoms or problems like this after first dose. States he did have breakfast. Remembers walking to chair after shot and was watching Anime on his phone and then I asked him if he could hear me. Patient denies SOB, chest pain, no S/S of swelling, itching , redness, denies headache. Sat up with assistance on floor. Offered saltine crackers and Nestle sugar water which he drank. Patient stood with assistance back to chair. No symptoms of nausea, vomiting, headache or dizziness. Second BP taken 132/66 Pulse 66, SPO2 99%. Attendee rerported he drove himself to clinic. Advised to call for ride home. Patient called his father who arrived and identified to pick him up at 11:58. Observed patient until father came and answered questions from father. Home care instructions reiterated. Attendee walked to exit by me.

per mother, pt splayed out chair and body was shaking, which lasted a few seconds. Pt reports, that it felt like he was dreaming. Mother informed me immediately. Pt was oriented by the time I came. EMT was called and they took vitals. Pt was bradycardic and hypotensive. He also reported neck pain. He was then taken to the hospital.

Patient was turning around to look at their brother, then suddenly fainted and fell on the floor. Patient got up soon after.

pt experienced fuzzy feeling on their tongue, felt hyperaware of their surroundings, and very hungry at first. later pt reported amnesia from the time they purchased their lunch (about 5pm) until they were getting up off the floor (about 20 minutes later) after they laid themself gently on the floor at the recommendation of the RPh after reporting they were not feeling well after the vaccination.

5/7 PM: c/o sore throat 5/8: starting having tactile fever, chest pain, sweats, nausea 5/9: continued with above plus vomited once, dizzy, shaky, neck and back pain 5/10 and 5/11: same 5/12: fever to 103, went to the PMD and referred to the ER.

Patient received his second dose of Pfizer Covid 19 vaccine around 5:50 pm and about few minutes later his mom notified us that he is about to pass out, I rush there and with mom help , we payed him on the floor, at his point he looked pale and was dehydrated, He sat down with our help after a minute or two and drank about 20 oz of cold water, by the time EMS team arrived and he was talking and sat back on the chair and walked out on his under supervision of EMS personnel. A follow up call was made today with his mother and he ate last night after getting home and went to bed and today went to school .

After the vaccine patient complained about change in vision not able to see things, sweating ,dizzy. As per patient request called 911.By the time ambulance came patient felt better and did not want to go to hospital . As per patient he felt okay after 20 minutes or so..

Dizziness, syncope. No prior meal eaten. BP 116/77; HR 64; RR 18. Water & crackers given; vital signs stable. Advised to eat lunch & hydrate. Pt stable & released from vaccination site

received the second dose of COVID vaccine Pfizer lot # ER2613(expiration date 7/30/2021) at 1306. Client reported to EMT table that he felt "cold and lightheaded". EMT and RN responded to client. @1313 Patient reported feeling cold and light headed after his first dose. Patient was sat in a zero gravity chair where an EMT applied ice packs to the posterior neck and left side. This was done after patient reported ice packs being helpful the "last time he experienced the same feelings". The last time the client experienced similar symptoms was "over two months ago" while his blood was being drawn. At this time the patient's vitals were BP: 154/100 P: 113 RR: 22. At 1321 Client reported feeling okay and vitals were BP: 144/94, P:99, RR:20. @1326 Vitals BP: 130/80, P: 94, RR: 16. Another set of vials were taken at 1331 Vitals BP: 130/90 P: 102 RR: 8 Patient was still in gravity chair and taking long and deep breaths. @1338 Vitals BP: 124/90 P: 115 RR: 10. Patient reported symptoms have resolved and is ready to leave. Pt was educated to observe for signs of allergic reactions and informed to call emergency medical services, as well as following up with his healthcare provider. No s/sx of allergic reactions were observed and patient denied EMS. Patient left site at 1341 with an observed steady gait and drove himself home.

Site: Pain at Injection Site-Medium, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Severe, Additional Details: Patient lost conciousness a few minutes after dose was given. Patient was unresponsive for approximately 2 minutes. Neck felt tight, difficulty breathing, was not alert/oriented when finally awoken. Patient was given 1 shot of epi 0.3 due to a temporary interuption in breathing that lasted seconds. By the time paramedics arrived, he was becoming more alert. Was taken to the ER and discharged.

The customer , within 5-10 min post vaccination, felt light-headed, dizzy, and fell from the chair while was on a 15 minute waiting , seated on a chair post vaccination. A mild bruise seen on the forehead. As soon as, within few seconds, pharmacist was notified. The customer immediately responded to pharmacist's questions. Did not call 911 due to his response and alertness. Epipen was ready but was not required.

Fainted within 30 seconds/Passed out completely after shot; Passed out completely after shot; Some intermittent light headedness and dizziness; Some intermittent light headedness and dizziness; Irritating; scary/ fearful; scary/ fearful; This is a spontaneous report from a contactable consumer (patient's mother). An 18-year-old male patient received the first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Lot. EW0169) at single dose, on 22Apr2021 at 17:30, for COVID-19 immunization. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. Relevant medical history and concomitant medications were unknown. Patient's mother reported that her son fainted within 30 seconds of receiving the Pfizer vaccine 1st dose and since then he had experienced some intermittent light headedness and dizziness. He passed out completely after shot. Adverse events were described as following: "patient is due to get his second dose of the shot later this evening but is having periods of lightheadedness and dizziness. Patient's mother states that her son also feels like he is going to pass out. She states that this started 30 seconds after the first shot. Her son only passed out once, completely right after the shot, it was a bad experience. She's glad he actually wants the other one today, but he is concerned because he is still lightheaded and dizzy after 3 weeks. Patient's mother states that he has been trying to function, work, and live his life but its irritating to him and scary. The doctor suggested that he should get his second dose but her son is a little fearful". Physician Office Visit required. The patient did not recover from intermittent light headedness and dizziness, while clinical outcome of the other events was unknown.; Sender's Comments: Based on known drug safety profile and strong temporal relationship there is reasonable possibility of causal association between the reported events and the suspect drug. 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 reported dizziness/lightheadedness, was pale & sweating. Began to shake as he was moved from wheelchair to bed. Last meal was several hours prior (BP 93/48; HR 65). Similar sx w/previous vaccines, afraid of needles. Pt transferred to gurney, legs elevated. Ate crackers & juice. Able to walk w/out difficulty & waited for father to pick him up. Released in stable condition (BP 120/54; HR 87)

GAVE AN 18 YEAR OLD MALE HIS 1ST PFIZER COVID-19 VACCINE AND HAD HIM SIT DOWN FOR 15 MINUTES. ALMOST 5 MINUTES AFTER THE VACCINATION, THE PATIENT WAS SLOUCHED IN HIS CHAIR, SWEATING, LOOKING PALE, AND COMPLAINING THAT HIS BODY WAS HURTING ALL OVER. I RAN OVER TO THE PATIENT AND ASKED IF HE WAS HAVING TROUBLE BREATHING, TO WHICH HE DENIED. I BEGAN TO ASK HIM WHERE EXACTLY DOES IT HURT TO WHICH HE MENTIONED HIS LEGS AND BODY. SINCE HIS BREATHING WAS FINE, I SUSPECTED IT WAS JUST A PANIC ATTACK BUT NONETHELESS I PROVIDED HIM AN ICE PACK AND WATER. WE ALSO MOVED HIM TO A MORE PRIVATE AREA TO ELEVATE HIS LEGS. I OFFERED TO CALL 911, BUT HE DENIED. WE KEPT HIM FOR 30 MORE MINUTES WATCHING OVER HIM TO SEE HOW HE PROGRESSED. HE FELT MUCH BETTER TOWARDS THE END. THE PATIENT ADMITTED HE WAS HAVING A PANIC ATTACK. MY TECHNICIAN OFFERED TO CALL A FAMILY MEMBER TO COME GET HIM, BUT HE DENIED AND SAID HE WAS OKAY TO DRIVE HIMSELF HOME.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Mild, Additional Details: Patient went to observation area after receiving Pfizer Covid-19 Vaccine. Patient became lightheaded and faint and fell to floor. Patient was unconscious for aproximately 30 sec. After being repositioned, patient did regain consciousness; however was a little confused as to what had happened. Patient did injure his lip during fall. Vitals were all within normal limits with a slightly low blood pressure reading. 911 was called immediately. Stated had not eaten today/slept night before either.

Moments (~1 minute) after the vaccination, the patient described his ears as filling with fluid and he became very dizzy. He and his mother went to the restroom where she helped him to the floor so he did not fall. He reports not remembering walking to the bathroom, and was woozy when I (the pharmacist) arrived to the restroom. His breathing was elevated, and he was pale in color. No emergency medication was administered . Paramedics arrived to check him out, and he left the store under his own power. The vaccine-administering technician reported that he seemed very nervous to receive the vaccine today. When I was talking to him in the restroom he admitted that he has a history of anxiety/panic attacks when receiving vaccines in the past.

PATIENT FELT DIZZY AND FLUSHED WHICH PROCEEDED TO VOMITTING, DIFFICULTY BREATHING AND CHILLS AND SHAKING THE PATIENT WAS MONITORED WHILE PARAMEDICS ARRIVED. PATIENT VITALS WERE NORMAL AND PATIENT WAS MONITORED BY PARAMEDICS AND PHARMACY STAFF FOR ABOUT HALF AN HOUR. PATIENT REFUSED FURTHER TREATMENT AND WENT HOME ON THEIR OWN AND WAS INSTRUCTED TO FOLLOW UP WITH THEIR DOCTOR, AN URGENT CARE CENTER OR CALL PARAMEDICS IF FURTHER CARE IS NEEDED OR THEIR STATUS CHANGES.

Patient received vaccine around 5 pm. For the first two minutes after vaccination the patient seemed to be fine. Starting around that 3rd minute the patient got very dizzy and nauseous. He was then seated to prevent further NV. I asked the patient if they were breathing ok and the patient stated his breathing was fine. After about another minute the patient's eyes got glossy and the patient seemed to be out of it. I asked multiple orienting questions such as his name, where he was, and what day of the week it is. He was only able to answer the day of the week and his head was bobbing. I then called 911 as the patient became very pale and started to profusely sweat. While on the phone with the 911 operator, the patient went completely unconscious and lost control of motor functions. I was able to confirm the patient was still breathing and still had a heart rate (although rapid) and thus compressions were not given. The EMT arrived quickly to the scene and took over care of the patient. After about 20 minutes of checking vital signs, the EMT gave the patient and his family the option on whether they want to go to the hospital or not for further examination. The family decided they wanted to take the ambulance to the hospital.

Patient has pain that started 1 week after vaccine, pain in deltoid- when reported to doctor had been 3 weeks, harder to lift things, painful. pain radiates from deltoid towards shoulder and down into forearm

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Additional Details: patient was scared of needles. WE checked temp and vitals. All normal. Gave him water and asked him if he wanted us to call 911. He refused for us to call 911. He left the pharmacy good.

Patient reported feeling dizzy shortly after receiving his vaccination. Tech notified pharmacist and remained with patient. Pharmacist grabbed water and a wet towel to put on patient's neck. Patient's mom got some gatorade for the patient. Patient said his vision was "going". Got patient seated on floor and put the cool towel on his neck and told him to take some deep breaths. He started to feel better within a minute or so and had some gatorade. His color returned and was little sweaty, but reported feeling better. He remained under observation with his mom for another 30 minutes before leaving without issue. Mom stated he has felt dizzy in past, but wasn't noted on VAR.

Severe fatigue; Right hand started twitching uncontrollably; Had pain but it did not go across chest like after first dose vaccine; Had numbness down arms and legs; Had vertigo really bad; Was very hot, no fever, but radiating heat; Muscle pain; Mind numbing migraine pain in the caller's son's head; Body was hot allover, and his skin turned red; had periodic pins and needles with the numbness; Dizziness; Difficulty sleeping; Chest tightness periodically, but not consistently; Chest pain; Ear ringing; General malaise; Can't walk to the end of the block without coming back in pain; Found it hard to concentrate; Cloudy head; This is a spontaneous report from a contactable consumer (patient's mother). An 18-years-old male patient received of bnt162b2 (BNT162B2, Formulation: Solution for injection) via an unspecified route of administration in left arm on 07May2021 12:10 (Lot Number: EW0183; Expiration Date: 31Aug2021) as 2nd dose, single dose for COVID-19 immunisation. Medical history included lyme disease ongoing from 2013 and it was reported that her son had no tick bite & was diagnosed through a blood test. Her son had fatigue, migraines, lethargy & the doxycycline made him sick as a dog. A chiropractor had success using various tinctures & after 1 to 1-1/2 years, her son went into remission. Her son has a low degree of pain & soreness & has learned to deal with the pain. When his immune system is triggered, his Lyme disease comes back & he takes tinctures for a week or 2 & his symptoms goes away. No further details provided. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (Lot number: EW0164 and Expiry date: 31Aug2021) administered in left arm for COVID-19 immunisation and experienced chest pain, headaches and light-headed. Patient also had his first HPV Vaccine, laid out flat for a week and had no problems with the meningitis. On 07May2021, after second dose of vaccine administration, the patient had pain but it did not go across chest like after first dose vaccine, numbness down arms and legs, really bad vertigo, was very hot, no fever, but radiating heat, muscle pain, dizziness, mind numbing migraine pain in head, body was hot allover, skin turned red and right hand started twitching uncontrollably. On an unspecified date in May2021, the patient had periodic pins and needles with the numbness, difficulty sleeping, chest tightness periodically, but not consistently, chest pain, severe fatigue, ear ringing, general malaise, can't walk to the end of the block without coming back in pain, found it hard to concentrate and cloudy head. It was reported that the caller's son had the pain but it did not go across his chest like after the first dose Pfizer Covid 19 vaccination. The caller's son had numbness down his arms and legs and her son's legs were real heavy. The caller's son had to help life his legs to get his legs to move. The caller's son had vertigo really bad. The vertigo was so bad the caller's son had to lay down on the stretcher as the vaccination site. Even sitting up, the caller's son's world was spinning. The caller's son had to lay down. It was very hot, no fever, but radiating heat: The caller's son was very hot, no fever, but radiating heat. Part of that was the vaccination centre was not air conditioned and the caller's son was already a little uncomfortably warm when he went in. Dry ice packs were placed on the caller's son's head, went through three dry ice packs melting on the caller's son. The dry ice packs were on the caller's son's forehead and back of his neck and the injection site. The caller was trying to give her son coolness the best she could. He stayed about 30 minutes at the vaccination site and nothing improved or got worse. He was still very heavily dizzy or whatever and got in the wheelchair and got home. The caller's son did nothing for the rest of the day or weekend. The caller's son was just in so much pain and so much dizziness, it was just too much to do anything. The caller's son's symptoms gradually improved but very minute. The amount of dizziness the caller's son had was a little less so he could sit up at the computer, but even that the caller's son had to take breaks and couldn't do it for more than 30 minutes before laying back down. Had pain but it did not go across chest like after first dose vaccine: The caller's son's pain was a little less intense. The caller's son's numbness by Monday, 10May2021, had subsided for the most part. The caller's son is still having numbness down his arm, the opposite arm the caller's son received the second dose Pfizer COVID-19 Vaccine. The caller's son is also having numbness in his thighs sometimes, but not constantly. Clarifies the thighs or upper legs. The caller took her son to a Chiropractor and the Chiropractor gave her son a couple supplements to detoxify. That seemed to actually make things worse. The caller also took her son to the doctor's office. The caller took her son to a Chiropractor and the Chiropractor gave her son a couple supplements to detoxify: The caller states these were Charcoal and Magnesium combination and Turmeric root extract. Reporter made her son hydrate and use the generic Acetaminophen 500mg Caplets, along with a pain tea. The pain tea was loose herbs of valerian root, peppermint, and skull cap and pain tea seemed to help her son more for his pain, and mask some of the general malaise, and allowed her son to study for his AP Calculus exam. Patient's pain went from an 11-12 and was now at a 6 or 7. patient had a high tolerance for pain, and could cope with the pain, but the pain made it difficult for him to concentrate. Patient's migraine pain was unbearable at times and made it difficult for him. The generic Acetaminophen 500mg caplet with the pain tea helped to manage so his migraine pain was not so extreme. Therapeutic measures included Liposomal Resveratrol 38mg Curcumin from turmeric root extract 100mg, dietary supplement (Lot: 00728B or 007288). She has reported that she had been giving her tylenol for muscular pain and migraine. Other treatment included: alternating between Advil (Liqui-Gels) and Tylenol (generic acetaminophen 500mg caplets), Advil Liqui-Gels 200mg Ibuprofen (UPC Number: 0573176914, Lot Number: R77157, Expiration Date: Mar2022), Generic Acetaminophen 500mg Caplets, NDC Number: 21130-111-90, Lot Number: 1AV1505 and Expiration Date: Nov2022). Reported in the evenings her son would take Advil PM (200mg Ibuprofen with Diphenhydramine Citrate 38mg), NDC/UPC Number: Unknown, Lot Number: EG1024 and Expiration Date: Jun2023. Reporter said that Advil didn't seem to work on her son's migraine headache like the Advil usually does. Outcome of the events pain but it did not go across chest like after first dose vaccine, numbness down arms and legs and vertigo really bad, muscle pain, mind numbing migraine pain in the caller's son's head, periodic pins and needles with the numbness, right hand started twitching uncontrollably, chest tightness periodically, but not consistently, chest pain and ear ringing as recovering, outcome of the event body was hot all over, and his skin turned red was recovered, outcome of the event difficulty sleeping as not recovered and outcome of the events dizziness, severe fatigue, general malaise, can't walk to the end of the block without coming back in pain, found it hard to concentrate and cloudy head as unknown. Information on Lot/Batch number was available. Additional information has been requested.

Approximately 5 minutes after receiving the vaccine, the patient passed out and his eyes rolled back (possible seizure activity). This activity lasted for approximately 1 minute. Patient also felt dizzy, sweaty, nauseous, and became pale. Patient was given a cold ice pack to lower his body temperature. Patient was also given crackers for nausea, and a bag just incase he had to vomit. Patient's mother was also here to tend to the patient. The mother also gave him clear fluids (sprite) to help with the nausea. After approximately 10 minutes, the patient was able to stand without feeling dizzy. He left the store with his mother to be watched closely (His mother is a nurse.) They also refused emergency medical services.

Nurse administered the 2nd dose of Pfizer vaccine to patient and within 5 minutes after administration patient slide from the chair and fell on the floor with a vaso- vagal reaction. Patient loss consciousness for a brief seconds while on the floor, one small bruising noted on R knee, no head strike. VS taken while on the floor BP 127/50, HR 100, O2sat 99% on room air. Rapid response called and patient was taken to the ED for further evaluation.

14:08 While washing hands I heard commotion in the other section of the observation area. Noticed pt. on the floor, next to his chair. He was having "shaky" movements, unresponsive, diaphoretic and very pale. Also noticed he was hitting head twice on wall. After protecting his head, he regained consciousness in approx. 15 sec. Staff had been called and 911 was activated. My oximeter read pulse of 40 to 45 and saturation between 96 to 98%. Pt. claimed it wasn't his first time after "needles" passing out. Said he had a good breakfast and lunch. He declined having his parents called.

After patient received the Pfizer Covid-19 vaccine, they stood up and and walked a short distance and then passed out on the floor hitting their head on the floor.

blackout; Shallow breathing; rapid heart rate; difficulty breathing or talking; dizziness; weakness; feeling unwell; nausea; numb arm; heat flash; chills; This is a spontaneous report from a contactable consumer. An 18-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in left arm on 30Apr2021 at 14:30 (Batch/Lot number was not reported) (at the age of 18 years-old) as a single dose, for COVID-19 immunisation. There was no medical history. Concomitant medication included ibuprofen (IBUPROFEN) taken for an unspecified indication, start and stop date were not reported. No other vaccinations given within last 4 weeks. On 30Apr2021 at 1445, the patient experienced Shallow breathing, rapid heart rate, difficulty breathing or talking, dizziness and blackout, weakness, feeling unwell, nausea, numb arm, heat flash and chills. The outcome of the events was recovering. The patient did not have COVID prior to vaccination and was not tested post vaccination.

Patient became dizzy and heart began racing a few minutes after immunization. Increased dizziness and then patient began having rigors that continued for 1 hour and 20 minutes post vaccination. He also experienced numbness in his body as well as warmth in his stomach and extremities. He was given Benadryl soon after vaccination. He was sent to the ER of to be monitored. Vitals and labs were deemed to be OK. Rigors ceased 20 minutes after arriving at the ER. He was monitored for a couple of hours and subsequently discharged. He has had severe fatigue. The day following immunization, he had another episode of rigors and numbness. Paramedics were called and evaluated patient at home. Patient then began having panic attacks and losing vision, brain fog, dizziness, and body numbness that have continued since that time. He has also had recurrent episodes of paranoia that started 3-4 days post vaccination and continue today. Patient has seen immunologist and is seeing psychologist weekly for counseling and EDMR. He has seen ophthalmologist as well as his primary care physician.

syncopal episode; syncopal episode at 16:05, he was sitting down and slid out of his chair; This is a spontaneous report from a contactable consumer (patient). An 18-year-old male patient received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number: EW0187), intramuscular on 26May2021 at 16:01 as a single dose for COVID-19 immunization. Medical history included syncope in the past while receiving other shots (unspecified). The patient's concomitant medications were not reported. The patient had a syncopal episode on 26May2021 at 16:05. He was sitting down and slid out of his chair with full extension of bilateral arms of legs, lasting about 30 seconds. Witnesses deny head strike or shaking during syncopal episode. The patient denies pain. He states that he only ate cereal the morning before and has experienced similar symptoms in the past while receiving other shots. The patient denies recent trauma or fall, HA, confusion, changes in vision/speech, changes in gait, fever, chills, n/v, abdominal pain, chest pain, SOB, palpitations, cough, hemoptysis, back pain, neck pain, dysuria, hematuria, recent sick contact or travel. Otherwise, the patient had no other complaints at the time of the report. The event required a visit to the emergency room. The patient underwent physical examination, vitals and 12 lead EKG all with unknown results. The patient was discharged at 16:54 and given educational materials on understanding vasovagal syncope. The outcome of the events was recovered.

PATIENT FELT DIZZY AFTER RECEIVING HIS SECOND DOSE AND WE GAVE HIM SOME WATER TO DRINK,LIFTED HIS LEGS ON A CHAIR AND GAVE HIM AN ICE PACK, HE FELT BETTER 5MINS LATER

Shortly after this 2nd dose of vaccination, patient reported feeling light-headed. Gave patient water, which patient finished 1 bottle. As RPh was speaking to patient at the observation area, patient become profusely sweaty and eyes started fluttering. RPh removed patient's face mask and asked 911 to be called, RPh stayed with patient and held him securely while speaking to him stay awake. EMT arrive minutes later, and at that time patient was awake. EMT took patient's BP=117/73. Patient refused to go to ER.

18 year old male with no known history of allergies presented to covid-19 vaccine pod for first dose of Pfizer. After vaccine administration patient sat during holding area and started to have dizziness, vision changes, tingles in left arm and hot flash. Patient appeared pale with no diaphoresis noted no change mental status. Alert and oriented x 3. Vitals BP 88/53 HR 88 Respirations 17 Pulse Ox 98% Patient admitted to eating only one bowl of cereal and one glass of water for the entire day. Patient denied any SOB, chest pain, swelling or tingling sensation around mouth or tongue however report heart racing. Patient observed for 15 minutes and given water and snack which patient noted to have improvement. Color returned to face. Vitals BP 110/67, HR 89, R 18, Pulse OX 98%. Notified family present of symptoms and at home education. Patient then started to feel cold, noted tremors of upper extremities and patient lips blue tinged. EMS called and spoke to mother on phone regarding patients status. EMS arrived on scene no visible improvements. Patient left via EMS to ED

After receiving vaccine patient stated they did not feel well (complained of nausea/light headedness), before I could ask if the patient was okay the patients entire body stiffened, his eyes got very big/wide, and they started to roll back. At that point I stayed with the patient and called for my pharmacist. The patient lost consciousness, and by the time my pharmacist got there he was stable and coherent. Once my pharmacist assessed the situation she had me call 911 for paramedics. We had him lay on the floor with a pillow under his head, feet elevated. We provided ice water, nuts as a snack, and I dabbed sweat from his forehead while holding an ice pack to his forehead. I stayed with the patient and patients girlfriend until paramedics arrived for transport.

18yo M pt was nervous for vaccine, got vaccine, walked over to waiting area, sat for 5 minutes before passing out and falling out of chair onto floor, dad yelled for help by the time I got over there he was coming to, sat on the floor was slightly hyperventilating, gave him water, complained about not being able to feel his hands, was white as a ghost, paramedics were already at store for a separate incident, came over, took his vitals, offered him a ride to hospital but didnt think it was needed, pt left with his father

Approx 12 hours after second dose of Pfizer COVID vaccine, my son experienced severe chills (teeth chattering so bad he couldn?t talk) , heart palpitations, said his heart hurt so bad he was crying, rapid uncontrollable breathing, fever, headache (said his head felt like it was going to pop), aches and pains to the point he couldn?t walk.

Allergy to red meat became prevalent again. Since becoming allergic to red meat in the summer of 2020, I had gained a tolerance to red meat to the point where I could consume as much as I wanted. This lasted between August 2020 and the date listed in this report. On that date I consumed red meat and had an allergic reaction to it. The reaction was a swelling of the fingers, hives on the arms and knees and wrist. As I didn?t have any reactions to red meat in the previous 10 months I didn?t make the connection that I was allergic to red meat again. The following Monday I consumed more red meat. That night I was very drowsy and went to bed at 1900. At around 0100 Tuesday morning I woke up with a terrible stomach ache and could feel my hands itching. I tried to go back to sleep. At around 0430 I woke up again with completely swollen hands to the point where I couldn?t bend any joint in them, hives on my wrists, knees, elbows, neck, forehead, back, and back of thighs. I went to the hospital for a severe allergic reaction. This is the exact same allergic reaction that I would have when I consumed red meat in June 2020 at the height of my allergy, but I had never had a reaction like it since then. Now I am sensitive to red meat again and I can?t think of any reason except that I received the vaccine. I have not consumed red meat since.

Pfizer-BioNTech COVID-10 Vaccine EUA. Symptoms immediately started after vaccination. Patient reports having chills, tremors, diaphoresis, numbness to his hands/stomach, palpitations, and light headedness. Nurse from the vaccine clinic reports giving the patient cetirizine prior to transferring to ED. Continued having numbness to the hands and slight light headedness. No further intervention.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium, Additional Details: patient fainted and hit head on chair when falling from sitting in chair to floor. bystander said that patient's entire body was convulsing. pharmacist ran out to patient and by the time rph was by his side he was awake and coherent. EMT came and checked patient out, advised patient to go to hospital for monitoring but patient refused. patient's mother came and picked him up.

Patient had history of anxiety with vaccinations / blood draws. After receiving vaccination, patient was instructed to wait in waiting area for 15 minutes. Approximately 3-5 minutes after receiving vaccine patient fell off chair onto the floor. Patient was unconscious for 3 to 5 seconds. We called paramedics and when they arrived they did some assessments. Patient was okay and was instructed to wait another 15 minutes before leaving.

The day of the second shot (07JUN2021@11AM), my son complained his arm was sore and was not feeling the best but was eating, drinking, and seemed fine. The next day (08JUN2021 @10AM) my son came down from his room to eat breakfast and still was not feeling the best but seemed fine after eating. Around 12PM my son came down the stairs to get some water in the kitchen and then shortly thereafter after passed out, fell against the wall and slid down to the floor. I was in the location and found him unresponsive, very cold, and eyes looking straight ahead -not moving. My older son and I then carried him to the couch where I laid him down and elevated his feet. He started coming around approx. two minutes later and broke out in a sweat but also had chills. At that point, I did not call an ambulance and started to hydrate. After an hour or so, he started feeling better and then ate some food but was weak most of day and rested. The next day he seemed fine.

Two to three minutes after patient received COVID vaccine. Patient had a seizure. He was sitting in a chair while it happened. After a couple seconds patient said he was feeling okay just a little dizzy. Paramedics came and took him to a hospital to be monitored.

Dizziness, profuse sweating, felt hot,shortness of breath, felt like passing out, vision disturbance (saw black spots) , weakness. This occurred immediately after shot was given. Medical personnel moved him to area to monitor his vitals, gave him ice packs, checked blood pressure, heart rate etc.

Patient fainted (vasovagal syncope) after receiving the Covid 19 vaccine. Store leadership stated patient hit his head when he fainted and therefore 911 was called. Patient was unconscious for about 30 seconds, but quickly became conscious again. He was given water and propped up. Paramedics came and took his vitals and determined he was ok. Patient stayed at pharmacy for 30 minutes following vaccination. Patient then left with his mother. Pharmacist in charge called patient the following day to make sure patient was doing ok and mother stated he is completely fine.

On the first day, 07/12/2021, I began to get chest pains around 2 pm. The today, 07/13/2021, the chest pains got worse followed by sudden dizziness and rapid heart rate.

Patient states that his arm has been and still is sore. He has lost mobility and it's painful (7 on pain scale) when trying to raise his arm above his head. He can perform pull movements, but cannot perform any push movements.

Patient received the Pfizer vaccination in his left deltoid. After approximately five minutes, while sitting in our chair in the waiting area, patient complained of dizziness. He kept closing his eyes saying he was dizzy and vision was blurring. He slumped over and passed out for approximately 3-5 seconds. He came back to a little, was diaphoretic and breathing shallowly. Mom was worried and we called the paramedics. Mother said he hadn't been out of the house in about 3 years and had anxiety about the shot. Paramedics asked if he wanted to go to the hospital with them and he refused. Mother informed us he doesn't have a PCP.

18 year old male started experiencing lightheadedness, muscle stiffness, sweating profusely within 10 minutes of his first dose of Pfizer vaccine. Patient was made to lie down on the ground with ice applied to back of neck and forehead. His blood pressure reading was 77/64. Patient was coming in and out of consciousness for about 60 seconds then became alert and regained full consciousness. He also appeared to be experiencing an episode of muscle tightness (possibly a seizure) for a few seconds while he was unconscious. His mother who states that she is a nurse, was present with him as he experienced unconsciousness and prevented him from falling to the ground. She states he does not have a history of seizures or other conditions and has never had a reaction after an immunization. Paramedics arrived within 15 minutes, EKG and BP, blood glucose appeared normal. Patient was alert and able to stand unsupported prior to being taken to the hospital.

Throat was closing; Tongue swelled up; Heavy sweating; Fogging brain; Feeling of passing out; Lips swelled up; Weak; This is a spontaneous report from a contactable consumer, the patient. An 18-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: er8733) via an unspecified route of administration in the left arm on 01Apr2021 at 13:45 (at the age of 18-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had no allergies to medications, food, or other products. The patient did not receive any concomitant medication within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 01Apr2021 at 19:30, the patient felt that the throat was closing, lips and tongue swelled up, heavy sweating, fogging brain, feeling of passing out and weak. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measure taken as a result of the events experienced included benadryl (MANUFACTURER UNKNOWN). The clinical outcome of the events throat was closing, lips and tongue swelled up, heavy sweating, fogging brain, feeling of passing out and weak were resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Dizziness. Client c/o dizziness, assessed by onsite paramedic. Vital Signs done by medics. Client hydrated, states feeling better and refused EMT offer to be taken to be checked at the hospital. Client remained in observation for an additional 15 min. Denied any further symptoms. Instructed to seek medical attention for any further symptoms experienced.

At time of vaccination ~5 minutes after the injection of the pfizer vaccine I developed a tightness in my throat, I was still waiting in line and I did not think much of it, therefore I did not alert the medical personnel about the reaction. Approximately @15mins after the injection I left the site and developed a sense of something wrong and did not feel "right", my chest became tight, hoarseness in my throat and speach, lightheaded, and I remember taking a sip of my coffee thinking it was more difficult to swallow than usual. May I note I was in the passenger seat and not driving the vehicle. I alerted my mother of the reaction, both sceptical because of my hx of no known allergies. We both figured as long as I can breath and I was still conscious, with no signs of cyanosis I would be fine. At around 10:45 I took my BP: which was 106/62 I typically run low. I then took two 25mg Benadryl capsules which did help the throat tightness to an extent, however the tightness in the chest, lightheaded and dizziness still persisted. I was aware of the potential for Bi-phasic anaphylaxis so we had an Epi-pen on stand by just in case. I was stable for the rest of the day. At approximately 10pm I did notice a small erythematous non-pruritic rash across my chest. The symptoms of the reaction did subside within 24hrs. I remained in stable condition and recovered with time.

Patient Complained of heart racing, chest pain and felt like his blood pressure was up. Patient was taken to the ER and returned to work in approx 2 hours and then sent home for feeling faint. fine the next day

5 minutes after receiving the vaccine, patient stated he felt light headache, tired and might faint. Water and glucose tablets were provided to patient. He felt better after ingesting water and glucose. Patient added he did not have any food or beverages since morning. Paramedic examined patient. Patient felt fine after 15 minutes rested and decided to leave

Patient ambulated to general observation, sat in chair and suddenly fell straight back and slammed back of head on floor. Patient was unconscious, pale. Immediately turned onto left side. within a few seconds began having generalized rigid jerking for approx 5 sec, then patient came too, sat straight up, disoriented looking around. Able to recall name. states he was here for covid vaccine. Assisted to w/c by 2 EMT's and taken to private observation area. Patient c/o nausea and head pain. Color pale. Has an almond size swollen area at posterior base of head. Initial VS - BP 90/p; HR 53; O2 91% on room air. Responding to questions, but states he feels disoriented. Bilateral pupils 3cm with right reacting sluggish. Patient states he is a student. EMT attempted to contact patient's father and LVM. Patient's step mother returned called. Informed her that patient is being transported to Hospital downtown FW for further eval. She asked him what did she need to do. Nurse informed that his vehicle will be left at the vaccine location and he will need assistance pending hospital eval. Patient then called his boss to notify him that he will not be at work tonight. Patient states that he had a reaction to his first HPV - states he fainted, but completed the series without further problems. Repeat VS at 1550 BP 90/p; HR 67, O2 98%. Color remains very pale. EMS activated. patient states he needs to lie down. Assisted to stretcher per EMT, elevated legs, cushion under head with ice packs on back of head. 1602 EMS arrived, BP 121/75; HR 69 O2 100% on room air. Transferred to stretcher 1605 Patient transported to Hospital

After receiving first dose and in the observation room, patient was feeling light headed and nauseated. Patient passed out briefly for 2-3 seconds and slumped in his chair. EMT was with the patient at all times. After syncopy episode, patient was alert and oriented. Patient was brought to tent in the supine position and was stable. Patient was still alert and oriented and given juice. Dr. looked patient over and determined to be vasovagal episode. Patient fine 20 minutes post episode. Patient was monitored until sister came to pick him up. Dr. recommended for patient get vaccine recumbrant in 3 wks for second dose.

10:28 am - Client reported dizziness and light headiness. Client vomited after receiving vaccination.

Syncopal episode immediately after standing up from vaccination. Likely vasovagal type reaction. Hit head on wall on the way down. Was cared for immediately by onsite paramedics who witnessed. He was transported by ambulance for evaluation both due to reaction and assess for head injury. Did well, was released from Emergency Department about 2 hours later.

On Thursday, March 18, 2021 client received his first dose of Pfizer COVID vaccine (LOT # ER2613, EXP 7/2021) at approximately 2:45pm by vaccinator. During assessment of screening questions, client stated he has a history of anxiety when getting vaccinations. After vaccine was administered, client stated he "felt anxious and dizzy." Vaccinator took his pulse at this time: 88bpm. Client was given water and sat at vaccination table for approximately 15 minutes. At 3:00pm, client walked with a steady gait to the Observation Area and EMT performed the following vitals assessment: At 3:05pm, vitals: BP: 130/p, HR: 60, RR: 13, Skin: dry, pink, warm. Vitals at 3:10pm: BP: 128/p, HR: 58, RR: 13, skin: dry, pink, warm. Vitals at 3:15pm: BP: 132/p, HR: 60, RR: 14, skin: dry, pink, warm. (p= over palpation-cuff too small for client). Client was observed watching videos on his phone and stated to EMT his anxiety had significantly lowered. No further interventions indicated. Client was educated by Lead RN & EMT on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client left vaccination site with a steady gait and was driven home by his mother.

Per client post vaccine felt lightheaded and felt hot, and sob. Client states did not eat this morning, reports last meal was at 7pm last night. EMT and MD assessed, BP 132/90 @ 130pm, second BP 122/88 at 2pm , oxygenation 97%. Client remained in observation , left with parent without incident.

Client had a syncopal episode and fell from a sitting position to the floor. Pt was lying with eyes closed and non-verbal for 30 seconds or less. Tactile stimuli and deep sternum rub done to mid chest wall. Pt eyes open. A/O x3. LCTA. Medium size hematoma noted to left side of forehead with small abrasion noted to bridge of nose. Pt denies pain. EMS was notified. Once EMS arrived orthostatic v/s was obtained per EMS with last reading b/p 133/82 HR 72 RR 22 O2 99% RA. Pt refused further tx . Placed in w/c and pushed to lobby with family and RN at side. No acute distress.

Dizziness, light-headed. Happened before with ear piercing. Given water. BP 86/50 (pulse 72), then 113/64 (pulse 80). O2 sat 99%.

Seven minutes after getting his vaccination coming he felt lightheaded. He had a brief episode of syncope lasting less than one minute. He was taken to a private area and monitored. Initial but pressure was 80s/50s with HR in the 50s. 20 minutes monitoring showed that his blood pressure and heart rate normalized. CN II-XII intact and Neuro exam normal.

Day two following inoculation, slight full feeling in left ear. Went away sometime during the day. Day three following inoculation, vertigo like symptoms appeared, 1-10 seconds in duration. Continued in various numbers of episodes per day for approximately 14 days. Treated with Meclizine 25mg tablet 1x on Thursday March 11 around 1pm, which caused fatigue. On Friday March 12, pcp was notified, advised to take Benadryl 1/2 dose, only took one dose due to fatigue. Neither medication had a noticeable affect.

Pt reports generalized body aches, fatigue, fever 3/26, one day after receiving vaccine. Evaluated at ED 3/28, received Ketorolac and was discharged. While in parking lot, patient experienced blurring of vision, lightheadedness, nausea, SOB, and left-sided chest pain with return for re-evaluation. Pt treated for possible allergic reaction and concurrent EKG and blood work showed elevated troponin and transient ST elevation. Cardiology consulted and evaluated patient to have severe acute onset systolic heart failure, cardiogenic shock with pulmonary edema, Idiopathic fulminant myocarditis with myonecrosis, and hypoxic respiratory failure. Placed on furosemide, supplemental oxygen, and pending MRI.

1536 pt felt lightheaded following his vaccine he was assisted to the ground. he was then transported to the observation area to be monitored. BP 128/80 HR 68 oxygen sat 98% on room air. Patient was given fluids and some crackers. he then felt back to his normal self and then released from observation at 1550. he was escorted to the exit via wheelchair and staff

Became dizzy/lightheaded, overhead & nauseated. Had him lay down with feet up, offered water and paramedics did vitals which were ok except low b/p 74/42. Drank some more water and b/p up to 105/65. BLS sugar 105. Felt better after about 1/2 hour. Wheelchairs to car.

45 minuted involuntary spasms rocking body, patient cons ious but immobilized making grunting chittering sounds, followed by several hours of heart palpitations and unsteadiness, nausea

Pt c/o being lightheaded and stated this happens to him when he gets shots or his blood drawn. Car put into park, and seat laid back. pt ate and drank and was observed for additional time. Pt's mother was with him. Pt d/c'd home feeling better.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Immunization verified under (name), (name) administered, patient fainted during the 15 minute monitoring session. Patient was over-heated, fainited, responded immediately, had to prop patient up, continued to talk verbally to keep patient engaged. gave a cold water to rest behind neck, patient was sweaty, dizzy, propped a fan to cool patient, helped immediately, color returned to patient face. spoke with patient and mother of patient. counseled pt to be picked up. wfu with pt tomorrow.

Within 5 minutes of administration patient started to feel very light headed, then started to have sweats, said he started to fell odd all over, patient remained fully conscious, ems was called and patient left with them

Pfizer shot given. Patient felt ok immediately after shot, but approximately 5 minutes later told his mom he felt weird. He passed out and was helped to a sitting position. When I was called out to the lobby patient was still feeling a little lightheaded but he was conscious and breathing normally. He sustained a small cut on his hand which we cleaned up promptly. Patient told mom he felt like his vision was blurry. Mom wanted him checked out so I called emergency help.

Patient was sitting in post-vaccination waiting area in front of the pharmacy and fell off his chair. He regained consciousness right away and didn't remember passing out. I asked him to recline and elevate his legs and he held that position for several minutes and then seemed fine after that. He said he has an extreme fear of needles and felt he passed out from the anxiety he was feeling prior to getting the shot. He remained in the post-vaccine waiting area for an additional 15-20 minutes and did not have another episode of syncope.

Patient received Pfizer COVID-19 Vaccination on 04/07/21. Presented in clinic at 0745 PM on 04/08/21. States he's had vertigo and nausea today, and has been at work all day. States vertigo and nausea are relatively mild, but worrisome. Alert and oriented and in no apparent distress, grossly normal gait and balance at time of presentation to clinic. Advised to go to ER for further evaluation, given potential relationship of symptoms to Pfizer COVID-19 vaccine.

Dizziness, nervous, hypotension, loss of vision/hearing, pale. BP 97/41, HR64, RR16. Symptoms improved, drank orange juice, BP improved. Patient generally historically hypotensive. Stable and released from vaccination site.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt feeling dizzy and fainted after 3 mins of adminitration. Pt was sitting with his legs elevated on chair. BP 100/52 HR 54, Pt was pale in color and neasous. EMS was called but parents refused to leave pt w EMS. After 30 mins of resting, pt feel better and left with his parents. I called him to follow up, no one pick up left msg.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Visual Changes/Disturbances-Medium

patient complained of dizziness on vaccine floor. patient brought to observation area. upon arrival patient reports dizziness, sweating, "hard to hear", and shakiness. Vitals taken HR-71, RR-18, BP- 100/63, Pulse ox- 98%. Patient drank water bottle and apple juice cup. Vitals taken Q5min while under observation. 1455- HR-89, RR-18, BP- 117/75, Pulse ox- 100%, 1500-HR-72, RR-18, BP- 128/78, Pulse ox- 100%, 1505-HR-72, RR-18, BP- 123/77, Pulse ox- 99%, 1510 (while sitting upright)- HR-65, RR-18, BP- 116/72, Pulse ox- 99%, 1515 (while standing)- HR-79, RR-18, BP- 138/80, Pulse ox-100%. Patient reports feeling better and would like to leave.

Patient reported feeling light headed 10-15 minutes after receiving the vaccine. As he stood up from the observation chair he fell to the floor and was caught by the pharmacist before hitting his head. The patient did not lose consciousness. The patient was moved to the counseling room under his own power and laid down on the floor with his knees elevated and a pulse oximeter and blood pressure cuff was placed on the patient. Pulse and blood pressure was normal. 911 was called and responded. The patient refused the offer to go to the hospital and went home under his own power.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient started to feel dizziness after 15 minutes of the waiting period. He was told to lay down and lift his feet up. He mentioned that it was BP after 15 mins was 135/73. Water and orange juice were given. Patient laid on the floor with legs up for 15 mins. After that the BP down to 117/73. He was able to walk okay and he said he felt okay 100% before he left.

Patient c/o SOB following 1st Doese of Pfizer-Covid-19 vaccination. L/S clear. Patient being assessd by EMS. Vitals assessed. 0 dizziness 0 n/v

Patient had a dizzy spell, fainted twice for about 15 seconds each. appeared to have seizure like activity. Called 911 for furthur assistance. Patient was pale and cyanotic, became alert by the time paramedics got to the site.

patient developed anaphylactic symptoms, hypotensive, dizziness, facial paleness. Epi-pen and 1 liter NS administered. Patient brought to ED, medicated with diphenhydramine and ondansetron. sent home from ED after approx 4 hours.

IMMEDIATELY FOLLOWING VACCINE DEVELOPED A HEADACHE, WITHIN 45 MINUTES DEVELOPED SKIN FLUSHING, SHORTNESS OF BREATH, FEELING OF THROAT CLOSING, AND DIZZINES.

Pt was given the vaccine and he began to feel faint. This was the patients first dose of pfizer. He was guided to the floor. Patient did not experience shortness of breath, chest tightness, or difficulty breathing. Patient was guided to the cot and paramedics arrived on scene.

19 year old male given 2nd dose of vaccine then suddenly became dizzy, lightheaded, diaphoretic and momentary loss of consciousness while seated in sun at vaccine clinic. His nearby family held him and he did not fall then regained consciousness and was lowered to ground with legs elevated by medical staff. Patient was assessed with normal vital signs. 911 was called and patient was reassessed. He was not transported to the hospital. Family was encouraged to monitor symptoms and call 911 if he worsens for further evaluation.

Severe aching in all limbs (arms, legs). Painful to walk and even move around in bed. Lasted approximately 15 hours.

POST VACCINE, PATIENT HAD NEAR SYNCOPAL EPISODE, S/S WERE DIZZINESS, DIAPHORESIS, LIGHTHEADEDNESS. BROUGHT BACK TO OBS VIA WC. ASSISTED TO STRETCHER TO LAY DOWN. REPORTED S/S RESOLVED AFTER A FEW MINUTES. VSS. ESCORTED TO EXIT WITH NO ISSUES AT 1537. 1526 LYING BP 127/70 HR 60 RR 16 SATS 99% RA 1533 SITTING BP 136/76 HR 58 RR 16 SATS 100% RA 1535 STANDING BP 125/75 HR 68 RR 18 SATS 99% RA

Pt received the vaccine and walked towards the observation area but felt nauseous, dizzy, lightheaded, states he was seeing spots. Went to the bathroom to sit down. Called his girlfriend who was in the waiting area to notify someone. Paramedic and nurses entered bathroom and found pt next to the toilet, alert, stating he was feeling dizzy and nauseous. Vitals at 1317 was BP 90/40, HR 52. Waited and rechecked vials at 1320 (BP 112/60, HR 66). Pt was able to get up and sit on a wheelchair and lay down on a cot. BP at 1326 was 110/60, HR 75. Gave him juice and time to rest. Pt reports improvement in symptoms. Pt able to walk to chair but reports some lightheadedness and feeling off. Pt sat in chair. Rechecked in 10 mins and reports he felt normal

Panic attack like episodes, sudden onset of shortness of breath, palpitation, dizziness, uneasiness. Lead to ED visit 2 times in last 4 days.

Pain in chest. Dizzy. Not hungry. Runny nose. I slept for like 10 hours. Day after getting the second dose I woke up at 9pm.

Headache, sweaty and dizzy. In observation with medics for 30 minutes. BP 105/72 . Went home on his own.

Immediately post vaccination, client slumped in car and had syncopal episode, when MD on site arrived to asses client already conscious but pale, personnel and nurses on site also attended to client, BP 121/63, pulse 70 NSR, sats O2 97% on RA; observed further at parking lot; recommended transfer to facility, client agreed and was trasported by FD ambulance @ 1236.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Mild, Additional Details: numbess and tingling of the right arm

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Patient was sitting and suddenly things went black for a second. Patient thinks they passed out for a few seconds. Patient's first blood pressure reading was 90/64. Patient was shaking and sweating. After resting patient was feeling well and blood pressure returned to 122/72. Patient felt well after resting.

Patient had first dose of Pfizer vaccine for COVID 19. He had the COVID-19 infection 2 months prior. He was found to have fevers, chills, myalgias 12 hours following vaccine and then 24hrs after vaccine administration, developed chest pain and found to have a troponin elevation to 31 and EKG consistent with pericarditis. Found to have mildly reduced EF with mild global hypokinesis, suggesting viral myocarditis.

10 minutes post shot patient was feeling light headed. Pharmacist went out to check on them and his eyes rolled back in his head and he started having a seizure that lasted for just under 1 minutes. regained consciousness, started sweating . no history of seizure. Ambulance called and came within 5 minutes

Systemic: Fainting / Unresponsive-Medium, Additional Details: After 10 minutes of getting vaccine pt told observer he was feeling light headed. pt was sipping on water. as we put pt down on back, pt passed out. we checked for pulse and could here pt slowly breathing. gave once dose of 0.3 epi and called 911. emt arrived within 5 minutes and took it from there. pt immediately felt fine after 1 dose of epi. pt bp was stable and hr. emt took care of pt who didnt need to go to hospital

Dizziness - Passing Out PT moved to treatment area where he was monitored by paramedic on site - PT moved via walking PT +Farther

Patient reported light headedness. We instructed him to sit. Shortly after patient passed out for roughly 30 seconds before becoming responsive again. Patient was given water once alert and monitored an additional 30 minutes. Patient left without further medical attention and was reporting feeling normal.

Patient was seated a few minutes after receiving his dose in the pharmacy waiting area. Patient stated that he felt tunnel vision and then fainted, falling off of his chair. Patient came to quickly and felt fine after event. He waited an additional 30 minutes sitting before being picked up by his family

Patient reports feeling light headed and diaphoretic. also reported muffled, heavy and blurry vision.. patient had seat laid flat. patient brought water and encouraged to stay hydrated .patient stated he has anxiety. Patient felt better after five minutes. Instructed to finish the rest of his 15 minutes and to let us know if symptoms return or become worse.

Post vaccine pt became dizzy and felt lightheaded. Pt transported to med obs via wc. Pt reports feeling better after lying down on stretcher. Vitals obtained and monitored. Pt had no complaints of chest pain. Pt had no complaints of SOB. Pt released at 14:02. Vitals as follows: 1350 LYING BP 112/75 HR 95 RR 18 SpO2 100% 1400 SITTING BP 116/64 HR 92 RR 18 SpO2 98%

WHILE WAITING HERE AT PHARMACY FOR 15 MINUTES AFTER VACCINATION, HE STARTED FEELING NAUSEOUS AND DIZZY. PATIENT TRIED TO SIT DOWN ON THE CHAIR BUT BEFORE HE COULD REACHCHAIR HE JUST PASSED OUT AND FELL DOWN ON FLOOR, DID NOT LOOSE COMPLETE CONSCIOUSNESS, WOKE UP HIS OWN IN 30-45 SECONDS AND SAT DOWN ON CHAIR BY HIS OWN. EMS WAS CALLED, BY THE TIME HE DRANK SOME WATER AND ESM ARRIVED THEY EXAMINED HIM AND ASKED IF HE WOULD LIKE TO GO TO HOSPITAL BUT PATIENT DENIED AND WAS GETTING BETTER.

I got my shot at around 2:50PM on 04/29/2021. I started experiencing symptoms at around 12 hours (3am)after the shot. Basically chills, fever, headache, and just overall body cramps. Overall just felt super dizzy and could barely walk due to the dizziness and fatigue. About an hour later, I had trouble breathing and started hyperventilating. My body started cramping up all over to the point where I couldn?t move any part of my body and my entire body was tingly and it felt like I was having a heart attack but I believe it might have been a panic attack. I have not had many symptoms to vaccines in the past. Only meningitis B

Nausea, dizziness, light-headed, muscle ache, ear ache, stomach ache, exhaustion, fever, chills, sensitivity to light, headache, restlessness

Patient had syncope episode & loss consciousness hitting back of head on concrete floor. BP 80/54. Was taken to observation area to be monitored & ice to hematoma on back of head. He laid flat until dizziness subsided & could resume walking. BP 116/76 Mother came to pick him up. Instructed to watch for signs of brain injury.

PT CALLED TODAY 5/5/21 STATED THAT HE WOKE UP ABOUT 2:30AM AND COULD NOT BREATH. HE RECEIVED HIS VACCINE ABOUT 2:55 PM ON 5/4/21.. HE SAID HE FELT LIKE HIS THROAT WAS SWOLLEN, HE HAD A FAST HEART RATE, AND FELT LIGHT HEADED.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: Patient was sweating and light headed post vaccine, during observation period. Was given water and candy. Patient stated they had not eaten today. Observation period was extended 10 min and then patient was released after confirming "they felt fine" and was instructed to eat full meal ASAP. (Low blood glucose assumed)

Patient fell from seated position in waiting area onto head approximately 5 minutes post injection possibly due to brief loss of consciousness. Patient had brief episode of spastic movement after hitting head on floor of pharmacy waiting area. Patient awoke and was alert and oriented, but unsure what had happened. Patient had normal breathing and no apparent distress upon regaining consciousness from fall. Patient was comfortable and left pharmacy awake alert and oriented with no known issues and denied need for emergency services. Patient stated would follow up with medical care due to hitting head.

Patient received vaccine and returned to lobby for observation period. Within about 5 minutes patient became light headed and fainted while seated. Patient was given water and moved to immunization room where he could lay down. Patient's parents were contacted to come pick him up. At the time of their arrival the patient was alert and oriented and feeling better.

WITHIN 5 MINUTES OF RECEIVNG FIRST DOSE OF COVID19 PFIZER VACCINE, PATIENT RETURNED TO PHARMACY STATING HE WAS FEELING DIZZY, AND COLLAPSED INTO COUNTER. MANAGER WAS ABLE TO HELP HIM TO A CHAIR SO HE DID NOT FALL, PATIENT CAUGHT HIMSELF WITH THE SHIELD/COUNTER. CALLED 911 AND EMS ARRIVED WITHIN A FEW MINUTES. ASKED PATIENT TO DESCRIBE SYMPTOMS, PATIENT RELAYED FEELING DIZZY, TROUBLE SEEING, VERY WARM, SWEATY. PATIENTS VITALS WERE CHECKED BY EMS, PARENTS AND PATIENT CHOSE NOT TO TRANSPORT AFTER ABOUT 30 MINUTES PATIENT WAS CLEAR OF ALL SYMPTOMS.

Before giving his shot he denied any previous side effects from last vaccine and stated he did fine. He also voiced no complaints today. Pfizer vaccine Lot: EWO153 Exp: 07/21 administered at 1535. At approximately 1545 he got up from his chair and asked where the restroom was. When he turned to go to the restroom he fell to the floor without bracing his fall. His head hit the floor and then ?bounced? and hit again. He appeared to be unconscious for about 30 seconds but was A&O to date, place, name when he woke up. He did say that he thought he lost consciousness at some point because he ?woke up with everyone standing over him?. When he fell he was diaphoretic and pale- I asked him if he was a diabetic and he states yes. He said he ate before coming and took ?8 units of insulin?. He also said his BG was 121 prior to eating- finger stick done at 1549- and was 88; which he states ?is not low for me?. Doctor out to assess him and advised he needed to be evaluated by ER. The ambulance was called for him and his mother was notified. While waiting for EMS he had trouble keeping his eyes open and his eyelids were fluttering, c/o his head hurting and being tired, he continuously yawned and rolled his tongue asking for water. 1559 EMS arrived and took over care of patient at this time. VS post fall: 1548: 89/51; HR 52; 98% 1549: BG- 88 1551: 89/52; HR 50; 98% 1554: 83/47; HR 49; 98% 1557: ( Legs being elevated at this time) 108/64; HR 59; 98%

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient blacked out twice approximately 5 minutes following vaccine

dizziness, bradycardia HR50 patient was monitored for 30 min v/s 126/49 HR was 58 SPO 100% patient was DC after issue resolved

developed chest pressure, taken to ED via ambulance. D-dimer and tropinin elevated. CT PE Angio = 5.0 x 3.4 cm soft tissue lesion in the anterior mediastinum which could represent residual thymic tissue although size and convex margins appear greater than expected for age. ECHO = There is mild left ventricular systolic dysfunction. There is mild global hypokinesis. The visually estimated LVEF is 46-51%. The quantitative LVEF based on modified Simpson's method is 51%. CT consulted, sent for bx of mass, on repeat imaging with MRI had decreased in size so bx canceled. Bx of L axillary node = benign.

seizure like movements; passed out; dizzy; nausea; This is a spontaneous report from a non-contactable healthcare professional (HCP). A 19-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date (age at vaccination: 19 years old) (Batch/Lot Number: ew0167) as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The patient experienced dizzy, nausea, passed out, seizure like movements on an unspecified date. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Post vaccine pt became dizzy and lightheaded. Pt transferred to med obs via wc. Pt reports immediately feeling better after sitting down on litter. Vitals obtained and monitored. Pt had no complaint of chest pain. Pt had no complaint of SOB. Pt released at 14:01. Vitals as follows: 1349 SITTING BP 126/84 HR 70 RR 16 SpO2 98% 1400 STANDING BP 110/76 HR 71 RR 16 SpO2 98%

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Seizure-Severe, Additional Details: Difficulty seeing clearly. Difficulty hearing.

patient was very anxious before getting vaccine. after vaccine administration patient felt dizzy right away and could n t answer questions . patient was feeling very dizzy and was about to faint 911 called patient felt better after and was able to go home

Systemic: Dizziness/Lightheadedness-Mild, Systemic: Fainting/Unresponsive-Mild, Additional Details: Patient passed out briefly during the 15-minute waiting period, after receiving the Pfizer COVID vaccine. We put patient on the floor; elevated his knees and feet; and called EMS. EMS arrived in just a few minutes. They monitored his blood pressure. EMS determined he was dehydrated and suffered an anxiety attack. Patient's mom was present and stated patient has a history of fainting due to anxiety. Patient stated he was fine. He walked out of the pharmacy on his own smiling with thumbs-up.

Patient DOB: 11/25/2001. Received his first dose Pfizer (LOT#: EW0185 EXP: 8/2021) at 0920on 5/18/21. Patient alerted EMT. Patient stated that he felt light headed and also felt anxious. Patient stated that he had not had not eaten in the morning. EMT took patients vital signs at 0928. BP: 138/82 pulse: 75, O2: 98%. Patient was given water, juice and food. Patient was placed in zero gravity chair. Patient was asked to stay an extra 30 minutes for further observation. EMT reassessed and re-took vital signs at 0945. BP: 132/74, pulse: 76, O2: 98%. Patient stated he was feeling better and only slightly felt the symptoms. Patient was educated on worsening signs and symptoms of vaccine and when to seek EMS or urgent care. Patient verbalized understanding of education. Patient left vaccination site at 0947 before the 30 minute observation was completed. PHN educated patient that he was leaving AMA. Patient insisted on leaving and was feeling better. Patient left vaccination site unassisted and with a steady gait.

C/O dizziness and headache Vital Signs: BP 119/79 HR 66 Resp 15 O2Sat 98% Skin Signs: Warm and dry Circulation: Cap refill <2sec Initial Treatment: Patient sitting on floor and continues to C/O dizziness. No increase in S/S Notes: Parents instructed to follow up with PCP and to seek medical care if symptoms increase. Parents verbalized understanding. Home with parents.

Patient started having blurred vision immediately after sitting down for the 15 minute wait. Afterwards he began experiencing muffled hearing, lightheadedness, tingling fingers, and was observed being pale and sweaty. Patient was instructed to lie down and place feet upon a chair and vitals were taken (BP: 110/61, Pulse: 75). Patient reported he had no food/water for some time and was immediately given something to eat and drink. Symptoms resolved within 5-10 minutes.

19 y/o male with no past medical history who presents with dizziness post vaccination. Patient states that this is his first vaccination in a two-dose series. Patient denies previous reactions to vaccinations in the past. Patient denies headache, vision changes, sore throat, difficulty breathing, shortness of breath, itch or rash. NP and Paramedics at patient side. Patient states that he has not had anything to eat since 1 am and drank only a small amount of water. Patient provided with water and a protein bar. Glucose was obtained and measured 225. Patient denies increase thirst, hunger but states that he has lost some weight recently (patient pushes carts at the supermarket sometimes in the sun). Mother states that patient went for a physical today and pending blood work. Patient vitals within normal limits, 133/89 BP, 98% RA, 77 HR, Resp 12. Patient physician office called and notified of elevated glucose here at the vaccination site. The RN states that patient will be seen tomorrow am to obtain further labs. Prior to discharge patient glucose rechecked x2 and measured 99 and 98. NP still instructed patient to keep tomorrows appointment for labs. Patient was monitored for 30 mins with resolution of dizziness. Patient discharged home in stable condition.

Patient at 18:36 experienced a 1839 Syncopal episode 5-10 seconds, during 15min observation period. While seated patient eyes rolled back, and fell out of his chair onto his left side onto the floor, face down. Patient rolled over, semi-conscious, some- what confused at this time. PCP and RN coordinator assessed patient. Irregular Pulse 48 noted, B/P 130/80 SPO2 88-90%. Patient extremely pallor but responsive. Confusion cleared after 5 minutes. Followed up vitals: Pulse 60 noted, B/P 128/86. Patient was walked out to vehicle.

19 years old male, indicated no to all questions on vaccination, fainted after few minutes of getting the vaccine, was disoriented for a minute after falling down on his face, was sweating and looked pale , management called paramedics, was evaluated ok after checking all vitals

Patient received vaccine. Patient fainted into mother's arms about 3-5 minutes later. Patient reported feeling light headed after getting up too fast. EMS responded. Patient vomited 5-10 minutes later while speaking with paramedics.

Patient experienced dizziness about 10 minute after injection. Laid down on floor with feet up. Given some juice since had not eaten yet for the day. Patient feeling better in about 5 minutes.

Patient is a 19yo male who experienced a near syncopal episode immediately after receiving his first dose of Pfzier covid 19 vaccine. Patient c/o dizziness and tinnitus, patient then noted altered level of conciousness, w/o complete loss of consciousness. Upon assessment patient noted with significant diaphoresis, noted generalized clammy skin, no skin lesions, rash or hives noted. respiratory rate WNL, respirations even and unlabored. Within less that 60 seconds patient started to regain alertness and was able to respond and answer questions appropriately. Reported feeling some anxiety prior to getting vaccine but denied being diagnosed or treated with anxiety. reported prior episode with similar less severe symptoms associated with "shots" within >2 minutes patient was A&O x4, verbal and able to make needs known. Respiration remained even and unlabored. Skin pink warm and intact with significantly decreased clamminess and diaphoresis. No sx/sx of allergic reaction. Chest is non-tender, initially bradycardia @ 43 BPM, noted irregular heart rhythm, no murmur or extra sounds noted. Pt reports playing football with practicing at least 4 days weekly. Denies significant past medical HX. No HX of allergies. Patient was assisted to yoga mat on ground, in supine position with lower extremities elevated. Physical assessment completed then past medical HX obtained from PT. Initial VS 100/50. HR 43, o2 96% ECG obtained by EMTS WNL. Spontaneous resolution of symptoms after 1-2 minutes. Patient was assisted to sitting position, then standing w/o return of symptoms. VS @ 5 mins 114/63 HR 63 RR 18 o2 98%. Patient escorted to observation area and sitting in chair. Patient was observed for 30 mins in observation area. After 30 minutes no acute distresss noted, pt denied pain, dizziness, tinnitus or other symptoms. Advised patient to abstain from strenuous activity for the rest of the day and advised against football practice today and against being alone today. Advised patient to seek emergency treatment by calling 911 should symptoms return, experience SOB, or any sx/sx of an allergic reaction. Patient verbalized understanding before leaving vaccine site @ 1610

Pt has syncopal episode 14-15 minutes after vaccine. Pt sitting in chair during observation and suddenly passed out. Pt was able to come out of syncopal episode within a few seconds (10-15 s) after RN approached him. Pt states he felt dizzy for 30 seconds and passed out. Pt was dazed /confused and pale when awaken. Pt states he did not have breakfast this morning and last had a meal yesterday evening. Pt denies having syncopal episode in the past related to blood draw or vaccines. Vital signs taken initially (at 1041) after syncopal episode were as followed: BP 84/47, HR57, SpO2 97%, pt given granola bar, ice water, and ice pack applied in back of head. After patient was able to regain skin color back, drink full cup of ice water, and eat whole granola bar, vital signs were taken again as followed at 1052 105/50BP, HR71, spO2 97%. Pt placed in gurney to be taken to treatment room. RN gave report to treatment room RN. Pt AOx4 when, able to follow commands.

The following morning after I got my second COVID shot, I experienced extreme nausea, sweating, high-fever, weakness in my legs, lack on night vision (everything was unusually dark), light headedness, trouble hearing, extreme ringing in both of my ears, and trouble balancing. I felt like I was blacking out. I was treated by laying back in bed and I felt much better after about 20 minutes. 4 days later on May 26th at about 3:00 am, I experienced severe diarrhea (15-20) bouts for an entire day, I vomited 3 times by 9:00 am, severe dehydration, sweating, nausea, and stomach cramps. I was treated with 2 full bags of Iv's and nausea medication.

At 1034, vaccinator reported to learn nurse "I think the needle may be in the client because I cannot find it." At 1034, co-lead nurse activated. Lead nurses assessed patient. Patient reported he felt 0/10 left arm pain and felt dizziness. Lead nurses examined syringe and confirmed that the needle was inside the syringe. Vaccinator confirmed that there was no spillage during administration of the vaccine and there was no vaccine left in the syringe. Patient reported no allergies, no medications, no medical conditions. At 1038, EMT assessed vitals: blood pressure 130/80 mmHg, pulse 85 beats/minute, and SpO2 99%. At 1046 paramedics arrived and assumed care. Paramedics confirmed there was no needle in patient's arm and patient refused to go to the hospital. Supervisor advised lead nurse to have patient wait in observation area for 30 minutes. Lead nurse was attending to vaccinator who stated she felt "traumatized" and "overwhelmed". Co-lead and EMT attended to another patient reaction in observation area. At approximately 1058, lead nurses realized patient already left observation area. Syringe used was 1mL Vanish Point syringe 25G x 1".

given Pfizer imz to patient, at that time was ok waiting on chair for observation for 15 minutes, and after 3 to4 minutes fainted, fall from chair ,called member of management, white code, given water to patient was ok left pharmacy after 30 minutes, was fine when left pharmacy followed up patient in around 2:00pm patient was okay, in evening show rx for Keppra, called mom at that time she told her child has autism disorder ,so they went to ER per their PCP doctor advised may be because of Pfizer vaccine and his HEALTH condition might have seizure so precautionary have Keppra prescribed and have follow up with dr on Monday, didn't mention health condition at time of injection, per her taking precautionary check up, when follow up with her she was thankful for checking on her child

Patient was feeling dizziness after receiving vaccine. It went away about 20 minutes. Patient felt better after that.

The patient was given the vaccination and told to wait 15 minutes in the recovery area to observe for signs of adverse reactions. The patient had syncope about 2 minutes after sitting and fell from a seated position on his chair to the ground. He had a brief seizure (unresponsive, tense muscles, open eyes) for about 2-5 seconds. He then became responsive and was able to respond to prompts and questions. He was given water. an ice pack (for injured spot on forehead), and told to wait for 30 minutes for further observation. He arranged to have a friend pick him up to take him home from the pharmacy and was told that he could not drive himself home after this adverse reaction. The patient stated that he otherwise felt normal afterwards (aside from some ache from the forehead after falling).

Patient experienced nausea, dizziness, blurred vision, and loss of balance X3 days post dose. Patient seen at ER X2 for Sx. Will follow up with PCM for dizziness and loss of balance. Will follow up with ophthalmology for vision issues.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: made grunting sounds before passing out

Patient presented for his first dose of Pfizer Covid vaccine. Immediately after administering shot, patient lost consciousness, fell to the floor, and hit his head. Loss of consciousness lasted approximately 3-5 seconds. Upon waking, patient was alert and oriented x4. Vitals upon waking: BP 75/35, P: 62, O2 Sat: 90%. Water was administered orally. Patient c/o neckache 6/10 and headache immediately upon waking. Vitals continued to be monitored frequently and BP continued to be 80's/40's. Blood sugar 76. EMS called and arrived. Patient's blood pressure increased to 130/80 for approximately 10 minutes and then dropped again to 78/45. Patient taken to local hospital for further evaluation accompanied by parents.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PT fainted and lost conciousness couple minutes after administration of vaccine. Thankfully PT was held onto the chair by another patient and he did not fall out of his seat. After regaining conciousness after a couple second, pt rested on the floor until he felt well enough to leave.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: 3 minutes after admin patient was weak, light headed and confused, then became unresponsive. called 911. he sat forward and began vomiting on the floor. then slowly became more coherent - he said he felt like his blood pressure was very low. EMTs came, checked him out, and he refused treatment. after about 30 minutes he walked out on his own.

Patient started experiencing dizziness and light headedness approx 10 minutes after administration of vaccine. Pt stated that he felt like the room was shaking, and also felt his body shaking. Vital signs were taken an were as follows: 180/80 on right arm HR 73 o2 99, temp 97.6, respirations 19. Vitals retaken throughout the course. bp at 1002 decreased to 180/100 on right arm. Pt stated that he still felt same symptoms with no improvement. Pt was given epinepherine auto-injector for adults. BP taken at 1014 bp 175/82. stated that he was feeling a little better but still felt jittery, light headed and dizzy still. ems arrived at the scene at 1031 and took over. pt BP on right arm was 138/100. left arm was 135/83. ems asked pt if he wanted to go to hospital. pt stated no. pt determined that pt was stable and did not needed to go to hospital.

Patient is a 19 year old male admitted to emergency services 06/21/2021 for syncope 2 weeks ago and near syncope today. The patient's syncopal episode 2 weeks ago was after a physical fitness test and he stated that he felt everything going black and then fainted. The patient had also felt short of breath and had chest pain that day. Today the patient was participating in a run and had to keep falling out due to feeling like he was going to faint and had DOE/CP again. Upon having rest and coming to the ED the patient no longer had SOB or CP. However; he had positive Troponins. The patient denies any viral illness preceding his first event and denies tick, mosquito bites, new sexual partners or traveling anywhere. However; the patient did have his 2nd COVID-19 3 days prior to his first event. denies alcohol, tobacco or drug use

Pt received Pfizer dose 1, in waiting area pt reported feeling unwell. Pt was diaphoretic, pale, reported feeling light headed, dizziness, nausea, and saw stars. Pt reported feeling as if he "couldn't see or hear", tingling in extremities. Pt denied any SOB/difficulty breathing, pt reported no PMH or medication/substance use. Pt did not faint or vomit. Measured BP with SBP in 80s with nadir at 60/57 at 10 minutes post injection. Pt given water and monitored closely. EMS contacted, when EMS arrived and assessed pt, at which point SBP returned to normal and pt went home with mother.

Pfizer-BioNTech COVID-19 Vaccine EUA Events: Severe chills, body aches, headache, tension headache, palpations, fever, lightheadedness.

Patient was given injection. Aprox 2-3 minutes after, patient felt light headed. Staff placed patient in chair. Patient fainted and came back awake. Patient given crackers, water, and apple juice. He stated that he has a history of becoming light headed after shots. Patients vitals were checked, all within normal limits. Was monitored for an additional 30 minutes. Felt fine at conclusion of that time and asked to leave. Vitals were rechecked sitting and when he stood up. All were within normal limits.

Headache; Fatigue; Dizziness; This is a spontaneous report received from a contactable consumer, the parent. A 19-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot no: EP6955), via an unspecified route of administration in the left arm on 20Mar2021 at 11:30 (at the age of 19-years-old), as a single dose for COVID-19 immunisation. Medical history included autism spectrum disorder (Asperger's Syndrome). The patient did not have any allergies to medications, food, or other products. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any other medications within 2 weeks of vaccination. On 21Mar2021 at 00:00, the patient experienced fatigue, dizziness and headache. The patient did not receive any treatment for the adverse events. The adverse event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events fatigue, dizziness and headache were recovered on 21Mar2021. No follow-up attempts are needed. No further information is expected.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Medium

Original side effects were chills, fever, headache, and cough. Current side effects are swelling of armpit region and stiffness of joints.

PATIENT GOT THE SECOND DOSE AND TOLD TO HAVE A SEAT FOR ABOUT 15 MINUTES FOR POST-VACCINE SURVEILLANCE. HE STOOD UP FROM A SITTING POSITION AND APPROACHED THE PHARMACY COUNTER, THAT'S WHEN HE COLLASPED HEAD-FIRST IN THE LOBBY. WE IMMEDIATELY CALLED 911, EMS, AND HIS FATHER. HE WAS HELP AND REGAIN CONSCIOUSNESS WITH ORANGE JUICE, PRETZELS, AND WATER. EMS CAME TO CHECK HIS VITALS AND HIS BLOOD SUAGRS WAS IN THE LOW 70S, ABOUT 73. HE STATES HE DID NOT EAT ANYTHING ALL DAY. EMS ALSO FOUND THAT HIS HEARTBEAT WAS IRREGULAR AND THEN PATIENT CONFIRMS THAT HE MIGHT HAVE AN IRREGULAR HEART BEAT BUT HAS NOT BE DIAGNOSED. PATIENT FAILED TO MENTION THAT ON HIS VACCINATION ADMINISTRATION RECORD FORM WHICH WE USE TO HELP DETERMINE PATIENT ELIGIBILITY FOR THE VACCINE TODAY.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient was given the PFIZER COVID SHOT (1st Shot)... The patient was informed to seat for 15 minutes after the shot. Unfortunately, he arised from his seat accidently prior to the 15 mins and fell down.. He had a dizzy spell.. He is currently being monitored by EMT and the emergency room. Prior to leaving the pharmacy he was doing much better and responsive.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Medium, Additional Details: 10 minutes after 1st dose - tingling sensation, dizzy, sweating, blacked out vision for a minute. Was still able to move arms and body. Took BP 84/49 HR 79. Gave patient water and sat supported by the wall for over 30 minutes. Before leaving patient BP was taken again 121/71 78 HR.

6:45 Pt fainted face forward down while walking to 15 minute waiting area. Diaphoretic, pale, incoherent x1-2 minutes. Vomited x1 6:59PM Alert, pink. No sign of swelling or redness on face from falling. 7:15PM Released w/o assistance.

FLARE UP OF ULCERITIS COLITIS AFTER 7 MONTHS FREE. BLEEDING IN STOOL, PAIN ON LEFT SIDE OF ABDOMEN, HEART PALPITATIONS, INTENSE TINGLING IN LEGS ESPECIALLY IN LEFT LEG, INTENSE PAIN THROUGHOUT ENTIRE BODY, BACK PAINS, DIZZINESS, LOSS OF FOCUS, FATIQUE, NAUSEAU, SENSITIVITY TO LIGHT AND SOUNDS, DIFFICULTY BREATHING WHEN INTENSE FLARE UP OF NERVE SYSTEM, LOSS OF BALANCE, TREMOURS THROUGHT BODY DURING FLARE UPS. INABILITY TO CONTROL MUSCLES, MUSCLE TWICHES/SPAMS, INTERMITTENT HEADACHES, SWEATY PALMS WITH INTENSE PAINS, "CHARLIE HORSE" CRAMPS IN MUSCLES AFTER MUSCLE SPASMS, WEIGHT LOSS. BEGAN FEELING EFFECTS APPROXIMATELY 26-27TH JUNE 2021, ADMITTED 7/9 & IS CURRENTLY AT HOSPITAL AS AT 7/17/2021.

Left arm pain. Then developed ringing in left ear, fatigue, generalized weakness, and feels lightheaded. Symptoms started 7/18/21.

19 y/o male describes a vasovagal syncope approximately 10 minutes after vaccine administration. Patient presents with diaphoresis, tachypnea, involuntary twitching, and dizziness.

Right after receiving the first dose of the Pfizer vaccine, patient fainted and fell to the ground from a sitting position. He was unconscious for a second and woke up not remembering anything. 911 was called and EMS came to evaluate but didn't not transport him to ER.

Patient received the 1st dose of the Pfizer Vaccine and experienced a syncopal event causing dizziness soon after receiving the vaccine. The pharmacist responded immediately and emergency medical services were contacted immediately. The patient was standing at the time symptoms began and dizziness caused the patient to fall over. The patient was guided to a chair and the pharmacist took the patients blood pressure which was approximately 90/60. The patient did not exhibit any signs of difficulty breathing and was alert after sitting down. The patient had a small cut on their left thigh from falling over. The pharmacist cleaned the cut and bandaged it then retook the patients blood pressure after about 5 minutes. At that time the patients blood pressure had returned to normal (approximately 125/70) and the patient was feeling fine. Emergency medical services arrived and the patient was able to walk outside to the ambulance. EMS retook the patients blood pressure again and the results were normal and consistent with the second reading taken by the pharmacist. The patient felt normal and did not require any additional emergency medical services at the time. The patient was contacted approximately 2 hours after the adverse event and still reported feeling fine and was being monitored by his parents at home. The patient was instructed to contact EMS should any symptoms occur after going home.

Patient felt dizzy and was felt like he was about to pass out. Patient did not pass out or fall, but his hands and legs did feel numb. Afterward the patient did experience breathing difficulties and he was given two doses of Epipen. We attended to the patient until an ambulance arrived, though more than 3 calls had to be made before they arrived. Patient was taken by the ambulance to Health Center, but he was alert and conversing with the ambulance crew as they took him out.

The Patient had just sat down in chair outside the pharmacy after receiving his first doe of the Pfizer Covid vaccine from the technician and he fainted and fell forward onto the floor. The technician who had gave the shot and I rushed out help him. He regained consciousness right away but he had bit his lip which made his lip bleed a little and the glasses gave him a small cut under his eye. We had him lay down for a few minutes afterward and cleaned and bandaged his small cut. His mom did mention afterward that he sometimes get dizzy when he has blood drawn. This was never stated on the patient questionnaire. The patient waited the required time after the vaccine and said he no longer felt dizzy and felt fine. We put notes on patient's file of the event and to walk him to his seat and observe him closely with his 2nd dose.

General weakness, intermittent numbness (especially bil hands), muscle twitching, dizziness, headaches( general), diarrhea, back pain.

The patient felt light headed and appeared pale in color after receiving the vaccine. We gave him a bottle of water and allowed him to sit in the immunization booth until he felt better. After about 15 minutes he looked better and he said he felt better and that he was no longer light headed.

19 year old male reports feeling dizzy, excessive sweating, nauseous and looks pale. Patient is placed on stretcher with legs elevated. Vital signs BP 85/60, SAT 97% P59, R24. Dxt 120 mg. Patient was evaluated by health personnel and Doctor. He was observed for 30 minutes. After 15 minutes patient was feeling better. He was observed for any changes. Patient was evaluated by medical emergency personnel. BP 120/80, 2:15 pm. Patient reports feeling better.

Patient lost consciousness immediately after receiving first COVID-19 vaccination, reported to writer by MD on site. MD reports that patient did not hit head. Received patient conscious and in wheelchair at 1625 in nurse response tent. Patient reported dizziness/lightheadedness, shakiness, and "felt weird". Patient received rest, juice, water, reassurance. Patient recovered and was discharged at 1700 per recommendation of Dr., patient denies need for further care.

After vaccine was administered patient stated feeling a little dizzy and then patient fainted out of chair and came back to for a few seconds, hten passed out again and came back seconds after. Patient was then transported to the Emergency Room where EKG was done. Diagnosed with Syncope, Vasovagal.

Achy and tired. The next day, developed a fever that maxed out at about 103. Had bad headaches and was very dizzy. Symptoms lasted for a total of 2-3 days.

Patient with a stated history of fear of needles. While in the observation area post vaccination the patient became faint and slumped over in the chair. The observation nurse prevented the patient from falling out of the chair. The patient stated he had not eaten anything all day. The patient was transferred to the emergency room for further evlauation

Pt had a witnessed syncopal event the resulted in a ground level fall after receiving his vaccine. Pt had LOC for about 20s and noted to have sustained a contusion over right superior orbital ridge, nasal bridge, and minor mucosal break on anterior tongue. Pt was evaluated by medical staff and EMS, AOx4. After a 30min period of observation that included oral hydration and oral nutrition, pt recovered and was released. Vitals: HR 54, BP 95/58, 98%O2, BG 101

20-year-old male with a past medical history of vasovagal episodes, cerebral palsy, dorsal rhizotomy and VP shunt followed by neurology, taking no medications presents to the ED for evaluation of a first-time seizure which occurred 1 hour ago 10 minutes after receiving a Covid vaccine. Mother states that the patient receive the Covid vaccine around 11:15 AM and 10 minutes later he became very pale the e-stim to left lower and patient he had generalized body convulsions lasting less than 1 minute and turned very pale/cyanotic. When he stopped seizing mother states that he was slightly confused as to what had happened and continued to be pale. Patient is completely at baseline at this time answering questions appropriately, however he still complains of having dizziness with sitting up or standing. Patient is answering all questions appropriately. He denies any numbness or tingling. He states he generally feels slightly weak but there is no focal weakness. No headache, nausea, vomiting, diarrhea, recent head trauma, abdominal pain, chest pain or palpitations.

Patient walking to exit, felt dizzy , sat down in chair, when attempting to leave again, stated went to floor.

Dose given 1804, band aide placed, patient states feels a little light headed 1806, as laying flat LOC for 2 seconds, BP 90/50, pale, patient states small amount of nausea, left flat, talking throughout, A/Ox4, 1815 BP 90/56, patient states feels fine, skin color pink/dry, sat up slowly, sat for another 5 minutes then ambulated to chair, states feels well, waited another 15 minutes for observation, patient states after, previous blood draw, passed out

Pt reports mild dizziness about 8-9 minutes following his first COVID Pfizer mRNA vaccine then later complained of throat swelling, dizziness, fatigue, light headedness, and nausea. Patient was kept in urgent care and stayed in observation for over 2 hours.

Patient reported dizziness / lightheadedness, nauseated, and tingling in both hands about 5 minutes post injection. After sitting and having water patient reported feeling back to normal after approximately 15 minutes

Patient received his first dose vaccine at 1340. Patient experienced a vasovagal reaction, in which, he feel from his chair and hit his head (unwitnessed). VS within normal limits. Patient refused EMS services. Pt assessed and is A + O x 4 ; walks with steady gait. Educated when to call 911 and to follow-up with healthcare provider.

Patient received vaccine around 1255 pm on 3/31. Upon standing after waiting the recommended 15 minute observation period, patient became dizzy, lightheaded. Patient's symptoms proceeded leading to brief loss of consciousness and pallor consistent with syncope. Patient was gently aided to the floor at 110pm. The patient's mother was present and accompanied the patient. Patient was given general supportive care from pharmacy and team members consisting of feet elevation water, and head support. At no point did the patient nor his mother request for emergency services to be contacted. A witness had EMS on the phone during supportive care. Before being able to inform EMS not to dispatch, they had arrived around 115pm. EMS took over care upon arrival. Blood pressure reading per EMS was 102/56. Patient was transported to hospital at 1325.

No symptoms from first dose. Immediately after second dose, injected arm felt numb/tingly. When seated at observation area, began to feel nauseous, dizzy, and began sweating. Rose to ask site staff for help, felt very uneven. Taken to back observation room and laid down on a cot. Blood pressure observed at 85/30, significantly lower than normal. Rested for approximately 15 minutes, then sat up. Nausea and blurry vision returned. No change in blood pressure. Blood was drawn, sugar and other indicators normal. Sat up again, feelings returned. Drank two water bottles and began to feel better, blood pressure returned to low end of normal after around 15 minutes. General weakness persisted throughout day, along with mild pain at injection site and in neck.

Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe.

Dizziness upon standing and walking, nausea, clamy and warm skin, sweaty, pale, tunnel vision, loss of acute memory, vision, and hearing. Patient was watched from 3pm (right after dose) to 3:30pm. He was feeling these symptoms from 3pm to about 3:15pm. He was given water after 5 minutes and cold wash rags to put on his forehead and neck. He was also told to breath deep breaths slowly. He said his throat felt sore and was provided with a throat lozenge. Color in his face returned after roughly 10 to 15 minutes and he verbally said he was feeling much better. Pharmacy associates watched him for another 15 minutes to make sure he was okay.

Dose received at 6:05PM. Patient was seated in waiting area and around 6:10PM a loud noise was made due to metal chairs moving in the waiting area; upon turning around patient was face down on the floor with his head turned to one side. I ran to offer assistance and cushioned his head with my hands. EMS was dispatched immediately. Patient was already starting to come to after losing consciousness for approximately 10-15 seconds, looked confused for about 15 seconds and then seemed to return to a normal mental state immediately after. He was able to give his name and info and knew exactly where he was, etc. and he stated he felt much better. He was able to confirm he hit the side of his head on the floor, however it was not bleeding. I asked if he wanted me to call anyone for him but refused the offer. His blood pressure was taken at 6:15PM by us then again when EMS arrived at approximately 6:20PM and was 140/100. He was checked out by EMS, including a blood glucose reading of 81 and seemed to be okay. They offered to take him via ambulance to the hospital, especially given him hitting his head, but he refused the offer. He explained a similar incident occurred when he received IV contrast dye in the past. He was able to sit up and then stand up without any issues. He continued to wait in the waiting area for about 10 more minutes before leaving to ensure he felt back to normal. I followed up with him at 8:20PM via telephone and he stated he was feeling normal and had no questions/concerns. I assured him he could reach back out to me personally or the store here if he had any questions/concerns in the future.

Fever, chills, light headed, dizzy, vomit, severe drowsiness. Started at 2AM about 12 hours after receiving vaccine. Still ongoing today at 2 PM

Pt sitting upright in chair in recovery. A/Ox3. Fell from sitting position to floor on left side. Once on floor pt started jerking movement which lasted less than 1 minute. Head held until jerking stopped. Pt opened eyes per verbal and tactile stimuli. V/S obtained w/b/p 134/64 HR 58 O2 99%. No acute distress noted at the time. Pt refused EMS at this time. Girlfriend contacted per pt request of pt. Assisted to sitting position in chair. A/Ox3. Held an extra 30 minutes. After 30 minutes pt was able to leave with girlfriend. V/S obtained with b/p 126/56 HR 64 Ox99%. Ambulated with a steady gait out of building.

After 10 minutes the patient complained of lightheadedness and seeing spots. The patient was negative for chest tightness, throat/lip swelling. The patient drank two full bottles of water; however, there was no improvement in symptoms after 20 minutes. He then complained of chest tightness and the ambulance was called. The ambulance arrived and took the patient to the hospital. The whole event transpires within 45 minutes.

Patient had a Vasovagal reaction and became dizzy, light headed and had calmmy skin. Pt laid on the floor and was seen by EMS, but he refused any treatment. Pt was rolled to the side in a wheelchair and given water to drink while being monitored. Upon feeling better the the facility being escorted out in a wheelchair by staff and accompanied by his father.

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

Client had seizure activity approx. 10 mins after receiving vaccine. He was sitting on chair in observation area then fell to the left, hitting his head on the ground. He then proceeded to have what looked to be seizure activity, jerking movements of arms and legs. 911 was called by lead RN. Client regained consciousness approx. 10-15 seconds later. V/S taken @ 12:07pm: BP 133/72, HR 118, O2: 88, RR 22, AOx3 Client appeared diaphoretic, pallor to face, slurred speech. Denied hx of seizures. V/S taken @ 12:18pm: BP 133/71, HR 118, O2 88, RR 22, AOx3. Reported hx of asthma and uses an inhaler. Reported smoking marijuana prior to receiving vaccine. At 12:20 EMS arrived and assumed care of client. Was transported to hospital

Patient felt nauseous, cold and chills. When asked to sit or stand legs gave out (had no control over leg movement). EMS was called on site and patient was taken to the hospital.

20 y/o Male received Pfizer vaccine 1 dose at 1:45pm, while in the recovery area, @ 1:55 when standing to exit as his 15 minute wait period had completed, c/o dizziness, was assisted back to the chair by the recovery nurse, stated, "I don't feel right", noted to have a staring gaze, speech slow but responsive, diaphoretic, initial vitals 1:56: 109/87, 89,20, stat 99% on RA, skin color pale. Repeat vitals @ 1:58 : 122/80, 104, stats 94, awake, very slow responsively, continued w/staring gaze, 911 called. Arrived at 14:03, Engine #2 arrived, patient evaluated, vitals stable @ 116/79, HR 75-78, Resp: 16-20, BG 136, EKG WNL, AAOX4, Patient declined transportation to ED, AMR cancelled, remained in recovery for add'l 15 minutes for ongoing monitoring, DC vitals @ 2:19pm: 11/78, 68, sats 97% on RA, exited from recovery w/Father, stable, ambulating freely, in no further acute distress.

Tiredness, headache, muscle pain, chills, joint pain, fever, nausea, feeling unwell, swollen lymph nodes, difficulty breathing, swollen throat, dizziness and weakness.

Pt reported dizziness and shakiness after IM injection. Diaphoretic with (+) LOC, no head injury. Pt was found responsive laying down on floor, BLEs assisted onto chair. VS laying down 134/80, HR 90, sats 97% on RA. Water and snacks given, cold compress applied to forehead. Pt was then assisted to seated position on floor, VS sitting as follows: BP 138/66, HR 97, sats 98% on RA. Pt recovered within 15 mins, ambulated out of clinic in NAD and was escorted by staff to car, was driven home by friend.

Patient reported he was dizzy and felt "out of it". During assessment he began to report sour taste in mouth and burning/itching in throat. Benadryll 25mg IM and EPI-pen 0.3 mg were administered and effective. Pt was transported to ED for evaluation.

After IM injection pt became pale, diaphoretic and reported feeling dizzy. Pt was assisted from chair to floor to lay down and during transfer had positive LOC which resolved in less than 5 seconds. BLEs were elevated on a chair and VS were as follows: BP 86/55, HR 80. Pt was given water, snacks and cold compress was applied to forehead. After 5 mins pt was assisted to seated position and VS were as follows: BP 107/75, HR 85. Pt recovered within 10 mins and ambulated out of clinic in NAD. Was escorted to car by staff and was driven home by a friend.

Patient was given dose 1 of the vaccine and instructed to wait at least 15 minutes in the chairs in front of the RPH for observation. He waived at us and sat down. We asked if he was ok and he waived again stating he didn't feel well. He sat back down and we proceeded to check on him. As we were coming to check on him, he fainted and fell face forward on to the floor. We called 911 and rolled him gently to his back. He had a laceration above his eye from the fall. EMT came and assessed the patient. After observation, he was allowed to be picked up from his friend and taken to a clinic for stitches.

Bedridden all day, severe joint pains especially in right knee. Sustained efforts of walking led to almost passing out. Was difficult to breathe effectively and found myself breathing in an abnormal pattern

32 hours after getting the vaccination, I was leaving my apartment complex and had a seizure in my truck, resulting in me hitting a parked car. I fell out of my truck and seized for 5 plus minutes, slamming my head on the pavement, 911 was called and I was taken to the emergency room.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Weakness-Medium, Additional Details: Patient's face turned very pale/yellow. His blood pressure and pulse were very low.

After 10 minutes in observation (2:10), patient felt dizzy, sweating, hot, fuzzy eyesight, nauseous, ears ringing; BP 88/68, pulse 65, O2 99%. 2:20 tingling throughout body, BP 105/62, P81, O2 99%. EMS arrived 2:30 BP128/82, P76, O2 100%. Symptoms resolved 2:39 and patient left with roommat

Patient had flushing/sweating, dizziness; pale and diaphoretic 3 minutes after vaccination. Patient/family reports long-standing hx of vasovagal reactions with "needles", especially lab draws. Gave juice/water. Patient stable, released from vaccination site.

had absence seizure within 5 hours of vaccination, the next day he started to have more myoclonic twitches. On April 27th morning he started having severe involuntary head shaking like "no" severe along with arms flailing causing shoulder dislocations, with arms flailing also accidentally punched own nose. The head shaking lasted all day through bed time despite normal doses of clonazepam 1mg given. At 1:15 a.m. had a tonic clonic seizure which was different than his "usual" ones. This morning he just woke up at 0715 and has started with the head/shoulder twitches. Yesterday his gait was much more unsteady than usual as well. Our entire family had the vaccine same day and we all only had mild side effects, brother and sister also have complex medical. Thank you for all you do.

Patient experienced syncope/fainting episode approx 15 mins after vaccination. Patient stood from chair and complained of nausea, asked for water. Legs buckled, patient fell to knees. Did not fall all the way to floor or experience head/body trauma. Patient was attended to by supervising pharmacist, and subsequently moved into chair with assistance. Pulse and respirations were normal, but patient was pale, diaphoretic, and complained of nausea and dizziness for another 15-20 minutes. No epinephrine or diphenhydramine was indicated or administered. Patient was observed until approximately 8:30pm, at which time he had made a full recovery. Patient left under his own power, and safely travelled to his home. Pharmacist called to check on patient and spoke with him twice (4/29, 9:50pm...4/30, 4:30pm). Patient reports feeling fine, no residual effects. Is eager to receive his second dose on 5/20/21.

After receiving the vaccine, patient started to feel lightheaded. He then passed out and had seizures for 30 seconds. He then regained consciousness shortly after. No further reaction occurs 45 minutes after administering vaccine.

loss of conscientiousness; patient as he was falling; This is a spontaneous report from a contactable other health professional (HCP). A 20-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 15Apr2021 (Batch/Lot Number: EW0164) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 15Apr2021, the patient was brought to emergency department (ED) immediately after vaccination. The patient had two minutes of loss of conscientiousness. As per his father who caught the patient as he was falling. The patient did not hit his head and the patient was stable. The patient did not receive treatment for the events. The outcome of the events was recovered on an unspecified date. It was unknown if the patient had COVID prior to vaccination and was unknown if tested for COVID post vaccination.; Sender's Comments: Based on the information currently available, a possible contribution of the suspect drug administration to the reported event cannot be excluded, due to a plausible temporal relationship. 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.

weakness under his shoulder; pain under his shoulder; Parson Turner Syndrome (neuritis); Parson Turner Syndrome (neuritis); experience arm pain; difficulty moving his arm; This is a spontaneous report received from a contactable physician. The physician reported similar events for two patients, this is the first of two reports. A 20-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration at 20 years old on 17Apr2021 (Batch/Lot number was not reported) at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 on an unspecified date for covid-19 immunization. Caller reported that he had a patient who received his Pfizer vaccine, second dose last Saturday (17Apr2021). He reported that on Monday (19Apr2021) he continued to experience arm pain followed by difficulty moving his arm. Now he was requiring a sling, had been prescribed Toradol and Steroids but was not doing any better. He was having continued weakness and pain under his shoulder. Caller was asking for documentation or studies that have been done to determine if the vaccine has any relationship with Parson Turner Syndrome (neuritis) and recommendations for management. He asked to speak with a Pfizer Neurologist. Caller reported that the patient was being seen by an orthopedist, MD. Caller was requesting urgent escalation of his inquiry for further investigation into a relationship between the covid vaccine and Parson Turner Syndrome (neuritis). The outcome of the events was unknown. No Follow-up attempts are needed. Information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021441207 Same reporter/drug/AE, different patient

Patient reports lightheadedness and sweating after the injection with loss of consciousness. Patient was observed, vitals taken, water given, went home with grandfather.

Patient experienced fainting, describing loss of peripheral vision before experiencing syncope. Patient did not injure himself during the episode as his father was present and nearby; he was able to hold the patient. Symptoms quickly resolved with patient describing quick recovery within a matter of minutes as EMS arrived.

Patient during his observation period @1010 reported symptoms of HA, lightheaded, joint pain, and shortness of breath following Pfizer vaccine administration. Patient was provided 25mg Benadryl @1018 and legs elevated for possible allergic and syncopal symptoms respectively. After no immediate clinical improvement, patient was transferred to ED via EMS . Patient did not require any interventions in ED and was diagnosed with Anxious reaction to vaccine. Patient released to home.

Patient almost passed out (similar to mini seizures) right after the shot (3-4 mins later). Called ED and Asst immediately. He then recovered quickly. Paramedics checked his vitals and seems all ok. They told him to call them if he has any other symptoms.

Pt reports feeling dizzy and "hot" immediately after injection. Monitoring RN applied ice pack to patient's neck when he reported feeling "like I am going to be sick". Pt produced significant amount of clear vomit as Fire/EMT arrived. EMTs assumed care of patient, obtained vitals, and provided ongoing assessment. Pt. reported feeling better shortly after vomiting. Color returned & pt. reported "feeling much better" within a few minutes. Pt was reassessed and released from care of Fire/EMS @ 10:15AM. Pt. stayed in monitoring until 10:23 at which time he was free to go, reporting no future symptoms. Pt left POD self ambulating & stating that he left fine.

Pt experienced dizziness post vaccination. States anxiety present "because of needles." No s/sx of respiratory distress. Given juice/water, laid down on stretcher. Pt states this happens any time he is in a medical facility. Sx resolved after 10 minutes. Monitored for 10 minutes, pt left on own

pt c/o light headed feeling. states hx of fainting with blood donation. vitals on assesment were wnl. pt evaluated by md onsite and nursing/medical staff. give gatorade and a snack. afterwards pt states was feeling better and was allowed to leave. hr 77 bp 113/86 o2sat 99% resp 12

Immediately after vaccine patient blacked out, broke out into profuse sweat and threw up. Patient's blood pressure was 142/87 a few minutes after vaccine. He reported feeling lightheaded, dizzy, nauseous, and cold. Ambulance came.

I experienced a great head ache followed by weakness and then I experienced a great stomach ache and dizziness.

Lightheadedness and Nausea on waking following morning Severe Headache persisting approximately 12 hours

Client felt nausea and dizziness within minutes of receiving vaccine. client was on his way to observation unit, client sat down at an empty station and proceeded to vomit. Evaluated by MD and EMt. Vitals obtained BP 133/87, HR 85 and oxygenation 100% . Client reported feeling better after a few minutes and was then walked over to observation area. Report given to nurse to monitor client. Clients mother at his side.

pt had been give the immunization and asked to wait in the waiting area, about 5 minutes later his sister yelled that they needed help. he had said he felt faint and then passed out falling to the side and out of the chair, she states that she saw him "seize" when he hit the ground, but stated that he did not hit his head. When I came upon him his eyes were open and he was able to answer questions. he stated that he did not have any problems breathing, but felt dizzy. He was very clammy so we took his bp and it was 142/65 pulse 64, gave him an ice pack and had him stay laying down. He sat up after awhile and took a few sips of water but started to feel light headed again so we had him lay back down. His bp went down to 105/58 pulse 61, but then came back up to 136/81 pulse 75 as he was starting to feel better. He started to get more color in his face and feel less clammy so I stayed sitting up. We put him in a chair eventually and the EMTs arrived shortly later. They did and evaluation, but as they were talking about whether or not to take him to the hospital he passed out again. The EMTs said he was probably having some anxiety to needles. He then said that he had passed out giving blood once. They took him to the hospital for further evaluation.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: DESCRIBED PINS AND NEEDLES FEELING IN HANDS

Approximately three to four minutes after the second dose, he reported feeling dizzy. A few seconds later he lost consciousness with eyes rolled to the back of his head. He was unresponsive to verbal communication or attempts to shake him awake. He then began grunting and struggling for breath. His body began to shake/convulse and he lost control of his bladder. This lasted about five to ten seconds. He regained consciousness and reported that he felt as if he was "dreaming". He also reported feeling very hot, and had sweat dripping down his face. Paramedics were called to the scene where his vital signs were checked. All signs including temperature were normal. His first dose on /26/21 had an almost exact reaction, minus losing control of bladder, although that time nobody was around to assist him.

Pt has a history of fainting after vaccines. He fainted after his first dose of the pfizer vaccine. about 3 minutes after his second dose the patient felt light headed and had to be brought down to the ground because he was passing out. after lying down for about 15 minutes the patient felt much better.

Light headache and dizziness. EMT took vitals BP 90/51, O2Sat 96. EMT took vitals BP 100/64, pulse 63. Client looked much better after 2nd check up and was sent home.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Pt repoted symptoms about 10 minutes after receiving vaccine. Pt was very pale, had cold sweats and felt like he was going to faint. Pt reported that he could not see. Pt reported feeling nauseated. Pt seemed to improve after he layed down and feet were elevated. Pt was taken to the hospital via ambulance. I cannot get ahold of pt to see if his conditon improved/worsened.

patient received the vaccination. asked him to wait for 15 min. during his waiting period fell and hit his head. he said he feel light headed . we called EMS and took him for evaluation

PATIENT DID NOT INDICATE (VERBALLY OR IN THE VAR FORM FILLED OUT) THAT HE HAS HAD ANY REACTIONS TO VACCINATIONS IN THE PAST. HE RECEIVED HIS VACCINE, SAT DOWN AS INSTRUCTED AND WITHING FEW MINS, PASSED OUT AND FELL FACE DOWN ON THE GROUND UNCONSCIOUS FOR A FEW SECS. HE WAS ATTENDED TO IMMEDIATELY BY THE RPH ON DUTY. PATIENT GAINED CONSCIOUSNESS WITHIN A FEW SECS AND WAS TAKEN TO THE HOSPITAL BY PARAMEDICS AS HE ENDED UP GETTING A GASH ON HIS FOREHEAD FROM THE FALL.

In the middle of the night he stood up to go to the bathroom, turned the light on, felt dizzy and light headed. Passed out and woke up confused unable to speak correctly and unstable when trying to stand up. Eyes were dilated. After he layed down for a few minutes he was ok, could walk and talk fine. Migraine Chills Slightly warm

Immediately following vaccination, patient began to feel lightheaded. He was guided to the floor then lost consciousness Smelling salts were administered. LOC approx 30 sec. Pt was brought back to Med Obs 1 via liter, given water and crackers. Vitals 10:44 HR 82, Resp 16, BP 147/67 O2 100, Vitals 1050 HR 80 Resp 16 BP 134/64 O2 100 Pt discharged to home himself h/o LOC with vaccines as child

The patient was in observation area, standing at desk while nurse rewriting vaccine card. He stated he felt dizzy and collapsed immediately, falling forward and hitting chin on desk. He was partially caught by RPH and nurse immediately attended to him. The patient woke immediately and said he could breathe easily and slowly sat up. Vital signs were stable, he rested for about 30 minutes, drank several bottles of water and felt better. Patient went home on his own accord and denied further medical evaluation.

~10 seconds after administering the shot into the left deltoid, patient's eyes started to roll back, became unresponsive, and started falling back in the chair. This lasted for ~15 seconds. After this, the patient immediately regained consciousness, had no issues breathing, and was able to talk. Patient reported light-headed. 911 was called immediately upon reaction, first responders came in and took patient's BP and glucose. Glucose 91 mg/dL, BP was low (forget exact value), but returned to normal (~117/80) after about 10 minutes. Patient seemed fully conscious and aware, opted to not go to the hospital and signed a declination form of transport. First responders deemed that the patient was aware and did not necessarily need transport to the ER. Patient requested a ride home from friend/family member and is going home to rest.

Sore vaccine site first 2 days, had sore joints next day, woke up the third morning and vomited every 20-30mins. Was too dizzy to walk or move , lost sense of taste and smell, headache, cough, tiredness, high fever of 104, and chills. Had redness and pain at injection site the whole time and other symptoms lasted 3 days.

Pt was w/father who reported that pt felt dizzy & anxious. Pt reported improvement after laying down & drinking juice/water. BP 144/90; HR 72; RR 18. Pt was stable & released from vaccination site.

Patient slumped over in waiting chair shortly after vaccination. Felt like he was going to pass out he said, he got really sweaty and a little shaky. He slumped over twice for about 3 seconds each time, but he was easily woken up and was able to tell me his name. His symptoms lasted about 15 minutes after his vaccination. He drank some water and had some candy. He felt much improved.

symptoms got worse and are just kind of staying the same now; throwing up; Vertigo; Dizziness; Nausea; This is a spontaneous report from a contactable consumer. A 20-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0175), via intramuscular, administered in arm left (shoulder) on 24May2021 at 16:00 (at the age of 20-years-old) as 2nd dose, single dose for COVID-19 immunisation. Medical history included seasonal allergy. Family medical history included "his mom has Meniere's disease, it comes in rare spurts". Concomitant medication included fluticasone propionate (FLONASE [FLUTICASONE PROPIONATE]) 2 sprays per nostril daily in the morning and cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) 1 tablet by mouth every morning, both started on an unspecified date (been using them since he was like 12 years old), ongoing, taken for seasonal allergy. The patient previously received first dose of bnt162b2 (Lot Number: EW0176, Expiry date: unknown), administered in left shoulder on 03May2021 at about 16:00 for COVID-19 immunization and experienced soreness. The patient did not receive any additional vaccines on same date of the Pfizer suspect. The patient reported that he was having really bad side effects. He clarified that he had bad vertigo such that he could not do anything, but lay in the bed without getting dizzy. The dizziness was so bad that if he ate sitting up, he got nauseous and threw it all up. He reported that his symptoms all came on together. On 25May2021, after he ate, he felt like he could throw up but did not. On 26May2021, the patient ended up throwing up his dinner. He took Tylenol because it was recommended on 25May2021 and 26May2021. On 27May2021, his symptoms got worse and were just kind of staying the same. The nausea was if he moved his head around for a while like when walking, sitting up straight, or moving around for a while. Laying down was the only thing that did not make him feel sick. On the same day, he went to the emergency room and they diagnosed him with vertigo, but they did not know what was wrong. They prescribed him Meclizine for the dizziness. He was taking 1 tablet 3 times a day by mouth. The events dizziness and vertigo resulted in emergency room but not visited physician office. The patient did not undergo any relevant tests. The outcome of all the events was not recovered.

The patient received his COVID vaccine and about 5 minutes later reported feeling funny. The patient was nervous before getting the vaccine. After the immunization, the patient felt he needed to lay down on the floor. We had the patient lay on the floor and elevated his legs. I also took the patient's blood pressure which was 90/60, the patient stated his blood pressure always ran a bit low. We also gave the patient an ice pack. 10 minutes later the patient said he was feeling better and got back into his chair. We observed the patient an additional 15 minutes and then he left feeling fine.

Nausea; headache; dizzy; warm hand; This is a spontaneous report from a contactable Nurse. This Nurse reported for a 20-year-old male patient. A 20-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot number: EN6201 and expiration dates were not reported), via intramuscular route of administration on 11Feb2021as first dose, single for COVID-19 immunisation. The patient medical history included known allergies from risperidone. Concomitant medication included citalopram. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was unknown if the patient was diagnosed with COVID-19 prior to vaccination. It was unknown if the patient was tested for covid post vaccination. On 11Feb2021 the patient experienced nausea, headache, dizzy and warm hand. Adverse Event treatment included juice and observation. Therapeutic measures were taken as a result of nausea, headache, dizzy and warm hand. The outcome of the events was resolved. No follow-up attempts are possible. No further information is expected.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: patient felt lightheaded during observation period. He fainted and fell to the ground but was responsive. the Nurse at the clinic took his vital signs. Pt stated that he did not eat nor drink prior to vaccine administration. We provided gatorade and monitered him for an additional 30 minutes

Systemic: Dizziness / Lightheadness-Mild, Additional Details: patient felt lightheaded during observation period. He fainted and fell to the ground but was responsive. the Nurse took his vital signs. Pt stated that he did not eat nor drink prior to vaccine administration. We provided gatorade and monitered him for an additional 30 minutes

PATIENTS STATED FEAR OF NEEDLES BEFORE RECIEVING THE VACCINE. AFTER RECIEVING THE VACCINATION, ABOUT 2 MIN LATER PT FELL FROM HIS CHAIR IN THE WAITING AREA AND WAS FEELING VERY LIGHT-HEADED, SWEATING PROFUSELY, WAS FEELING HOT AND WAS PALE. PHARMACY STAFF PROVIDED PT WITH WATER AND COLD ICE PACK TO HELP WITH THE SWEATING. PT ALSO DRANK 2 GLASSES OF ORANGE JUICE AND AFTER 10 MINUTES BEGAN TO FEEL BETTER. AFTER 20 MINUTES, PT'S FATHER CAME AND DROVE HIM BACK HOME.

Syncope, fell from standing. I do not have many details as I am reporting second hand. Paramedics were called and provided support. Pt did report that he had not eaten since the previous day.

Systemic: Confusion-Mild, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe

Pt felt queasy head ache rapid breathing dizzy. He did not improve had him lay down and elevate feet. Tried to calm him and slow breathing ... pt then complained of chest pain and pointed to his sternum. I call 911 and reassured him as we waited . Pt was examined by EMS and refused transport. They told him to stay here until no longer dizzy. He left soon after

Sudden hearing loss, ringing in the ears followed by severe vertigo and hearing loss, hearing loss came on suddenly after 2-3 days of ringing in the ears, hearing has come back some but very little, vertigo went away after initial attack

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

Please see housestaff note for full details. In brief, 20-year-old neurologically normal man with history of asthma now presenting with new onset fever, headache and then status epilepticus. On 5/25 the patient received his second dose of COVID vaccine and then started to have intermittent fevers up to 102.5. This was associated with malaise, nausea, fever, headache, myalgias. He came to ED on 5/30 and had IVF, analgesics and a cardiac workup that was unremarkable and was discharged with diagnosis of possible pericarditis/myocarditis. He then had ongoing worsening headaches and increasing fevers and was unable to get out of his bed, and so his wife called 911 and he came to ED on 6/3. There he had vomiting and transaminitis and was diagnosed with gastroenteritis treated with flagyl. Headaches progressed and were associated with dizziness; he had HCT read as unremarkable but then while awaiting MRI had convulsion. He was returned to his room and had two more and thus was intubated, placed on propofol/versed, Keppra, dilantin, and broad-spectrum antibiotics and acyclovir before transfer to UCSF. on 6/5/2021 found to have reduced urine output, and serum creatinine found to be 1.72 and climbed >7 in days later normalized spontaneously with fluid support to 4.26 with continued improvement. LFTs were also found to be elevated. Was acutely encephalopathic. Seizures resolved on Keppra treatment though had acute agitation for several days. Slowly returning to neurologic baseline. with AKI and LFTs slowly normalizing.

Chest pain, that worsened with deep breaths or leaning forward or backwards, dizziness, chest tightness. Tingling down left arm during duration of dizzy light headed feeling

Patient got his vaccine and was instructed to sit in the waiting/observation area for 15 minutes. At approximately 3:10pm, I heard a loud bang and peeked my head out of the pharmacy and saw that there was a young man on the floor. He fell into the endcap. I immediately ran out to the customer. Upon talking to him, he did not pass out or hit his head but did severely scratch the left side of his cheek to his neck above is collar bone. I checked his blood pressure and it was 119/79. He initially said he felt very hot and was sweaty, then we gave the patient orange juice as he stated he hadn't had much to eat, and felt better after drinking the juice. He denied EMS and called his grandmother to come pick him up.

After 5 mins of receiving 1 st Pfizer covid vaccine at 10:55am, pt felt nauseous and dizzy. Pharmacist on duty instructed the patient to lay down facing up and started taking his blood pressure every 3 mins while giving the patient the electrolyte Vitamin drink( similar to Gatorade). His blood pressure and pulse readings were 100/60 (60), 93/51 (54), 104/62(68); 101/68(62), 108/79(67),109/79(67). So his blood pressure and pusle went down for 1 reading then it went back to his normal reading of 109/79 within 10 mins. After laying down for 15 mins and drinking vitamin drink, pt felt better as his nausea/dizziness went away. He felt okay and left the pharmacy at 11:30am. Pt reported no reactions to any vaccines before. His girlfriend called the dad to report the incident and the dad told her that his twin brother experienced the same reaction earlier today when receiving his covid vaccine at another site. His brother felt fine after 30 mins monitoring

He became dizzy and nauseous after about 10 minutes of sitting following the shot. Blood pressure and pulse were stable he was given water and a granola bar and his feet were put up. He was fine after 10 minutes and went home with his mother.

patient fainted about 5 minutes after getting first dose of Pfizer vaccine and fell and hit the back of head. Patient regained consciousness shortly after and was taken to hospital for observation due to hitting the head.

administer vaccine at 4:45pm , few minutes later patient attempted to get up lost balance , went down on one knee. remained conscious the entire time . pharmacist helped patient up , placed in chair , got patient water and gatorade . patients blood pressure was taken and read 111/77 . after a few minutes patient felt better . Left pharmacy after a total of 30 minutes with a friend to make sure he got home without incidence .

Feeling sick; Feeling dizzy; Seizure; vomiting; bad Headache; This is a spontaneous report from a contactable consumer. A 20-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via intramuscular, administered in arm right on 12Jun2021 (Lot Number: EN6198) as dose 2, single (at the age of 20 years old) for COVID-19 immunization. Medical history included asthma, attention deficit hyperactivity disorder (ADHD), Blood pressure high; all from an unknown date. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) taken for an unspecified indication, start and stop date were not reported and inhaler medication for asthma. No prior vaccinations (within 4 weeks). The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, LOT#EW0170), via intramuscular administered in right arm on 17May2021 (also reported as 07May2021) as dose 1, single for COVID-19 immunization and experienced no adverse effect. It was stated that it was just when he got the second dose of the COVID-19 Pfizer on 12Jun2021, it was supposed to be on 07Jun2021, but patient didnt go back in. Further stated that patient just started feeling sick just while ago (on unspecified date), but he started feeling dizzy on 13Jun2021. It was reported that patient got his second dose and on 13Jun2021, his vomiting could not stop and having bad headache, he could not stop vomiting. Consumer stated that he was trying to have like seizure or something on 13Jun2021. Reporter stated no treatment for the event. The patient had lab test at a hospital. They were checking out the Vitamin levels. The patient underwent lab tests and procedures which included checking out the vitamin levels: unknown results on 11May2021. The outcome of the events seizure, vomiting, bad headache was not recovered and outcome of feeling sick and feeling dizzy was unknown.

Headache while idle, and once I move and walk around I have random migraine spikes that last from 1-30 seconds making it impossible to drive, walk, jog, exercise, go to work, exc.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium

Site: Pain at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Additional Details: It seemed that patient was experiencing anxiety and mild syncope from the vaccine. His BP was 106/57 with pulse 59. I had him stay seated until the color came back in his face and he stopped sweating. He was much better by the time he left the store.

Patient asked to stay seated immediately following vaccination, as he has a needle phobia. Shortly after (roughly 5 minutes), patient said he felt extremely lightheaded and shaky. He accepted a glass of water, but after taking a few sips said his vision was starting to black in and out. 911 was called immediately. EMTs checked that patient's blood pressure and heart rate, and eventually concluded the patient was okay after giving him more water and a banana to eat.

pt reported dizziness and nausea after 15 mins at 12:20pm getting his 2nd dose of pfizer covid vaccine. Pt had similar episode of nausea/dizziness when getting his 1st shot 3 weeks ago. Pt was instructed to lay down and drink some Gatorade. Pharmacist on duty started measuring his BP every 5 mins with reading as below 99/60, HR:63 (12;20pm), 100/63, HR 59 (12:25pm), 101/62 Hr 71(12:30am). Pt 's nausea and dizziness was gone after 10 mins laying down at 12:20pm. Pt recovered completely without other complication and left the pharmacy at 12:40pm

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Weakness-Severe, Additional Details: pt fell to th floor 10 minutes afterward,called paramedics and was transported to ER

Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Additional Details: Patient was given COVID shot in the shot administration room and then walked back to the pharmacy. He then fell/began having a seizure which was around a minute after administration. The pharmacist turned him on his side and held his head. The seizure lasted around 5 -10 seconds. 911 was called and first responders assessed patient. Patient reported that this has happened multiple times before after recieving vaccinations. After their assessment, he was able to walk out of the pharmacy.

Dizziness, fatigue, nausea, numbness and tingling in all extremities. This has been occurring roughly a week after the initial vaccination.

Sudden feeling of lightheadedness; Heart started racing; This is a spontaneous report from a contactable consumer, the patient. A 20-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0150) via an unspecified route of administration in the left arm on 02Apr2021 at 14:15 (at the age of 20-years-old) as a single dose for COVID-19 immunisation. Patient medical history was provided as no. The patient did not have any known allergies to medications, food, or other products. Concomitant medications included ibuprofen (MANUFACTURER UNKNOWN). 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 did not receive any other vaccines within four weeks prior to the vaccination. On 02Apr2021 at 16:15, the patient had a feeling of light-headedness and patient's heart started racing, which lasted for about a minute or two. The adverse events did not result in doctor or other healthcare professional office/clinic visit/ emergency visit. No therapeutic treatment was taken for the reported events. The clinical outcome of the events feeling of lightheadedness and heart started racing was recovered on 02Apr2021. No follow-up attempts are needed. No further information is expected.

I received the second dose of Pfizer COVID-19 vaccine on Friday, July 23. The next day I woke up with extreme fatigue, dizziness, headache, and aches. On July 26, I received a call from Walgreens stating that I was given a higher concentration of the vaccine due to a dilution error.

Incident occurred at 6:45 pm after administering the Pfizer vaccine. Thee patient complained of dizziness and nausea. Checked blood pressure which was 110/80. Gave patient water and he vomited right after. Patient said he felt better after vomiting. He was able to walk without assistance and said he was fine to go home. Time course was approximately 15 minutes.

Patient sitting in chair and lost full consciousness. Patient fell over out of chair, hitting head on floor. Patient face mask removed, patient noted breathing but remained unconscious for a about 30 seconds. Upon regaining consciousness patient is alert and oriented x4, and diaphoretic. Denies any pain or discomfort at this time. Denies any other signs and symptoms. Denies Hx of anaphylactic reaction to medications, food, or vaccines. Patient denies adverse reactions to vaccinations in past. Vitals: 11:07: BP 123/55. Pulse 55, SpO2: 97%. Pain: 0; Rapid response called by staff. Rapid response team arrived and updated on patient's status. Patient transported to ER with rapid team per physicians recommendation at 11:10.

Client called around 4pm today 1/14/21 to report he was at work and started feeling dizzy, has headache, and blurry vision. He had received 1st COVID vaccine around 11 am today 1/14/21. Advised to seek medical care w/PCP as soon as possible or go to ER. Advised not to drive or stay alone. He stated someone was with him to help out. Verbalized understanding of seeking medical care.

about 5-7 minutes after injection I began to feel dizzy and very weak with tachycardia. ~140 BPM, seeing stars, and unable to concentrate (feeling as I will pass out) Symptoms lasted for about 10 minutes and recovered gradually on its own.

Patient received COVID vaccine at 6:16pm and began having symptoms post vaccination at 6:28pm. Patient reported feeling dizzy and "things went black," he then got up to go to observation nurse to notify her and did experience a fall but was caught by observation RN. Patient was cared for by observation RN and paramedic on staff. Patient was given fruit snacks and juice and began feeling better. Patient was monitored for additional time and was able to leave on his own, patient did not drive/got a ride home. No medications were given to patient.

Patient admitted to hospital for progressive bilateral lower extremity weakness, sensory changes and inability to ambulate. Neuroimaging with significant degenerative disc disease with disc protrusions throughout the lumbar spine, greatest L3-L4, and with severe central stenosis. Question of radiculopathy vs peripheral neuropathy at admission, but no acute findings such as cauda equina syndrome. EMG consistent with atypical variant of GBS--acute motor sensory axonal neuropathy.

First day I was lightheaded, dizzy, sore all over, weak and had the chills. The second day i had severe chest pain and trouble breathing, I went to the ER and was admitted into the hospital because of this. After an EKG it was found that I had Myocarditis. To treat it they gave me an IV for the pain, then I was prescribed ibuprofen and 2 other meds for the inflammation around my heart.

About 5-7 minutes after vaccination I felt very weak and dizzy; About 5-7 minutes after vaccination I felt very weak and dizzy; Saw stars, and very high heart rate; Saw stars, and very high heart rate; This is a spontaneous report from a contactable other hcp (patient). A 21-year-old male patient received first dose of bnt162b2 (BNT162B2) , via an unspecified route of administration on 15Jan2021 10:00 at single dose on left arm for covid-19 immunisation. Medical history included ongoing penicillin allergy. There were no concomitant medications. The patient stated that, "About 5-7 minutes after vaccination I felt very weak and dizzy. Saw stars, and very high heart rate" on 15Jan2021 10:00. No other vaccine in four weeks, no other medications in two weeks. No COVID prior vaccination, no COVID tested post vaccination. No treatment was received for the events. The outcome of the events was resolved in Jan2021. Information about batch/lot number has been requested.

Tingling sensation down right arm (arm of injection) into fingers. Had sensations of hitting funny bone in elbow. We gave apple juice. Started to feel light headed and escorted to emergency room.

Trouble breathing; Lightheaded/dizzy; Chills; Sore all over; Weakness in legs; Chest pain; This is a spontaneous report from a contactable consumer (patient). This 21-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EK9231), via an unknown route, on 12Jan2021 at a single dose on the left arm for COVID-19 immunisation. No relevant medical history and concomitant medications were provided. No known allergies. Pre-vaccination COVID test was not performed. On 13Jan2021, at 05:00 PM, the patient had lightheaded/dizzy, chills, sore all over, weakness in legs, chest pain and trouble breathing. On 14Jan2021, COVID test (Nasal Swab) was done and resulted negative. The events required an emergency room visit. Then, the patient was hospitalized for 3 days due to the events. Therapeutic measures taken as result of the events included ibuprofen and 2 other medications. The patient was recovering from the events.

Onset of symptoms occurred 10 minutes after vaccination. Symptoms included elevated heart rate, light headed, heart palpitations, dizziness, dry mouth, mild chest discomfort, chills

Pt had mild SOB , lightheaded and felt warm rush apx 5-10 minutes after vaccination, Tx with IM benadryl and given apple juice and remained stable, improved, no wheezing, seen at medical triage area on site

Pt became lightheaded, nauseous and sweaty with 2-3 minutes of receiving the vaccine. He stood up to alert us he was feeling lightheaded and then fainted. We applied an ice pack because the patient was hot. No sign of reaction at the injection site, nor did the patient state he had trouble breathing. Over a period of 30 minutes, the patient recovered and did not lose consciousness again. Patient left under their own power.

"Pfizer-BioNTech COVID-19 Vaccine EUA" About 2 minutes after receiving my first dose, I had several common symptoms such as tiredness and soreness. However, I started feeling very lightheaded and felt like my hearing wasn't as good for up to ten minutes after the onset of symptoms. About 15 minutes later and having a piece of candy along with some water, I felt much better and was able to drive home and go about the rest of my day.

Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted and fell from the chair he was sitting while being obeserved. after a few minutes, he woke up by him self and got up by himself.when i (rph at the store) got there,he was awake and able to talk to me .i took his blood pressure and it was normal and oxygen sat was also normal.we advised him to contact his pcp asap and fainted again and go to er.

Chills @ 5 am till 6 am Lightheadedness @ 5:30am Vomit @ 5:45 am Fever & night sweats from 6 am till 1pm

Patient reported feeling dizzy. Patient was sitting in chair and fainted approximately 5 minutes after receiving the vaccine. Patient was unresponsive for about 30 seconds. Patient was not injured from fainting (This writer was able to catch him and guide him to the ground). Patient remained in pharmacy for about 45 minutes. Patient was given water, a cold compress, and candy (Patient felt that his blood sugar was low and requested candy). Patient left feeling well.

Pt reported feeling dizzy and showed signs of a vasovagal . Pt was moved from vaccine chair to observation unit via wheelchair where he was observed lying down. His vitals after 10 minutes were 149/76. Pt reported feeling better and BP at 1830 was 129/76. Pt ambulated out of the facility accompanied by Dr.

Patient states that on day of vaccine, after receiving vaccine he felt tired, didn't feel well. Around 8pm that evening, he began having chills and didn't sleep well. On 19MAR, patient states he felt tired and vision got blurry while driving. Last thing he remembers is EMS personnel in ambulance stating that BP was very low. Patient states that while trying to brake prior to accident, he felt like he couldn't move his foot and stayed on the accelerator because he couldn't move his foot. MVA 19 Mar 2021. States following his COVID vaccination on 18 Mar, he had fevers, chills, and body aches that night and into the next day. While driving to work on 19 Mar at 0900, he struck another vehicle from behind while traveling 40mph. States his vision went blurry and he was unable to move his leg off the accelerator. He was wearing his seatbelt and the airbags deployed. Denies any LOC. He was taken via ambulance to. Imaging performed, as above, unremarkable. SM denies any issues today and feels well, besides neck pain. Unremarkable neurologic exam in clinic, no focal neuro deficits. MACE completed and showed a 2 point improvement from yesterday. Discussed importance of physical and mental rest, limit caffeinated products. Light indoor duty and no PT for next 3 days. Will f/u on Friday, 26 Mar 21.

1450 pt arrives to observation unit following his injection complaining of feeling warm, sweaty, dizzy, and a little fuzzy. this episode lasted about 10 seconds BP 137/86 HR 75 Oxygen st 98% room air 1455 pt is feeling better since arrival he is drinking water and tolerating it well. BP 133/79 HR 78 oxygen 98% room air 1502 pt is standing and feeling better standing BP 134/78 1510 pt is released from observation taken to exit via wheelchair

4/1/2021 Patient was observed post Covid-19 immunization for 30 minutes due to complains of dizziness . During the observation period, he experienced an adverse reaction with the following symptoms: dizziness, light headed. Assessment : Time of assessment 1148 Alert and oriented, anxious, Actions taken: Vitals sign taken at 1148 BP- 118/70/ P- 63, O2- 100% recheck BP- 116/74. P- 62, O2- 100%, Water given, Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/1/2021 11:38 AM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: EP7533 Electronically signed RN at 4/1/2021 12:12 PM

Patient had vasovagal response. passed out in waiting area. Pt immediately laid on his back by pharmacist and another patient, legs were propped up and patient started to come to. He was aware of all surroundings and had no trouble breathing. no rash was noted and no other injection site reactions were apparent.

Patient was in medical observation fell on floor and passed out. Moved back to cc part of building where we kept for 30 plus minutes. Asked patient if he hit his head he stated no- no neck problems just right knee was hit when he fell. BP 115/72 mmHg, pulse 72 bpm, pulse ox 99%, RR 16 brpm. Patient was monitored for 30 minutes and then discharged home.

Felt anxious about the shot and got it at 10:48, started feeling dizzy at around 10:55 during the 10 minute waiting period, then started to black out and I immediately told the nurse who's quick actions prevented me from fully fainting (laying me down and giving me food/water and elevating my legs). Blood pressure was fine she said along with O2 levels. Left around 11:25 after I felt able to. We both think this was likely related to the anxiety about getting the shot itself (I have anxiety in general so it was not paired with a mistrust or anything about the vaccine) and began fainting 7 minutes after getting the vaccine. I was anxious about any possible symptoms and needles/shots/blood draws make me feel uneasy. However, this issue was not present with the first shot.

Low-grade fever, headache, loss of appetite, fatigue, dizziness, moderate pain at the site of injection. Symptoms began approximately 12h after inoculation.

Patient received vaccine at approximately 3:00. Patient c/o feeling light headed, nauseated and showed signs of being disoriented. Patient was evaluated by EMS which were onsite to monitor individuals after being vaccinated. EMS stated that the patients vitals were WNL but was going to transport patient to ER for further evaluation. Patients status is unknow at present time.

Patient stood up a few minutes after receiving the vaccination and fell over. Patient got back up with assistance from pharmacist on duty and was advised to sit with head down for a few minutes. Pharmacy personnel called EMS to be safe. Patient recovered and started drinking some water given to him with no concerns. EMS walked out with patient after his 15 minute observation period was up, but he seemed stable at that time.

First dose: Dec 16 Symptoms spanning 36 hours after injection as well as occasional joint pain in left elbow, wrist and knuckles. 36hr symptoms included: Fever, fatigue, muscle and joint pain in legs and arms, chills. 2nd dose, jan 6: Symptoms spanning ~60 hours (two days following vaccination + day of vaccination)Symptoms included: headache, low grade fever, muscle and joint pain in legs and both arms, chills. Symptoms almost completely resolved after that period, occasionally had some very mild joint pain still.*Note after both doses, pain in left arm was more severe than right arm* Starting the night of Jan 22 (fri) started having light leg pain, which carried into the 22nd. Dismissed it as too much walking the next day.Jan 24: leg pain a bit more severe, from a 1-2 to a 2-3. Included joint pain in left knee and ankle. Jan 25: pain in both legs at a 3-4, also mild pain in left arm (1-2) as well as joint pain. Jan 26: pain in left arm more severe, leg pain similar in severe. Very mild pain in right arm starting that evening, though only in upper arm. No joint pain in right arm Jan 27: pain in left arm similar in severity, slight increase in right arm pain, would rate 2-3 in right arm, 3-4 in left arm, 3-4 in legs. Muscle weakness in legs (legs shaking when walking down stairs for example) Jan 28 (Thurs):Symptoms started fading. Arm pain lowered in severity in both arms, as did leg pain. By Saturday all that remained was mild leg pain (1-2 in severity)Since then, leg pain has persisted. Week of Feb 14, leg pain increased in severity back to a 3-4. Visited the doctor on the 17th and had blood-work done on the 23rd after severity didn't decrease. Blood-work was normal other than slightly elevated lymphocyte % (50.8%)Visited a specialty medicine doctor on 2/25 and had x-rays done of legs. Results normal. Thought to have developed Achilles tendinitis. Possibly attributed to inflammation in legs, doctor wasn't sure. Rough quote "could it be from the vaccine, possibly, we just don't know." Have been doing stretches since which has helped the leg pain. Starting on March 12, I began to have pain in my left arm again, and ended up getting vertigo that evening. The arm pain persisted on and off from then on out, as well as occasional dizziness, which I treated with Dramamine. I did get an appointment scheduled with a neurologist in May that I still have. On March 25, I began to feel unwell, with a fever, dizziness, and a headache. That worsened into the evening, and I woke up at around 3 am with a high fever, that ended up going to about 103 F, and began vomiting around 4:30am on Friday, which persisted into the evening. On Saturday evening I began to feel better. With that recovery, the constant leg pain and frequent arm pain seemed to be gone, and has yet to return to the degree that it had been prior to that bout of sickness. I do still occasionally get arm or leg pain, but it's minor and only lasts about 20-30 minutes at a time.

Patient became dizzy and lightheaded with blurred vision after receiving first dose of Pfizer vaccine. Patient stated he had a history of dizziness and fainting from shots. He also stated he had not eaten that morning. Patient laid down for 15 minutes. Vitals were monitored and improved. He refused transport and left clinic on his own.

Vaccine administrator (mother) was well aware of patient's vaso-vagel response. Patient sat in chair, Pfizer #1 vaccine given in LD. 5 minutes later patient stated he was about to pass out. Patient then passed out. Patient laid on the ground with 3 RN's assisting. Feet were elevated, cool cloth to forehead, and remained on the floor for 10 minutes. Recovered in the chair for 30 minutes of observation.

Patient given Pfizer vaccine at 4:34 pm, several minutes later approximately 4:40 pm this provider was alerted by other staff member to report to waiting room where patient was waiting post-vaccination. Patient was being supported by other staff member and mother against the wall due to him not being able to support himself. Patient was semi-conscious but responsive at this time. With the help of this provider, mother and other staff member, patient was gently lowered to floor and laid in supine position, head was supported and assisted with elevating his legs. Shortly after patient responded that he was feeling much better then attempted to try and sit up but started to feel lightheaded and was then assisted with laying back in supine position. Patient's pulse and blood pressure was checked. At 4:45pm pulse was at 38 BPM and then at 4:47 pm 55 BPM and blood pressure at 90/60. This provider then alerted other staff member to call EMS due to abnormal vital signs. EMS did arrive shortly after and then patient was assessed per EMS. Patient was stabilized and elected to not go to hospital. Patient left with mother to go home at approximately 5:01 pm.

Patient received second Pfizer COVID-19 vaccine at 1:55pm. Patient was told to stay in store for 15 minutes. Patient then reported feeling nausous and headed to the bathroom around 2:00pm. Patient reports passing out in the bathroom stall around 2:02pm. Pharmacist was notified by the patient of the incident at 2:04pm. Patient reports hitting his head. EMS was called via pharmacy clerk. Pharmacist took patient's blood pressure (148/62) and pulse (68) at 2:07pm. Patient reports to pharmacist that he had not eaten anything yet for the day and does have a fear of needles as well as history of passing out when getting blood drawn. Pharmacist provided a bottle of water and a plain chocolate bar for the patient to consume while waiting for EMS to arrive. EMS checked over patient since he complained of pain at the base of skull as a result from fall in the bathroom. EMS checked blood pressure (138/74) and blood sugar (78) at 2:18pm. EMS cleared the patient but did education the patient to report any signs or symptoms of concussion. Patient was then escorted home via his girl friend.

Patient was in the health COVID 19 clinic for his 1st dose Pfizer vaccine. Vaccine was administered and patient was sent to the observation area for a 15 minute wait. Upon arrival to the observation area he sat down in a chair and states that he " begin to feel dizzy and then blacked out". Patient was found on the floor by observation nursing staff. He was alert and oriented x4 and vitals were with in normal range. Vitals were as followed: BP 118/74, Heart rate: 79 and regular, 02 98 on room air. Patient was assisted to the emergency pod and he stated that "this happens all the time with needles, and plus I haven't had anything to eat this morning." Gave the patient crackers and a coke monitored for 35 Minutes.

5 minutes post vaccine, patient became dizzy and experienced syncope. Patient was brought to ER. Patient had not eaten any food that day.