Pfizer

Immediately after vaccine administration, patient reported he felt faint. Had flushed cheeks and increased blood pressure. Had patient recline and was monitored for 20 minutes and felt better.

Sore Left Arm, slight muscle aches and lightheadedness that lasted 24 hours after the day the vaccine was given.

Fifteen minutes after receiving vaccine, patient became syncopal upon standing after his observation period. He fell to the ground, hit his head. Patient was diaphoretic and pale afterwards, and taken to the emergency room for evaluation due to fall.

Employee stated he did not feel well felt flush dizzy. Employee skin was diaphoretic. Walked employee to EMT station, he was able to walk without assistance. Rested on stretcher, stated he was feeling better and left the facility on his own at 1450

After receiving the first dose of the COVID vaccine I was experiencing headaches, dizziness, lightheadedness, palpitations, and nausea. The first dose was on 12/21/20. These symptoms resolved around 12/26/20. I received the second dose of the COVID vaccine on 01/11/21. I began experiencing symptoms on 01/12/21. The symptoms I was experiencing were lightheadedness, dizziness, and brain fog/confusion. These symptoms got significantly worse from 01/13/21 - 01/24/21 and I began developing profound confusion/brain fog, diplopia, blurry vision, headaches, feeling like I'm swaying on a boat, and the "feeling of being drunk". As of 01/25/21, the symptoms have seemed to get better and I am starting to feel more like myself. The drunk feeling and mild blurry vision are still present as of today 01/28/21.

10 minutes after the second dose, patient developed headache, lightheadedness, dizziness, shortness of breath/anaphylaxis. Transferred to ED, and experienced chest pain, SOB, tightness in throat. Patient was sent to the emergency department. Received 25 mg Benadryl prior to arrival as prophylaxis. Received Combivent in the ED, and symptoms improved. Patient was observed for 4 hours in the ED. Eventually patient was discharged home.

1/28 - First dose of vaccine received. Arm felt heavy, not sore. Throughout the day, fatigue gradually increased. Before bed time, had cold sweats and shakes. 1/29 - woke up feeling perfectly fine. 2/17 - Second dose of vaccine. Arm felt sore and was sore two days after. From 2/18-2/20, I noticed the effects of the Cymbalta were gradually decreasing and was experiencing side effects (shocks from toe to head every step). Turns out that even with taking my regular dose of the Cymbalta, my body after 2 hours feels like I had never taken it. 2/20 - After experiencing heavy shocks, shaking, and heart racing, I went home after coming into work 3 hours later. 2/21 - Woke up today feeling dizzy, fatigued, and weak. I know that operating a motor vehicle will not be possible for me.

1/8 vaccination 12:30 2 hours later, I got really fatigued; couldn't walk. Quads locked up. Nausea. I couldn't even it hurt. Nausea and vomiting for 7 days. Fever, shivers, chills. That Monday after vaccine, I couldn't even care for patient due to fatigue and nausea. 1/11 urgent care. Covid; negative. Prescribed Ibuprofen and Zofran *quad still hurts.

I had a blood report taken on the 25th of February as a part of my physical. I have never had elevated platelets, but this report showed my platelets at at 499 (130-450 is reference ranges of the lab). A year ago, my platelets were just below the max at 445. Upon discussing with my PA, he didn't feel too concerned, but after asking if the first dose covid shot may have something to do with it, that became a potential etiology. I am very unsure of my elevated platelets is associated with the first dose. Arm was stiff on injection date for approximately 6 hours. Felt slightly flu like symptoms (headache, dizziness, fatigue) that same evening of injection date and felt fine the next morning. Blood specimen was taken on 25th of February 2021. Diet at the time is a ketogeneic diet. I'd like to make it clear I mean no deception and am unsure if there is an association with the vaccine and platelet levels, but my elevated platelets is inconsistent with any other blood report in the past, and the dose 1 covid vaccine was the only "new" thing in my life prior to the blood draw. I figured, better to let y'all know in case it became relevant. Currently on no treatments for the platelets and was told to "not worry about it" which is hard for me to just take.

Patient stated to RN at observation that " he wants to lay down". RN stated that "she held his head" as he experienced a syncope event. RN notified Nurse Practitioners . EMS activated. Patients assessed and found to be alert and oriented to place and person. Patient stated that he felt dizzy. Vital signs monitored and patient found to be hypotensive, diaphoretic, and flushed. Epinephrine administered X3 with vital signs monitored in between. Vital signs stabilized and patient transferred to hospital with EMS.

1 week after 2nd dose exactly (3/3/21)- Increased heart rate, hard to breathe, sweating without fever, nausea, headache and fatigue. From approximate 9:00 am - 12:00 pm 3/4/21 - Severe chills, fever 102.3, nausea, body aches, insomnia, severe headache frontal lobe and back of head, chest pain when inhaling deeply. 5:00 am - 7:00 pm; got tested for covid and flu this day both came out negative. 3/5/21 - Headache, fatigue, difficulty breathing, nausea, loss of balance.9 am - 1:00 pm. Got plenty of rest the night before should not be tired at all. 3/6/21 - chest pain on left side. 1 am ~ 3 am.

On the same day after the vaccine I had a fever and no energy. The next day my arm was still sore and I felt better until around 11pm. I had a fever again of 100.4 and fatigue and dizzy ness.

Patient was sitting down for a few minutes after their vaccine and then got up to tell the pharmacy staff he wasn't feeling well. He walked back to the waiting room and fell onto the bench. I went out to sit with him and held onto him as he passed out/lost consciousness for approximately 20 seconds. We gave him water and called 911. The paramedics arrived and checked his vitals. He was fine after that and stayed for about a half an hour before he left.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: COLD TO TOUCH AND SWEATING, DIFFICULTY HEARING-Mild, Systemic: Flushed / Sweating-Medium

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Additional Details: Patient fainted, unfortunately did fall, however despite some bruises was ok. Waited for family to come to get him and was able to leave under his own power. Ambulance was called and he was checked, no issues found and did not leave with ambulance.

5-7? after vaccine, had a fainting episode- fell out of his chair, hit forehead on the floor. Vitals taken immediately after the event and again 10? after event. Vitals stable both times. Patient lay in a cot and drank water to recover. Felt well after 35? and left clinic.

On 2/13/2021, I began to experience both enhanced and new musculoskeletal and neurological symptoms that have not completely resolved still, today, 3/16/2021. While I had experienced some slight discomfort and pain of the b/l thumbs 2-3 weeks prior to 2/13, I began to experience increased pain up to the forearm in both arms on that day. In addition to pain, I had large muscular knots in the superior forearms, especially the right arm. The lower right arm felt extremely tight, and I was having difficulty raising the arm and gripping things. This continued for 2-3 weeks on the right arm. During that time, symptoms worsened on the left arm, while improving on the right arm. A week after the initial symptoms my left arm became worse, and I was struggling to lift objects as light as a sheet of paper. I was also having trouble typing at work, dialing the phone, and opening or closing my hand. Just over a week after symptoms began, I left work to determine a cause and solution for my issues. I also began to have tremors, extreme muscle spasms, and involuntary movements around this time for about 2-3 weeks. While the neurological symptoms have mostly subsided, still, today, 3/16/2021, I continue to deal with various inflammatory musculoskeletal symptoms affecting mostly my left arm, but also my right arm. Since yesterday, my left shoulder has begun to have pain as well, making raising my arm and reaching to the opposite side difficult due to pain. I have also had persistent popping of various joints in both arms since the initial symptoms began.

c/o sob, stomach upset, lightheadedness, diarrhea and fatigue, onset 3/8/21. dose 1 Pfizer Covid vaccine given at a medical center 3/4/21, denies any anaphylactic type reactions immediately post vaccination. Reports the fatigue was so severe that he almost fell asleep while driving and "almost had an accident". He had a negative covid-19 test at the medical center on 3/10/21, however his sx persisted especially the feeling of sob and lightheadedness so he presented to ED for eval on 3/15/21 where he had another negative covid test. He received fluids and a CXray was done and negative. His home O2 sat has been 94% and HR 75. Hedneis any ahx of asthma or lung disease. The fatigue has subsided today but can be intermittent and random, yesterday he had 3 episodes of sob intermittently w/o wheezing or chest pain. he denies loss of taste or smell, the lightheadedness has subsided today.

Nausea - lasted about an hour (11:00 am - 12:00 pm) Light headedness - lasted about 15 minutes (10:45 am - 11:00am) Soreness in left shoulder - ongoing (has been sore since 11:00am on 3/16) it woke me up a few times during the night while sleeping.

Pt. in observation was feeling dizzy with headache. Paramedics assessed the Pt. once he was feeling better and symptoms subsided he was released to leave.

Client informed RN that he gets lightheaded after getting vaccination because he is afraid of needles. He received the vaccination and started to feel light headed at 1:10 pm. Client was placed on the floor with legs higher.

called to pt vehicle for n/v, minimally communicative down syndrome adult in presence of mother, pt unsteady on feet, scant yellow vomit. Pt escorted to observation tent. While in observation pt O2 sat decreased to 80%, pt became lethargic & dizzy. EMS called at 1334, arrived at 1340. EMS onsite O2 applied and O2 sat improved to 92%, somnolence continued, VS obtained glucose 101, BP 126/74, pulse 77, O2 93%. Pt left site via stretcher with EMS in route to nearest ER for futher eval & tx.

While in observation for 15 minute post vaccination observation period, recipient complained of dizziness, numbness, light headed, tight chest

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: ANXIETY, monitored 1 hour post incident -Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Prior to injection patient fainted/syncope, and slowly made his way to the floor with assistance of RN. Pt. was \"out\" for 3-4 sec. aRevived with gentle shaking. Pt was face down taking slow breaths, patient was completely diaphoretic and lost control of his bladder. Paramedics arrived on scene with in minutes and monitored vitals. Pt reported feeling fine but embarassed and still wanted his shot. vaccine given, with paramedics present. pre-syncope rxn., due to anxiety, but fully responsive.

Patient after receiving COVID vaccine and was waiting the required 15 minutes, patient fainted while getting up. First blood pressure was 100/60 while laying down. Patient was conscious, just said he got dizzy and lightheaded. Patient indicated he had not ate in the morning. Second blood pressure was 118/78. Patient does have history of syncope

Patient was waiting for the 15mins post vaccine. Three minutes into waiting, patient slumps and falls out chair. He hit his head and turned face down, he then began to start seizing. During this time we held his head, to ensure he did not continue to hit the floor. A team was called, and the team attended to the patient. Patient's vitals were taking and he was stable. To take precaution, he was placed on oxygen to ensure he was comfortable during transfer. When picking the patient off the floor with the staff, patient began seizing once more before being transferred to the ED.

ED Note: At 1650, patient was observed following another nurse to the observation area, when he began swaying from side to side, lost consciousness and landed on his right side. This nurse approached the patient while other co-workers were assisting him to a chair. The patient was regaining consciousness. The patient's vital signs were as followed: 112/96, pulse ox 99%, pulse 46. This nurse gave the patient water and the patient was alert and oriented X 3. The patient c/o left knee pain but denied any other symptoms. This nurse again checked his vital signs at 1655: 85/52, pulse ox 100%, pulse 86. At this point, rapid response was called and report was given. This nurse moved the patient to a wheelchair to prepare for transport to the E.R. The patient denied any further symptoms at this time except pain in his left knee. This nurse checked his vital signs at 1658: 102/64, pulse ox 100%, pulse 59. Rapid response arrived and this nurse gave report to them. Patient was transported to the E.R. via stretcher. No further issues noted at this time. Pt reports he has a history of getting nervous and "passing out" when getting blood drawn or getting a shot. Pt stated that when he stood up after getting his covid vaccine he felt lightheaded and passed out. ED staff responded to vaccine clinic At 1658 where pt's VS were as follows: 102/64 HR: 59 Sats 100% At present time, pt reports feeling "totally normal" and does not feel that he needs to stay to be seen in ED. Pt comfortable with being monitored by RN for 10 min. Pt still does not want to be seen in ED, wants to leave. Pt ambulated out of ED without difficulty.

ON ARRIVAL TO OBSERVATION AREA SEVERAL MINUTES POST VACCINATION, PATIENT OBSERVED AS PALE AND COMPLAINED OF FEELING FAINT. NP HELPED HIM TO THE FLOOR TO SIT. TRANSPORTED TO TRIAGE 1 VIA WHEELCHAIR. DR. ON SITE WITH PARAMEDICS. THIS REPORTING NP ALSO ONSITE WITH NP FROM OBSERVATION AREA. PATIENT'S MOTHER ALSO IN TRIAGE AREA FOR DURATION OF ASSESSMENT AND STABILIZATION. VITAL SIGNS TAKEN AND OBSERVED WIDENED PULSE PRESSURE INITIALLY. PATIENT REMAINED FULL ALERT AFTER 10 MINUTES. hE WAS OFFERED ORAL FLUIDS INCLUDING WATER AND APPLE JUICE. PATIENT WAS RELEASED TO LEAVE FOLLOWING SITTING UP FROM GUERNEY WITH FEET DANGLING THEN GRADUALLY STANDING FOR A MINUTE OR SO BEFORE BEING RELEASED TO LEAVE WITH HIS MOTHER WITH HIM. HE WAS ADVISED REGARDING VASO VAGAL REACTION TO INJECTION AND THAT WE WILL TAKE PRECAUTION WITH SECOND DOSE OF COVID-19 VACCINE.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Pt was pale and stated that he felt as if he was going to pass out, Pt given orange juice and cool paper towel and monitored. Symptoms improved within 10 minutes and pt was able to leave store unaided.

In observation area, patient was beginning to slouch in chair. Nurse approached patient and caught him from falling. Had second syncopal episode that lasted approximately 20 seconds, while nurse was holding him. Blood pressure 121/63, blood sugar 112 mg/dl.

Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Additional Details: patient was administered vaccine, was feeling well and walked to waiting area. patient \"lost balance\" and fell to floor, hitting his face and began bleeding from his nose and upper brow area. Technician retrieved an ice pack from pharmacy, and in the meantime, worker aided patient to sitting position, which was when patient began to seize. worker called EMS while holding patient's head steady. Patient regained consciousness and EMS arrived. Whole event lasted around 5 minutes.

Pt arrives to the observation area after feeling faint following the vaccine administration. he arrives pale/pasty in color and diaphoretic but alert and oriented. he states he has passed prior when having blood drawn 1700 BP 110/56 HR 56 oxygen sat 100% room air given 120 cc of apple juice tolerated well 1710 BP 115/61 HR 47 oxygen sat 96% room air color is better in the patient 1715 patient given another 120 cc of apple juice 1720 patient states he runs 15 miles a week and that hus resting heart rate is 46 1725 patient sitting on the edge of stretcher feeling better bp 124/62 hr 45 oxygen sat 99% room air 1730 pt discharge home with self and taken to exit via wheelchair

26by/o male, c/o lightheaded ness, dizziness, buzzing in the ears, stated ?I think I passed out?. Pt was pale, cold, clammy, diaphoretic but able to answer questions appropriately. PARAMEDICS came to check pt. V/S HR 51, BP 107/70, O2 sat 98%. NS BOLUS GIVEN, sent to HOSPITAL FOR FURTHER EVALUATION.

C/o lightheaded ness, upon assessment pt was cold, clammy, diaphoretic. Paramedics V/S HR 73, BP 118/69. pt s/s resolved, able to be discharged without s/s distress.

Recipient felt lightheaded after receiving vaccine. Did not lose consciousness but did lay himself on the ground. He stated this happens each time he receives shots but did not inform anyone of his condition. 911 was called and he was evaluated but refused to go to the ED.

About 10 minutes after receiving vaccination, patient started experiencing cold sweats and he felt like we was about to pass out. I took him into the clinic room and allowed him to lay down and began to fan him down for him to cool off. After 1-2 minutes, we put him on his back and elevated his feet. While he was laying down, I checked his blood pressure and it was low. I let him lay down for 5 more minutes and he started to feel much better and was cooled down. I slowly got him up and allowed him to sit and checked his blood pressure again. The blood pressure began to normalize. After 5 more minutes, I told him to get up and slowly walk to another chair in the room. Once he was rested there for about 5 minutes, I checked his blood pressure a 3rd time in the opposite arm and it was normal. He no longer felt the light headed feeling and was cooled off. The patient's partner then informed me that he has a fear of needles and the last time he received a vaccination about 7 years ago, the same reaction happened.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient felt lighthead and almost passed out. Sweating was profuse but no fever.

Site: Pain at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Additional Details: Patient experience Syncope

Patient was sitting for his 15 minutes. At about 5 minutes after his vaccine he passed out and fell off his chair to the floor. The Pharmacy intern noticed that the color of his skin was like a purple and he was passed out. When she started to approach him he started slowly moving his head and adjusting his eyes. He said he felt really dizzy and we had him lay down. He was very sweaty and was shaking a little bit. I took his blood pressure at 11:53 and it was approximately 124/93. He was responsive but feeling dizzy and warm and I stayed with him until the paramedics arrived at about 11:54

Lightheaded about 3 min after getting vaccine. Placed in w/c to medical bay. Lie down on gurney, stated feeling much better. Pt ate few fruits/banana @ 5 am today. He reports had similar symptoms with previous blood draw. Alert oriented. Speaks in full complete sentences. Denies diff breathing. No facial swelling. VSS - in no apparent distress. Able to ambulate without difficulty. Steady gait. States able to drive home per pt. Instructed to follow PMD. Pull over if any symptoms. BP 117/60; HR 64 RR 15, SpO2 100% on RA

Client in Observation area post vaccine, client reported feeling dizzy and lightheaded fainted and landed face down on cement. Client responsive within seconds. EMT and MD on site, assessed client. Vitals taken BP 132/73, HR 80, O2Sat 99% Blood Sugar 87. Client reports did not eat or drink anything this am. Client assisted to chair, was provided gatorade and pretzels. EMT assisting with providing care to scrape to forehead.

Assessed by provider. Given OJ and crackers due to patient report that he has not eaten since lunch. Syncope/dizziness; BP 131/95; HR 82; RR 18; SpO2 99%

Patient presented to ems with light headedness. Patient taken into hallway for evaluation, patient stated they started to feel dizzy and lightheaded. patient history of anxiety, patient thinks it may be due to anxiety but would feel more comfortable getting evaluated. First set of vitals patient was hypertensive 153/99 & tachycardic 120, all other vitals within normal limits, patient layed on stretcher and was given water, after conversating with the patient to try and get his mind off the vaccine scenario, patient vitals reassessed every five minutes, blood pressure and heart rate started going down to his normal range, patient states he has a history of high blood pressure & does not take any medication to control it, patient states he is feeling better & is comfortable enough to walk out and drive home, patient declined further monitoring, patient explained if anything changes to seek medical help. Patient states transport not necessary at this time.

Immediately following vaccination pt felt like he was going to pass out. Pt experienced LOC in the chair with significant other at side. Pt was safely lowered to floor by staff. Pt regained consciousness while on floor. Per staff LOC duration was 10 sec. Pt then transported to med obs at 0943 via stretcher. Pt reports dizziness and nausea. Pt placed in reverse trendelenburg position. Pt was slowly transitioned to a sitting position. Water and goldfish given. Nausea returned. Pt back to lying position. Pt feeling better and again slowly transitioned to a sitting and then standing position. Pt reports feeling fatigued but all other symptoms resolved. Pt released to home with significant other driving at 1054. Pt escorted to exit by staff and significant other with no further issues. Vitals as follows: 0945 BP 128/78 HR 57 SPO2 99 0950 BP 134/82 HR 56 SPO2 100 0955 BP 124/82 HR 76 SPO2 100 1002 BP 129/85 HR 62 SPO2 99 1001 BP 126/85 HR 64 SPO2 100 1015 SITTING BP 131/74 HR 69 SPO2 100 1030 SITTING BP 134/87 HR 73 1050 STANDING BP 121/82 HR 80 SPO2 100

Patient received vaccine at 1440. Patient eyes were opened but claimed to black out and was not responsive to his name. Nurse assessed and patient was clammy and pale. Patient was alert after 1 minute and stated he was dizzy. Medics were called on scene and patients blood pressure was 84/65, heart rate was 45. Medics started an IV with normal saline. Blood pressure 96/64. Patient was transported to hospital.

About two weeks after the 1st shot, 4/15/21, I started having vertigo symptoms when I woke up in the morning. They have persisted through today , 4/19/21, and I have felt mostly dizzy with some balance issues but balance was the worst on the first day and has been rare since then.

Pt was vaccinated in med eval area with vaccine and recovered 10 minutes lying down and ambulated to observation area with no dizziness. Pt c/o dizziness after sitting in chair & diaphoretic. VS taken 118/72 68P 20R 100%sat. Pt brought to med eval area and lying down with icepack. Recovered lying down, fluids offered. Transition to sitting then standing and walking in med eval area. Denies any dizziness. Recovered for total of 25 minutes. Feeling better after drinking, discharge ambulatory home. HX: fainting, dizziness with vaccines , labwork and BP taken.

Patient unresponsive; presented with seizure like activity; Patient fall from chair within 15minutes of receiving Pfizer vaccine dose 1; pale; diaphoretic; nausea; Full body clonus; This is a spontaneous report from a contactable nurse. A 26-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) (at 26 years of age), dose 1 intramuscular, administered in arm left on 03Apr2021 10:45 (Batch/Lot Number: ER8737) as a single dose for COVID-19 immunisation. The patient's medical history included penicillin allergy. The patient's concomitant medications were not reported. The patient had no other vaccine prior to Covid vaccine. He was not diagnosed with COVID-19 prior to vaccination. It was unknown if patient has been tested for COVID-19 since the vaccination. It was reported that the patient fell from chair within 15 minutes of receiving Pfizer vaccine dose 1. Patient was unresponsive, pale, diaphoretic. Awakened within minutes, placed in recovery position on left side. Patient complained of nausea then presented with seizure like activity. Full body clonus. 911 notified. Patient woke within seconds able to state, name, location, date of birth accurately. He was placed on stretcher. EMS arrived. VS 154/80 HR 84, POx99% 2LO2. He continues to be pale. Family of patient notified of event at patient's request. He was transferred to ED via EMS. The events started on 03Apr2021 at 10:45 AM (as reported). Therapeutic measures were taken as a result of the events. The outcome of the events was unknown. Additional information has been requested.; Sender's Comments: Bases on the information in the case report and a strong temporal relationship, A causal relationship between adverse events Unresponsive to stimuli, Seizure and suspect product BNT162B2 cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

NEAR SYNCOPE, DIZZY, ABNORMAL FEELING IN THROAT Primary/secondary assessment / observation Vital signs stable, lung sounds clear through out, warm dry skin w/ regular bi lateral radial pulses Patient denied any CX pain, SOB, dyspnea, headaches, visual disturbances, N/V while in observation, patient informed provider he began to feel better & was able to leave. Patients vital signs presented with out any abnormal findings Patient was advised to seek emergency medical treatment if any adverse reactions presented

Pt. felt dizzy 1 minute after getting vaccinated. Vital signs done BP 132/68, HR 60, R 18, O2Sat 99%, At 4:12pm pt. reported he feels better. At 4:15pm pt. stated "dizziness is gone." Pt. left at 4:17pm with family member.

Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Seizure-Mild, Additional Details: Patient was found unresponsive on the floor by bystanders with ? siezure like activity, this RN and RN responsed. EMS called to store and was sent to the ER.

"Administered - 14:30, Adverse event started - 14:38. Patient had syncope, flushing/sweating, dizziness. History of ""blackouts during blood draws"". BP 92/53 -- > 93/58y, HR 74 -- > 68, RR 18 -- > 18, O2 97% -- > 98%. Patient stable, released from vaccination site."

Patient became light headed and diaphoretic shortly after administration of vaccine and was helped to a seated position on the floor. No lose of consciousness. After a few minutes he was able to eat snacks and was monitored for 30 minutes. Was discharged after 30 minutes with a friend for monitoring. He had no residual effects. Patient states that this had happened to him multiple times and anticipated it coming.

This RPH was called to assist patient at 11:27a. Patient stated he felt dizzy and I assisted patient to the floor. Once laying on floor I elevated patient's feet above his head. By stander reported that patient appeared to have blacked out right before I arrived on scene. Patient stayed upright in chair during blackout which only lasted a few seconds. Patient stated he did eat breakfast but had not slept due to working overnight. Patient was assisted to sitting position on floor at 11:33a at which time he drank a bottle of water. After finishing bottle of water he stated he felt dizzy again and I assisted him back to a laying position on floor. After 10 minutes I assisted patient back to a sitting position. After sitting for a few seconds patient stated he felt like he would get sick. Before I could return, patient vomitted on himself and over the floor. Patient continued to vomit/dry heave into trashcan for a few minutes. After patient was done getting sick, he drank another bottle of water. He sat for a few minutes prior to standing. At this time patient's mother-in-law had arrived at store to take patient home. Patient wanted to leave store immediately as he felt it was making him more uncomfortable due to current condition. Patient left store approximately 12p.

Approximately 18 hours receiving the shot, I woke up with flu like symptoms and was very lightheaded. At one point in the morning while sitting at my kitchen table I collapsed to the ground. About 6 hours after these initial symptoms I was fine.

Dizziness outside of normal with POTS, fainting for first time today (4/22). Also experiencing GI distress outside of normal with IBS. I have constipation type IBS but have been having diarrhea for several days

lightheaded, abdominal cramps/ discomfort, Placed in semi fowlers position with legs elevated. Given gramham crackers and water and patient stated he felt better.

Patient came up to counter about 5 minutes after receiving his vaccine and stated he was feeling light-headed and that his sight and hearing was going. We had patient slowly sit down on the floor near the counter, a tech got him a cool rag for his neck while pharmacist stayed with him. he started to feel much better after the rag was on his neck for a few minutes and said his vision and hearing was normal again. Denied history of this happening after vaccination. Patient denied any difficulty breathing or swelling of throat/tongue. RPH check bp and it was 95/55, pulse 80. Patient stated he was at clinic yesterday and was told his bp was on the lower end of normal. Reported feeling a bit nauseous also. We gave him a bag in case he got sick and a small bottle of water. He was able to stand up and walk to a chair to sit down. We asked if he wanted us to call someone and he declined and said he was feeling better. We asked him to stay for 30 minutes more so we could monitor. After 30 minutes he reported the nausea had passed and he was feeling normal again. He said he was ok to drive home.

Per his parents, patient started feeling nauseous an hour or two after the vaccine and at night around 10pm it worsened where he felt nauseous, had shivers and he vomited in the middle of the night. He then vomited again the next day and continued to not feel well the next couple of days. On 4/20/2021 at around 4:20pm he called his mother, his girlfriend and his mentor that he was not feeling well, was nauseous and dizzy and had shivers and was going to pull over on his car to get something to drink. He then stopped answering his phone and was found dead in his car later on that day. Police is investigating the case.

Pt reported feeling a cold sweat followed by dizziness, clinical staff assisted him giving water and snack,Pt continued to feel dizzy and was assisted to the floor into recovery position until picked up by medical observartion staff. PT was transported by stretcher and monitored . Pt claims to begin feeling better and was released on his on charge at 09:50 am. Vitals as follows: 09:31 BP 109/73 HR 63 RR 20 Sp02 !00% Lying 09:38 BP 113/73 HR 62 RR 18 Spo2 100% sitting 09:46 BP 107/71 HR 58 RR 18 Sp02 100% standing

About two or three days after my second Pfizer vaccination I started to feel some immense pain in my right trapezius. I had difficulty moving my neck for several hours. The pain subsided later that day but I still had adverse effects. I had a numbing and tingling feeling that traveled from my right trapezius all the way down to my fingers. That sensation continued for several weeks (3 or so) until I saw my general physician. She conducted some strength tests and noticed that there was some weakness and lack of coordination on my right side. I was instructed to go get and MRI and the results showed 5 lesions in my brain and 1 in my cervical spine (C2-C3). After many other tests including blood tests and a follow up MRI the neurologist that viewed my case informed me that I showed a strong case of demylination and it looked likely that Multiple Sclerosis. The shot might have caused an immune response which allowed the MS to appear.

Pt received vaccine in left arm and instantly felt dizzy. Lowered to floor and legs were elevated. Pt brought to med observation given crackers and apple juice.

pt. stated the felt light headed, had lie down took their blood pressure, obeserved for 30 minutes, called his mother to pick him up.

Situation: patient was administered 1st dose of COVID-19 (Pfizer) by certified tech. Post-administration, patient was instructed to sit for observation. Technician stated that approximately 2 min or so after patient sat down, he came up to her at the window to state that he was feeling lightheaded and weak. Consequently, while in conversation with her, patient gently collapsed onto the floor. He was alert and conscious the entire time; temp was 97; patient was noted to be pale and sweating profusely. Patient was provided water, ice pack and orange juice. Ambulance was offered and he was taken by paramedic for further evaluation.

Passed out; felt dizy; hit my head and injured my ankle; fallen; hit my head and injured my ankle; This is a spontaneous report from a contactable consumer (patient). A 26-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number was not reported) via an unspecified route of administration, administered in Arm Right at the age of 26-year-old, on 12Apr2021 10:30, as SINGLE DOSE for covid-19 immunisation. Medical history was not reported. The patient's concomitant medications were not reported. The patient did not receive vaccine in four weeks nor was the patient tested for COVID post vaccination. On 12Apr2021 at 11:00, the patient felt dizzy and then the patient passed out. When the patient woke 3 minutes later, he had fallen and hit his head and injured his ankle. The patient was taken by the ambulance to the local ER and was released later that day as his vitals had returned to normal. Therapeutic measures taken in response to the events included IV fluids. They advised that the patient reach out to see if he can receive my second shot on 03May202. Outcome of the events was recovering at the time of the report. Information about lot/batch number has been requested.

Patient got his 1st dose of the Pfizer COVID-19 vaccine (Lot #: EW0179, Exp: 5/1/21) at 1444 on 04/27/21 and at about 1446 started feeling dizzy like he was going to faint. This client understood what was going on and while sitting in the vaccination chair, he slowly put his hands on the floor and put himself in the seated position. He then slowly laid down on the floor and put his legs up on his chair preparing for this syncopal episode. The EMT was alerted by this client's nurse that he felt dizzy and then notified the lead nurse, about the situation. The client was lying down on the floor for a couple minutes and at about 1448 was able to get up and sit himself back on the chair. Client felt stable enough to walk over to the observation area and sit down in the zero gravity chair for a few minutes. The client drank some water while sitting in the zero gravity chair and at about 1452 was no longer dizzy or light headed and went over to sit in one of the regular chairs in the observation area to wait out the rest of his 15 minute period. The client explained that syncopal episodes after vaccinations regularly happen to him and that this is not out of the ordinary. The client explained that he ate and drank before his vaccination, takes no medications, and has no medical history. At about 1500 the client was stable and was able to ambulate out of the facility and to his car and verbalized feeling capable of driving himself home since he was no longer feeling dizzy or lightheaded.

Patient received vaccine waited the 15 minutes. As he was leaving became dizzy, nausea, severe headache. Clinic staff escorted him to the ER for evaluation.

Patient immediately felt dizzy after injection. He then passed out in his chair and we put him down on the floor. He then had a seizure lasting a couple seconds. The entire episode lasted less than a minute and he then regained consciousness and was responsive. Emergency services was contacted at the first sign of the seizure and upon arrival, they checked that he was alert and oriented x4. Patient did not go to the hospital but he did go home with a family member.

Pt began feeling dizzy and lightheaded immediately followig vaccine administration. Staff witnessed and walked patient to nearby ambulance. Pt evaluated by EMS and signed refusal after improvement of symptoms.

Vitals dropped and lost consciousness about 5 minutes after injection. I wasn't anxious nor dehydrated. Afterwards I couldn't sleep because of a racing heart rate when I returned home after about an hour. Heard rate stabilized and I was able to nap after another hour. I had a serious brain fog, vertigo, dizziness, wandering eyes (can't focus them, going cross-eyed a lot), memory loss (unsure if I completed a task or not), and faint hearing (this improved on day 2). I'm currently on day 3 and I am trending upward but not 100% yet.

After receiving the COVID vaccine (2nd shot), the patient experienced some lightheadedness and lost consciousness and then regained consciousness after a couple of minutes. This has occurred in the past with other shots. A rapid response was called, the patient was evaluated and did not wish to go to the ED. Vitals were taken and were within normal limits. Patient remained in observation for 30 minutes and left.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: numbness in arms

Tiredness, dizziness, headache. Rested for 15 min, given 2 bottles of water. Stable, released from vaccination site.

client completes 15 min observation wait , c/o of N/ dizziness and lightheadness to nurse. Ems and doctor paged to observation site. VS taken 02- 97% BP- 116/81 Hr 67. Client states improvement in condition after a few min. client was advise to wait an additional 20 min and to drink lots of fluid. Client leaves site 11:56 AOX4 ambulating and states he feels 100percent better

Patient endorses headache, nausea, dizziness after receiving vaccination which prompted ER visit one week after vaccination. Followed up in clinic with myself on 5/4/2021 for telephone visit and attributing headache, nausea, constipation to the vaccination. Symptomatic treatment prescribed.

Patient reported feeling lightheaded, having blurry vision, and a burning sensation in the location of the injection.

Client received the Pfizer Covid-19 Vaccine (Lot #EW0167 Exp. 08/2021) at 10:58 AM. Client was in the presence of his sister when he requested to sit outside for fresh air during his 15 minute observation. EMT acknowledged his request and the client sat outside near the entrance while EMT stood near the entrance. Client was with his sister and mother and was checked on every 5 minutes by EMT to see how he was feeling. Client's family seemed unconcerned and the client stated that he had a fear of needles. However, after 10 minutes, client began to complain of feeling like "fainting." Client was a 26 year old male alert and tracking and anxious. Client had a chief complaint of a low heart rate. This was the client's first dose of the Pfizer vaccine and he denied any chronic illness or allergies. Clients blood pressure while sitting up was 88/38 and heart rate was 48 and regular at the radial. Client had no swelling, hives, discoloration, shortness of breath or other signs of anaphylaxis. Client's airway, breathing and circulation were intact and was alert and oriented to person, place, date and event. Client's remaining vitals were respirations 14, eyes 5mm and sluggish, O2 saturation 98%, lung sounds clear bilaterally and temperature 98 degrees f. EMTS brought an observation bed outside to allow the client to lay down and continued to taking vitals at 5 minute intervals. Client's blood pressure improved to 108/72 but heart rate continued to remain low and hovered at the high forties. At 1133 client consented to having EMTs call 911 due to his low heart rate. 911 was called at 1137 and arrived at 1142. Vitals were continuously monitored until firefighters arrived and were as follows: 1123 - 108/76, 52, 14, 02 98%, 1128 - 108/72, 52, 14, O2 97, 1133 - 108/68, 48, 14, O2 98%, 1138 - 108/68, 48, 14, O2 98%, 1138 - 108/72, 48, 14, O2 98%. Paramedics and the fire department assumed care at 11:42. Client was assessed by paramedics and firefighters while on site and it was at this time that client revealed he was under the influence of "edibles." Client consented to EMS transport and departed with Paramedic unit 6 and Fire Engine 7 at 1151. Client transported to Hospital. Registered nurse remained with the patient's mother and daughter to answer their questions and provide emotional support. VAERS completed, confirmation number .

Patient reported lightheadedness, blurry vision, and a burning sensation at the injection site an hour after administration.

Patient received his first dose tonight. Shortly after he came to the counter complaining of being light headed. He was instructed to sit down and take some deep breaths. Within seconds he tipped his head back and had passed out. EMTs came on site shortly after he came to. He was checked out and given the all-clear.

1st Pfizer shot beginning of April went fine. Only a sore arm. 2nd shot this past Saturday was a different story. I got the shot around 3:30 and felt great until about 7. My arm started getting very sore. It got better a little later in the day. Next morning I felt pretty fatigued but nothing I haven?t felt before. Sore arm was still there. Pretty manageable. Had to pick up groceries and that was a mistake. Had to take deep breaths and my knees were in a lot of pain as I got out of the car and walked through the store (I injured them years ago and now have Baker's cysts). Wife brought me home and I had rigors on the ride back. I got home around 11:45 or so and I put on a blanket. I felt so hot I started to get a little bit delusional and very sad/started getting teary. Took off blanket and couldn?t get off the couch or walk without help. Knees now felt like about to fall apart. Wife takes temp shows 107, makes ice bath, I get in and it goes down to 105 a few minutes later. Temp went down to 103 over the next 15-20 minutes and stayed there. Got out with her help and still couldn?t stand up or walk without help. Sat upright in bed rest of the day. Fever ranged from 98-103, mostly 101-103. Took a very cold shower later in the day but temp still stayed in the same range. All other symptoms mentions else stayed the same. I also now had no appetite and felt nauseous. Stomach felt rock hard, and I didn?t feel too with it. Finally fell asleep later at night and woke up feeling way better but still awful. Monday and Tuesday I had to take off work I felt so fatigued. Both of those days I had no fever, it went away from Sunday night into Monday. I can walk by myself now and just feel a little fatigued today. I have my appetite back now and am back to work. I should mention that I took Tylenol which didn?t help. Ibuprofen I took later in the day and that might have helped a little. Took Benadryl later and that helped with sleep.

I experienced quick onset vertigo shortly after waking up that was extreme for 3 days then mellowed out over the next week. No signs since then.

Patient felt dizziness and fainted for about 30-40 seconds. Called 911 . By the time EMT arrived patient was fully awake and alert. He refused medical treatment.

26 you male patient reported "lightheadedness" about 15-20 seconds after receiving IM injection. He then lost consciousness for approximately 30 seconds. Patient was seated in a chair and supported by RN until he regained consciousness. He became diaphoretic upon regaining consciousness, but otherwise reported "feeling better" over the next 1-2 minutes. His vital signs were assessed & wnl. BP 100/55, 99% O2 sat, HR 58, RR 16. Patient stated he's an athletic trainer and had come directly to the vaccine clinic from a workout. He stated he had eaten earlier in the day and believed he was well-hydrated. He was offered additional fluids and walked to another area about 5 minutes after syncope, where he remained in observation for an additional 10 minutes. He then transferred to the general observation area for another 10 or so minutes before feeling well enough to leave. He reported no further symptoms.

Patient was sitting in chair after vaccine waiting the required 15 minutes. He states he was staring sown watching his phone and he felt hot and then woke up on the floor with people around him. He fainted. He felt hot and sweaty afterward. Episode seemed to pass within about 10 minutes all together. Paramedics came and checked him out since he hit his head when he fell. Patient didn't want to go to hospital and was picked up from the store by family member.

Adverse event: PT reported feeling SOB and "a little lightheaded" (continuing after he stood up) post vaccination. PT also reports he ate a small breakfast (half a banana) and worked out before vaccination. Treatment: EMS summoned, assessed PT. Obtained vital signs (108/68 BP, HR 50, SPO2 100%). VS obtained 3 minutes later ( BP 106 palp, HR 46, SPO2 100%). Provided juice x2. PT advised to eat lunch, let his primary care provider that his HR remained low (48-52) . Outcome: PT reports feeling better after juice, medically cleared by EMS, escorted to private vehicle by EMS, brother will drive him home.

Pt reports that he waited for about 20 minutes after being vaccinated. During that time he felt a little hot and drank some water, but says he otherwise felt fine. He states that he stopped for gas after leaving the clinic and has no memories after that until he was being pulled from his car by a paramedic. He states that he was told he had a seizure and crashed his car. After the motor vehicle accident he says he was transported to the hospital, where they told him he had had a seizure, did some tests, and then released him. Pt states his heart rate and glucose were both elevated when he was at the hospital, but that his CT scan was normal. He states he was feeling fine we he got gas, and says he feels fine now (5/10/21: three weeks and two days later). He saw his primary care provider last week (5/5/21) and was referred to Neurology. He had an MRI done, which he reports was normal, and an EEG, which he says he is still waiting on results from. Pt reports no history of seizure prior to 4/17/21.

Onset of lightheadedness, sweaty and nausea. Non-syncopal event that was self-limiting. Vital signs stable throughout. No orthostasis. Mild vasovagal event.

Dizzy, lightheaded, felt faint. Vasa vagaled. HR in 40s. Patient placed himself in supine position,

Dizziness started that day, ringing in right ear started that day, pressure began to build in right ear (noticed the next day). Pressure continued to build in right ear over the 2 days. Pt. reported need to see ENT by Friday morning due to pressure in right ear and hearing loss. Saw Dr. Office on Tuesday 4/27/21

Patient received second vaccine dose at 12:52pm, then walked into the observation area and sat down in a chair. At 12:58pm while still sitting in his chair, patient was noted to fall out of his chair hitting his right shoulder, right knee and head on the floor. EMT in observation area immediately went to the patient who was laying on the floor. Charge nurse and EMS staff also at patients side. Patient was noted to be pale, and stated he was dizzy. VS stable, Pt stated he usually "passes out" with bloodwork but not with vaccines. EMT's recommended patient be transfered to the hospital due to a potential head injury. Patient consented to transfer to via ambulance. This RN observed a small nickle sized abrasion to patients right knee from fall. Patient was transfered to at 1:06pm.

Gradual stiffness and tightening of both shoulder joints. Reduced flexibility in knees the first night and pain during normal range of motion. 5-minute intervals of paresthesia in both hands and wrists every couple of hours. Nausea the next day.

Started violently shaking uncontrollably for 30 minutes. Nothing I did helped or stopped it, I kept biting my tongue and could not walk, my entire body was shaking very very aggressively, I stayed laid down and focused on relaxing my body, eventually it calmed down on its own and I quickly tried to fall asleep before it came back, I feel fine today, just really shaken up and frightened. I did not call anyone and have not seen any doctor about it. I thought I was having a seizure, except was conscious.

Became pale and clammy. Felt "light-headed." He asked for water. Lied down on mat, feet elevated. Feeling of light-headedness passed after 5 minutes (1848). Right deltoid site benign. Monitoring changed to 30 minutes. Sat up at 1852. Color better, no longer clammy. Given water and juice. Tolerated well. Feeling better @1858. Will wait 30 minutes at next vaccination, educated & states understanding.

Swollen neck muscles, enlarged lymph nodes under armpits for about a week and a half (may 1-may 14) lump in neck currently- think it?s a lymph node- swallowing a lot w/lots of saliva , headaches, dizziness, tired a lot, weird flashes over my body, legs feeling warm sometimes then goes, ran a small fever in the beggin. Of may - 99.4, nausea, popping behind ears when I swallow currently, anxious

Patient was asked to remain in pharmacy observation after receiving vaccine; he left to go up to front of store at which time he blacked out and felt faint; he states that this happens to him whenever he receives a vaccination; we were notified by the store manager as to his location; he was drinking Gatorade; it is now 1:20 pm and he is under observation currently; does not report anymore symptoms and feels better

Syncopal Episode Vital Signs: BP 92/64 HR 60 Resp 14 O2Sat 98% Skin Signs: Clammy, diaphoretic Circulation: Cap refill 4-5 sec Respiratory: Breath sound clear bilaterally Initial Treatment: Patient received vaccine, fell to syncope - responsive after 5 seconds. Patient hit concrete floor with a loud sound. Patient awake after 5 seconds. A/Ox5 Patient moved to L lateral position with manual spinal check. 11:50 AM Vital Signs: BP 99/60 HR 78 Resp 18 O2Sat 97% Skin Signs: Diaphoretic Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: EMS on scene. Patient assessed by EMS. Spine cleared by EMS. Patient moved to superior posterior. Patient refused further transport to hospital. 12:00 PM Patient discharged home, escorted by EMS and significant other.

This is a spontaneous report from a contactable consumer (patient's parent). A 26-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date (reported as "this afternoon") (Batch/Lot number was not reported) (at 26-year-old) as first dose, single for COVID-19 immunisation. The patient's medical history was reported as no. Concomitant medications were not reported. Couple minutes into that he got light headed, his vision got blurred and then he had a complete vision loss. They cleared the room and called the paramedics. The paramedics came and said that both of his eyes were dilated and his blood pressure was high. They sat him for couple of minutes, then his vision return. So if they ask them make the total of vision loss lasted for seven minutes. His blood pressure went down. They kept him there and had a given a bottle of water and two container of fruit juice to bring his sugar level up. They made sure everything seems alright. And paramedics left and said that they thought it would be cause from some sort of blood reaction and allergic reaction to vaccine. And told them not to get the second shot. And let us want to he felt ok that it would be alright to go home. They did keep him there for about half an hour longer just to make sure he was alright and then sent him home. That was just a reaction and he should be ok now. No treatment received. The outcome of the events was resolved on an unspecified date. Information about batch/lot number has been requested.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Severe, Systemic: Seizure-Severe

after receiving his shot, pt walked to his chair to wait his 15minutes. shortly after sitting down, pt lost consciousness and fell out of his chair. the patient regained consciousness seconds after falling to the floor. breathing and pulse were normal. pt had some water and was taken home by his stepmom

Patient reported a headache and feeling like he was going to pass out. Patient went assessed seemed to be having a stress response to the vaccine according to EMTs.

Present at clinic with mother to offer emotional support. Justice suffers from anxiety related to receiving medical care. Today was his second attempt at getting the vaccine. Reported to clinic staff after the fact: Had blurry vision and dizziness prior to entering clinic. Had sat in warm car for several minutes trying to work up nerve to enter building. Dizziness increased at time of vaccination, client was moved to floor, legs elevated until dizziness passed. Slowly transition to sitting and then stannding, monitoring vitals at transnitions. Patient walked out of clinic one hour after vaccination. Patient remained conscious. Consumed 3 bottles of water, two bananas, two juiceboxes during recovery period.

About 12-24 hours After receiving the vaccine I experienced the common side effects, sore arm, tiredness, headache, nausea and lightheaded. However, I have been noticing that ever since I completed the 2 dose series I have been feeling dizzy randomly. First I thought it was normal but now is been months and I constantly feel dizzy. I check my blood pressure and heart rate thinking it may be due to that but they?re usually within normal ranges and the dizziness episodes just come and go throughout the day.

Had symptoms of tightness in chest high fever chills rapid heartbeat fluttering of heart nausea vomiting difficulty breathing lightheaded and tingling of fingers and lips severe migraine

Patient received first injection left deltoid in April; 2 weeks later swelling and pain with reduced range of motion to the left shoulder. Received second injection right deltoid in May; 2 weeks later swelling and pain with reduced range of motion to the right shoulder and worsening persistent symptoms to left shoulder. Symptoms are persistent. Not related to Sickle Cell Crisis; has been seen by specialists.

swelling of lymph nodes; loss of hearing in right ear; right ear began to feel full with pressure/pain; right ear began to feel full with pressure/pain; dizziness; vertigo; ringing in right ear (tinnitus); This is a spontaneous report from a contactable consumer (patient). A 26-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm left on 20Apr2021 (Lot Number: EW0171) (at the age of 26-year-old) as single dose for COVID-19 immunisation. Medical history included non-alcoholic fatty liver disease, allergies, asthma, autism, sensory integration disorder, appendectomy, pilonidal cyst removal, all from an unknown date and unknown if ongoing. Prior to vaccination the patient was not diagnosed with COVID-19 and since the vaccination the patient has not been tested for COVID-19. The patient's concomitant medications were not reported. The patient previously took penicilline, tetracycline, amoxillin [amoxicillin sodium] and hydrocodone. The patient experienced dizziness/vertigo within a couple of hours of first vaccine on 20Apr2021. Developed ringing in right ear (tinnitus) on same day. By 21Apr2021, right ear began to feel full with pressure/pain. All symptoms continued with swelling of lymph nodes and loss of hearing in right ear by 22Apr2021. The events were assessed as serious, disabling. The patient saw otolaryngologist (ENT) for hearing test and evaluation on 27Apr2021, hearing test showed substantial loss of hearing in right ear. Steroids were prescribed and taken. The patient underwent lab test and procedures which included magnetic resonance imaging (MRI): unknown results on an unspecified date. Dizziness/vertigo either resolved on 29Apr2021. The patient outcome of the other events was not recovered. No follow-up attempts are needed. No further information is expected.

patient reports having tingling/chills about 90 min after vaccination. No rash/hives/swelling or difficulty breathing. Some lightheadedness and feeling of blacking out. Patient did not have this reaction with the first pfizer shot. Patient was concerned since the onset was so soon after vaccination. Recommended patient rest as much as possible, drink plenty of water and eat some food. Patient may take tylenol if needed for fever/pain. Patient did have a granola bar and water for breakfast and had just recently ate lunch. Recommended no driving or any activity that requires attention/moving due to lightheadedness. Patient does have someone that will be checking in on him to see how he is doing. Advised that patient seek medical attention if condition worsens or if any trouble breathing or swelling

Pt. c/o lightheadedness and blurry vision following vaccine. Upon exam pt. vs not within normal limits. Pt. transferred to hospital. Pt. stated this has happened before following a vaccine in the past.

Patient received Pfizer Covid Vaccine (lot #EW0187 exp. 8/31/21) first dose and while walking to the monitoring area he lost consciousness briefly and fell over chair that he was turning to sit in. After being laid flat, he immediately regained consciousness and was awake, alert, oriented x 3. VS BP 110/60, P-70 and pulse ox 100%, R-20. Color pale. He was moved to a geri-chair with his feet up. He refused to go to ER and stayed x 30 minutes to be monitored with no further incidents. VS at end of monitoring period 108/68, P-66, pulse ox 100%, R 20. Color became pinker, was able to tolerate drinking 240 oz. of water and eating a slice of cake. Offered to be transported to ED again but patient refused. Patient was instructed to follow up with ER or Primary Care Provider with any further symptoms.

I have been feeling very dizzy; Having shortness of breathe; Head hurts; I am really tired; Feeling ill; This is a spontaneous report from a contactable consumer or other non HCP (patient). A 26-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8736), intramuscular in left arm on 02Jun2021 at 13:30 (at the age of 26-years-old) as 2nd dose, single for COVID-19 immunization. The patient had no medical history. The patient's concomitant medications were not reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8735), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The patient did not receive any vaccination 4 weeks prior. On 03Jun2021, patient experienced feeling very dizzy, shortness of breathe, head hurt, really tired, and feeling ill. The patient did not take any treatment for the events. The outcome of the events was not recovered. Information on Lot/Batch number was available. Additional information has been requested.

A few hours after getting the 2nd dose, I had the following reactions (I didn't go to the doctor, I'm just reporting what I experienced): *Slight rash consisting of pen-dot sized raised blisters which only appeared on top of a long-healed tattoo I have *Pain all throughout my right jugular (neck) *Sharp pain behind my right ear *Sleepiness *Dizziness *Muscle aches and muscle cramps Most of these lasted less than 24 hours, but the tattoo rash was progressively becoming worse, I managed to get it under control on day 4 by applying hydrocortisone directly over the immidiate area. I still see a few bumps, but it seems to be healing. I didn't do anything differently in my daily routine; nothing changed (ie: same soap, same detergent, no contact with dust or etcetera). The tattoo also contains phosphorus, which might be related to the reaction. The muscle aches and cramps are still ongoing; which is weird considering how I never get either and my daily activities haven't changed.

Pt. stated, "I felt lightheaded and I started to sweat a lot 5 minutes after getting vaccinated." "I suffer from anxiety sometimes." Vital signs done BP 124/84, HR 73, R 19. At 1:16pm pt. stated, "I feel better, I will call my family to pick me up." At 1:27pm pt. went home with family members.

I began to experience rapid heart rates to the 140s intermittently starting on the Wednesday following my first vaccination. I also had associated neck pain and "pounding sensation" in my neck, chest, and arms. I had difficulty lying flat at night and developed a dry cough. I went to the urgent care on 4/19/21 and was diagnosed with torticollis. No one at the urgent care listened to my heart or lungs. Given that my symptoms had been diagnosed, I delayed seeking further treatment. My symptoms continued to worsen. I had difficulty walking long distances, exercising. I became short of breath easily. I ended up going to my primary care doctor on 4/26/21 for a second evaluation. He was concerned and did an EKG, it only showed sinus tachycardia. He scheduled me for an echocardiogram and put me on a beta blocker (Bystolic) 5 mg once daily. The echo showed EF 47% with global hypokinesis of the L ventricle. Doctor called me into the office as soon as he saw the results, concerned for myocarditis or pericarditis.

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: patient received first dose of pfizer vaccine with in 2 minutes passed out parents then told me later he has Aspergers and is very much afraid of needles has had reactions before after getting shots but none quite this severe patient was sitting and when he passed out he did not hit his head mother was beside him and helped him down called ems patient did not want to be transported to hospital left rx 20 minutes later

Approximately 5 minutes after vaccination patient started slumping in chair. He was helped to the floor by his companion. He had blurred vision and mild shaking and kept asking what is going on. He was asked to lay down on the floor but chose to remain sitting on the floor. He was given a cold compress for his neck and stayed seated on the floor until he felt better. He stated that he was not dizzy, lightheaded but felt really tired. He recovered and stayed for about 15 minutes after recovering. He declined any medical attention and had a ride with his companion. He was advised to seek medical attention at the ER.

Received his shot and was sitting for ~5 minutes when he started to feel dizzy and nauseated. He stood up to say something to a cashier and while the pharmacist was walking out to check on him, his vision started to blur and he fell. He hit the plexiglass around our counter and then ended up sitting on the floor. He did not hit his head on the floor, and he was conscious and trying to get up when I reached him. We moved him into our immunization room, and had him lay down. Within about 5 minutes, he started to feel much better and was able to sit up and eat some crackers and drink some juice. He is getting a ride home and will relax for the rest of the evening.

PATIENT COMPLAINED OF FEELING FAINT, TINGLING TO FINGERS AND RADIAL SIDE OF HAND. HE WAS DIAPHORETIC. PATIENT DRANK WATER. PATIENT LAYED DOWN ON COT AND WAS OBSERVED.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Pt fainted a minute after recieving his vaccine. Was unresponsive for a few seconds and got up after. Bite his tongue from the fall head first. Paramedics were called and he was quickly evaluated with no vitals out of range. He went home and napped and after follow up call, feels better now 7 hours later. He confirmed had light headache,was tired so napped and also had tingling in his arm and also confirmed he did not drink water or eat anything before his visit. Now he feels fine.

Severe brain fog; difficulty concentrating, slow reaction speeds, struggling with articulation/ word-finding, memory issues, general confusion and struggling to take in information. Inability to sleep despite fatigue. It feels like my IQ dropped 10-15 points.

The patient was given the Pfizer COVID vaccine. The patient immediately felt nausea and dizzy. The patient's wife asked up to call for help and we called 9-1-1. The patient then fainted and had some seizure like activity. The patient woke up immediately after. The patient had no previous history of fainting or seizures but has almost fainted after blood tests. The EMT's came and checked his vitals which were all normal. Then the patient was taken to the hospital.

PATIENT STATED WHILE WAITING IN PHRMACY WAITING SEATED IN ROOM HE WAS FEELING SWEATY /CLAMMY , LIGHT HEADED ABOUT 10 MINUTES AFTER 2ND DOSE OF PFIZER COVID 19 VACCINATION GIVIN AT APPROX 3PM .PATIENT THEN SAID HE STOOD UP TO GET ATTENTION FROM PHARMACY PERSONNELL AND FEINTED . BOTH PHARMACIST AND CLERK SAW PATIENT PASSING OUT AND LOWERED PATIENT TO THE FLOOR. A FEW MINUTES LATER PATIENT REGAINED CONCIOUSNESS. PARAMEDICS WERE CALLED AND WAS TAKEN TO HOSPITAL FOR CHECK UP

Sore / achy; Feverish; Chills; red and tender swollen injection site; red and tender swollen injection site; red and tender swollen injection site; Lightheaded; swollen and tender armpit glands,; Elevated heart rate; swollen and tender armpit glands; This is a spontaneous report from a contactable consumer, the patient. A 26-year-old male patient received his first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: er8735) via an unspecified route of administration on 26Apr2021(at the age of 26 years old) as a single dose, for COVID-19 immunisation. Medical history included COVID-19 on an unknown date. Concomitant medications were not reported. The patient reported that his past drug history included dairy (unspecified). Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested positive for COVID-19. The patient experienced sore / achy, feverish, chills, red and tender swollen injection site, lightheaded, swollen and tender armpit glands and elevated heart rate on 26Apr2021. The patient did not receive any treatment for the events. The clinical outcome of the events sore / achy, feverish, chills, red and tender swollen injection site, lightheaded, swollen and tender armpit glands, elevated heart rate were resolving at the time of this report. No follow-up attempts are needed. No further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: Patient email address added, medical history added (known allergies: dairy), treatment received was ticked as No and updated narrative.

Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Vomiting-Mild, Additional Details: shortly after receiving vaccination, the patient became unconscious, fell out of his chair and to the floor, and began to seize. Body shaking lasted around 15-20 seconds. Patient then immediately became alert and concscious. Stated after this episode that he has a history of fainting and having seizures after he receives vaccinations. Patient vomited ~15-20 minutes after this episode.

dizziness; lightheadedness; Nearly fainted.; nausea and the feeling may vomit,; This is a spontaneous report from a contactable consumer, the patient. A 26-years-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: er8730) via an unspecified route of administration in the left arm on 26Mar2021 at 04:00 (at the age of 26-years) as a single dose for COVID-19 immunisation. Medical history included factor V Leiden and non-diabetic hypoglycaemia. The patient had no known allergies. Concomitant medications included salicylamide, caffeine, acetylsalicylic acid (EXCEDRIN) and loperamide hydrochloride (IMODIUM) for an unknown indication. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Prior to vaccination the patient had not been diagnosed with COVID-19. Since having the vaccine, the patient had not been tested for COVID-19. On 26Mar2021, 15 mins after vaccination, the patient experienced severe dizziness, light-headedness and nearly fainted. This sensation came in waves for 2-3 hours, usually accompanied by nausea and the feeling that the patient may vomit, though never did. The patient reported that he still feels slightly lightheaded several days later. The patient did not receive any treatments for the events. The adverse events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care The clinical outcome of the dizziness, light headedness, near fainting and nausea were recovered with lasting effects at the time of this report. No follow-up attempts are needed. No further information is expected.

pt has had history of fainting for vaccines, as it was noted on VAR. Pt got vaccine, got dizzy, and passed out.. he woke back up, was responsive and was able to answer all of our questions. we had him stay still, as to not get dizzy again.

Lightheadedness / dizziness occurring periodically throughout the day for a few weeks, and still ongoing Unexplained upset stomach for several weeks

On saturday(7/3/2021) the day after the vaccine instatted already having chest pain. Three days(7/6/2021) after the chest pain I started having chest palpations and felt a ball in my chest with tightness. I went to the ER and they diagnosed me with pericarditis. I'm still dealing with it 3 weeks later and cant exercise at all. Before i was a very healthy individual and ran 15 miles a week. Now im not able to jog for 2 minutes without a burning sensation on the left side of my chest. At night i constantly get chest pains. Ive been taking the medication ibuprofin 3 times a day and cholichine 1 time a day. Its gotten slightly better in terms of pain but I am still unable to perform any physical activities that raise my heart rate.

March 20 2021 (shortly after 2nd Pfizer COVID19 vaccine March 17 2021, injected into LEFT arm): woke up with burning, throbbing, RIGHT neck, shoulder, RIGHT arm pain for 3-4 hours -- > numbness/tingling RIGHT shoulder to fingertips; dysesthesias to extremes of temperature in RIGHT arm; RIGHT hand>arm weakness and dexterity issues; dizziness with fast lateral movements that occurred a little bit later Pain went away in a few days, but still has residual numbness and tingling (even now) Dysesthesias to temperature lasted a few weeks -- > MRI brain noncontrast March 29 2021 showed lesions c/f MS in the supra and infratentorium -March 30 2021: L'hermitte's sign (shock or vibration) from abdomen to feet when looking down -- > steroids not given initially, as sx on neuro exam felt to be mild -- > MRI C/T spine April 21 2021 with RIGHT C2-C3 nonenhancing lesion; repeat brain showed no enhancement -- > ACE slightly elevated; CT chest without LAN -- > April 23 2021 decided to order IV steroids given mild RIGHT hand weakness, given April 27-29 2021 -- helped, but still has numbness and tingling; it's getting easier to write and use a pipetter, but still some difficulty IMPRESSION: This is a 26 Y man with CIS, one neurological event mostly causing RIGHT hand weakness and sensory sx plus vertigo that happened 3 days after a 2nd COVID19 vaccine. He meets criteria for dissemination in space (spine, brainstem, and PV lesions) but does not meet dissemination in time (no contrast enhancing lesions, no change in brain lesions over 1 month of monitoring). A LP is required to finalized criteria to discriminate between CIS and RRMS. Elevated ACE and ANA are common to see in MS, and I do not think they point to further pathology.

Within ~5-7 minutes of receiving the first dose of the pfizer vaccine in my right shoulder, I started to feel lightheaded/dizzy and disoriented. Heart rate increased a bit. Slightly labored breathing. Started feeling overall strange throughout body, general malaise. Didn't advance beyond this. Took 50mg of benadryl shortly after and symptoms improved over the following hour.

A few hours after my second dose on 1/08/2021, I had some adverse reactions that worried me, including arm numbness, tingling around my mouth and cheeks, a splitting headache/blurry vision, joint and muscle pain and dizziness. I called e-medicine and had a video call with a E-Medicine provider who told me to keep monitoring my symtoms and go to the ER if they got worse (fortunately they didn't); however there are some lingering effects. Currently I still am experiencing headaches (around my ears and temple area) with joint pain/body aches and occasional tingling/burning sensations in my fingers and feet.

3 hours after vaccine: beginning of body aches, arm soreness at injection site 10 hours after vaccine: severe body aches especially in lower back and buttocks, pounding headache, skin sensitivity and chills Over night: inability to sleep, tossing and turning, unknown fever but skin felt very hot with all past symptoms 0430 next day (1/11): nausea, dizziness, pounding headache, severe body aches and sensitivity but no chills 36 hours after vaccine: uncomfortable body aches are still present, most of symptoms have resolved 48 hours after vaccine: body aches are slightly noticeable but resolve during the day

5 mins after injection, loss consciousness, was lowered to floor, complained of dizziness and look confused prior to passing out. Hx of passing out after vaccine. When regaining consciousness, appeared confused. Unconscious for approx 1 min; Evaluated by MD. 835: 129/63, O2: 98% 8:37: Transferred to stretcher; BP: 97/50, O2: 98% 8:43: BP: 122/75, O2: 98%, awake, alert, monitoring continued; denied SOB 8:53: 120/80, O2: 98%, patient reports feeling beter Observation ended at 8:54

1-2 hours following vaccine administration, I experienced moderate injection site pain that limited my mobility with that arm (i.e. pain on shoulder abduction). 18 hours following vaccine administration, I experienced a fever and chills (beginning at 0530 the morning after the vaccine). For the rest of the day, I had mild myalgia, a mild to moderate headache and general malaise that resolved by the following morning (within 48 hours of vaccine administration)

Patient started experiencing chest pain, headache about 2 minutes after vaccine. He reported throat tightness, dizziness and difficulty breathing. Epi pen administered at 1405. Patient had nausea after epinepherine. No swelling or rash noted. EMS arived at 1415 and he was transported to the emergency department.

Woke up middle of night sweating with 200+ BPM heart rate. Blood pressure 190/100. Weight on chest. Felt dizzy and faint. Could hardly walk. Labored breathing. Had to call ambulance for transport to hospital.

Vertigo; 101 F oral temperature; nausea; generalized weakness; rigors/ chills; generalized muscle aches; This is a spontaneous report from a non-contactable Nurse (patient). A 27 years old male patient receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the age of 27 years old on 21Jan2021 09:00 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced Vertigo, 101 F oral temperature, nausea, generalized weakness, chills, rigors, generalized muscle aches. Patient did not have covid prior vaccination and did not have covid tested post vaccination. The outcomes of events were unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

0830 c/o dizziness, bp 139/78 hr 86. given water and laid flat. 0833 physician asked pt to sit up bp 141/80 hr 90 0850 bp 132/96, hr 95. pt able sit, stand, walk without difficulty. pt discharged from site.

Chills, fever, body/aches, chills began around 4 am the morning after vaccination. Unable to walk/stand without becoming dizzy. Symptoms began to get better that same evening and terminated the following morning.

Steadily rising fever began the day after vaccination, eventually exceeding 105F and with associated severe headache, room-spinning vertigo, nausea, fatigue, tachycardia, rigors, occasional cough and stuffiness. Also experienced moderate arm pain at injection site. Symptoms continued to worsen throughout the day and only began to improve after taking 1000mg acetaminophen. Symptoms greatly improved by the next day (post-vaccination day #2) and eventually resolved.

Occipital neuralgia; anaphylaxis; feeling like passing out on and off for the next 2-3 hours; he felt lightheaded; little short of breath; fatigue; he had a lot of posterior lymph pain in the back of his head, for 2 weeks on and off; heaviness at the back of his head left sid; chest tightness; he developed a sensation like he was going to lose control of his mind; This is a spontaneous report from a contactable Other Health Professional, the patient. A 27-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number EL1283), via an unspecified route of administration on 08Jan2021 at 13:30 (at the age of 27-years-old) as a single dose in the left arm for COVID-19 vaccination. Medical history included asthma exacerbation, GERD, childhood anemia, a retinal tear in the right eye all from unspecified dates and unknown if ongoing. The patient also reported medical history three episodes (June 2019, August 2019 and October2019) of anaphylaxis due to "Exercise Induced Anaphylaxis." Historical vaccinations included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number EH9899) on 21Dec2020 at 13:30 after which he experienced pain at the vaccination site which lasted twenty-four hours. The patient's past product use included adrenaline (EPIPEN), an unspecified corticosteroid and an unspecified antihistamine for past allergic reactions. The vaccine was administered in a hospital. Prior to the vaccination, the patient had not been diagnosed with COVID-19. Concomitant medications included ciclosportin (RESTASIS), azelastine (AZELASTINE), mometasone furoate (FLONASE), cetirizine hydrochloride (ZYRTEC) and omeprazole (PROTONIX) all for unknown indications from unknown dates and unknown if ongoing. Within four weeks prior to the vaccination the patient had received unspecified "allergy shots" He received "two shots" (one in each deltoid) on 15Dec2021 and "two shots" (one in each deltoid) on 05Jan2021. The patient reported that fifteen to thirty seconds after the second dose of the COVID-19 vaccination he felt lightheaded and a little short of breath. This lasted about eight minutes and then subsided. Approximately thirty to forty minutes (about 30 minutes after he left the facility) later the symptoms returned. He felt short of breath and he thought he was going to pass out. The symptoms included fatigue, shortness of breath lightheaded and feeling like passing out on and off for the next two to three hours. He stated he has completely recovered. He continued to say that he was feeling fine for three days then he began having bilateral cervical lymph pain greater on the left than right, a lot of posterior lymph pain in the back of his head (for two weeks on and off). These symptoms also resolved on their own. He also experienced ("a couple of days later") a sensation where he thought he was going to lose control of his muscles and lose consciousness. He also developed a sense that the was going to lose control of his mind with heaviness at the back of his head, left side. He went to the Emergency Room (date not provided) and they provided Valium. He also reports an Emergency Room visit on 13Jan2021 during which he underwent a CT scan of the head which was normal and a neuro consult suggesting occipital neuralgia and he was put on muscle relaxers. He also stated that experienced shortness of breath and chest tightness after his allergy shots on 26Jan2021 and he specified that he had never before had these reactions to his allergy shots. After that he had yet another possible allergic reaction after eating pizza on 30Jan which included throat swelling as well. He further stated that on 04Feb he had anaphylaxis vs asthma exacerbation. On the following day he developed a heaviness to his left occipital head with that same feeling of wanting to lose control of his muscles. He never had that before. He started Prilosec about one and one half weeks prior to the reporting date. In follow up the Other HCP reporter/patient answered "Yes" to the following questions (DCA) about symptoms experienced: Bilateral wheeze/bronchospasm, upper airway swelling, increased use of accessory respiratory muscles, dry cough, difficulty breathing (without wheeze or stridor, sensation of throat closure, tachycardia, nausea. These were reported without dates and without context with regard to the events reported initially. These were also reported as not requiring treatment and having recovered on unspecified dates. Lab data included three SARS COV 2 nasal swab tests (14Jan2021, 03Feb2021 and 11Feb2021) all of which were negative. Unspecified treatment was reported for the events anaphylactic reaction and mental impairment. The clinical outcomes of the events Anaphylaxis, loss of consciousness, dizziness, dyspnea, fatigue and lymph node pain were reported as recovered on an unspecified date in 2021. The clinical outcome of mental impairment, heaviness of head, chest tightness and occipital neuralgia were reported as unknown.

After vaccine pt went to observation area .He felt hot and asked staff for H2O. When staff returned c H2O he stated he felt light headed. Staff concerned he was going to pass out so they assisted him from chair to ground with legs e levated . Emergency number and onsite MDcalled . Pt was unresponsive c aBormal breathing and seizure like activity . Epi 0.3mg administered in right thigh. Pt became responsive and breathing 15 RR a minute. Pt diaphoretic c rash on upper extremities. VSS. EMS arrived and transported pt to local ED for evaluation.

After vaccine, pt went to observation area. He felt hot and asked staff for water. Staff returned with water and he stated he felt light headed. Staff concerned pt might pass out so they assisted him to floor with feet elevated. 911 and onsite MD and EOA called. Pt was unresponsive with agonal breathing and seizure like activity. Epi 0.3 mg administered IM into right thigh. Pt became responsive and breathing 15 RR a minute. Pt remained diaphoretic with rash noted on upper extremities. VSS. EMS arrived and transported pt to local ED for further evaluation.

Patient left his car to use the restroom within 2 minutes of receiving the vaccine. Patient became dizzy and very nauseous. States he felt like he was going to pass out. BP 96/56 HR 66. After 2 bottles of water, BP 111/68 HR 58. Pt's symptoms resolved.

6hrs following vaccine; Lightheaded, Nausea, Fatigue, Headache. Symptoms subsided within 48hrs. On 24 Feb 2021, in the afternoon, acute onset of tinnitus, both ears, began. Continues since onset without improvement or change.

Immediately after he said he was dizzy. I had him remove his mask and take some deep breaths. He did. I called for help from other nurses in the room. He had seizure activity and fell from the chair to the floor. In the process he hit his head on the table. He had his stocking hat on. The other nurses were there immediately. Talking to him, reassuring the mom, BP, pulse oximeter, ice pack, privacy curtains in place. He was offered food and drink. Other staff removed others from the room. The ambulance was called. And arrived. The ambulance assessed him. Education and instruction were given. They asked him to go to ER. He refused. They advised him to see his Doctor. The ambulance had him sign their needed paperwork. Helped him to his feet, he refused to use their cart provided. He said, I am fine. He was strongly encouraged to follow up with his Doctor. He walked out of the room with ambulance personal and his mom.

Pt. was vaccinated by another pharmacist at our remote clinic at an elementary school at 11:35am 3/11/21. Within less than 3 minutes the patient informed a student that he did not feel well. He reported: itching, feeling hot, shortness of breath, dizziness, loss of vision, and thirst. The student alerted me and I assessed the pt. He was responsive, but felt "tired". He was sitting on the floor. I told the student to call 911. I continued talking with the pt. as I was preparing the epinephrine and placing a blood pressure cuff on his arm. He became less responsive and asked me for the epinephrine. I injected him with an EpiPen 0.3mg in his outer left thigh through his pants (at 11:43am). Within approximately 30s-1min the pt. became more responsive. I then took his pulse and BP shortly before EMS arrived (11:52am) . They performed the second blood pressure reading and the pt. was transferred to their care at that point.

Nausea, dizziness, headache, extremely red face, swollen bottom lip, pressure and tightness in chest, oxygen levels dropped, difficult breathing, and heart rate was elevated. Treatment at clinic: Oxygen mask was put on to 4 litters, breathing treatment done, Benadryl, Pepcid, Tylenol, and then eppy shot was given. Ambulance then came to clinic and took my son to the ER. Most of the same thing was done in the ER. Patient still felt bad after 4 or 5 hrs in ER room. So he was admitted to stay in the hospital. He stayed 3 days and 2 nights in the hospital. He had breathing issues, nausea, headaches, and Elevated heart rate for the first 2 days. Wasn?t till the 3 day that he felt well enough to go home.

PATIENT HAD A VASOVAGAL REACTION, WHERE HE FELT LIGHTHEADED AND DIZZY, AND UNABLE TO STAND FOR A LONG PERIOD OF TIME. RN HAD PATIENT WHEELED TO FIRST AID BAY TO LAY DOWN. PATIENT VITAL SIGNS WERE TAKEN AS MEDICAL STAT CALL WAS BEING MADE. MD EDUCATED PATIENT OF ADVERSE REACTION WITH VITAL SIGNS NORMALIZING AND PATIENT STATED HE WAS FEELING BETTER. PATIENT IS ALERT AND ORIENTED, ABLE TO STAND AND WALK AROUND. PATIENT VITAL SIGNS NOW 100% O2 SAT, 94 HR, RR 22, AND BP 104/71.

28 yo M reported feeling unwell (lightheaded, hot, need to sit down) within 5 minutes of receiving first dose of Pfizer COVID vaccine. Subsequently had a syncopal event, while sitting reclined between bleacher seats. His head was supported. Patient was laid down with feet elevated and he regained consciousness within 15 seconds. Vitals: 132/79, O2 98%, P 79, RR 16. No facial edema, rash. Patient was given water and a snack, was observed for 30 minutes, after which he reported feeling much better.

Patient was in waiting area. He arose from his chair and while conscious, fell to the floor. Patient stated that he felt that he needed to vomit. Patient was escorted by FNP and PCT in ambulatory to exam room. Patient sat on exam table, table was recliner to laying position. Feet were elevated above level of the heart and cool compress applied to patients forehead. Within 5 minutes of this maneuver, patient stated that he felt much better. Over the next 45 minutes, position was slowly changed from to sitting then standing. Patient was escorted in ambulation around the store without incident. Patient drove home. Staff called patient the next day, patient responded that he was doing fine and that no other incidents had occurred after the event in the store.

Vasovagal response. Patient arouse from his chair in waiting area after vaccination and while conscious, fell to the ground. Patient was assisted with ambulatory back to exam room and laid on the exam table. Feet were raised above the level of heart and he stated that he felt much better within 5 minutes of this maneuver. Over a 45 minute period, patient positioning was slowly elevated from laying to sitting, then to standing, and was escorted in a walk around the store. Patient performed all of these tasks without incident. Called patient the next morning to check on status. Patient reported that he did just fine getting home and had no other incidents since vasovagal response.

Headache, swollen muscles, dizziness, blindness, sweating, flushing, feeling dehydrated, weakness, muscle fatigue, eye soreness, sore neck.

The female medical employee, who was administering the vaccination. The Pfizer Vaccination. Opened a shot syringe. That had an empty vile. The syringe did not have the dosage of vaccine. The female medical employee, documented on my immunization card the sticker Lot number #EN6204, but the vaccine Lot Number (the syringe received) was not the Lot Number indicated on the immunization card. Why? The female medical employee, called over the military personnel whom was being the security for the vaccination site. The female military personnel was holding an open unit syringe vile dosage of the vaccine. The female medical employee showed the empty syringe vaccine to the military personnel. She said, "The dosage fell out." The female medical employee, took the open package, of the syringe vile, that contained a measured dose of the vaccine. Which is not considered the full dosage, or considered a safe dosage of the vaccine, because the package was opened. Not in front of the patient. And. Was open, when the military personnel, who was holding this vile, was walking, with the open package, around without proper medical gear. The medical employee. Quickly took out the syringe. Didn't explain which and what that syringe was, and just injected the dosage into my arm. I know, that practice was malpractice. I know I experienced malpractice. And. It's obvious the Government is going to do anything about it. This is not a petty situation. I don't know where that needle from. What has been introduced to that open syringe package. I did experience very bad side affects: headaches, muscle pains, tiredness, fatigue, weakness, low strength, dizziness, partial blindness, overwhelming stress, back pain, joint pain, spinal pain, chills, fever like symptoms, nausea, spontaneous pain, soreness in the arm, swelling throughout my body, difficulty breathing, short breaths.

27 year old male received his second shot today and immediately after the shot felt nausea lightheaded and dizzy. He says it feels like the room is spinning around him. He does not have any PMH nor does he state that he takes any medication. He denies any street or illegal drug use. Pt states that he had a couple drinks last night and did not eat anything today. After providing water and laying him down for 30 min he was still symptomatic so it was decided that the patient should be seen in the ED for further workup. Patient is in agreement and he will be sent. 148/101, P 92, O2% 99% 150/101, P 90 ED Note: Physical exam reveals an alert, normocephalic male he has a normal heart rate with normal heart sounds, normal pulmonary effort, lung sounds are clear abdomen is soft he does have some tenderness in the epigastric area no rigidity or distention is noted. Patient is neurologically intact he is alert and oriented x3, able to ambulate unassisted with a normal gait, sensation is intact, strength is 5 out of 5 in both upper and lower extremities bilaterally, no pronator drift, cerebellar function intact with finger-to-nose and heel-to-shin test. Posterior oropharyngeal area shows uvula is midline there is no swelling airway is patent. This is an atypical presentation if the patient is actually having an reaction to the vaccination however I am also concerned for possible abdominal issue we will work him up for ACS as well. We will give patient a dose of Benadryl to see if that helps with some of his symptoms Bentyl for the stomach cramping and spasming and some fluids. Lab work was unremarkable patient had a negative troponin's EKG was negative for STEMI, ischemic changes T wave abnormalities, lactate was normal, lipase was normal. Patient still complaining of abdominal spasms but states he is feeling better than when he first arrived and would like to go home. Patient states that his abdominal spasms have happened intermittently over the last few years he has had multiple imaging of his stomach and that he feels comfortable being discharged with the intention that if anything worsens he would return here to the emergency department.

Pt reports lightheadedness following vaccination, Pt sates he wants his vitals checked. Took vitals to find them stable. Pt states his symptoms feel better after sitting for several minutes. Pt refused transport to ED

Five minutes after receiving the vaccination, he developed sweating, lightheadedness, and blurry visio . He was taken to a private section of the arena and monitored. His heart rate was initially in the 40s and systolic BP in the 70s, and subsequent monitoring should resolution of his bradycardia and hypotension. 25 minutes of monitoring, his symptoms have completely resolved. He has a history of similar symptoms with IM iniections.

Lightheadedness , dizziness , sweating 10 mins after vaccine was given, . Denies SOB, Dyspnea, chest pain, or blurred vision. Alert and Oriented x4. Drank water and felt better , symps resolved. Pulse 64, BP 100/69 O2 100% on RA. Refused Transport

Lightedness, tightness in neck, anterior and posterior aspects without chest pain, without SOB Vital Signs: BP 140/82 HR 67 Resp 20 O2sat 96 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Initial treatment: nsg vs, assessment - resp, neurological Physician assessment performed by Dr. at 13:48 PM 13:50 PM Vital Signs: BP 122/82 HR 72 Resp 70 O2sat 97 Skin Signs: Warm and dry Circulation: Cap refill <2sec Wait an additional 15 minutes in observation in addition to 30 min wait observ time Did not have lunch, only breakfast this am - gave him apple jc and nuts as a snack Disposition: Home by Self

Client reported before vaccination a history of syncopal episodes s/p vaccine administration due to a needle phobia. Client received vaccine and had a syncopal episode while in the chair. Client slumped into a person sitting next to him. Client roused after approximately 1 minute of unconsciousness, and was initially difficult to arouse. Client was moved to a cot via wheelchair and placed in reverse trendelenberg position. Initial vitals 75/43 pulse 40, sinus bradycardia rhythm, skin was pale and diaphoretic. Client had a follow up blood pressure 5 minutes after the syncopal episode of 76/44, pulse 50. Client was offered transport versus watchful waiting by EMS staff, and opted for watchful waiting. Client had gradual return to full mentation, and skin turned to pink, warm and dry. Follow up vitals 116/82, pulse 68, spO2 100% on RA. Client continued to improve and remained in observation area for 30 minutes, and was given a ride home by his wife. Client refused transport by EMS and evaluation in the emergency department.

Dizziness and feeling generally disconnected. Difficulty focusing. These symptoms occurred 1 day after the shot. No outcome determined yet as I am submitting this right as I am experiencing it.

Patient had received Covid vaccination and was seated in monitoring area. Patient was being monitored by nurse. She states patient complained of feeling lightheaded. Took off coat and drank some water. She checked his pulse at that time, and reports 60. She reported to other staff in area. Patient explained that he has done this in the past with injections, but not always. He was sipping water, diaphoretic. At 0918 patient became was extremely diaphoretic, lips blue, eyes rolled back, and patient was unconscious, No pulse detected. I lowered him to floor from chair. EMT checked again for carotid pulse and I placed hands in position to start compressions. Faint pulse noted, and did not begin compressions. Nurse practitioner came over assisted by raising lower extremities onto chair. 0919 patient oxygen sats 91-93 percent. Ambulance en route. Patient color improving, responding appropriately, alert and oriented. heart rate 51. blood pressure 112/59. 0921. EMS on site, patient still pale, and slightly diaphoretic, much improved though, b/p 119/62. hr 61 pulse ox 91 percent. EMS assumed care.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Additional Details: unconscious for less than a minute.Has a history of fainting from many years ago but no incidents since.Epi pen given 4:10p and 911 called. Paramedics arrived ~4:18p.Bp was 110/80 @4:13p, 128/88 @ 4:18p, 132/86 (pulse 70) @4:21p.Was clamy, shaky, sweaty,and had a headache post.Paramedics monitored sitting and standing.Advised to followup with physician.

Shortly after patient received vaccine (within 5 minutes) Patient was sitting in area being monitored for reaction. Patient then fell face forward and hit his face. Aid came helped immediately and patient was monitored for vitals. Patient report to feeling dizzy. He appeared pale and clammy.

11:55am received vaccine. !2:00pm fainted in general observation area. Fell out of chair and was laying on stomach. Bumped right side of head. Unconscious for short period - approx 30 seconds. Assisted him to a sitting position. 12:02 pm B/P 110/68. Pulse 82 O2 sat 97%. Sat on floor for a couple minutes then transitioned him to a wheelchair and brought to the medical observation area, where he rested on cot. 12:07 pm B/P 112/68. Pulse 92. O2 sat 96%. Has red area on right side of head - no bump noted. Denies s/sx of concussion. 12:16 pm Pulse 84. O2 sat 95%. Iced head for 15 minutes. 12:25 pm B/P 118/70. Pulse 82. O2 sat 95%. Sat up for 15 minutes. Drank water. Denies s/sx of concussion. Did recommend he go to urgent care to have head assessed. Feels better - left at 12:35pm.

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pateint \"swooned\" when the observer was getting the timer. He was responsive after 2 minutes. sat upright after 5 minutes.

Sweating, intentional breathing, both hands, pins and needles, felt light-headed and hot. All symptoms lasted only a few minutes (less than 5).

While he was waiting after getting the covid -19 shot he said he was felling dizzy. after few minutes he stated that he started to have sweating. He asked for water then he got Granola bar. rph asked him if he would like to have Benadryl and epipen 0.3mg. He denied it. We called 911. EMS came in and took his vital. Rph offered him orange juice and he drank it. after while his sweating gone away and went home. rph called him twice to find out how he was doing at home. He said he did not have any episodes of dizziness and sweating. Rph called his dr and informed about incident .

Dizziness, difficult to concentrate, headache, fatigue, fear of sound and light starting 5 hours after vaccination. No treatment, went to bed as usual and symptoms were gone the next morning. Arm soreness lasted for around 1.5 days.

Patient reported that he "felt like he was going to pass out". Was pale and clammy. Reports hx of vasovagal response to injections. VSS. Cool air and drink applied. Within 5 minutes color returned and patient reported that he felt much better. Was able to drive self home after 20-30 minutes.

Patient received immunization and felt fine after sitting in chair for a few seconds. Pt got up and went to waiting area and was sitting down in chair during the 15 minute observation window. Pt passed out and slumped/fell out of chair on patients left side. I was called out by the person monitoring the waiting area to see pt in fetal position on their left side seizing. The seizing lasted for about 15 seconds and then stopped. PT was motionless for a few more seconds and then came around and said "I'm back". The pt was given a bottle of water because he said he was thirsty. In the meantime the paramedics were called and arrived. They checked his BP and Blood Glucose. After several minutes they took the pt out on a gurney for further evaluation, there was a question as to whether or not pt hit his head.

frequent sneezing, runny nose, watery eyes, muscle pains, neck pains, joint pains, dizziness, partial blindness, severe and chronic joint spinal pops, lack of sleep, high stress, fatigue,

Vasovagal event with lightheadedness, diaphoresis, blurry vision. No CP, SOB, palp. No s/sx anaphylaxis: no hives/rash, wheezing, stridor, throat closing, tongue swelling/itching, N/V/D. VS: BP 95/5Os, HR 50s, SaO2 99% RA, afebrile. Pt clammy, bradycardic. Lung clear, abd soft, no edema. No focal neuro deficits, A&Ox3. Pt laid down on the floor with legs elevated with improvement in symptoms, and BP up to 120s/70s, HR 70s. After ten minutes, felt well enough to sit up, repeat BP while sitting 120/70s, HR 70s. Given water/juice and a snack. After another ten minutes, felt well enough to stand, repeat BP unchanged. Pt monitored for another 30 minute without recurrence of sxs. Pt went home without issue.

Was in line to schedule second appointment felt dizzy, caught by another person and did not hit his head. Last meal at 8am (vaccinated at 12:37PM). Denies any chronic medical conditions or taking any medications. BP 102/67 HR68 RR16, released in stable condition.

5 minutes after vaccine there was dizziness which passed after 10 minutes 30 minutes after vaccine there was headache, arm pain, muscle pain all over, fatigue, low grade fever, and sense of taste was altered. A constant metallic taste was in mouth and nothing (mints, brushing teeth, drinking water, etc.) removed it. Metallic taste resolved after 24 hours. Other symptoms lasted about 36 hours.

Patient has the vaccine and then got dizzy and started to put self on floor, passed out and hit face on the floor. Patient has a red bruise on his forehead and nose. Patient was advise that he should go to ER to get checked out because he passed out and hit his head. Patient refused and went home with girlfriend. They were advised as to what signs to look out for and then if the patient gets these symptoms to take him to the ER to get evaluated

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Sycope episode

Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Additional Details: Patient felt light headness, gave patient water, he ate sour patch kids then he said hes ok but will sit for 30 minutes, but he lost consciouness for about 20 seconds, woke up then started vomitting, we called 911 and Paramedic came took his vital signs bp 117/91 seems ok but patient refuse to go to emergency room, patient stayed for another 30 mins, his family came and picked him up. Patient said he will call his PCP if still nausea problem, patient said he fainted with injections before but never violently vomt

Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Additional Details: Patient felt light headness, gave patient water, he ate sour patch kids then he said hes ok but will sit for 30 minutes, but he lost consciouness for about 20 seconds, woke up then started vomitting, we called 911 and EMT came took his vital signs bp 117/91 seems ok but patient refuse to go to emergency room, Patient stayed for another 30 mins, his family came and picked him up. Patient said he will call his PCP if still nausea problem, patient said he fainted with injections before but never violently vomt

Delayed Dizziness, Brain Fog, Fatigue, Light-Headedness, Nausea all beginning 6 days after first Pfizer covid Vaccine.

Patient reports feeling 'light-headed' at 1903. Patient assisted to exam table, head lowered and feet elevated. Patient offered water. Vital signs taken. 1905 HR 41, BP 80/66. Patient awake and oriented to person, place and time. 1915 patient states he is feeling better HR 51, BP 89/65. 1930 patient assisted to sitting and then standing. Patient states 'I feel better.' I asked if he felt he was 'ok' to leave and the patient states 'Yes, thank you.'

Felt like my head was spinning a few times after 7:00 p.m. on April 11th. Took Tylenol, Vitamin C, and D and took a small nap from 8:00 p.m. until 10:20 p.m. Thereafter the head was a bit heavy. But after waking up on 12th April, all the side-effects mentioned above were gone.

Client was waiting in his car post vaccination when he felt dizzy, sweaty and was walking back to the vaccination area when he fainted. Client was assisted by a flow worker and client did not suffer any injuries from fainting. BP was 139/89, client is able to speak and is oriented X3. 911 was called, Medic 209 arrived and evaluated client. Client's glucose was 92, an EKG was performed. Client declined transport to the hospital and asked his wife to pick him up. Client stated that he was feeling better and that understand to call EMS if symptoms worsen on the way home.

Patient walked to waiting area and when he sat down he fainted, hit his head, and started having seizure-like activity (jerky, twitchy). Patient was down about 15 seconds and when he sat back down his blood pressure was 74/48 and his vision was black. Called EMT, patient refused to go with EMT, because he felt better after 30 minutes of sitting

Patient arrived for his vaccine. Vaccine was administered by nurse. Patient then stated that he does not do well with shots and then he passed out. The nurse attempted to break his fall. He fell out of the chair and onto the floor hitting his head on the ground. He was passed out for about 20-30 seconds. His legs were elevated and he woke up. VS were taken BP 137/80 HR 68 O2 sat 100% Squad was called. VS retaken BP 141 HR 70 O2 sat 100% Squad arrived. Patient feels lightheaded. Assisted to chair. VS retaken BP 114/93 HR 60 O2 sat 98 % Patient taken to hospital.

Pt fainted after 2nd Pfizer injection. Pt fell from chair, resulting in a minor injury to his right knee. BP was taken and found to be low (96/54). He was given ice packs until symptoms resolved.

Patient states feeling lightheaded, hot, and nauseous while waiting 15 minutes at the waiting area post vaccination. Upon being assessed by EMS, patient did vomit.

I had intense stomach pains, muscle pains for 4 days. Could not get out of bed. Also had a fever. I thought these were regular side effects and eventually got better. Then, about a week later I started getting nose bleeds with blood clots coming out of my nose. These lasted a few more days. This never happened to me before, and must have been a side effect from the vaccine.

Client began to complain of feeling dizzy and experiencing tunnel vision right after receiving the vaccine. Ice pack was applied to back of client's neck. About 5min after receiving the shot the client stated he thought he was going to pass out. 2 RN's walked client to a safe place to lie down. Client began to pass out while walking and was carefully lowered to the floor. Total time unconscious was about 30 seconds. Client began talking though mumbled. About 3 min later client stated he was feeling better. Another 3 min and client moved from laying on the ground to sitting in a chair. He stated he was less dizzy but his arms felt tingly. Client eating crackers and drinking water. Vitals remained stable throughout incident. Client was released to personal vehicle at 1:41pm, walked out of building on his own, gait was steady. Educated pt to request to lie down for 2nd vaccine.

Patient experienced syncope resulting in a laceration to the chin in the 15 minutes following vaccination. Patient was tended to by the NP on duty, instructed to lie down and drink water while she tended to his cut. Patient mentioned it "tasted like he threw up" and still felt lightheaded after 15 minutes after the event. Patient was insistent that we should not call the squad as he does not have insurance. Patient in the meantime was trying to get ahold of a friend or family member to pick him up as we advised him that he could not leave in this state. We elected to call the squad as he had not recovered yet. Before the squad could come, the patients brother showed up and quickly whisked him away. Squad did show up but there was nothing to attend to so left without intervention.

Patient reports that while waiting the required 15 minutes post vaccination he became "dizzy" and felt like he would pass out. The patient requested assistance and was brought back to medical observation 1. The patient was laid in a semi-fowlers position and vitals were obtained by medical staff. After a few minutes the patient reported he felt "back to normal" and requested to leave. All vitals were within normal limits upon departure. 1432 HR- 104 Resp- 18 BP- 141/60 SpO2- 95% 1444 HR- 100 Resp- 16 BP- 138/58 SpO2- 95%

Patient experienced syncope shortly after receiving first dose of Pfizer COVID vaccine in the lobby during his 15 minute waiting period. Patient hit chin and did lacerate it; this was attended to by NP who was administering shots at the time. Patient mentioned that he "tasted like he threw up," was instructed to drink water. NP took vitals and patient showed no sign of concussion. In the mean time patient was trying to get ahold of a friend or family member to come pick him up. Still felt lightheaded 15 minutes after being attended to, at this time we called the squad. Before the squad could show up patients brother came to pick him up... was whisked away too quickly for us to stop him. Patient was adamant about us not calling squad because he does not have insurance.

Patient had syncope, dizziness, flushing/sweating, seizure, urinary incontinence. BP 119/79 -- > 103/53 -- > 108/50, HR 47 -- > 38 -- > 37 -- > 64 -- > 62, RR 16, O2 100%, Temp 97.3F. EMS called at 17:06, arrived at 17:13.

PATIENT BROUGHT WITH RAPID RESPONSE TO ED FROM VACCINATION ROOM; SYNCOPE IMMEDIATELY AFTER VACCINE SHOT; PATIENT FELL FROM STANDING AND HIT HEAD ON TABLE; C-COLLAR IN PLACE; PATIENT REPORTS LOSS OF CONSCIENTIOUSNESS; PATIENT STATES HE HAD PAIN TO LEFT SIDE OF HIS ARM; NO SIGNS OF SOFT TISSUE INJURY

Day of shot (4/9), experienced a potential vasovagal reaction and bleeding in the arm. 10 days after shot, on 4/19, began to feel very weak and faint, and movement became effortful, along with chills and muscle aches and soreness. This continued into 4/20. Vitals were checked and found to be normal, and by 4/21 symptoms mostly subsided, except for remaining occasional chills and muscle-aches.

Systemic: convulsed immediately after getting shot, less than 10 sec, came to in less than 10 sec-Mild, Systemic: Seizure-Mild, Additional Details: he covulsed immediately after injection, staff got him on floor, he awoke in less than 10 sec and was completely aware, knew his name, where he was, and relatively the current time. We had him lay on floor with feet up, he said he felt fine, had normal blood pressure 142/88 hr 89, when emt arrived he felt lightheaded so they took him to hospital, He said no history of seizures, but said does pass out and do this after injections.

Pt reported Head ache in occipital area, dizziness, and light headedness. Gave pt juice and water. Pt denied history of diabetes. Pt reported improvement and felt well to leave. Pt was given education or when to call doctor or go to ER if symptoms worsen.

POST VACCINE, BEGAN TO FEEL FLUSHED, LIGHT HEADED, AND HAD PRE-SYNCOPAL EPISODE, ASSISTED TO FLOOR; SYNCOPAL TREMORS NOTED BRIEFLY. SPONTANEOUS RECOVERY WITH NO S/S UPON ARRIVAL TO OBS VIA STRETCHER. VSS. ESCORTED TO EXIT WITH NO ISSUES ONCE S/S RESOLVED AT 1700. 1631 BP 160/88 HR 70 RR 12 SATS 100% RA 1653 STANDING BP 144/90 HR 80 RR 16 SATS 98% RA

Vasovagal syncope Pt fell face first out of the chair approximately 10 minutes post covid vaccine. Pt became pale,diaphortic , pupils dilated and non-responsive. No chest rise/fall noted. Nurse could not palpate a pulse. Epi pen administered in right thigh. Pt responded to epi pen and sat up on his own . Emergency alert called overhead on the PA System. ED staff responded and transported pt via stretcher to ED. Pt discharged to home.

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

Pain developed in shoulder approximately 3-4 hours post vaccination. Progressed to complete inability to move shoulder, extreme pain upon any movement at all. Pain described as severe stabbing, burning pain centered in shoulder joint and deltoid muscle, causing complete incapacitation of left arm. At scheduled Doctor's visit 5 hours later, Advil was recommended. Patient decided to take Tylenol instead to avoid contraindication due to possible immune-reducing effects of Advil during vaccine immune-development time period. 29 hours after vaccine administration, 1000mg of Tylenol brought slight relief; at 35 hours 1000mg Tylenol taken again with similar effect, allowing more comfortable sleep, but shoulder had to remain immobilized to avoid severe pain. At the time of this report, 55 hours have elapsed since administration of vaccine. Range of motion has increased to approximately 3 inches, after which strong pain and tightness occurs. Left arm still largely incapacitated beyond very slight motions like holding light object. Gentle motions of readjustment to sitting and typing on computer still cause pain past limit of range of motion. Shoulder/arm cannot be raised to any meaningful height without pain. Patient tends to bring arm close to body to avoid pain, effectively resulting in frozen shoulder. PLEASE NOTE: Vaccine site was observed to be much higher up on shoulder than dose #1. Patient is concerned vaccine may have been administered into an area that may have caused entry of vaccine into shoulder joint space or bursa, at least 2 inches higher than suggested central deltoid muscle injection site.

Within 5 minutes, I was very sweaty, nauseous and felt like I might pass-out. I was weak. I was told my blood pressure was low. Approximately 15 minutes from the start of symptoms, I rapidly recovered. Within 20 minutes since the shot, I mostly felt normal. The next day and later that evening I felt fine.

Tunnel vision, vomiting, chills, cold sweats, and very close to fainting. These effects occurred at 3AM the morning after the second dose was administered. Nausea, lack of appetite, arm soreness and fatigue continued through the day. Fatigue continued the day after but the effects seem to be wearing off.

Loss of consciousness approximately 9:10pm, fall, multiple head and face lacerations. Entered ER ~11:00pm and received multiple tests, EKG, TDAP injection, and sutures.

27 y/o male was sitting in a chair when he started feeling lightheaded 10 minutes s/p 2nd COVID vaccine. He experienced LOC, which lasted less than 1 minute, and fell on his left side onto the floor. Patient came to immediately and was alert when medical response team arrived. Patient was mildly pale and diaphoretic, which improved as he laid down supine on bed. He endorsed some nervousness but lightheadedness seemed to be getting better. Patient had only had a banana and some water prior to his appointment. He denied chest pain, palpitations, and shortness of breath at the time of syncope. Due to the abrasions on his left maxillary area and ear, patient thought to have hit head on the floor. EKGs done by paramedics showed sinus rhythm with ST elevation in leads V3-V6, repeated twice with same finding. Patient then mentioned that he has been having sharp chest pain intermittently over the past few months that would go away on its own. He had not seen a medical professional for those symptoms. IV line started in left antecubital area. Patient was given baby aspirin by paramedics. Patient?s first COVID vaccination was uneventful. He denied any medical conditions, allergies, or medications. Family history includes diabetes, hypertension, and thyroid disease.

Pt complained of nausea and acid reflux about 5 minutes after receiving the first dose of Pfizer covid vaccine. Nausea resolved after about 15 minutes and pt then complained of headache, sensitivity to light, lightheadedness and sore throat. Denied chest pain, SOB, difficulty breathing, swelling of face, tongue or throat, itchiness rash or hives. Pt maintained O2 98% or above while in clinic.

lost my vision; lost my vision and hearing; essentially unresponsive; feel light-headed; This is a spontaneous report from a contactable consumer (patient). A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EW0161), dose 1 via an unspecified route of administration, administered in the left arm on 16Apr2021 at 14:30 as SINGLE DOSE (at the age of 27 years-old) for covid-19 immunisation. Medical history included coarctation of the aorta from an unknown date and unknown if ongoing coarctation of aorta (age: 3 months), only requires bi-annual cardiologist visits, loss of consciousness from an unknown date and unknown if ongoing, covid-19 from an unknown date and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any concomitant medications. The patient had no know allergies. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. The patient lost his vision and hearing, essentially unresponsive and light-headed on 16Apr2021 at 14:30. Circulation issues leading to a black out. Within 60 seconds of getting the shot, he began to feel light-headed. Within 30 seconds of that, he knew he needed help, so alerted the emergency medical technicians (EMTs) via car horn/flashers. By the time they arrived (120 seconds from the initial shot), he lost his vision and hearing and was essentially unresponsive. They woke him enough to unlock my car door, at which point they had him lay back to improve his circulation. That ultimately worked and got him back to normal within about 5 minutes. The patient had issues like this before relating to a coarctation of his aorta which he had done at 3 months of age. Over the years, he has "blacked out" like this from weight lifting and other high exertion things. This was the first time it was induced without him overexerting himself, and the onset of the "blackout" was much quicker than what he had experienced from weightlifting. Normally, he could tell 1-3 minutes in advance that he would black out. This time, it was about 30 seconds. Therapeutic measures were taken as a result of lost vision and hearing, essentially unresponsive and feel light-headed. EMTs did an electrocardiogram (EKG) and blood glucose check. The outcome of lost his vision and hearing, essentially unresponsive and light-headed was recovered on an unknown date. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

syncope; fell from standing; hit head on table; This is a spontaneous report from a contactable health professional. A 27-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: EW0164), intramuscular in the left arm on 15Apr2021 (at the age of 27-years-old) as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccinations within 4 weeks of the vaccine. On 15Apr2021, immediately after the vaccine, the patient experienced syncope due to which he fell. He fell from standing and hit his head on a table. There were no signs of soft tissue injury. The patient was brought into the emergency department from the vaccination room. The patient was not treated for the events. The clinical outcome of syncope, fell from standing and hit head on table was resolved on Apr2021.; Sender's Comments: A contributory role of BNT162B2 to the reported events cannot be excluded based on temporal association. Case will be reassessed if additional information is received. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received vaccine, sat in observation chair for about 3 min speaking on his phone, patient leans forward and passes out, falling out of the chair and hitting the floor. The patient was unconscious for about 10-15secs. Pharmacist administering vaccine, immediately went to his aid and had his sit. I was called over and offered medical care, which he declined. Patient was given water and an ice pack for the abrasions received.

PATIENT IS AFRAID OF NEEDLES AND WAS DIZZY AFTER INJECTION. PATIENT HAD TO BE LAID DOWN FOR 30 MINUTES AND FIRST RESPONDERS CAME TO ASSESS PATIENT'S CONDITION. WAS TOLD PATIENT IS FINE AND PATIENT LEFT WHEN HE NO LONGER EXPERIENCED DIZZINESS

Felt lightheaded "woozy) approximately for 10 minutes after vaccination. Ambulated to healthcare, he is fasting for religious. No food or water taken. He felts better. Ambulates normally. Discharged at 09: 26 AM

Starting when I woke up in the morning, dizziness and nausea. Headache developed shortly after. Later in the day started to have fever, chills, and general soreness.

Began to have pain in hip that progressed to severe pain and parlaying leg and foot; Unable at 2 nd week to stand or walk; Unable at 2 nd week to stand or walk; Began to have pain in hip that progressed to severe pain and parlaying leg and foot; This is a spontaneous report from a contactable consumer (parent). A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration on 30Apr2021 at 15:30 (at the age of 27 years) as unknown dose, single for COVID-19 immunization. Medical history included obesity and mental illness. Concomitant medications included aripiprazole (ABLIFY), sertraline hydrochloride (ZOLOFT), metformin, bupropion hydrochloride (WELLBUTRIN), simvastatin and lisinopril. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, it was unknown if the patient was tested for COVID-19. The patient was hospitalized on 27Apr2021 for an unknown reason and began to have pain in hip that progressed to severe pain and parlaying leg and foot on 03May2021. Unable at the second week to stand or walk. These adverse events result in emergency room (ER) or department or urgent care. The patient's hospitalization was prolonged and the patient was disability as a result of these events. It was unknown if the treatment was received by the patient due to these events. It was reported that the duration of hospitalization was 10 days discharged on 07May2021 (also reported as continued, CLARIFICATION PENDING). The outcome of all these events was not recovered at the time of report. Information on the lot/batch number has been requested.

Patient was administered the Pfizer vaccine and was asked to wait around the pharmacy for 15 minutes post vaccination. After 5 minutes, patient started feeling dizzy and started to faint. He was accompanied by his parents, father tried waking patient up a few times but he was unresponsive to wake and started to tilt his head backwards and falling over. We called the paramedics and administered the epipen. Father did notify us that patient is fine and was discharged from the ER on the same day.

a few minutes after receiving the vaccine the patient passed out and fell from his chair to the floor. in falling he hit his face on the floor breaking his glasses at the bridge of his nose and cutting that area. he also had an abrasion on his forehead from the carpeting and also chipped a lower tooth. we gave him water, he refused crackers, he did not want us to call an ambulance. he was unconscious for less than 60 seconds and came too quickly and was out of sorts for a few minutes. his mom came to pick him up and said she would take him to an urgent care.

Pt DOB 1/4/1994. Pt had his first dose of Pfizer and was sitting in post observation. Per post observation staff to this writer: Pt began to jerk and slumped to his right side. Pt became diaphoretic, eyes were fixed but was able to answer all questions. Pt was laid onto cot feet elevated until Aid arrived. Guest reports he came from the gym and has not eaten today. Pt back to baseline and cleared to d/c home. Pt mother came to drive Pt home.

dry cough, runny nose, migraine, dizziness, trouble sleeping, stiffness, weakness in left arm, sore throat,...

Pt feeling lightheaded, BP 102/71; HR 79; RR 18. At assessment in observation pt hard to initiate a response, blankly staring & unresponsive to questions. Eventually responded after 1 min & stated "I'm dizzy." Wheeled to bay, VS stable, AOx4, dizziness subsided per pt. Water given, BP 120/71 sitting, feels good to walk on own.

fainted; lost consciousness for a couple of seconds; burning pain that felt like needles on his shoulder, left arm and a little on the right side/extremely, burning pains across his back/He had burning pain on his shoulders, very sensitive, felt like a 3rd degree burn; felt like he could not stand and had to go to the floor, struggled to get up; arms were numb; thought he was having a heart attack; left arm weak; skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts; left side of face is swollen; left side of face is swollen was reported as worsened.; skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts; skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts; left arm pain; This is a spontaneous report from contactable consumers (patient reported for himself, patient's mother). A 27-years-old male patient received bnt162b2 (BNT162B2; PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Right on 01May2021 12:00 noon (Batch/Lot Number: EW0170; Expiration Date: 31Aug2021) as 1ST DOSE, 0.3 ML SINGLE for covid-19 immunization, at the age at vaccination of 27 years old. The patient's medical history and concomitant medications were not reported. The patient experienced thought he was having a heart attack(medically significant) on 03May2021 01:00 with outcome of unknown, skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts (medically significant) on 03May2021 with outcome of not recovered, fainted (medically significant) on an unspecified date with outcome of unknown, lost consciousness for a couple of seconds (medically significant) on 03May2021 01:00 with outcome of recovered with sequelae on 03May2021, burning pain that felt like needles on his shoulder, left arm and a little on the right side/extremely, burning pains across his back/he had burning pain on his shoulders, very sensitive, felt like a 3rd degree burn (non-serious) on 03May2021 01:00 with outcome of unknown, felt like he could not stand and had to go to the floor, struggled to get up (non-serious) on 03May2021 01:00 with outcome of recovered with sequelae on 03May2021, arms were numb (non-serious) on 03May2021 01:00 with outcome of recovering, left arm pain (non-serious) on 03May2021 with outcome of not recovered, left arm weak (non-serious) on 03May2021 01:00 with outcome of unknown, skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts (non-serious) on 03May2021 01:00 with outcome of not recovered, skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts (non-serious) on 03May2021 with outcome of not recovered, left side of face is swollen (non-serious) on 03May2021 01:00 with outcome of not recovered , left side of face is swollen was reported as worsened (non-serious) on 03May2021 with outcome of not recovered. The patient underwent lab tests which included computerised tomogram (brain CT): no results, electrocardiogram (EKG): no results, both on unknown date. Reported patient was in pain and his mom and dad didn't know what to do. He had sharp pains. No bruises. He remember lowering myself to fall. He didn't fall. It was a strange thing. When he went to the ER they didn't fine anything. He was still in the same amount of pain. Caller stated her son took the vaccine on Saturday. Thirty six hours later around 1:00am he started getting extremely, burning pains across his back.The patient stated he was coming out of the bathroom and felt like he couldn't stand and he had to go to the floor. He lost consciousness for a couple of seconds. Both arms were numb. He struggled to get up. He sat on the couch and then went upstairs after being in the basement. He had a burning pain that felt like needles on his shoulder, left arm and a little on right side. His skin was sensitive. The back of his neck feels like he has a third degree burn. This morning he went to the hospital. Initially said he fainted but clarified that he was speaking about losing consciousness. He had left arm pain. He thought he was having a hard attack. While at the emergency room today he had labs, a brain CT scan and an EKG. He does not have results to provide. Caller added that his skin was hypersensitive. It was like if he moves the hair on his arm it hurts. His parents noticed he has swelling on the left side of his face. The events require a visit to Emergency Room. No Prior Vaccinations (within 4 weeks). Information on Lot/Batch number was available. Additional information has been requested.

Patient was sitting in waiting area after vaccination. Ten minutes went by and he fainted. He was out for 1 minute or 2. His color was ashen and upon awakening he was nauseous , light- headed, shaky, with blurry vision. Bottled water we given to the patient. After 15 minutes he was able to get up and walk about without aid. He and his companion remained in the store for another 10 minutes and he was able to walk out on his own. I called the patient this morning and he is feeling much better, but felt bad last night.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild

Almost immediately after patient received the second dose of vaccine he stood up and passed out to the floor. He slightly seized for a few seconds until it stopped. When patient came to he stated that his knee hurt but he didnt believe he hit his head and he felt a bit light headed. Patient laid down for a while with us until he started to feel better. His BP was 102/58, but normally runs low. He said that he has passed out before and has been under a lot of stress, also had not eaten that morning before getting vaccinated. His significant other was with him and was planning to drive home. Patient was offered a call to EMS but refused.

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

Within 1 minute of receiving the vaccine, patient was walking down an aisle in the store and lost consciousness. He bumped the back of his head on a shelf and fell to the floor. He quickly regained consciousness and remained still. His blood pressure was taken and was within normal range. EMS was called and arrived 10 minutes later and patient was taken under their care.

Lightheaded and dizzy 15 minutes after vaccination. Assisted to cot legs elevated. HR and BP within normal limits. Stayed at the site for 30 minutes after dizziness started and was then able to leave the site with his mother to home without further dizziness.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Mild, Additional Details: Patient passed out about 5 minutes after receiving immunization. He came to fairly quickly but was confused, shaky and sweaty. After laying on the floor for a while he became nauseous but did not physically vomit while in my care. As the paramedics arrived the patient passed out a second time and was taken to the ER after evaluation.

headache and feeling of nausea. patient laid down for 30, drank water, had spouse pick him up but still dizzy

27-year-old gentleman with history of mild intermittent asthma, anxiety, presented with complaints of fever of 99.8 °F on 5/22/2021 associated to fatigue and body aches and then chest pain, generalized with radiation to left arm since afternoon of 5/23/2021, which got worse on 5/24/2021 and he was admitted for further evaluation with initial troponin of 472. Had an NSTEMI; chest tightness, pain in left arm, lightheadedness, dizziness, presyncope. Discharge diagnosis - probable myocarditis; clinical picture most consistent with viral myocarditis.

Patient started to feel dizzy , skin color getting pale , cold hands , sweat , and was about to faint 5 minutes after administering the vaccine . pharmacist on duty grabbed the Epipen and blood pressure machine . patient blood pressure was 65/40 , patient started to feel better for couple minutes then he start to feel dizzy and to get same symptoms again , at this moment pharmacist injected the patient with Epipen as he stated he iwas fainting .patient denied to have any allergies , fear for needles or any health conditions . pharmacist kept watching and monitoring the patient till his blood pressure came back to 118/69. patient family came to pick him up .

Flared up my chronic lower back pain, which flared up my nerve/sciatic pain. At its worse, it was so bad I couldn?t walk.

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

Swollen lips; Swollen tongue; Swollen face; Itchy throat; Lightheaded; weak; feeling Sore on right arm; This is a spontaneous report from a contactable consumer, the patient. A 27-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot/Batch no: EN 6204) via an unspecified route of administration in right arm on 12Mar2021 at 08:45 AM (at the age of 27-years) as a single dose for COVID-19 immunization. Medical history included allergy to sulfa drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. Since vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to vaccination. On 12Mar2021, post the vaccination, the patient felt soreness on the right arm. On 13Mar2021 at 12.00 PM, he started to become very weak, and light headed. On 14Mar2021, he woke up and his entire face was swollen including his tongue and his throat was itchy and on 17Mar2021, his lips and tongue were still swollen. Therapeutic measures included treatment with methylprednisolone acetate (DEPO-MEDROL) 40 mg/ml injection. The clinical outcome of the events vaccination site pain, weakness, light headedness, swollen face, swollen tongue, swollen lips, and itchy throat was reported as not resolved. No follow-up attempts are needed. No further information is expected.

five minutes after vaccine was received patient lost consciousness and fell out of his chair. It is unclear if the patient hit his head or shoulder against the wall, but patient was talkative and responsive and did not want to call an emt. The patient did call his mom to have her drive him home as a precation. The patient was given water, asked to lie down. After about 10 minutes the patient stated he felt normal.

Patient reported feeling dizzy about 15 minutes after vaccination. He refused an ambulance and requested us to not call 911. Pharmacy intern walked with him and his wife to the car and reported him being wobbly. Wife of patient took him to the emergency room , where he was given Benadryl and fluids. Doctor diagnosed adverse affect as a mild allergic reaction. Wife of patient called the pharmacy to tell us he is doing better after Benadryl and fluids.

The patient was given Pfizer Covid vaccine and was the 1st dose in series. The patient walked to observation chair after receiving vaccine. He fell from chair to the floor and appeared to have a seizure with arm movements and became aware soon after. Ems was called. Patient had some water and disclosed that he had not eaten yet. He then had OJ while awaiting EMS. He did not go with EMS.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient was sitting in chair and rested head on arms. Then he fell out of chair onto floor. Immediately woke up after rph-on-duty went to him. He sat on floor for approximately 3 minutes and then was feeling well enough to sit in chair. Patient was able to communicate and sit in chair again. Patient stayed at pharmacy for approximately 30 minutes and was well enough to walk on own. No other issues reported by patient.

Patient received vaccine on 11Jun21 at 0800. Patient waited recommend 15 minutes of observation without any issues, later started to develop symptoms (sore throat and dizziness). Arrived ER 1050, given meclizine 25mg and discharged 1215. Patient rec'd the covid vaccine at 0800 and c/o dizziness and sore throat. Dx given as Vertigo. He is scheduled for appt in facility tomorrow for f/u of MRI results

cold skin, headaches, dizzy, throwing up blood, shaking, heart rate was elevated, hard time breathing

A continuous pain feeling in the center of chest. Chest area also had a somewhat constricted and general tightness feeling. On the 3rd-5th days after the shot, had a few brief periods of dizziness and high anxiety, lasting less than a minute or so each. Symptoms improved pretty quickly from there, and by about day 7 or so the chest pain was gone and felt completely back to normal. No significant fatigue, fever, or problems breathing at any point. Have not had any symptoms at all since.

Around 2 weeks after my first dose, I started having heart palpitations. The palpitations were on and off for a week and I didn't think of it much. A week after the palpitations started it started happening more frequently and I was feeling light headed and I went to ER. I was diagnosed with SVT and put on metoprolol to control my heart rate. 1 week after I was on metoprolol, I took my second dose. I was feeling a little dizzy after my second dose but it improved after like 10 minutes. I started getting very fatigued and difficult to concentrate after my second dose. I spoke to my doctor and we thought it was because of metoprolol. My cardiologist took me off metoprolol but the fatigue didn't stop and I started having aches in shoulders, arms, neck and back. The aches and fatigue was more severe in the morning. After a week of being off metoprolol I started waking up with chest pain. One day the pain was severe and I had aches in shoulders, arms, neck and back and my heart rate was around 140 so I went to ER. The doctors put me on carvedilol and my heart rate has been controlled but my body aches and fatigue has been going on. The cardiologist and my PCP aren't sure if SVT or the medication is causing my body aches and fatigue. The only other thing I could think of was the vaccine so I wanted to send this report.

Two days after my shot, I started experiencing a pounding heart, heart palpitations, sharp chest pains, chest tightness, occasional dizziness and shallow breathing, and fatigue. Additionally I have felt these poke-like pains in random parts of my body (arm, back, top of head, groin)

PATIENT RECEIVED VACCINE AND WAS WAITING IN POST VACCINATION AREA. ABOUT 5 MINUTES AFTER THE VACCINE HE FAINTED. HE WAS PLACED IN SUPINE POSITION, WITH FEET ELEVATED. PT REGAINED CONSCIOUSNESS IMMEDIATELY. PATIENT CUT HIS EYEBROW DURING FALL. AMBULANCE WAS CALLED IN AND PT WAS TAKING TO THE HOSPITAL.

27 yo M presents to the ICC c/o a headache and dizziness. States that he has neck muscle stiffness and a squeezing, pressure-type headache that is affecting the top of his head and both sides of his forehead. The lights are bothering him and he is nauseated. Received COVID vaccination 4 days ago. Had a headache yesterday, which was worse than the one he has today. Has not taken any medications for symptom relief because he did not want to mess with the vaccine. Symptom duration == 5 hours. Not worsening. Diagnosed with a tension headache. Treated with acetaminophen 1000 mg. Rated 8-9/10 before taking acetaminophen and 3-4/10 after acetaminophen.

tummy was weird; fainted; lightheaded; This is a spontaneous report from a contactable consumer (patient). A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: En6203), dose 2 via an unspecified route of administration, administered in arm right on 07Jun2021 15:30 (at the age of 27-year-old) as single dose for COVID-19 immunization. Medical history and concomitant medications were reported as none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received 1st single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) in left arm, on 17May2021 15:45 (lot number: En203) for COVID-19 immunization. On 08Jun2021 05:15, patent experienced fainted morning after vaccine, and was lightheaded, tummy was weird too. Prior to vaccination, the patient did not diagnose with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was unknown.

Joint pain started about 3 weeks after vaccine. First affected joints in both hands and finger, has progressed to knee pain since first noticed. Range of motion in hands is limited due to pain and loss of flexibility. Range of motion in knees is currently unaffected but pain is moderate during daily activities and work. No prior history of injuries to hands or knees.

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

Nosebleed; pain in nose and forehead; pain in nose and forehead; Dizzy; having problems with breathing; This is a spontaneous report from a contactable consumer or other non-healthcare professional (Reporter's coworker). A 27-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), via an un-specified route of administration on 17Jun2021 (at the age of 27-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), via an unspecified route of administration on an unknown date as DOSE 1, SINGLE for covid-19 immunisation and experienced no reaction. On 18Jun2021 patient experienced nosebleed, pain in nose and forehead, dizzy and having problems with breathing. The reporter stated that had the second shot yesterday, after that he drank 3 beers and now today is having a nosebleed, pain in his nose and in his forehead and is also dizzy and having problems with breathing. Caller states that he wanted to ask something and that he is more worried about his partner because he is in the worst condition. Caller says that his own symptoms are very minor and very slight. Caller requests that his partner go first and needs to know if his partner needs to go to the clinic. At the time of report, event outcome was not resolved. Information on lot/batch number has been requested.

Starting on Wednesday morning, couldn't hear in left ear and over the day both ears starting to lose hearing. Thursday both ears felt like they were clogged and continued to get worse and felt pain and have a fever up until today. Patient also experienced ringing in the ear and discomfort. Pt would not use phone. Also experience dizziness. Patient was seen at urgent care on 7/7/21 and was diagnosed as a double ear infection and was prescribed cefdinir.

About 4 hours post injection ring finger nerves became painful at tip with pins and needles feeling. Still present, but not as painful. About 1 week post injection, began getting chest pains, difficulty breathing, and dizziness/lightheadedness. We to urgent care 1 week after symptoms started to appear as they got worse. EKG ran showing potential heart attach in past, but I don't think I've had one before. Was noted and told might have been due to crutches. Symptoms got worse next day so went to urgent care at different facility. Brought to ER for x-ray, blood , and EKG. Told no myocarditis, but potentially pericarditis.

Long lasting headache, migraine, vertigo, nauseous, unable to concentrate, brain fog, insomnia, stiff neck, head sinus. Has been ongoing for 2 weeks

Sudden hearing loss developed in left ear which started a few weeks after vaccination, followed by intensifying vertigo, dizziness and nausea over the next month, followed by a persistent dull ache on the left side of head that continues today (7/10)

Sharp pain in the heart resulting in difficulty breathing deeply. Pain was severe that I could not get out of the bed for 30 minutes. Overall, pain lasted about an hour.

Client reported that he woke up with dizziness the following morning on 06/13/21 which lasted all day until he went to sleep. During the day the client noted he felt "lightheaded when I stood up from a squatting position." The client stated he woke up on 06/14/21 and the dizziness had resolved. The client did not take any medications for the initial dizziness and did not seek any medical care regarding the dizziness. The client denied any s/s of anaphylaxis following the first dose of COVID vaccine Pfizer.

AFTER RECEIVING PFIZER COVID 19 VACCINE, PATIENT SAT DOWN. HE THREW UP. HE SAID HE BLACKED OUT FOR A BRIEF MOMENT. HE WAS ALWAYS SEATED. THE LADY WITH HIM VERIFIED WHAT HE SAID. HE THEN SAID HE FELT DIZZY. HE DRANK WATER AND SOME SODA HE BROUGHT WITH HIM. WE CALLED 911, EMS CHECKED HIM OUT. HE REFUSED TO GO WITH EMS/AMBULANCE AND SAID HE WAS FINE. HE SAT FOR A WHILE , HIS OTHER MEMBERS OF HIS FAMILY CAME AND HE WALKED OUT OF THE STORE WITH THEM UNAIDED.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient got light-headed after the vaccine, fall as getting into chair.

On first day, patient was feeling tired, dizzy and foggy and 18 hours later was found dead on the floor.

Neuropathy started in both feet and have radiated up towards knee. Started end of May, still ongoing. Also headaches, fatigue, dizziness.

Dizziness; Sweating; Shortness of breath; Nausea; Panic attack; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 27-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, in left arm on 30Mar2021 15:00 (Lot Number: ER8734), at the age of 27 years, as single dose for COVID-19 immunisation. The patient medical history was not reported. No known allergies. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not diagnosed with COVID-19 prior to vaccination. The patient had not tested positive for COVID-19 since having the vaccine. Patient did not receive any other medications in two weeks. On 30Mar2021 15:00, the patient experienced dizziness, sweating, shortness of breath, nausea and panic attack. The events were considered as non-serious. The events were not received treatment. The outcome of all the events was recovering. No follow-up attempts are needed. No further information is expected.

Within the first 5 minutes of injection: heart palpitations, shortness of breath, dizziness, extreme thirst, and facial numbness.

Woke up to a burning sensation all over my face that quickly spread to my upper torso. I stumbled into the bathroom and removed my pajama shirt to relieve the heat I was experiencing. I ran my hands under luke warm water and the sensation suddenly disappeared as quickly as it came. Later that same day I experienced fatigue and loss of appetite that lasted about 24 hours.

Pt. states that he received covid Pzifzer vaccine at 11:17 am on 01/05/2021 to left deltoid IM. Around six to seven minutes at 11:23 am post vaccination patient started having burning sensation at site, felt flushed, diaphoretic, light-headed, nauseated, and now he is experiencing tingling to bilateral feet. Pt. states that earlier post vaccination he was feeling anxious, but he is no longer feeling anxious. Pt. denies feeling this way post vaccination with other vaccines. Pt. states that he is still having bilateral feet tingling up to both calves right greater than left.

Awakened 4 times shivering, Headache- relieved with 1 gram of Tylenol. dizziness- resolved 3-4 hours after waking. Fatigue- slept for 13 hours after working Body aches (mainly lower extremities)- worsened above movement. Dull ache while at rest. resolved with time. Hot flashes- random hot flash with sweating. Still experiencing almost 48 hours after immunization.

Side effects from COVID vaccine: -Chills -Joint Ache -Headache -Fever -Cough -Fatigue -Mild vertigo Occurred approximately 24 hours after vaccination, lasting at least 7 hours until asleep. Symptoms cleared entirely upon waking up the following morning.

Patient asked to remain in observation area x15 minutes. Approximately 5 min into observation complained of dizziness, tingling in fingers, sweating. Pulse 110, skin clammy. Requested patient move from chair to floor, remove jacket, instructed purse-lipped breathing, drank 2 bottles of water patient compliant and tolerated well. Pulse reduced to 79 at 1309, finger tingling resolved, asked patient to wait until 1:30 to leave, pt agreed. Symptoms resolved quickly and completely.

Symptoms of 2nd Covid vaccine lot EL 1284: numbness in feet, legs throbbing, muscle weakness in legs, overall tiredness I received my second Pfizer vaccine on 1/12/21 at 12:15 pm. After several hours, I felt weak and tired. By 7:00 pm, I had a migraine that wouldn?t go away and I had muscle ache in my feet and legs. On 1/13/21 I felt some numbness in my feet and my legs were throbbing. By 10:00 pm, both of my feet were completely numb and my legs were throbbing/radiating heat. It felt as if circulation was cut off from my feet entirely. On 1/14/21 I went into work where I?m constantly on my feet. I felt intense muscle weakness in my legs and thighs to point where I could barely stand up. I immediately went to an urgent care where they started me on an Sodium Chloride 0.9% intravenous IV solution drip. They ran blood tests and urine tests to rule out any other causes to my symptoms. All results came back negative. I was told to rest, hydrate, and recover for the next several days. If my symptoms did not subside within the next couple days, I was instructed to go to the ER for further examination.

postural dizziness; dyspnea; paresthesia; This is a spontaneous report from a contactable Physician. This Physician reported for a 28-year-old male patient received 2nd dose of BNT162B2 Intramuscular on 10Jan2021 07:30 on Left arm for covid-19 immunization. Medical history and concomitant drug were not reported. No other-vaccine-in-four weeks. No other-medications-in-two weeks. Historical Vaccine was first dose of BNT162B2 on an unspecific date. Patient experienced Moderate reaction: postural dizziness, dyspnea, and paresthesia on 10Jan2021 09:00 AM that resolved with H1 and H2 antagonists and IV hydration. AE-resulted-in Emergency room/department or urgent care. Outcome of the event was recovered. No covid-prior-vaccination. No covid-tested-post-vaccination. Information on the lot/batch number has been requested.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation between vaccination and onset of events. 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 RAs, Ethics Committees, and Investigators, as appropriate.

Received vaccine at 18:45 on 01/19/2020 Woke up at 10:00 01/20/2021 after approx 8-9 hours of sleep with symptoms: Nausea Headache Dizziness Dry Cough Chest/Lung Tightness Full Body Aches Fatigue/Lethargy

fatigue; headache; body aches; dizziness; This is a spontaneous report from a contactable healthcare professional (patient). A 28-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730, expiry date not reported), intramuscular in the left arm on 23Dec2020 08:00 at single dose for COVID-19 immunisation. Medical history was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient has not been tested for COVID-19. The patient had no allergies to medications, food, or other products. Concomitant medications included caffeine, paracetamol (EXCEDRIN), and paracetamol (TYLENOL). On 23Dec2020, the patient experienced fatigue, headache, body aches and dizziness. No treatment was received for the adverse events. Clinical outcome of the events was recovering.

shortness of breath; headache; body aches; dizziness; fatigue; heart palpitations; This is a spontaneous report from a contactable other Health Professional (patient). A 28-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included acetylsalicylic acid, caffeine, paracetamol, salicylamide (EXCEDRIN), paracetamol (TYLENOL). The patient did not receive other vaccine in four weeks. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EK5730), via intramuscular on 23Dec2020 08:00 at single dose om left arm for COVID-19 immunization and experienced headache, body aches, dizziness, fatigue. It was reported that with 2nd dose, the patient experienced heart palpitations, shortness of breath. With both doses, experienced headache, body aches, dizziness, fatigue on an unspecified date. No treatment was received for the events. The outcome of the events was recovering. Information about lot/batch number has been requested.

Headache, fatigue, tinnitus, dizziness, and body aches (mostly back and neck) Side effects lasted 7 days Patient was taking ibuprofen and Tylenol around the clock alternating therapies while hydrating often throughout the 7 days course

tired; dizzy/dizziness/lightheaded; chills; he is warm all of a sudden; a history of vertigo, so he thought he was having a vertigo attack; super sick on the 8th after his second dose; Fever; This is a spontaneous report from a contactable nurse (patient). A 28-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EK9231), via an unspecified route of administration on 07Jan2021 at single dose on the left arm for COVID-19 immunization. Medical history included vertigo from Aug2019. There were no concomitant medications. The patient received the vaccine through the facility where he works (not a military facility). Patient received his first dose on 17Dec2020 (lot number: EL0140). Patient said that the symptoms started Monday, he was super sick Friday after first dose. Patient clarified to super sick on 08Jan2021 after his second dose. On 08Jan2021 after his second dose, patient had a fever of unknown temperature which he slept through it. He was tired the whole day on Monday (11Jan2021) and really dizzy and had chills from then to now, which is not stopping, he means the dizziness is not better, the chills come and go. He clarifies that he did take Tylenol to treat the fever and the next day he had no fever. He says that the dizzy, he still has it. Patient took 500mg once by mouth of the Tylenol. Patient stated that he also has a history of vertigo, so he thought he was having a vertigo attack, but he took his medicine and it did not help him. Patient stated that these were not serious for him, he just feels dizzy and lightheaded. He has no loss of balance. The patient reported that he had both doses of the COVID vaccine on the left arm. Patient had the second dose on 07Jan2021, and until now he has been dizzy, it started 3 days ago (11Jan2021), he has had chills and then after he was warm all of a sudden, he was concerned. Patient has had no new medications or other vaccinations recently. He last saw his doctor six months ago and he plans to see her tomorrow (15Jan2021). The events were assessed as non-serious by the reporter. Outcome of the event dizzy/dizziness vertigo attack, and chills was not recovered (ongoing), for fever was recovered on 09Jan2021 while for other events was unknown.

Immediately following the vaccine the pt felt lightheaded. He was also sweaty and pale. Vital signs were done and juice was given. The pt was monitored for 20 minutes in the vaccine bay and then remained for another 10-15 minutes. The symptoms resolved quickly within a minute. The pt denied any respiratory symptoms

Mild fatigue/extreme fatigue (difficulty standing); strong chest/abdominal tightness (described similar to indigestion); strong chest/abdominal tightness (described similar to indigestion); chills (severe shaking/trembling); chills (severe shaking/trembling); deep breathing; Mild fatigue/extreme fatigue (difficultly standing); elevated temperature (99.3-7); sensitivity to cold for 24-48 hours; This is a spontaneous report from a non-contactable consumer. A 28-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; brand: Pfizer, lot number: EL3246) via an unspecified route of administration at right arm on 14Jan2021, at 10:00 AM at a single dose for COVID-19 immunization. Age at vaccination was 28-year-old. Medical history included blood pressure. No other vaccines within 4 weeks prior to the COVID vaccine. List of any other medications the patient received within 2 weeks of vaccination reported as 2 - blood pressure (identity not disclosed). Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; brand: Pfizer, lot number: EL0140) at right arm on 23Dec2020 at a single dose for COVID-19 immunization and no symptoms reported. Facility where the most recent COVID-19 vaccine was administered at hospital. It was reported mild fatigue within first few hours for second dose. Around 12 hours after injection (11:30 PM) had rapid onset of strong chest/abdominal tightness (described similar to indigestion), extreme fatigue (difficultly standing), chills (severe shaking/trembling), and deep breathing. These strong symptoms lasted for around 15 minutes. Over next few hours elevated temperature (99.3-7) and sensitivity to cold for 24-48 hours. Symptoms resolved. Events with start date on 14Jan2021 at 11:30 PM. The outcome of events was resolved in Jan2021. No treatment received for events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.

Immediately after I administered the vaccine, the patient passed out. He fell onto the floor and we witnessed some oral seizure like type movement . The patient was unconscious for approximately 1.5-2 minutes. Our Chief Medical Officer was on site and walking into the room as the patient fell. We immediately placed him on his left side, protected his head, and stayed with him. We called 911 immediately due to the uncertainty of health issues. Once conscious, the patient explained to us that he experiences such every time he receives a vaccine. He was assessed by the CMO as well as the EMTs that arrived on scene. His vitals were taken. He was moved into a comfortable position and monitored. He was alert and orientated x 3. We requested he have someone pick him up instead of him driving himself home which he did. This gentleman is also an employee and we were able to see him and verify all was well in the following days. We also recommended he tell all vaccinators that he experiences LOC post vaccination. When he receives his second dose we plan to have him lying down and our CMO will be present. We recommended he follow-up with his PCP.

Pt states that 5 minutes after receiving the vaccine he became light headed and dizzy. Pt states he felt as if he would lose consciousness. Pt was wheeled via wheelchair to the evaluation room and laid down onto a cot. Pt?s vitals are stable. After 15 minutes the pt states his symptoms have alleviated and would like to go home. Pt refused transport to hospital. On site doctor was consulted and agreed that the pt is stable and can return home. Pt was wheeled via wheelchair to his car and assisted into his passenger seat as a precaution.

After about an hour following my second COVID-19 Injection I began feeling warm. My forehead felt warmer so I figure I may have had a slight fever at that point. I received a metallic (Note I say metallic but I know it wasn't actually metal but that's simply the best way I can describe the taste I experienced) following the injection about 5 minutes after. My arm remained sore following and still remains sore as of this report. I experienced a decline in mental acuity following about an hour after injection. I began to feel lightheaded and exhausted to the point I was experiencing severe disorientation and confusion. I was having trouble putting sentences together and experienced a ringing sensation in the ears. I felt like I wasn't even present anymore. I couldn't comprehend things around me and apparently had conversations I don't even remember having. Note that at that point I had gotten home but don't even remember getting home. I just know that this did not begin to wear off until around 8:45pm when it was like someone flipped a switch and I suddenly was coherent again. It was an odd sensation to experience. The arm remained sore and the metallic taste returned briefly after this experience. I experienced a similar feeling from the HPV injection years ago, but just like this it was a temporary thing that resulted in no long term issues. However, I cannot tell you fully what we did the rest of the day until around 845-9 pm. I also remember becoming partly agitated after the injection like my body just all of a sudden took notice of something and shot into action. I had received my allergy injections this same day about two hours earlier as well and none of these reactions ever occur with those for me. I continued to drink liquid as far as I know as there were a few empty bottles of water next to me. I have no recollection of getting them. It's odd. There's just this brief moment in time that is just missing from my memory with a few short bits and pieces that are there like a puzzle with some missing pieces. I feel I became so fatigued I could not function. My emotions I remember were off and hard to control during this period too. I felt like I was having some random mood swings. I feel ok now though aside from the upset stomach occasionally and the fatigue and arm pain (but even the arm pain has partly decreased now). It all ceased. I have a number of health issues outside of this but have not experienced this long of a period of almost intermittent amnesia and incoherency following an injection before. I believe it made me that much more tired or reacted with one of my many conditions or genetic variants that perhaps may have been part of this. I'm happy to provide anything I can to help with this. I am greatly appreciative of all the CDC has done to get us this vaccine and continues to do to ensure our safety both before and after injection. It is commendable. I did fill out my survey through the V-Safe portal as well and will continue to follow up there should I have any changes. I have not sought medical care following this event as the coherency and such have seemed to resolve in regards to the vaccine injection. Only thing left are known side effects at this point besides an occasional increase in numbness and tingling that I already experience in my legs and feet. My absolute best guess for the cause is my immune system which already has some issues regulating (doesn't always like to learn everything it should and we are currently searching for an undiagnosed autoimmune disorder currently going on as well in me) on top of allergy shots today. it was perhaps just a bit too much demand on it all at once. But it seems to be balancing out again now.

Pt states he was initially feeling fine s/p receiving his COVID vaccine. After 5-6 minutes he notes a syncopal episode that he describes as feeling like he randomly fell asleep. When this occurred, he fell back in his chair and hit his head. He notes blurry vision after this occurred but felt like he was slowly improving. While he was being brought to the ED in a wheelchair he began experiencing blurry vision again and his face became very pale. He was given some apple juice and reports that after 5-10 minutes he felt back to normal. While his vitals were being taken, his HR and BP were very low and he experienced another episode. Pt does not have a hx of passing out 2/2 needles and notes that he gets a flu shot every year and is totally fine. He does note that he became queasy when he tried to give blood in the past but that this does not normally happen. Of note, pt denies any leg swelling prior to these episodes. Pt endorses a low baseline HR in the 50s per his Fitbit but otherwise denies any known heart problems. He notes a fhx of heart problems and states that his dad had heart bypass surgery a couple years ago. Pt denies any daily medications other than vitamin gummies. Denies DVT risk factors or prior history of DVT.

COVID-19 Vaccine Reaction Vaccine administered: Pfizer dose 2/2 Patient reaction, action taken, & outcome: 1206 - 2nd Pfizer dose given 1212 - Syncopal w/ fall forward w/ abrasion/contusion injury to left orbital area while walking from vaccination area to observation area. Diaphoretic. Pale. Lightheaded. 1215 - placed on stretcher and brought to triage area. BP 92/55, RR 28, HR 86, SpO2 96. Gave OJ and water. 1220 - BP 94/64, RR 26, HR 90, SpO2 96 1223 - BP 115/73, RR 26, HR 96, SpO2 97 1226 - BP 121/71, RR 20, HR 96, SpO2 96. Sitting EOB. 1335 - BP 98/59, RR 22, HR 85, SpO2 95. Lightheaded again. Gave OJ and laid back down. No longer pale or diaphoretic now, but neck becoming sore. 1240 - BP 114/67, RR 20, HR 80, SpO2 97 1246 - BP 117/67, HR 77 Sitting EOB MD lead at bedside directing care throughout and d/ced patient at 1300 w/ info about concussions and after ambulation.

Patient received Covid Vaccine and followed process (15 minute monitored time). Patient was walking out of center and fell hitting his head. 12 lead EKG, CBC, Chemistry, Portable chest x-ray, CT Brain/Head w/o contrast, CT maxillofacial w/o contrast, CT Spine Cervical w/o contrast. Transferred by helicopter to trauma.

Patient received the vaccine around 11 am. He hadn't been feeling well (headache, dizziness) per report and initially called in to work. He then decided to come to work and was found down in a patient bathroom during his shift on our Facility while taking care of a patient (he was a nurse aid). Patient was coded and the team and was transferred to our Facility ED. He expired 3/3 2112

18 days after Covid Vaccine Dose 1, patient started to present with symptoms of a frontal lobe migraine along with nausea, dizziness, and L Sided Weakness. As time continued to pass while en route to local hospital, patient began to stutter harshly, saying every other word in a sentence, complained of a stiff jaw, and began to panic.

Client became diaphoretic, lightheaded and lost consciousness. Blood pressure read low after client regained consciousness, however client did lose consciousness a second time. Epinephrine was administered and EMS activated. Vitals improved over following 5 minutes at which point patient was conversational and EMS arrived for transport.

diaphoresis, hypotention, bradycardia, dizzy. likely vasovagal/presyncope 2/2 seeing blood after admin of vaccine

Pt fell out of his chair landing on the right side of his body. Unresponsive 2-3 seconds. He was able to respond verbally immediately p initial unresponsive episode asking "how long was I out for?" Pt is alert and oriented to person, place time situation "highlight headed. He did not eat breakfast. 0935AM HR 67, SpO2 98%, RR 22, BP 152/94. At 1950 AM HR 84, SpO2 97%, RR 22, BP 136/84. At 1015AM 8 oz water, granola bar snack, Capri-sun, consumed and he felt better. No injuries noted from falling out of chair. At 1026AM called -made it to work.

Progress Notes Healthcare Provider Cosign Needed Expand AllCollapse All Healthcare Facility Date: 3/17/2021 Subjective Patient is a 28 y.o. male who was seen at healthcare facility today for his second dose of the COVID 19 vaccination. He was given the Pfizer vaccination in the left deltoid muscle. During his 15 minute waiting period after the injection, the patient began to experience dizziness. He denied any other symptoms. This provider was notified of patient reaction and he was then assessed. Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms. Had back surgery 4 months ago. Since that time, he has had episodes of dizziness. 2 days after surgery, he had a syncopal episode and hit his head. He was evaluated at healthcare facility. He reports negative CT of head from that visit. He was diagnosed with concussion. He did not have a reaction with first vaccine. ALLERGY REVIEW OF SYSTEMS: Patient complains of dizziness CONT negative HENT negative Eyes negative Respiratory negative Skin negative GI negative Musculo negative Previous Reactions: N/A. No reaction to first vaccine. Objective Vitals Vitals: 03/17/21 0859 03/17/21 0917 BP: 128/76 116/72 Pulse: 86 80 SpO2: 100% 99% Physical Exam Vitals reviewed. Constitutional: Appearance: He is ill-appearing (initially, then resolved). He is not toxic-appearing or diaphoretic. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Mouth: Mucous membranes are moist. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing. Musculoskeletal: General: Normal range of motion. Cervical back: Normal range of motion. Skin: General: Skin is warm and dry. Coloration: Skin is pale. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Behavior is cooperative. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: water Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Suspect this was one of his normal episodes that he has been experiencing. He is expecting a phone call with neurosurgeon this week. He was instructed to call PCP or seek emergent care if symptoms return, worsen or become worrisome. He felt back to baseline. He was able to ambulate independently. Healthcare Provider Electronically Signed 3/17/2021 9:31 AM

Patient received vaccine at 12:30pm, at 12:35 pm, patient felt dizzy and felt like he had a lump in his throat that made it hard to swallow. Upon assessment, patient had constricted pupils, skin was cold and clammy. Patient respirations were rapid but unlabored. Nurse administered 25mg of benadryl and had patient drink Pepsi while waiting for an ambulance. Ambulance arrived at 12:52 and assessed patient. At 13:09, patient refused vital signs by squad and refused to be evaluated at hospital, stating he was feeling much better and thinks he just had an anxiety attack due to witnessing another patient have a reaction. Patient stayed onsite with nurse until 14:00, when he called someone to come drive him home. Patient texted nurse at 15:40 stating he arrived home safely and felt fine.

After the shot given to him I asked him to sit down and wait for 15 minutes. While he was sitting suddenly he fell from to chair to the floor. His nose started to bleed. We helped him with bleeding and called 911. After waited for 15 minutes for paramedics they took him to the hospital. He said he felt very dizzy and fell.

Systemic: Dizziness / Lightheadness-Medium, Systemic: hypoglycemia-Medium, Systemic: Nausea-Medium, Additional Details: Patient experienced low blood sugar/dizziness/nausea ~10 minutes after administration. Patient had not eaten at all during the day and immunization took place late afternoon. patient was given crackers and glucose tabs and monitored by intern pharmacist for ~15 minutes. patient recovered and called a friend for a ride.

Extremely sore arm, beginning only several minutes after injection, persisting at least several several hours and days, painful to move, difficult to use for normal tasks Fatigue, sleepiness,

PT FELT DIZZY/ LIGHT HEADED - PT STATES GETS DIZZY AND LIGHT HEADED WITH ALL VACCINES. GOT PT AN ICE PACK TO PUT ON FOREHEAD AND A BOTTLE OF WATER AND AFTER ABOUT 15 MINUTES PT WAS FELLING FINE. HAD THEM SIT FOR ANOTHER 15 MINUTES BEFORE LEAVING

Patient is a 28 year old male who has completed a 45-minute observation period with the following signs and symptoms of an adverse reaction: other - syncopal episode. COVID-19 vaccine # 1 in series administered. Patient complaints of syncopal episode witnessed by other patients after received 1st dose of Covid vaccine. Patient states that he developed clammy skin, lightheadedness 10 minutes after he received his Covid vaccine, patient tried to get out of chair when he had a syncope episode and fell on the floor face down witnessed by other patient in the Covid vaccine lobby area. Denies any head or facial injury. Patient states that he has needle phobia and he forgot to tell the nurse about his needle phobia. Treatment provided/action Taken: Vital sign @ 1325: blood pressure 114/44, heart rate: 71. SPO2: 98%, respiration : 16; Vital sign @ 1335: blood pressure 104/62, heart rate: 82. SPO2: 95%, respiration : 16; Vital sign @ 1352: blood pressure 102/68, heart rate: 90. SPO2: 99%, respiration : 16; Patient states that he didn't eat breakfast or lunch today, able to tolerated fluid and intake well, eating chocolates. Action taken: Transferred to higher level of care ( urgent care ); Patient advised to discuss second dose considerations with a clinician.

Systemic: Abdominal Pain-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: symptoms occured 30-45 minutes after vaccination -Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: Said he felt dizzy when he got up (about 10 minutes post) to go to restroom. He said he sat for an additional 30 minutes then left. While driving he felt lightheaded and pulled over. He also reported stomach cramps at that time. He felt better and drove back to the store. NP looked at him and checked bp and O2 sat level. Bp was little low. Advised have someone pick him up and he felt any worse to go to urgent care. After 15 minutes pt said he felt much better and left. Unable to reach f/u.

Patient felt like he was going to faint. Patient has had history of fainting with other vaccines in the past. Patiient appears pale, mildly diaphoretic.. No apparent respiratory distress. Patient moved to cardiac chair, legs elevated. Cool washcloths applied to back of neck, cool water provided to drink. Patient felt better after 35 minutes and left hospital accompanied by father.

Patient has a history of syncope after vaccinations (last occurred with a vaccination 10 years ago) but did not state this prior to receiving his first COVID-19 vaccine. About 1 minute after sitting down in the observation area, he fell to the ground and briefly lost consciousness. Multiple staff members came immediately to assess, rolled him over, and he immediately came to and was alert and oriented. He was taken to a medical area and laid down on a cot. He had unremarkable vitals and was breathing normally. He initially endorsed feeling lightheaded, but denied any other symptoms. He was given crackers and water given that he had not had much to eat or drink before the vaccination. He had a normal neurological exam. He was noted to have a superficial abrasion above and below the left eye (lower forehead and upper cheek), and a small Bandaid was placed on the forehead. Fire rescue on site called EMS, who assessed him. There were no immediate concerns and he refused transportation to a hospital for further assessment. After 1 hour had passed, the patient confirmed that he was feeling normal and he was allowed to leave. He was able to walk out of the facility of his own volition and did not have further symptoms when standing. His wife verified that she would drive him home. Prior to leaving, he was given strict instructions of reasons to seek immediate medical care should he have any new or worsening symptoms. The patient indicated understanding. Communication was performed via a Language Line medical interpreter.

I initially got a bad migraine three days after the first vaccine. Since then I?ve experienced dizziness, anxiety, blurred vision, headache, and constant tinnitus. I decided to have my second shot which I had today.

Patient experienced sweating and light headed about 11 minutes later. Onsite EMS was called vitals HR 60 BP 91/54. He was advised to drink water, felt better and went home.

Patient experienced post-vaccination syncope within two minutes of receiving vaccine. Patient was sitting and got lightheaded and sweaty and fell out of chair. Patient denied any pain but was assisted to wheel chair and brought to medical observation tent where he was given juice and monitored for 15 minutes. Patient BP was checked twice (110/60 and then 102/64) with a heart rate of 86 BPM. Patient declined EMS eval and was sent home

Patient had vaso vagal episode 1-2 minutes after receiving the vaccine in the left arm. He was operating his vehicle and crashed into another parked car. When I arrived to the patient he was alert and oriented, not in any acute distress, he did suffer a minor abrasion on the left arm. Patients vitals were stable during his stay in observation.

Light headed, faint, weak, hot, sweating. Complained about throat tight and difficulty breathing. Provided patient with ice pack for back of neck and wrist. Due to patient complaining of difficulty breathing, 911 was called and he was assessed by EMS personnel.

Sweating. Complained of being dizzy. He feels this way when he gives blood. EMT observed and monitored. Patient responded to water and no other intervention needed.

Patient received Pfizer vaccine as IM into left arm at approximately 10:05am on Tuesday 4/6/2021. Patient had a vasovagal response at 10:20am on Tuesday 4/6/2021. Patient fell out of chair, face down onto gym floor. This RN went over to patient. Patient noted to be unresponsive, however after 30 seconds woke up and was alert and oriented x 4. Patient log rolled onto back and noted to be pale and diaphoretic. EMS called by RN at 10:20. Initial set of vital signs BP 132/80, SpO2 98% on room air, HR 90 and RR 20. Legs elevated onto chair and patient remained lying flat on his back until EMS responded. EMS initial arrival at 10:49 am ... EMS response time 33 minutes with arrival onsite at 10:53am. Patient taken to hospital by EMS.

. Pfizer dose 1 on 3/30. Just had sore arm. Symptoms dizziness began on 4/3. Otherwise feeling well. Labs drawn 4/5 which revealed pancytopenia, rechecked today and numbers are worsening. Working to get him into hematology now. 28 yo male s/p Covid-19 Vaccine (Pfizer) on 3/30 with lightheadedness only when bending down and coming up returns for follow up today for pancytopenia found on labs obtained 4/5. He denies any recent viral symptoms. He did not have any episodes in past that made him question that he may have had Covid-19 viral illness. He is able to tolerate his normal daily exercise and bike without any symptoms. He has no dietary restrictions, eats dairy, meat, lots of vegetables/fruits, pastas and some breads/cereals. He drinks alcohol once per week. He abstains from ETOH every April. He has used edible THC in past, only once per month at most. He has not been tested for HIV in past. His girlfriend, in last semester of school advised him to ask about HIV testing. He denies any chest pain, SOB, HA. Upon review of his lab results yesterday, I called the hematology fellow, Dr. through program at hospital and he recommended the labs to be obtained and rechecking labs in one week. He felt the student was not exhibiting any emergent symptoms requiring emergent evaluation. Patient and I spoke on phone after this call with fell at 1557 4/6 and I advised him to seek emergent medical eval in ED for any CP, SOB, HA or any neurologic symptoms. Patient has not had any of those symptoms. He exercised this morning without difficulty. He notes raised papules on legs which he has had in past. They have currently been present for a few days. He believes it to be related to biking in sweatpants. He has been in a hot tub recently, but after the bumps were present. They do not itch. He has had them in past, more in winter months with heavier clothing. He also notices slight left arm pain today. This was site of his vaccine. He denies any swollen lymph nodes. He is notices only with arm movement. He denies any FH of blood disorder/ blood cancers/MDS. He denies bruising, bleeding or dark stools. He states he likely has not had a blood draw in past, unless one visit to ER, for HA/concussion in high school (9+yrs ago) resulted in any blood test.

12:08PM LIGHTHEADED AND DIAPHORETIC. BP 80/50. JUICE GIVEN. 'FEELS BETTER NOW'. PLACED ON COT PER WHEEL CHAIR.12:14PM 'FEELS BETTER'. BP 98/60, HR 91, R 16, 02 SAT 95%. 12:19PM SITTING UP BP 104/78. PT STATES '100% BETTER'. AMBULATORY TO EXIT - GAIT BRISK AND STEADY. A/O, PINK, W/D, RESP REG WITH EASE. 4-7-21 9AM TC: PT STATES HE 'FEELS GREAT'.

felt dizzy few minutes after receiving vaccine, diaphoretic, like he was going to pass out. states usually passes out when donating blood. came to obs via wheelchair notably diaphoretic. layed down on stretcher, water, apple juice and snack offered. 1220p: bp 105/69 hr 51 rr 20 sats 97% ra. states feeling better after snack, no longer visibly sweating, 1225: bp 120/72 hr 62 rr 20 sats 99% ra. offered additional snacks, states feeling much better. 1235p: sitting up, denies dizziness or other issues, bp 103/69 hr 65 rr 18 sats 99% on ra. standing bp 127/74 hr 70 at 1245p. patient escorted to personal vehicle without issues.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Joint Pain-Mild, Additional Details: Patient passed out hit his head while dropping to the ground. Paramedic was called and came. He was fine after, but called a ride to get him to be on the safe side.

Extreme fatigue (starting day after shot) Nausea (starting immediately after shot) Ear ache (approximately 36 hours after shot) Chest pain/dizziness (5 days after shot) Trouble breathing (5 days after shot) Artery damage (discovered in ER) Fainting (1 day and 5 days after shot) Treated at hospital ER - hospitalized for observation

I got the Covid 19 Vaccine Pfizer at the pharmacy. After I got the Vaccine I was waiting in the waiting room for 15 minutes but before my time was up and it was my time to leave I felt really dizzy & light headed as I was sitting down on a chair. Then I just felt some one tell me to wake up because I had fainted, fell face down to the floor & convulsed for 5 seconds.

Patient reported feeling lightheaded within 15 minutes of vaccination. BP decreased and patient was transported by EMS to ER.

Client reported feeling lightheaded and dizzy, 10 min post vaccination. Client also reported "funny feeling in my chest." Client reports similar symptoms as experienced after receiving the first vaccine.

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

Client fell out of chair and hit his head. Began to seizure Left arm pain after pfizer injection. EMS called

4 to 7 mins after receiving covid 19 vaccine patient became dizzy and light headed. Treated with dead breathing, water, and time. patient started to feel better in aprrox 15 min

Pt vaccinated and immediately felt, hot, sweaty, faint. Hx of having similar reaction to vaccines in the past. No medical problems. No medications. Ate a "snack" this AM. Drank fluids this AM. Pt wheeled without incident to triage area. Feeling a little better after drinking 16 oz water. Appears A & O X 3, no distress, diaphoretic, skin warm and moist to touch Mood and affect normal Initial vitals 10:30 am - P78 PO2 95% RA BP 113/62 Repeat vitals 1040 am P71 PO2 97% BP 104/56 Repeat vitals 1046 am P76 PO2 97% BP 100/57 Repeat vitals 1048 am P76 BP 102/61 Reports feeling better after water and Gatorade. Pt advised hydration. Advised immediate medical attention should symptoms persist or worsen Hypotension , Hypotension

Patient felt lightheaded and increased respiration, taken to med bay. Vitals stable (BP 110/76, HR72, RR22), states previous vasovagal reaction to vaccines. Given crackers and breathing relaxed. Patient left in stable condition

After client received 1st dose of Pfizer in left deltoid, client stood up to receive vaccine card and ID. Client then passed out, fell on the floor and hit head. C/O right side jaw hurts. MD & EMT evaluated. 130/75, 75, 97%, zero bumps felt on head/scalp. Girlfriend at side, instructed to go to ER to be evaluated today.

IMMEDIATELY AFTER VACCINE PT EXPERIENCED A "HOT FEELING" AND LIGHTHEADEDNESS. PT WAS TRASNPORTED TO OBS VIA WC AT 1032. PT REPORTS HE IS FEELING BETTER ALREADY. WATER AND SNACKS GIVEN. VSS. PT RELEASED BY SELF AT 1043. PT ESCORTED BY STAFF TO EXIT WITH NO FURTHER ISSUES. VITALS AS FOLLOWS: 1036 SITTING BP 122/81 HR 86 SPO2 98 1042 STANDING BP 116/73 HR 72 SPO2 98

VOICED BECOMING LIGHTHEADED, DIZZY, AND HAVING VISION CHANGES POST VACCINE. PALE, DIAPHORETIC UPON ARRIVAL TO OBS AT 1353. PLACED IN TRENDELENBERG, VSS, SNACK PROVIDED, S/S RESOLVED. ESCORTED TO EXIT WITH NO ISSUES WITH SIG OTHER AT 1409. 1353 INITIAL BP 125/70 HR 63 SATS 95% RA 1400 BP 118/71 HR 64 SATS 96% RA 1505 STANDING BP 128/84 HR 60 SATS 97% RA

Patient had vasovagal response to injection. Has history of vasovagal response to needles. Pt became lightheaded, diaphoretic, pale. Was incontinent of bladder. Denied hx of seizures. Patient stated he woke up late and didn't eat breakfast or drink fluids. Assessed by onsite paramedics -HR 83, SPO2 100% on room air, BP 132/84. Pt was observed for 30 minutes and provided with water. Refused transport to hospital for further assessment. Advised patient to seek emergency help if symptoms return. Pt verbalized understanding.

1:35 PT C/O FEELING FAINT. PLACED ON STRETCHER. PALE,DOAPHORETIC, DENIED NAUSEA. STATES HE ONLY HAD SMOOTHIE ALL DAY TO EAT. COLD, WET CLOTH TO HEAD. PLACED FLAT INBED. 134/86 HR 85 O2 97%. Given H20 PO and tol well. 1:40 142/87 hr 84 o2 96%. feels better.Sitting on side of stretcher. No longer diaphoretic and color better. 1:55p 143/86 hr 77 o2 97%. sitting in chair. 2:05 feels fine. disch ambulatory.

PATIENT RECEIVED VACCINE THEN BECAME DIZZY WHEN ENTERING THE OBSERVATION AREA. WAS LOWERED TO THE FLOOR WITH ASSISTANCE FROM ANOTHER PATIENT. FAINTED BUT RECOVERED WITHIN 10 SECONDS. NURSES MONITORED FOR EXTENDED PERIOD OF TIME.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted for a few seconds while sitting in observation for 15 minutes. almost 15 minutes had lapsed and fell to the floor. bumped head mildly on the groud. immediate response. a little disorientated. gave water and granola bar. pt did not drink or eat anything all day . sat for 30 extra minutes and felt better. advised to check with md.

Client received vaccine, no issue. While in observation room, felt light headed, fell off chair and hit his head on contact with floor. Bump on Left forehead and small laceration left ear. vss. Transferred to hospital by EMS

Patient felt dizzy after shot. Client states long history of similar reactions after injections. Patient was moved via wheelchair to a cot and laid down briefly and then felt better. stayed for 30 min and then left with wife. BP was 120/78, temp was 98.6, pulse was 60 and O2 sat was 97% on RA. Patient states no allergies and taking levothyroxin.

Immediately after vaccination client passed out for approximately 20 sec. evaluated by MD and paramedics onsite. diaphoretic, with dizziness, nausea and vomiting x 1. Per client felt better. Client picked up from site by father and driven home.

Patient somewhat apprehensive before injection. became lightheaded and nauseated. "Feel like I smoked a lot of weed". Nausea resulted in some light vomit. BP 130/80 at 12:25pm. Laying down. Dad called to come get him because he does not feel comfortable driving. Second BP 116/77 at 1:00pm. Dad here to take him home.

afraid to take second dose of Pfizer COVID-19 vaccine due to the events; brain fog every single day; kind of off and uneasy; body aches; slight dizziness not like he was going to fall over, but cant stand still without lean a little/felt immediate rush to the head and feeling of fainting; very weird like an out of body experience this was almost like an anxiety attack/anxiety attacks for every 30 minutes or so; tension headaches; Chills; tunnel vision/tunneled, it was like tunnel vision and a very very weird like an out of body experience this was almost like an anxiety attack; it was extremely intense; pain at the injection; insane rush from the bottom of his feet to the top of head, felt like he was going to pass out; weakness; This is a spontaneous report from a contactable consumer (Patient). A 28-year-old male patient received first dose of BNT162B2 (Pfizer COVID Vaccine, solution for injection, Lot Number: ER8733; Expiration Date: 31Jul2021), via an unspecified route of administration, administered in left arm on 28Mar2021 at 17:00 (at the age of 28 years-old) as single dose for COVID-19 immunization. Medical history included ongoing asthma, anxiety experienced years and years ago when he was about 19-20 years old and it has been under control, he hasn't had this happen in years. The patient mother suffers from slight anxiety at times; dad currently has high blood pressure. Concomitant medication included albuterol sulfate taken for asthma (in inhalation (90mcg per actuation 200 metered inhalations: 2 puffs as needed) and liquid form (0.083% 2.5 mg out of 3ml as needed) for nebulizer since he was born). Patient did not have COVID prior vaccination. Patient did not want to contract COVID-19 because he has asthma. On 28Mar2021 at 17:00 (within 5 minutes of vaccination), patient experienced Tunnel Vision, chills, weakness, insane rush from the bottom of his feet to the top of head, felt like he was going to pass out (which was recovered same day with lasting effects), weakness, hasn't felt the same; feels like something is off every day; not himself, very weird like an out of body experience this was almost like an anxiety attack/anxiety attacks for every 30 minutes or so, tension headaches, dizziness and felt immediate rush to the head and feeling of fainting, at 8PM or 9PM, he felt pain at the injection and body aches. The patient visited physician room as a result of Insane tension headaches, and anxiety. On 29Mar2021, he didn't really feel too anxious, but he felt out of place, kind of off and uneasy. The chills and body aches, kind of off and uneasy were disappeared on 30Mar2021. On 31Mar2021, brain fog and slight dizziness does not like he was going to fall over but cant stand still without lean a little/felt immediate rush to the head and feeling of fainting. On 02Apr2021, injection site pain was gradually faded away. The patient states that these events started after the Pfizer COVID 19 vaccine. Therapeutic measures were taken as a result of events included Tylenol. The patient underwent lab tests and procedures which included SARS-CoV-2 test (Nasal swab): Pending on 06Apr2021. The patient did not take any other vaccinations four weeks prior to vaccination. The patient was afraid to take second dose of Pfizer COVID-19 vaccine due to the events. Patient felt very hard to work with these symptoms and to get through everyday life, it is very tough. Patient knows plenty of people that died from COVID-19 and he does not want to have to make changes and fix things in his life that he did not cause and worries this will stick around for the rest of his life all because he took a vaccine. The patient had physician office and Emergency room visit. The outcome of the events insane rush from the bottom of his feet to the top of head, felt like he was going to pass out, pain at the injection, chills and body aches were recovered, while for tension headaches, anxiety attacks, dizziness, weakness, brain fog, hasn't felt the same; feels like something is off every day; not himself was not recovered, and for tunnel vision it was unknown. Information on the lot/batch number has been requested.

Received the vaccine at 10:;15 am on 4/14/2021 and had fatigue, slight chills, and a sore arm. By 4/16/2021 I felt normal until approx. 10pm when my right ear blocked up and I lost hearing in my right ear. On 4/17/2021 I treated it as a congestion issue with neti pot and decongestions but the ear remained blocked. After sleeping for approx 1 hour on 4/17/2021 I woke up at approx. 11pm with severe vertigo and nausea and vomited consistently for approx 1 hour. I could not get off of the floor and the right side of my face was fixated to the floor. Paramedics were called and I was taken to the ER where I was treated with anti-nausea medications and valium to reduce vertigo. A non contrast CT, blood panel, and stroke assessment were all normal with no sign of ear infection. I was release from the hospital at 10am on 4/19/2021. On 4/21/2021 I saw an ENT who performed a hearing exam revealing my right ear is completely deaf with normal left ear function. The ENT prescribed prednisone 10mg (63 tablets over 10 days). As of today (4/25/2021) I no longer have vertigo and nausea, but I still have no hearing in my right ear and have significant vestibular challenges and cannot walk safely unassisted without getting dizzy.

Patient reported feeling faint after receiving vaccine. He also reported blurring vision, which was resolved after about a minute after lying down on the floor. He was brought back at 12:46 and was given water and was laid down on the stretcher. VS were first taken at 12:50: HR: 51, RR: 20, BP: 110/50, SPO2: 100. 1:04 VS were: HR: 61, RR: 20, BP: 106/64, SPO2: 98. Final VS were at 1:17: HR: 59, BP: 116/67, SPO2: 98. The patient was released at 1:17 by himself.

Below symptoms noticeably worse - Vertigo - Migraine visual aura - Tinnitus Onset 4 days after Pfizer dose # 1. Symptoms still not much improved as of 12 days after vaccination

Patient had sweating, dizziness, light headache. Vital signs stable. Feeling well after 30 minutes, stable, released from vaccination site.

Patient had flushing/sweating, dizziness, lightheaded, diaphoretic, lips tingling, slight blurred vision, anxious. Given water, juice, graham crackers. Symptoms improved, stable, patient released from vaccination site.

Systemic: Fainting / Unresponsive-Medium, Systemic: pt had seizure-like twitching, fell off his chair face first. He cut his face.-Severe, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Additional Details: Pt told me he gets lightheaded after vaccines. I told him I'd help him get to a chair near vaccination area so I could monitor him. He agreed. I didn't even have time to apply the bandage when he started twiching & basically jumped out of his chair. He twisted 180 degrees and fell on his face. He got cut in at least 2 facial areas. Pharmacist cleaned him up. He never lost consciousness. EMS came and treated him. He refused to go to hospital at first, but eventually they took him.

30 minutes after second shot I was dizzy and very fatigued. Every day since I have had a headache, dizziness, brain fog, spacey. Today is two weeks since my second dose. My anxiety is out of control and had panic attacks for the first 5 days.

Dizziness immediately after vaccination, resolved enough to report to the observation room, became syncopal right after arriving in obsevation. Had brief loss of consciousness, recovered fully in treatment area

Immediately after vaccination, patient stated he felt faint, and was pale and diaphoretic. Normal pulse and 02 saturation. Did not lose consciousness and recovered on his own.

Patient received vaccine and was asked to remain seated in lobby for 15 minutes. He asked if he could go buy a drink and we requested he sit in lobby first. After about 5 minute patient stated he felt dizzy. He was asked to remain seated and yell at staff if he needed help. Pharmacy staff visually monitored him and he spoke up saying he felt faint and dizzy. Pharmacist stood in front of him in his seat incase he fainted so he wouldn't fall down. Store manager called 911. Paramedics arrived about 5 minutes later and took over assessing patient. Patient never lost consciousness or needed CPR. Paramedics took his blood pressure and monitored him for a little while and patient went home.

I am not quite sure when this started, but I believe it began two or three days after receiving the shot. Today would be day 9 since I have had the first dose. I have been experiencing a brain fog and strange head pressure (not painful, just somewhat uncomfortable), as well as slight dizziness and hard to focus. I previously had Covid on 12/21/2020. It seems to come and go throughout the day. Some days are more foggy than others.

Patient reported he felt dizzy and had mouth/tongue numbness and tingling. HR 130's, RR 25, o2 sat 100%. Patient then laid himself on floor and was in and out of consciousness. He maintained pulse and breathing. Patient taken to Emergency Room. He appeared to have 3 syncopal episodes while in route to Emergency Room. In the ER, symptoms resolved. Patient denied anxiety deteremined to be vasovagal response.

Patient reports dizziness, nausea, flushed and visual changes. Patient reports going running before vaccine and didn't eat or drink. After patient spent some time lying down and drinking some water, patient reports symptoms resolved.

About 10 hours after the vaccine I passed out in my kitchen. Was gently stretching, felt dizzy and went unconscious for about 30 seconds. My girlfriend was there to help me up.

Aside from the expected soreness in the arm and short lived fevers, I started to develop painful swelling and hard lumps in my lymph of the same armpit as my injection site. It was quite painful and broke out into a puss-tipped rash and continued to get worse. It has been over 20 days now and instead of getting better, it has spread to my other armpit now. I went to the local advanced urgent care clinic who ran some bloodwork and said my white cell count is normal and non-indicative of lymphoma, so I was put on prednisone and doxycycline. The medication has done next to nothing and I was told that there was nothing else they could do. The pain in the arm varies per day but there are some days where it is too painful to use my arms at all.

Post vaccine pt felt warm a light headed. Pt laid down independently and symptoms went away but returned upon standing up. Pt laid down again until brought to Medical Observation. Vitals obtained and monitors. Water and food provided 1626 LYING BP 125/75 HR 93 Sp02 100% 1631 LYING BP 126/69 HR 93 RR 16 Sp02 98% 1636 LYING BP 128/85 HR 89 RR 14 Sp02 100% 1648 STANDING BP 150/81 HR 94 RR 14 Sp02 98% 1650 STANDING BP 128/74 HR 93 Sp02 99%

Syncope. Fainted standing up and fell backwards, hit back of head on floor. Pt felt lightheaded after shot. Water, juice given. Minimal pain. Stable and released. NP recommend ER visit if any headache, lightheadedness, vision changes.

Patient received vaccination and was sitting in pharmacy for the 15 minutes to be monitored. After sitting in chair for 5 minutes patient became faint and fell out of chair and hit side of head on ground. Patient sustained cut to his right eye as well as swelling. Patient was given Ice pack to control swelling and stayed in pharmacy for an additional 20 minutes where he was closely monitored. Patient did make decision to get up and leave and was able to walk out on his own.

Immediately after the patient received the vaccination he stated that his arm felt numb. This seemed to concern him greatly although I reassured him that this reaction had been reported to me on other occasions and it was transient. I checked his blood pressure and pulse, both of which were normal, and he waited for about 20 minutes before returning to work where he received the shot. He returned to the pharmacy approximately 15 minutes later and stated that he felt dizzy, nauseous, and had blurry vision. His forehead felt cold and clammy to the touch and he was sweating. I had him sit, and checked his pulse again (still normal). He stated that his chest felt "cold and tired" but he was not having difficulty breathing. After observing him for some minutes I gave him a 50mg dose of Benadryl in case the reaction was allergic in nature. I observed him for at least 15 more minutes were he seemed calm and was able to speak on his cellphone to family so they could come and pick him up. In my opinion he seemed improved by the time he left but I counseled him to seek medical attention if his adverse feeling worsened. The patient was able to walk out of the Walmart without assistance. I called him at home around 5:20 pm and he sounded very sleepy but he had not yet had to seek further medical attention.

Heart was placed into atrial fibrillation. Heart rate was 200BPM. Lost hearing and sense of balance. Profuse sweating and wheezing.

pt states had headache on right side of head on and off ten minutes after receving vaccine, then noted to feel dizzy as well brought back to OBS area via wheelchair for further evaluation pt transferred self to stretcher low fowlers on stretcher vs as noted. pt feeling better once laying down. pt given water and gradually repositioned self to sitting up, dangle at bedside to standing without further symtpoms or complaints. pt feeling better feeling okay to leave ambulated to exit at 1608 vs 1555 hr 75 bp 141/97 po 100 1600 hr 72 bp 133/90 po 100, 1504 sitting up, hr 70 po 100 bp 146/100 1606 dangle hr 64 bp 146/91 po 100

Client received second dose of Pfizer Covid 19 vaccine and went to observation area for the 15 minute monitoring. Shortly after arriving, the client felt dizzy. Neighboring clients alerted EMS and client was lowered to floor just before an estimated 30 second loss of consciousness. Client regained consciousness and was found to be alert and oriented. Vital Signs were stable and within normal limits. Client declined follow up monitoring.

Dizzines, nausea, tingling in fingers, vasovagal reaction. Pt reports that has needle phobia and has not had blood draw or any vaccination for a long time. Pt reported nausea, but no vomiting, feeling dizzy, and tingling of fingers. Pt was transported via wheelchair and transferred to bed. Pt reported doing well after 5 minutes, water, crackers and juice was given. Pt reported doing well and was asymptomatic. Pt was observed for a period 20 minutes. BP: 110/69, HR: 62, R: 16, O2 sat: 98 to 100% room air. Pt was discharged in stable condition.

Within 15 minutes, light headed and slight nausea, deeveloping small rash on right arm Within 60 minutes, migraine, nausea, slight chest pain, HBP, fever Within 8 hours, migraines, nausea, body aches, fatigue, fever With 24 hours, migraines, nausea, body aches, fatigue,on/off fever

Roughly 2-3 days after vaccination, I started to have plugged ears, ear pain, vertigo, and tinnitus. These symptoms have diminished almost a month since, but the tinnitus has persisted, with occasional general ear discomfort.

Patient had single episode of loss of consciousness - episode preceded by nausea and lightheadedness Paramedics came to home, no vitals done, patient not transferred to hospital Patient continues to have lightheadedness No personal or family history of stroke, diabetes, hypotension, seizures, migraines

Pt fainted & fell on L/side of forehead on floor. Regained consciousnes after 1 minute & taken to Obervation area per w/c to lie down. BP116/68 P 60 R 16. Hx of hypertension & seasonal allergies. Abrasion on L/side of forehead cleaned & iced. Pt talked about having a concussion in high school resulting in memory loss & out of school for 3 months. 1:50 pm Continued to be "sweaty" after 10 minutes while lying down. BP 114/75 P 54 2:40 Left walking w/o assistance. Head injury instructions given.

he had an episode which he states is similar to a TIA (transient ischemic attack); Reports experiencing something similar last may except for 'the paralysis'.; numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side.; numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side.; numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side.; States he felt as though his knee had a tear in it- it felt it was on fire; tightness in left knee; shortness of breath; feeling foggy; headache; balance issue; coordination off; having a hard time to get a sentence out (felt like his motor skills were affected); having a hard time to get a sentence out (felt like his motor skills were affected); confusion; blurred vision; impending sense of doom; post fatigue; his energy doesnt feel up to par; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 28-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 19Apr2021 at 28 years old (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient stated that on 19Apr, he had the first shot of pfizer covid vaccine. This past sunday (25Apr2021), he had an episode which he stated was similar to a TIA (transient ischemic attack). Reported numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side. Stated he felt as though his knee had a tear in it- it felt it was on fire; he experienced burning and tightness in left knee. He also reported having shortness of breath, headache, feeling foggy, balance issue, coordination off, having a hard time to get a sentence out (felt like his motor skills were affected), confusion, blurred vision and an impending sense of doom. Stated this episode persisted for 15 min and then it resolved. Currently he was experiencing a 'post fatigue' and his energy didn't feel up to par. Reported experiencing something similar last may except for 'the paralysis'. Had not followed up with his provider. Patient was scheduled for second shot of Pfizer covid vaccine on 10May, he was asking for information if he decided to delay his second shot past may 10th. He was asking for information on getting the second shot given his recent experience possibly related to the vaccine shot. Was not sure if he should get the second shot. He was asking about side effects for the second shot- if it would be worse. Asking if there were any reports of blood clots with Pfizer covid vaccine. The outcome of the events 'post fatigue' and "his energy didn't feel up to par" was unknown, of other events was recovered on 25Apr2021. Information about lot/batch number has been requested.

Vasovagal Syncope within 5 minutes of administering dose. (Fainted) Caused "unwitnessed" fall where no-one was able to catch the patient before they hit the ground. Caused Urgent Care visit and barely avoided an ambulance ride.

Cognitive -- severe symptoms began ~3 days after Pfizer 2nd dose. Extreme disorientation and confusion (transient), memory loss (longterm), extreme lethargy - unable to move, intermittant psychosis (mild, esp. when going to sleep), and anxiety (transient but very extreme, unlike anything I've felt before, not improved by diazepam) (continued for 10 days then began to improve dramatically followed by alternating relapse on a daily basis for 4 weeks, up to present -- dramatically and stably improved by steroid treatment, returned after discontinuing) Nerve pain -- began ~1 week after Pfizer second dose. -- tingling, burning throughout extremities, especially fingertips, toes, hips; transient (usually 5 seconds or less). Progressively became more frequent (20+ / day), longer lasting (up to 20 seconds) and more severe (like stabbing or electric shock). Gradually resolved after course of dexamethasone beginning 3 weeks after vaccination. Sharp inner ear pain -- (both ears) began ~1 week after Pfizer second dose. Rare events (~5x / day), very transient (1-2 seconds) but extremely painful. Continues up to present, (4 weeks after Pfizer second dose). Also constant popping of both ears beginning week 2 to present, feels like fluid inside. Adenopathy -- On 4/28/21 noticed massive swelling on left pectoral muscle (contralateral to vaccine injection site), diagnosed as lymphadenopathy, moderately painful. Continued to get worse for 1 week, began dexamethasone on 5/7/21. Dramatically improved, however swelling returned after discontinuing steroid and spread to all lymph nodes, including neck and others. Became extremely painful on 5/14/21, unable to walk due to swelling in inguinal lymph nodes. Again dramatically improved after steroid injection on 5/16/21.

Patient felt faint and passed out 5 minutes after receiving the vaccine. After he came too he did not feel well. 911 was called and EMT's check him out. They released him to go home after checking vitals.

Patient reported tingling sensations all over body, heavy sweating, and *feeling like fainting* 5 minutes after injection during observation period. One dose of epipen was administered and patient immediately started feeling better after 2 minutes

. Received his first dose Pfizer (LOT#: EW0185 EXP: 8/2021) at 1013 on 5/18/21. Patient alerted EMT . Patient stated that he felt dizzy and felt like his ears got covered up. Patient stated that he had not had not eaten in the morning. EMT took patients vital signs at 1110. BP: 100/50, pulse: 68, 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 1050. BP: 120/76, pulse: 77, O2: 97%. Patient stated he was feeling better and felt no symptoms and was good to go. 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 1100 unassisted and with a steady gait.

My brother got the Pfizer 5/4 and started getting sick with a cough on the 7th and by the 10th he was getting more and more sick and ye was taken to the ER on the 14th and he started coughing up blood, he was out of it and pale and not able to move much. On 5/15 in the hospital he was having a hard time breathing and they were trying to give him meds to make him better, they gave him antibiotics because his blood work showed infection, and Precedex to help him rest, and he passed away the same day, he was in good health before. They also said his heart rate was 201/123 and the doctors said pulmonary anema. It escalated so quickly.

After shot. I was sitting down for the advised 15 minutes. I got up to pass the time and look at an aisle in the store. All of a sudden everything went white and my head got light headed and I had to go down on my knees, I was then weak and advised to stay seated. Eventually it passed but I am shaken up.

Syncopal episode with fall from chair. Unresponsive approx 30 seconds. Pt was GCS 15 within 60 seconds after syncope. EMS was called because the pt hit his head on the ground but did not sustain any life threatening or injuries. No signs of trauma to note. Pt was AOx4 and GCS 15 by the time he was dismissed from the clinic.

Patient fainted due to carry over fear of the needle. He stated before the shot that he did not like needles. After the shot I took him to the waiting area to wait for 15 minutes. After about 3 minutes, he lost consciousness and fell off of his chair. After about a minute he came to and slowly got to his knees and came to and was able to sit back down in the chair.

Chest pain, dizzy, light headed, leg and arm pain, short of breath, tired, spaced out mentally/unable to focus. No treatment at this time.

Administered 1st Pfizer dose to patient. Requested that patient wait 15-20 minutes in waiting area after vaccine. After 10 min, Patient signled me (the pharmacist) that he wasn't feeling well. As I approached, he stood up and started walking towards me. I took his arm, we took two steps and he fainted. I laid him to the ground while supporting his head. He regained consciousness quickly, but was disoriented. NP assisted by taking vitals/911 called. Paramedics arrived and then took over evaluation. Pt was taken to ambulance for further evaluation, as he still could not walk to diziness.

Patient received their first dose of Pfizer vaccine. Began to feel lighted headed and hearing was going in and out. EMS responded and their blood pressure was low, after 20 mins, vitals were normal.

28 year old male presented for initial dose of Phizer-BioNtech at 1100 AM on 6/3/21. Pre-assessment form was filled out and reviewed with nursing student administering the vaccine. The client stated no known allergies to medications, food, venom, or environmental elements. He also stated no allergic reactions to previous vaccines. The client also stated that he had no known health issues. After administration the patient stated he was dizzy and then immediately became unresponsive, diaphoretic, eyes rolled back, and head hyperextended. Family was present and we asked if he had any seizure history and his family declined. At this time the patient and family informed us that after vaccines in the past he does faint but didn't inform staff before this vaccine was administered. The patient remained unresponsive for 45 seconds. Then his feet were elevated and he asked to lay down. At 11:11 AM his HR was 60 and O2 was 97% on pulse oximetry. He felt hot and was still diaphoretic and felt very fatigued. Once he started feeling better we sat him back up and his HR was 89 and O2 was 99%. We gave him 2 bottles of water and crackers. He remained in our care for 45 minutes. He then waited an additional 30 minutes in the post vaccine area. His family stated they were going to drive him home and get some food. The patient is expected to return June 24, 2021 for his second dose of the Phizer vaccine. We provided additional discharge instructions

28 yold male previously healthy who presented with recurrent loss of speech and motor function without loss of consciousness beginning 5/8/2021. Pt received his 2nd Pfizer COVID MRNA vaccination on 5/7/2021

Patient presented for his second dose and noted lingering arm pain and difficulty raising left arm to shoulder height.

passed out; dizzy; This is a spontaneous report received from a contactable pharmacist via Pfizer sponsored program. A 28 years old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in left deltoid on 18May2021 6:00 PM central time (Lot Number: EW0185, Expiry Date: Aug2021, NDC Number: 5926-1000-01) at single dose for COVID-19 immunization. The patient's medical history, family medical history and concomitant medications was none. The patient has not had any other vaccines within the last 8 weeks. The patient got dizzy and passed out on 18May2021 after 6:00 PM after the first dose of the vaccine. They ended up calling 911 and the paramedics came. The paramedics checked him and released him, said he was good to go. He was not taken to the hospital. The patient did not visit emergency room neither physician office. The pharmacist assessed the events related to the vaccine and assessed as serious due to medically significant. The outcome of event was recovered completely. The pharmacist asked if he should get the second dose.; Sender's Comments: As there is limited information in the case provided, the causal association between the events loss of consciousness and dizziness and the suspect drug bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE)cannot be excluded.The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Committees, and Investigators, as appropriate.

Patient felt tingling in the arm after administration & informed vaccinator that he felt like he was going to pass out. He started to lose consciousness shortly after & EMS was called to clear before he was allowed to leave. Patient was out for only a couple of seconds before regaining consciousness. He remembered feeling dizzy & like he was falling during the episode.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Additional Details: Pt fainted about 8 minutes after vaccine. He had been given cold water and candy. Blood pressure was normal, but he was sweating and continued dizzy. He admitted to vaping earlier. He wanted us to call 911. 911 said he was hyperventilating and said it was from anxiety. He was checked out and fine. Called him later and he was fine.

after getting vaccinated pt stated that he was feeling dizzy. he sat in chair later he asked for vomit bag. Later I offered him 911 , at this time he said he was getting better. He said he vomited just a little. He later left the store.

Pt. presented to nurse with complaints of dizziness and scratchy throat. Nurse contacted on-site medics immediately. On-site medics assessed patient. Per patient's request, pt. was transferred to the ER via ambulance.

Pain at the injection site from as soon as the needle went in to now, almost 2 months later. I can't lift items outside of a certain range. Sometimes the pain stops me from being able to close my car door with that arm.

right shoulder felt numb/ the numbness spread to the rest of the right arm, hand, shoulder, side of the neck, and side of the face.; I feel intense tingling sensations throughout the day; lose of control of my right arm and leg; dizzy; nauseous; This is a spontaneous report from a contactable consumer (patient). This 28-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in right arm on 08Apr2021 07:00 AM (Lot Number: EP7533) at the age of 28-year-old as single dose for covid-19 immunisation. The patient medical history was none. No known allergies or other medical history. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications the patient received within 2 weeks of vaccination included multivitamins. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On the evening of the first day after getting the vaccine, on 08Apr2021 at 04:00 PM, patient right shoulder felt numb. Over the course of the next few days, the numbness spread to the rest of the right arm, hand, shoulder, side of the neck, and side of the face. At this point, he went to the ER and then they admitted him to hospital for 3 days, gave him steroids, did an MRI of his neck and a CT of head. After discharged, in Apr2021, patient felt intense tingling sensations throughout the day making him dizzy, nauseous, and loss of control of his right arm and leg. Patient has had regular visits with the recommended neurologist where they did an EKG test, and patient is now waiting on a lumbar puncture test. Event numbness resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization for three days. Since the vaccination, the patient had not been tested for COVID-19. Treatment received for the adverse event numbness as steroids. Outcome of the events was not recovered.

Within a few minutes after receiving my first COVID vaccine I started feeling lightheaded/nausea and then lost consciousness. My wife was with me during this time and stated that I lost consciousness for about a minute. My wife stated that my eyes rolled back in my head, my back arched, and I became rigid. Upon waking up my ears were muffled and my wife stated my lips were blue and my face/arms/legs were very pale in color. Both of my legs and both of my hands were also tingling upon waking up. 911 was called by my wife.

Immediately after administering the vaccine, the patient was asked how he felt. Patient stated he felt "Okay". Patient was informed of possible side effect he might experience from the vaccine. After, being informed of possible side effects, the patient was asked how he felt; the patient stated "okay". The patient walked from the vaccination room to a chair in the waiting area and sat down. After a couple minutes the patient was asked again how he felt. He stated "Okay". After approximately 10 minutes after administration of vaccine the patient moved from the chair he had been sitting in to one closer to the pharmacy. The patient was asked again how he felt; the patient stated, "I'm starting to feel funny." Patient was asked if he wanted water. He stated, "Yes". A second pharmacist was asked for assistance when the first was getting water. The patient was given an ice pack along with the water. The ice pack was placed on the back of the patient?s neck while he was sitting in the chair. The second pharmacist grabbed a blood pressure cuff to check the patient's blood pressure. The patient stated, ?I feel like I?m going to pass out.? While the second pharmacist checked the patient?s blood pressure, the first pharmacist went to get the Nurse Practitioner from the Convenient Care within the store for assistance with the patient. While the first pharmacist was getting the nurse practitioner, the patient passed out and was not responding to the second pharmacist. The third pharmacist on staff immediately called 911 for assistance. The nurse practitioner and first pharmacist arrived back to the patient. The nurse practitioner rubbed the patient?s sternum and checked for his blood pressure and pulse. The patient?s legs were raised and placed on a second chair. The patient regained consciousness. The patient was very pale and sweating. He was alert and could answer questions. After a few minutes emergency services arrived. They talked with the patient for roughly 10-15 minutes. After that the paramedics left and had the patient remain for a few more minutes. The patient?s wife was with him and they left the store at 1:59pm.

dizziness; This is a spontaneous report from a non-contactable healthcare professional. A 28-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EN6205), via an unspecified route of administration and unspecified anatomical site on 17Mar2021 (at the age of 28-years-old), as a single dose for COVID-19 immunisation. Medical history included back surgery in Dec2020 (four months ago, from the time of reporting) and since that time the patient had episodes of dizziness, unknown if it is ongoing. In Dec2020, two days after back surgery, he had a syncopal episode and hit his head. The patient was evaluated at hospital emergency department and he reported negative computerised tomogram (CT) of head from the visit and was diagnosed with concussion. Concomitant medications were not reported. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: UNKNOWN), via an unspecified route of administration and unspecified anatomical site on an unspecified date, as a single dose for COVID-19 immunisation, and patient did not experience any event with the first dose of COVID vaccination. On 17Mar2021, during his fifteen minutes waiting period after the second dose of vaccination, the patient began to experience dizziness. The patient denied any other symptoms. The patient received water as a therapeutic measure. The follow up response to treatment was excellent. The patient was stable to go home and advised to follow up with primary care physician (PCP). The clinical outcome of the event dizziness was unknown at the time of report. No follow-up attempts are needed. No further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: Patient age added, the first dose of BNT162B2 previous was captured as Past Drug Event and updated as Historical Vaccine, CT of head added as lab data instead of medical history, removed duplicate indication of COVID-19 immunisation, Vaccination Facility Country added, narrative updated accordingly. No follow-up attempts are needed. No further information is expected.

Patient got really dizzy and was sweating profusely about 3 minutes after receiving his vaccine. This lasted about 15 minutes. He then felt cold and had the chills once he stopped sweating. He was soaked with sweat. I made him stay for another 15 minutes to observe him. He felt normal once he left.

Lightheaded(mild); Fatigue(mild); muscle pain at injection site(moderate); tingling in fingertips(mild); This is a spontaneous report from a contactable consumer or other non HCP (Patient, reported for self) A 28-years-old male patient received first dose of bnt162b2 (BNT162B2, PFIZER-BIOTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EL9269), via an unspecified route of administration, administered in Arm Left on 05Feb2021 09:15 as single dose for covid-19 immunization. (vaccination Facility: Other). Medical history was not reported. The patient concomitant medications were not reported. patient did not took any other vaccine in four weeks. Patient did not experience COVID prior to vaccination. No known allergies. Patient had no known allergies. Other medical history: None. On 05Feb2021 at 10:45 AM patient experienced Lightheaded(mild), Fatigue(mild) muscle pain at injection site(moderate) and tingling in fingertips(mild). Patient did not receive any treatment for the adverse events. Patient was not tested for COVID post vaccination. Outcome for the events was reported as Recovering. Follow-up attempts are completed. No further information is expected.

dizziness; This is a spontaneous report from a contactable consumer, the patient. A 28-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA Vaccine; Lot number: UNKNOWN), via an unspecified route of administration in the left arm on 15Mar2021 (at the age of 28- years-old) at 16:15 as a single dose for COVID-19 immunisation. Medical history was not reported. There were no known allergies to medications, food, or other products. The patient did not receive any medication within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. The patient had not been tested for COVID-19, since the vaccination. On 21Mar2021, the patient experienced dizziness at 16:30. It was unknown if the patient received any treatment for the event. The event resulted in doctor or other healthcare professional office/clinic visit. The clinical outcome of the event dizziness was not recovered at the time of report. Information about batch number cannot be obtained. No further information is expected.

Patient developed dizziness and fell face first approximately 10 minutes after receiving vaccine. EMS called. Blood pressure normal. Heart rate 54. Blood sugar normal. Patient stated loss of consciousness. Patient refused to go to the hospital.

lost consciousness; Lightheadedness; Nausea; She stated that my eyes rolled to the back of my head, my back arched, and I became rigid; She stated that my eyes rolled to the back of my head, my back arched, and I became rigid; She stated that my eyes rolled to the back of my head, my back arched, and I became rigid; Face/arms/legs were pale in color; My lips were blue; My hearing was muffled; Tingling in both of my legs and hands; Mouth was also extremely dry; This is a spontaneous report received from a contactable consumer or other non hcp. A 28-year-old male patient received bnt162b2 (COMINARTY, Solution for injection, Batch/Lot number was not reported), intramuscular, administered in arm left on 19Jun2021 17:15 as dose 1, single for covid-19 immunization. Medical history included cat hair allergy. Concomitant medications included probiotics (MANUFACTURER UNKNOWN), via an unspecified route of administration on an unspecified date at unknown dose and frequency for unknown indication; ascorbic acid (VIT C) (MANUFACTURER UNKNOWN), via an unspecified route of administration on an unspecified date at unknown dose and frequency for unknown indication; ergocalciferol (VIT D) (MANUFACTURER UNKNOWN), via an unspecified route of administration on an unspecified date at unknown dose and frequency for unknown indication. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with covid-19, prior to vaccination and not has been tested for covid-19 since the vaccination. On 19Jun2021 17:15, the patient experienced lost consciousness, lightheadedness and nausea, Patient stated that his eyes rolled to the back of his head, back arched, and it became rigid, face/arms/legs were pale in color, lips were blue, my hearing was muffled, tingling in both of my legs and hands, mouth was also extremely dry. Therapeutic measures were taken as a result of lost consciousness, lightheadedness and nausea, Patient stated that his eyes rolled to the back of his head, back arched, and it became rigid, face/arms/legs were pale in color, lips were blue, my hearing was muffled, tingling in both of my legs and hands, mouth was also extremely dry. The outcome of the events was recovering. Information on the lot/batch has been requested.

shortness of breath; dizziness; fast heart rate; This is a spontaneous report from a contactable consumer, a patient. A 28-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; lot number: ER8727) via an unspecified route of administration in right arm on 24Mar2021 at 15:15(at the age of 28-years-old), as a single dose for COVID-19 immunisation. The patients medical history included asthma and he had no known allergies. The concomitant medications included fluticasone propionate, salmeterol xinafoate (ADVAIR) for unknown indication from unknown date. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6205) via an unspecified route of administration in left arm on 03Mar2021 on 15:45(at the age of 28-years-old), as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 22Mar2021, the patient underwent the nasal swab and PCR test for the COVID-19 virus test and was tested negative. On 24Mar2021 at 17:00, the patient experienced shortness of breath, fast heartbeat and dizziness. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive treatment for the events. The clinical outcome of the events shortness of breath, dizziness and heart racing was recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

on 7/8/21 , patient noticed soreness in his right arm when he moved his arm in a certain direction or position. he stated after vaccine administration on 6/18/21 his arm was sore for 2 days (he stated he experienced average soreness like with any vaccine). Soreness went away completely and had no complaints, but noticed soreness again on 7/8/21 ,around area of injection site on and also sometimes when lifting or rotating arm. He stated he did lift some boxes/totes recently at home and it's possible the soreness could be from that; however, the soreness seems to be in similar area where he received the vaccine 3 weeks ago.

dizziness, sweating, headache, numbness in arms. given 25mg diphenhydramine liquid and water. he did not pass out but felt as if he might. he rested in the waiting area until he felt he could leave safely on his own (about 30 minutes).

Intermittent dizziness, palptiations, and feeling lightheaded since administration. Feel much better but still feels weak. Had similar episode today (4/20/2021) around 3pm with accompanied by 3 episodes of diarrhea. Seen on 4/10/2021.

First day had sore arm Second day-4th day after injection I could barely life my arm at all. After the first dose 7 days later I had a medical episode in my sleep that drs are trying to say was seziure.I have absolutely no family history of epilepsy,no major brain trauma in my life and was in perfect health prior to shot. Prior to the shot I didn't feel sick,I didn't have any kind of medical issues whatsoever.

Sore neck; dizziness; pins and needles feeling while standing; Pressure feeling behind eyes; This is a spontaneous report from a contactable consumer, the patient. A 28-year-old male patient received his second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP6955) via an unspecified route of administration in the left arm on 02Apr2021 at 14:15 (at the age of 28-year-old) as a single dose for COVID-19 immunisation. Medical history included epilepsy and COVID-19. Concomitant medications included valproate semisodium (DEPAKOTE ER) from an unknown date, for an unknown indication. The patient previously took Lamictal and experienced allergy. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 11Mar2021 (at the age of 28-year-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was diagnosed with COVID-19 on an unknown date. Since the vaccination, the patient was not tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 03Apr2021 at 03:00 the patient experienced sore neck, dizziness, pins and needles feeling while standing and pressure feeling behind eyes. The adverse events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The patient did not receive any treatment for the reported events. The clinical outcome of the events of sore neck, dizziness, pins and needles feeling while standing and pressure feeling behind eyes was recovering at the time of the report. No follow-up attempts are needed. No further information is expected.

He received his vaccination 1/2/21 at 1100. He experienced a racing heartbeat up to 150 when sitting in the monitor room that did return to normal during 15 minutes and he was asked to wait 30 minutes to continue to be monitored. He was feeling better but, when he went to walk up the stairs he began to feel light headed again. He was taken to the ER at 1218 for lightheadedness and racing heartbeat. Vitals taken in the Emergency Department - Temp 97.7F, Heart Rate - 78, Resp Rate 16, Blood pressure 127/63. EKG - normal sinus rhythm. He felt fine and was discharged at 14:06 .

left sided weakness; it has weakened his heart; stutter; severe stroke like symptoms; Ventricular tachycardia/help keep his heart rate at bay; Loss of balance; extreme numbness and tingling in left hand and foot; tingling in left hand and foot; oral motor impairment; mouth weakness and not coordinated/mouth is fatigued easily; Issues finding words and trouble speaking; Issues finding words and trouble speaking; Ejection fraction down to 25%; The initial case was missing the following minimum criteria: adverse event. Upon receipt of follow-up information on 28Dec2020, this case now contains all required information to be considered valid. This is a spontaneous report from a contactable other healthcare professional (HCP). A 29-years-old male patient received bnt162b2 (lot number: EJ1685), intramuscular (deltoid left) on 21Dec2020 at 05:30 at 0.3 mL single (first dose) for Covid. Medical history was reported as "none". Concomitant medications were not reported. The patient previously received Flu vaccine in Oct2020 for immunization. The patient is an Occupational Therapist, and he called to report an adverse event that he experienced with the first dose of the COVID Vaccine. He received the vaccine last Monday, 21Dec2020 at 5:30AM before his shift at work, then 20 minutes later, he was having severe stroke like symptoms. He experienced severe left sided weakness, loss of balance, extreme numbness and tingling in his left hand and foot, he had issues finding his words and he couldn't speak, and he had an oral motor impairment where his mouth was weak and not coordinated. The staff at the hospital did a neurological exam on him, and he failed, so he had to go to the emergency room (ER). The patient added that he was already in the hospital when this happened, and the ER doctors suspected that he had a CVA, and they gave him TPA to prevent any permanent brain damage and it worked. The patient then added that due to the shock of this whole event, from everything that happened, it has weakened his heart. Reportedly, he is a healthy 29 year old man, with no preexisting conditions, and he works out, and he has no heart conditions, but he had to get a cardiology follow up a few days after he got the vaccine, because he started going in to Ventricular Tachycardia, which he had never had in his life. So, the doctors at the hospital went ahead and did an Echocardiogram and an EKG, and he was told that his Ejection Fraction is down to 25%. He stated his heart is so weak, that he cannot work right now, but the structure of his heart is fine and has not had any damage. The hospital staff thought that maybe the patient had a chronic heart issue that he just did not know about, and that the stress of this event maybe made it kick into overdrive, but he states that the cardiologist said that was not the case, because the structure of his heart is fine, and the only thing they can see is that the heart is pumping weak. One physician even suggested that due to the shock of the event, he might have Takotsubo Cardiomyopathy, which is a broken heart, but because the structure of his heart is okay, it should be reversible. He stated that he is hoping he will heal up good, because he is young and has no pre-existing conditions. He added that his heart is in such a state right now; he has to wear an external defibrillator. The patient stated that all these happened about 20 minutes after he received the vaccine, and he was admitted to the hospital from 21Dec2020 to 25Dec2020. His neurological symptoms have resolved except that he has a stutter that he did not have before and his mouth is fatigued easily, so he has to slow down when he is eating, but now he can eat regular for the most part. The patient confirmed that he was not specifically prescribed the product; it was administered to him at his place of work, but it was optional. He stated he considered how he is working with COVID patients every day, and given the circumstance, he thought that it would be a best practice for him to get the vaccine. He had not gone to his primary care doctor in a while because he had been fine and healthy, but he called them and found out that his primary care had retired, so he has to find a new one now. Regarding the issues finding words and trouble speaking, he stated that he has improved, but it is still ongoing, he is just stuck in a plateau zone. With the Ventricular Tachycardia, he stated that this is an ongoing issue, as he has to wear the life vest even though he has no need to activate it yet. He did have one minor bought of the VTach, but because he is a therapist, he knows how to take care of it with relaxation techniques, he knows how to manage it. He had one bought of VTach the evening prior, but he was able to get it under control. The doctors have him on medication to help keep his heart rate at bay. He has never had to use medication before and is on the following medications to help keep his heart rate at bay: Metoprolol 25mg one tablet once daily by mouth and Lisinopril 5mg one tablet once daily by mouth. The VTach has improved, it was good enough he was able to discharge home, but it is still a concern. His cardiologist said that, basically his hope, is that once his body recover from the whole shock of everything, then his ejection fraction will heal, and his heart will heal. He again stated that the doctor told him that the structure of his heart is perfectly fine; he has thick walls in his heart, no leaking valves, and the heart was not conducting any abnormal signals. The doctor just said that right now, his heart is super weak and that it is an acute problem. With the Takotsubo Cardiomyopathy, he states that two doctors mentioned this diagnosis, but he confirmed that he was not actually diagnosed with this issue, he was just diagnosed with Ventricular Tachycardia. The outcome of the ejection fraction down to 25% was unknown to the patient at this time as he has not had another EKG or echocardiogram, but the cardiologist told him that the cardiologist expects that this will not be resolved quickly anyway. The patient confirmed that he did not receive any other vaccines on the same day he received the COVID vaccine. The only other vaccine he had this year was the flu vaccine which he got back in Oct2020. He has gone on to his online portal and there are the bloodwork results and all the imaging results on there from his CTs and MRIs, but he did not see the EKG or Echocardiogram results yet. He does not have this pulled up at this time, but he does have access to this stuff and can provide it later, if requested. He is curious about the next steps from here to how his case is processed. He is also curious if this information would help Pfizer make modifications to the vaccine if it is found that a lot of people are having the same reaction as he did. He is also wondering, given his situation, that probably he is not going to get the second dose, for his safety, but he is wondering what percentage of effectiveness the first dose does having just covered. The events left sided weakness, loss of balance, extreme numbness and tingling in left hand and foot resolved on 25Dec2020; severe stroke like symptoms and oral motor impairment; mouth weakness and not coordinated/mouth is fatigued easily resolved in 2020. The events ventricular tachycardia/help keep his heart rate at bay and issues finding words and trouble speaking were resolving, stutter had not resolved while the outcome of the events it has weakened his heart, and ejection fraction down to 25% was unknown.; Sender's Comments: The reported information is unclear and does not allowa meaningful assessment of the case. It will be reassessed upon receipt of follow up information. 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.

Pfizer-BioNTech COVID-19 Vaccine EUA Injection given at 1420. He was watched for 15 minutes following vaccine administration without incident. Returned endorsing dizziness and nausea at 1455. Was tachycardic with HR in 130s with elevated BP with systolic in 150s. Given hydration and vitals monitored for about 45-55 minutes. Vitals downtrended and began to normalize. Stood to leave and became diaphoretic and weak. Placed in wheelchair for transfer down the hall to the ER and became unresponsive on the way. Was given epinephrine 0.3 mg to L thigh. Given IV fluids and acetaminophen. Returned to usual state of health and was discharged home.

At 12:05am ( about 12 hours after vaccination) I developed severe (worst ever) chills and rigors. Temp was 101.7. I also had moderate nausea for which I took ondansetron. After taking 1000mg Tylenol my temp dropped to 98.4 but then peaked to 100.8 after 6 hours and taking 1000mg Tylenol followed by another fever 6 hours later and a fever of 100.9. I continue to be febrile after 3g Tylenol. I also continue to have dizziness, joint pain, myalgias, and headache.

0700- Vaccine 0800 -2200- Clear urine, 1-2 times per hour, 300-500ml each time 2200-2300 sleep 2300 - woke up, felt jittery, provided car for emergent surgical case 0100 - felt like headed, drank 50oz water, felt better after 20 minutes 0400 - 0700 - sleep. Woke up 3 -5 times and urinated 300-500 each time clear urine 0800- 0900 - drove home 0900-1000- Urinated 3 times while attempting to fall asleep, each time 500ml if clear urine. Massive 10/10 right sided headache 1000-1300 sleep 1300- present- woke up. Felt ok, able to eat and drink, felt ?normal? by the following morning

pt reported feeling flush, dizzy immediately after vaccine administration. It quickly resolved, VS WNL. Observed for 30 mins pt reported initial symptoms resolved and no new ones have developed.

I felt palpitations around 10-12 minutes after the 1st Pfizer dose was given, and asked the Doctor to take my vital signs. I had an elevated blood pressure reading and the doctor told me stay in the monitoring area. My blood pressure was taken two more times and was increasing each time. My Blood Pressure went up to 168/98, and was told to lay down on the gurney. When I tried to get up from my seat I became extremely dizzy and sat back down. They put me on a wheelchair to transfer me onto the gurney. As I was laying down I experienced waves of diaphoresis, dizziness, headaches. My head felt cloudy and just lightheaded. I was being monitored for 1 1/2 hour before I was picked up to go home. I continued to have these symptoms for the rest of the night along with arm soreness on the site that I was injected on. I did not experience the same symptoms the next day, but I did have a lingering headache till Saturday (12/26/2020) afternoon.

Abnormal diuresis from 8am to 10pm; Urinating 1-2 time per hour; woke up for midnight trauma/woke up 4 times in between; woke up for midnight trauma; Felt very jittery, although HR was 75.; extremely nauseous; lightheaded; This is a spontaneous report from a contactable nurse (patient). A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number EL0140), intramuscular at left arm on 08Jan2021 07:15 at single dose for COVID-19 immunization at a hospital. The patient's medical history included 1 kidney stone in 2019. No known allergies to medications, food, or other products. There were no concomitant medications, the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and did not receive any other medications within 2 weeks prior to the COVID vaccine. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number EJ1685), intramuscular at left arm on 18Dec2020 07:15 for COVID-19 immunization at a hospital. The patient was not diagnosed with COVID-19 prior to vaccination, and had not been tested for CPVOD-19 since the vaccination. It was reported that the patient was vaccinated at 07:15. The events started on 08Jan2021 08:00. Detailed clinical course was reported das follows. Abnormal diuresis from 08:00 to 10:00. Urinating 1-2 time per hour, 300-500 ml per time. He went to sleep from 22:00 to 23:30, woke up for midnight trauma. He felt very jittery, although heart rate (HR) was 75. In the middle of surgical case, he became extremely nauseous and lightheaded. He left the operating room (OR) for 20 minutes and drank 50 oz of water and felt slightly better. He finished case at "an". He slept from 04:00 to 07:00. He woke up 4 times in between and urinated 300 500ml each time. He drove home from 07:00-08:00, felt nauseous. Laid in bed from 08:00 to 09:00 and urinated 3 times 300-500 ml each time. Slept from 09:00 to noon, felt better, urinating every 4-6 hours, appears back to normal routine. Treatment for the events included fluids. The outcome of the events was unknown. The reporter consider the events as non-serious.

Beginning 1/17/2021 at midnight I developed shivering, chills, a temperature of 100 F, and severe muscle aches. My left arm was so painful I could barely move it. This persisted until the morning of 1/18/2021 and resolved. I also could not sleep at all the nights of 1/16/2021 or 1/18/2021.

Today I felt extremely fatigued. Could not move my left arm very much. Pretty bad chills and a fever of 101

fever of 101.7; chills/ rigors; nausea; headache; arthralgias; myalgias; severe dizziness; This is a spontaneous report from a contactable physician. A 29-year-old male patient received the second dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EL1284), via an unspecified route of administration in the left arm on 08Jan2021 at 29-years-old at 12:15 at a single dose for COVID-19 immunization in a workplace clinic. Medical history included Seasonal allergies from an unknown date and unknown if ongoing. The patient previously received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) for COVID-19 immunization on an unknown date (first dose-Lot Number: EK5730; Vaccine location: Left Arm; Administration time: 12:30). Concomitant medications included fluticasone propionate (FLONASE) taken for an unspecified indication from an unspecified date to an unspecified date; within two weeks of the vaccine. On 09Jan2021 00:30, the patient experienced: fever of 101.7, chills/ rigors, nausea, headache, arthralgias, myalgias, severe dizziness. The clinical course was reported as follows: The patient woke up after midnight with a fever of 101.7, chills/ rigors, nausea, headache, arthralgias, myalgias, and severe dizziness. The patient continued to have fevers, and his last temperature of 100.8 (taken about 36 hours post vaccination). The patient also continued to have a significant headache and dizziness. These symptoms had caused the patient to call out sick for 09Dec and tomorrow 10Dec (as reported). The patient underwent lab tests and procedures which included body temperature: 100.8 on an unknown date, body temperature: 101.7 on 09Jan2021. Therapeutic measures were taken as a result of fever of 101.7, chills/ rigors, nausea, headache, arthralgias, myalgias, severe dizziness; which included: 4g paracetamol (TYLENOL) (1g every 6 hours (Q6)) 800 mg ibuprofen, and ondansetron (ZOFRAN). The patient did not have COVID prior to vaccination; and was not tested for COVID post vaccination. The clinical outcome of the events was recovering.

1407: Patient c/o extreme dizziness and weakness stating "feels like all of the energy left my body", BP 150/80, P121, O2 99, denies hx of hypertension and post injection reactions, nurse offered juice and will increase monitor time. 1420: BP 160/84, P 118, dizziness persisted and c/o heaviness in tongue lasting about 4 seconds. 1430: BP 164/82, P 122, O2 98, nurse encouraged patient to go to ER for further evaluation, patient refused ambulance and stated "I have to call my supervisor". 1447: Supervisor arrived, patient still c/o dizziness and "feeling weird" 1503: Supervisor and nurse escorted patient to security vehicle for safety, patient will go to ER. Cormier, Markus, RN 1/29/2021 08:37:21 AM > Contacted patie

He woke up twice. He initially woke up at 5 am on (14Jan2021) and that is when he experienced his legs are actually numb. He also woke up sweating; He woke up twice. He initially woke up at 5 am on (14Jan2021) and that is when he experienced his legs are actually numb. He also woke up sweating; He woke up twice. He initially woke up at 5 am on (14Jan2021) and that is when he experienced his legs are actually numb. He also woke up sweating; he fell flat on the floor; felt really tired; arm feels like it was punched by a gorilla/his arm was sore/muscle sore; arm feels like it was punched by a gorilla/his arm was sore/muscle sore; He couldn't hardly move it sore; tingling, kind of like ants crawling up his leg; This is a spontaneous from a contactable consumer (patient). A 29-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL1283), via intramuscular route of administration on 13Jan2021 at 19:05 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took Hepatitis B vaccine that is supposed to last for 10 years (which was administered for about three years ago) and flu vaccine. On 13Jan2021, patient received the vaccine and felt really tired, his arm feels like it was punched by a gorilla, it was sore. He couldn't hardly move it sore, like a muscle sore, so he went to bed. His arm was really, really sore, he's just kind of avoided using his arm. He woke up twice. He initially woke up at 5 am on (14Jan2021) and that is when he experienced his legs are actually numb. He also woke up sweating. He didn't know his legs were numb until he literally got out of bed, and he fell flat on the floor because he could not feel them. He went to bed again and woke up at 7:20. On an unspecified date in Jan2021, he feels the tingling, kind of like ants crawling up his leg. It's not as bad as it was, it's like a feeling one gets when sitting on top of your legs. He wanted to know could these be side effects of the vaccine. The patient took Advil for arm feels like it was punched by a gorilla/his arm was sore/muscle sore. The patient underwent lab test which included COVID-19 PCR test with negative result on 10Jan2021. The outcome of the events arm feels like it was punched by a gorilla/his arm was sore/muscle sore, he couldn't hardly move it sore, numbness in leg was not recovered; sweating was recovered on an unspecified date, while unknown for the other events.

patient complained of tightness in chest; vitals - bp 132/83, hr82, rr20, o2 sat 98%; patient denies any past medical history; complained of dizziness and feeling like he was gonna pass out. 911 was called; transported patient to hospital er.

Patient fainted and fell to the floor. EMS administered first Aid and ref pt to hospital. Refused to be transported by Ambulance car. Brother tranport pt to Hosp.

Patient received the Pfizer-BioNTech COVID-19 Vaccine EUA at 19:57. At 20:03 he reported feeling lightheaded, dizzy and nauseous. He lowered himself to the ground and laid down. Patient was given Benadryl 25 mg. He was advised to take deep breaths, drink water, and eat saltine crackers. He was kept for additional observation and began to sit up within 15 minutes after receiving the Benadryl, drinking water and eating crackers.

Approx. 8 hours following injection, on Friday, 2/5 at 3:45 p.m., began experiencing the following symptoms: low grade fever (99.1 F); Left arm numbness and pain from deltoid to fingers; severe joint pain in L thumb, Index, and middle fingers; headache; chills; systemic muscular weakness; dizziness/nausea; extreme fatigue. Symptoms began to abate on Sunday 2/7 at approx. 8 p.m., and had completely abated by Monday 2/8 at 6 a.m.

Within 5 minutes following administration: - Paresthesia and pain in left upper extremity extending from shoulder to hand Within 48 hours following administration: - Progressive pain in left upper extremity - Greatly reduced range of motion in left upper extremity - Inability to bear any weight in left upper extremity - Large ecchymotic lesion at head of left humerus After 48 hours to current presentation: - Pain in the left proximal arm, left shoulder, left upper back, and left neck extending to the occiput - Painful spasticity in the left proximal arm, left shoulder, left upper back, and left neck extending to the occiput - Pain-restricted impaired range of motion of the neck including flexion, extension, lateral rotation, medial rotation, and lateral bending - Pain restricted impaired range of motion of the left upper arm including flexion, extension, lateral rotation, medial rotation, and abduction - Painful left-sided dysphagia at the level of the cricoid cartilage - Use of left arm impaired versus baseline with no signs of improvement

29M hx HTN who obtained his first COVID vaccine. Few minutes after receiving the vaccine, he reported to provider that he felt warm and dizzy. He was immediately brought to the enclosed first responder area where he mentioned additional sx of nausea. Vasovagal response, Dizziness, Hypotension, nausea

Patient verbalized he was dizzy and fainted for about 5 seconds while sitting on chair. Physician and NPs on site attended to him. He is assessed, vital signs monitored. EMS was called. Patient stabilized. He was talking and alert and oriented to person, place, and time. EMS arrived and patient was transported to local hospital. Patient's wife was present and was made aware of where her husband would be transported.

Patient states he has a history of becoming "faint" when he receives any injections/vaccines. Two minutes after receiving his vaccine, he felt lightheaded. He denied any other complaints. After lying recumbent, symptoms resolved without further issue. Of note, vital signs showed elevated BP. Advised patient to follow up with primary care physician for recheck.

Patient became light headed, nauseated & one episode of emesis. He related that he became quite anxious leading up to episode, BP was initially 92/50 but he became normotensive 126/82 prior to D/C to home He declined transport.

Received vaccination on 03/12/2021 at 4:04PM. Symptom onset 03/13/2021 around 10:00AM: soreness at injection site (left deltoid muscle), soreness in leg muscles, fatigue, nausea, chills, dizziness, runny nose, cough, and worry. Axillary temperature: 98.6F.

Pt started to have a reaction approx 10 minutes after administration. Pt was diaphoretic, short of breath, feeling very faint and nausea. Healthcare provider was notified and pharmacy immediately provided epi pen. 911 was called and epi injection was applied to L upper thigh. Pt never lost conciousness and no vomiting noted. EMS arrived and assessed patient. EMS discussed transport to ED, pt declined. Pt was alert and oriented and walked to car on own. Pt was advised by EMS to seek additional care at ED or pcp of thier choice and to call 911 for any additional complications, pt verbalized understanding.

Both Arm soreness, both hands soreness/ tingling, Dizziness, Nausea, Tingling of lips, large patches of painful itchy welts covering body including arms, torso, groin area. Took benedryl for two days, welts subsided, soreness remained. Sought out medical attention from physician on 3/16 and was given a steroid injection and prescribed a steroid pack and OTC pepsid as well as continuing the use of benedryl.

Patient reported fast heartbeat, sweating. Patient was pale, HR 112, O2Sat 96%, BP 108/60, reported feeling dizzy, vision changes, had brief moment of syncope, then aroused, Oxygen applied at 2l via NC, patient continued with sweating, HR now 78, EMS called, patient continued with sweating and feeling weak gradual improvement, EMS arrived, patient evaluated and did not want to go to ER for eval. Vitals rechecked and patient ambulated to private vehicle with no further difficulty.

Light headedness, tingling feeling all over body and excessive vomiting (in this progressive order). All of this occurred within 2 hours of receiving the vaccine.

After leaving the vaccination clinic following the 15 minute waiting period, I felt normal and ran a quick errand before returning to work. After completing the errand (roughly 15 minutes), I began driving back to my office (roughly 10 minute drive). As I was roughly 1/2 mile from the office, I started to feel slightly lightheaded/woozy. I continued to drive toward the office, and within a matter of a couple minutes or less, I was overcome with extreme disorientation and faintness. Before I could manage to return to the office or pull over to collect myself, I completely lost consciousness and crashed into another vehicle. Even after the crash, I was unconscious for roughly a minute or so until I finally came to and realized what had happened. It then took me another couple of minutes to collect myself and exit the vehicle to assess the situation and ensure all parties were alright. Police/Emergency services were contacted and a police report was filed. After the event, I remained slightly nauseated for approximately 3 hours and had intermittent chill episodes, but the adverse events have since subsided.

I felt soreness and pressure build up in my arm starting a few hours after the receiving the dose. The soreness and pressure got progressively worse over the course of two days. It wasn't unbearable, just uncomfortable. The second day after the vaccine I had stretched my arm pretty good for minute, when I released the stretch I felt a rush of something for from my arm into my torso. I got really dizzy and passed out, my wife was in the room at the time and said I never closed my eyes; but I had completely blacked out. My wife had woken me up and I wasn't sure what had happened, it took me about 30 seconds to realize I had passed out after stretching that arm. My arm had felt better after waking up from passing out, and soreness had passed a couple days later. I didn't get checked out, after I woke up I started feeling fine. I'm honestly not sure if it's directly related to the vaccine or not, I just thought I should let someone know just in case.

Dizzy, unsteady gait. BP 149/94 (pulse 81), O2 sat 98%. Final BP 145/97 (pulse 75), O2 sat 97%. Crackers, juice given. Patient admitted to taking Norco 150 mg, Ativan, and Marijuana before arriving at stadium.

lightheaded, near syncope, sweating, HR = 45, BP 80s/50s, pt laid down, BP improved EKG showed sinus rhythm, symptoms improved with , pt declined juice/rest, ED recommended

Felt like passing out around 12:30p the day after my first dose of the vaccine. Internal temperature of 95 degrees at that time. Fatigue, headaches, minor chest pain, and shortness of breath since that event.

The patient had a syncopal event, followed by flushing and vomitting. He received the vaccine at 9:30am and the event occurred at 9:32am and lasted 30 seconds. He then became extremely flushed and dizzy. He was given a cool compress and bottle of water. I observed him for 7 minutes and then he began to vomit. After vomiting, I observed him for 15 more minutes, personally, and then had him wait in our waiting area for 15 additional minutes.

One minute after getting his vaccination, he felt lightheadedness, and had blurry vision. He was taken to a private section of the arena and monitored.

Fainted and feel out of chair in recovery, arose when touched and spoken to, no C/O of any pain, brought to cot, monitored VS, all stable, stayed for an additional 25 minutes, he stated he felt well and would drive self home

Systemic: Pt was in the observation area, almost fainted, fell out of the chair-Mild, Additional Details: Pt stated he has a needle phobia. He felt faint and fell out of the chair in the obsearvation area and hit his head on the floor. Pt did not pass out and was alert. He did not need an epi pen or benadryl. He was offered water and accepted. He stayed 20 minuted and left, fine. Manager is calling into the incident line as well.

10 minutes post first injection patient fell from chair to the floor. Momentary loss of consciousness. BP 188/74 pulse 74. Patient was transported to ED for further evaluation as minor injuries from fall.

28 y/O male immediately post-vaccined reported feeling faint and lightheaded. The patient was assisted to a wheelchair and taken for observation. He reports no known h/o vasovagal symptoms. He did however admitted he had not eaten. He was placed in Trendelenburg position for recovery and later sat up after being offered crackers and a drink. Vitals 151/76 HR, 65 O2 sat 98%. The patient was unable to complete the snack and started to experience chills, fatigue, chest pressure with palpitation and numbness and tingling down his left arm. EMS was called. The patient was observed for additional time, the chills resolved but but the chest pressure and lightheadedness persisted,

Pt was sitting in waiting area after receiving #1 injection of Pfizer Covid vaccine. He bagan to feel faint and presented to EMS Vitals taken BP 70/40 HR 40 O2 100% Blood sugar 96. Pt diaphoretic. No difficulty breathing.

Patient was waiting 15 minutes after receiving the vaccine and before the 15 minutes were up, he stood up to ask a question to the staff. While walking to the counter patient fainted hitting neck on a stand as well as head on ground. Staff members came out to approach patient at which time he was conscious. He was able to identify his name/age and speak normally but reported dizziness. Emergency services were contacted and while waiting for them to arrive patient had requested to sit up and was moved slowly to chair. Emergency services evaluated patient and determined he was ok and didn't need to go to hospital and was ok to leave when comfortable.

The patient developed lightheadedness, tightness in his chest, and tingling of his hands about two minutes after receiving the vaccination. He said that he felt anxious that something was happening. He was hyperventilating. During the event, his heart rate was normal (in the 70s-80s), his blood pressure was normal (SBP in the 130s to 140s), and his oxygen saturation was 100%. He was able to communicate without difficulty, he did not have any weakness, chest pain, diplopia, dysarthria, dysphagia, trouble with walking/balance, bowel/bladder dysfunction, or pain elsewhere in his body. He had a bottle of water. His symptoms lasted about 30 minutes, and then resolved completely.

Pt complained of dizziness and appeared lethargic. Stated he felt short of breath. Nurse gave client an ice pack on his neck. Vitals: BP 140/100, HR 73 and reg, RR 18. Pt stated he has a cardiac condition and when he feels like this he goes to the ER, he requested transportation to ER. EMS was called and they arrived at 11:15. Client had no shortness of breath, wheezing or discomfort at this time. He was lethargic but arouses to verbal stimulation. Was oriented to person and DOB. Transferred to hospital via ambulance at 11:20 am. Was stable at this time.

Pt became lighted, diaphoretic and confused. Pt had a near syncopal episode. Pt stated has a history of syncope post injection or blood draw. Pt's vitals evaluated and Pt refused transport to ED.

Pt became light headed, diaphoretic and confused and had a near syncopal episode approximately 5 minutes after vaccine administration. Pt states history of passing out post injections/blood work. Pt vitals evaluated and Pt refused transport to ED.

Felt like passing out at 12:30p the next afternoon; temperature of 95 degrees; Headaches; fatigue; dizziness; minor chest pain; shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A 29-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: ER8727), via an unspecified route of administration in left arm on 24Mar2021 16:30 PM (at the age of 29-years-old) as a single dose for COVID-19 immunization. Medical history was not reported. Concomitant medications were not reported. Prior to vaccination, patient diagnosed with COVID-19. On 25Mar2021 at 12:30 PM, the patient experienced felt like passing out, temperature of 95 degrees, headaches, fatigue, dizziness, minor chest pain and shortness of breath. Felt like passing out at 12:30 PM the next afternoon, temperature of 95 degrees at that time and experienced headaches, fatigue, dizziness, minor chest pain and shortness of breath since that day. The patient did not receive any treatment for the events. The clinical outcomes of the felt like passing out, temperature of 95 degrees, headaches, fatigue, dizziness, minor chest pain and shortness of breath were resolved with sequel. No follow-up attempts are possible. No further information is expected.

patient stated was sitting in the chair after receiving the vaccine 10 minutes later he started experiencing dizziness and light headiness then he started feeling cold and feverish at one time like he was about to pass outpatient was evaluated and assessed the vitals are as followed 2:44p b/p 112/65 p 98 r 18 sat 98% 3:00p b/p 117/73 p 93 r 18 sat 93% 3:10p b/p 120/74 p 83 r 18 sat 98% patient stated he was feeling better patient was wheeled to the front entrance patient was encouraged to go to the nearest ER was to reoccur. Patient was released home.

Left axillary lymph node inflamed, red, and tender. 4.5 cm x 2.0 cm. Difficulty moving left arm due to pain. Patient has taken Ibuprofen and Tylenol PRN. He also did warm heating pad. No improvement.

Starting the morning after the 2nd shot I began to experience the following... 1. Chills (mild) 2. Muscle Aches (mild) 3. Fatigue (moderate) 4. Arm soreness at injection site (mild-moderate) 5. Dizziness (mild-moderate) 6. Vertigo mild 1-4 had alleviated by the morning of the 12th, however the dizziness has remained, and can be bad enough at times I worry about falling over, turning head rapidly or just standing up or moving quickly can make it happen.

Systemic: Dizziness / Lightheadness-Mild, Systemic: patient had loss of consciousness for approximately 5 seconds-Mild, Additional Details: patient has bruising to right temple and both knees from chair fall.

After 10 minutes of receiving vaccine, patient reported that his left side of face felt a little numb. He also complained of feeling dizzy. Patient was brought to exam room. BP was elevated 160s/90s. Stroke ruled out, no drooping noted in face. Patient able to move upper extremities fully and symmetrically. Patient was observed for 15 minutes. BP rechecked. BP decreased to 131/80. Patient observed for 15 more minutes. Patient reports cessation of numbness and dizziness. Patient was able to walk out of clinic alert and without assistance. Patient encouraged to make appointment with PCP to check for undiagnosed HTN. Patient denied having a PCP. Encouraged to find PCP or sign up at clinic.

after receiving vaccine pt states he became very nauseous after 5 minutes, pt given snack and drink with no improvement brought back to OBS area, vs as noted,. pt cont to feel nauesous not vomiting at present time., pt states having anxiety with everyone standing around him. pt states had three cups of coffee this AM with nothing to eat for a few hours. pt feeling better after less people around and sitting on stretcher. refusing more snacks initially but then after first attemp at standing and feeling "woozy" per pt pt agreed to try some crackers, pt tolerated well and refused further nausea. second attempt at standing pt denies feeling lightheaded or woozy and feeling better and would like to go home. pt aware BP is elevated and states he is super anxious about everything going on at present time and the environment in general. pt enc to get checked out at primary care physician for increased BP as noted pt agreed pt amublated to exit without diffiuclty at 1511. vs: 1435 159/97 hr 67 rr 18 o2 97, 1440 bp 147/108 hr 61 rr 18 o2 100, 1445 bp 120/91 hr 72 rr 18 o2 99, 1450 bp 147/85 hr 61 rr 20 o2 99 1455 bp 128/94 hr 65 rr 18 o2 98, 1500 standing at bedside bp142/101 hr 66 rr 20 o2 99 1510 standing at bedside 2nd attempt bp 153/100 hr 71 rr 20 o2 99

As patient was sitting for 15 minute waiting period after receiving Pfizer COVID-19 vaccine, patient lost consciousness. He fell from a sitting position and bumped his lip on a shelf. Patient quickly regained consciousness after less than 1 minute. Helped him sit back into a chair. Patient reiterated he was "okay" but began to lose consciousness again, then woke up after less than 30 seconds. Checked blood pressure with his consent which was 116/64, pulse 64. Medics arrived shortly for additional testing.

Patient collapsed a few minutes after vaccine. He hit his head and had a clonic jerk as he collapsed. Pharmacy staff put his legs up and gave him water, he continued to be a little disoriented and when he tried to get up , started to look like he would pass out again so we kept him down. Staff called 911, BP was low when taken at 9:50am. He started to regain color but again looked pale when he attempted to raise himself. EMS took over when they arrived and they decided he needed to be transported to ER.

Post injection stinging sensation radiating down back from shoulder. Decreased range in motion in arm. Started from approximately 30 minutes post-injection. Has maintained since and worsened. Pain did not decrease with use of Tylenol.

<10 minutes after vaccination, patient had syncope episode, fall broken by another person, slight bump to head. Patient became conscious, was seated on a chair, and then had second syncope episode followed with convulsions. Stabilized patient. Vitals monitored, assessed by MD and released with referral to PCP.

This patient had received vaccination and was scheduling next appt in observation area. Medical alert called overhead. RN responded to alert. Pt conscious, but per RN, in observation area, she stated he had a loss of consciousness and although she tried to break his fall, he did hit his head on the wall. Pt was sitting in chair, vitals attempted to be assessed, no reading, but patient alert. Before vitals were repeated,16:18 pt eyes drifted left and closing, another loss of consciousness, followed by convulsions and gasping sounds from the throat. Pt convulsed and left leg /foot turned inward torsion. Pt was removed from chair by 3 RN's to floor safely. approximately 15-30seconds of convulsion. pt regained consciousness AOX4. Pt remained laying, head propped on cushion. vitals taken 16:24 BP 108/69 86bpm, 100%O2Sat. MD assessed and pt stable. MD provided recommendation for pt to be evaluated at ED for further evaluation due to the convulsions. Pt accompanied by friend, friend agreed to drive pt to ED. Blood Glucose 90, which was taken at 1630. Wheelchair was provided for patient, RN rolled pt out to car and friend designated driver.

Flushing/sweating, dizziness BP 113/72, HR 70, RR 14 -- > 109/63, HR 63, RR 16. Water was given, therapeutic talk, patient layed down until he felt better. Patient stable and released from vaccination site

Dizziness. Patient presents with light HA, Hypotensive, no signs of resp distress, N, or V. Offered water and vitals taken. BP 102/47, HR 50, RR 18 -- > 109/66, 59. Pt stable and released from vaccination site.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: after receiving 2nd shot, patient feels dizziness and swating, feels like passing out. but he was alert. asked about diabetes issue and he denied. offered gatoraid and he said he would like to drink that and provided one bottle with store manager's authorization and after 20 minuts he was feeling better.

Very anxious prior to injection, became lightheaded directly after injection. Then became nauseated and began vomiting. Diaphoretic and pale in color, assisted to monitoring room with cot for client to lay down. Became chilled ,warm blankets placed on client and continued to monitor. PSO2 99 % b/p120/78 pulse 80 Client improved ready to be released. Informed to see medical attention for any further problems.

lightheadedness when walking, diaphoretic and had syncopal episode a couple minutes after injection. assisted fall but hit head with no signs of confusion, or contusion. first BP 69/48 PERRAL, A&Ox4, clear speech. laid patient on ground, elevating lower limbs, given PO fluids. BP was observed every 5 minutes last BP:112/74 kept patient for additional 45 minutes until he felt safe to drive.

Patient passed out after receiving COVID-19 vaccine while waiting in the waiting area. His BP was taken and read at 127/80 and 124/92. He fell from his chair and then as he laid on the floor for a while he felt better. He got a ride home.

1. Vertigo Referral to Otolaryngology Adult Referral to Vestibular Testing 30 YO man with acute sustained vertigo x 24 hours. There is a positional component which is more noticeable at onset yesterday which might suggest BPV. Suspect vestibular neuritis. No risk factors for cerebellar lesion - normal exam, young age, normotensive, normal lipid panel 2019, no HA or other focal neurologic defict, normal gait. It is reassuring that there is improvement today in severity. No recent illness to suggest a viral etiology. He did complete cov-2 vaccination series 2 wk ago - ? Vaccine related. Both doses of vaccine well-tolerated other than fatigue x 24 hours after 2nd dose. -Antivert tid prn. Sedation precautions. -Referral urgent to ENT. -Advise to go to UMHS ER if there is escalation of symptoms or HA/other focal neurologic defict. -He may try Brandt-Daroff exercises in the case vertigo is due to BPV - however, there is not a definite positional component. -Agree with avoiding dental procedural work until vertigo resolves- ok for consultations as tolerating.

Patient was fine prior to vaccine. After administration of vaccine patient was seated for 3-4 minutes before experiencing heavy sweating and feeling faint/light headed. The male patient was given water to drink and had his neck cooled down with a wet towel. The patient's blood pressure was 120/76 with a heart rate of 82. After a few minutes, the patient improved and remained seated for a total of 30 minutes. Patient stated he had experienced the sweating and light headedness for his 1st Pfizer COVID vaccine as well. However both times the side effects went away after 30 minutes without the use of medications. Patient stated he had COVID twice with the most recent infection 3 months ago.

Patient experienced lightheadedness and syncope starting about 5 minutes after vaccine. After lying down for 20 minutes and drinking some soda patient stated feeling back to normal.

12 hours post injection: fever (102.7), chills, aches (mostly elbow and wrist pain), strong headache, fatigue, difficulty walking (only first 24 hours), heartburn. All symptoms except difficulty walking lasted 4 days.

Patient felt like passing out, so patient was asked to sit on chair. After a while patient passed out for at least for 30 seconds. Pharmacy called 911. When patient was awake he started vomiting. The EMTs arrived and took patient's vital signs and transported patient to hospital. Patient seemed much better at the time of transport.

Dizziness Vital Signs: BP 112/80 HR 78 Resp 12 O2Sat 96% Skin Signs: Diaphoretic Circulation: Cap Refill <2sec Respiratory: Breath sound clear bilaterally, Wheezing Initial Treatment: Hydration and support 7:15 PM Vital Signs: BP 115/70 HR 74 Resp 12 O2Sat 96% Skin Signs: Cool and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally, Wheezing 7:30 PM Vital Signs: BP 118/75 HR 70 Resp 12 O2Sat 93% Skin SIgns: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally, wheezing Follow up Treatment: Supportive

Patient came into room hesitant of needles/shot. Stated that he had an aversion to needles and he felt the same way with the first dose of vaccination. After vaccination, patient waited in waiting room as requested, but then at approximately 6:20 pm became very lightheaded, pale, and diaphoretic. Patient never lost consciousness. Was accompanied by wife who talked him through deep breathing. A fan was placed near patient to assist with cooling down and a bottle of water was also given to patient. Over approximately 20-25 minutes, patient regained color, sweating ceased, and felt overall better. Patient was escorted out by wife with no further incident.

Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient complained of feeling light headed and then passed out. He was laid on the floor until he regained consciousness. We called EMS and kept an eye on the patient. EMS arrived and checked him out and he was responsive and was sent home.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Additional Details: patient experience hypotensive, lighheaded, and sweaty after receiving his first dose. RN, monitor vitals of patient blood pressure (131/73) and pulse 66 observed. His blood pressure was monitore again and it was 96/52 and pulse 58. He was asked to lie down. He drank some water and offer to drink gatorade. He drank gatorade and feel better. He got up after 5 mins and he was asked to seat. He waited 15mins and his blood pressure was 11368 and pulse 64.

Patient (08/22/1991) received the [1st] COVID vaccine (Pfizer lot #EW0179 and expiration date 04/24/2021) at 5:40pm. Client reported to EMT. EMT alerted RN. EMT and another EMT provided client with recliner chair and transported client into semi-fowler position. Client reported to RN "I am feeling sweaty and dizzy". VS at 12:03pm HR 50, BP 116/80, Spo2 98%RA, RR 24. Client denies shortness of breath, itchiness, chest pain, itchiness, swelling in throat or tongue, or pain. Client reports similar incidents in the past at the sight of needles or when his blood is drawn. Client states symptoms resolved within 2 minutes of onset and states he no longer feels dizzy. Client denies medical history or taking medications. No allergies reported. Client is alert and oriented to time, date, place, and event. Client provided with water. VS at 12:12pm HR 61, BP 120/78, Spo2 987%RA, RR 16. Client placed in sitting position and monitored. VS at 12:31 pm HR 77, BP 128/82, Spo2 97%RA, RR 16. Client provided with education on signs and symptoms of mild to sever allergic reactions. ER precautions given. RN provided instructiosn to f/u with PCP for discussion of reaction. Client verbalized understanding. Symptoms resolved at 12:05pm. Client reported his fiance would be driving client home. RN escorted client to fiancé's car. Client walking with a steady gait.

1455 1ST DOSE PFIZER VACCINE ADMINISTERED 1457 PT WITH LOSS OF CONSCIOUSNESS, WITH ARMS AND LEGS JERKING MOVEMENTS. AMMONIA INHALANT USED, PT AROUSED AFTER STERNAL RUB AND INHALANT. ORIENTED TO SITUATION PROVIDED. PT STATES "I'M SO EMBARRASSED, I FELT THAT COMING ON" 911 CONTACTED AND PT ASSISTED TO STRETCHER. 1458 BP 137/81 HR 72. PT DENIES ANY OTHER COMPLAINTS. DOES CONFIRM HE WAS ANXIOUS ABOUT INJECTION AND WAS SCARED HE WOULD FAINT. 1500 EMS HERE, BP128/80 HR 92. PT REFUSED TRANSPORT WITH EMS AFTER DISCUSSION WITH EMTS. 1530 PT STATES FEEL OK TO LEAVE WITH GIRLFRIEND DRIVING. BP 165/64 HR 65. DENIES ANY COMPLAINTS. INSTRUCTED TO CALL 911 OR SEEK MEDICAL ATTENTION IF NEEDED. VOICED UNDERSTANDING.

Within a few minutes after administration of patient's first dose of the Pfizer COVID19 vaccine, patient started feeling lightheaded and sweating. We instructed the patient to lie down in the pharmacy area and put a cold water bottle on top of patient's forehead and turned a fan on near the patient. Patient never lost consciousness and was responsive the entire time. Patient felt better after staying in the pharmacy area for about 30 minutes and left on his own afterwards.

Client arrives to observation area and states to his partner that he is not feeling well. Client immediately passes out and gain consciousness within a few seconds. Client states he does not recall what happened. Client hit his head when he lost consciousness. No signs of bleeding or cuts in head area. Client declines any pain. Client is AOX4 VS: BP 108/60 HR: 67 02: 98% .911 alerted at 2:40pm arrived at site at 2:45 pm. Client was moved from supine position to a chair client then c/o of lightheadedness . Client was then placed back to supine postion and reassesed by ems. BP: 124/62 HR :70 02: 98% after a few min cient was then placed in a chair and was adviise to be transfered to hospital. Bp read as 88/35

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: convulsion-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: patient recieved first dose, went to go sit in observation area, few minutes later fell forward off his chair and starting having a seizure. called 911. patient was able to get up and sit in chair with feet elevated. paramedics came, patient refused hospital visit. Patient was oriented and went home after the paramedics.

Dizzy, faint, blurred vision, headache started 5 minutes after shot. I was wheelchaired to fresh air and moved to a cot for 30 minutes of monitoring. I slowly recovered over the 30 minutes. The following day I had a 99.6 fever, headache, chills and weakness. The vaccination site is sore.

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

Approximately 5 minutes after vaccine administration, pt. C/O tiredness, weakness/fatigued, slow loss of vision. He was guided to a flat surface in a supine position with legs elevated , Slow deep breaths were encounter, ice pack applied at the back of his neck. Vitals included 90/60, 68, @18, 98% RA. Pt. Was alert and oriented x4. At 11:44 am, second vitals were, 110/70, 57, 26, t=98.2, @ 98%RA. Vision was restored back tk normal with minimal dizziness. At 11:44, all symptoms had subsided as per pt. report. Pt. did mmot experience any falls or trauma while at the clinic. At

At 1100, patient reported feeling shaky, dizzy, and faint to EMT. Patient had unlabored respirations, alert and oriented x4, and able to follow commands. Patient assisted to anti-gravity chair. EMT assessed patient vitals: blood pressure 98/58 mmHg, heart rate 42 beats/minute, and SpO2 96%. Patient reported not eating breakfast. Patient given water and crackers. Patient advised to wait for further observation. Patient reassessed at 1130. Patient vitals were blood pressure 122/72 mmHg, heart rate 70 beats/minute, and SpO2 97%. Patient stated he felt good and reported no earlier symptoms. Patient educated patient on eating before his second dose appointment. At 1134, patient left facility to self with unlabored respirations and steady gait.

Dizziness. Recommended to give next vaccine in supine position. Stable, released from vaccination site.

29 y/o White male approach staff member and c/o dizziness ten minutes after receiving 2nd dose of Pfizer vaccine. Staff member notified EMS and NP of the incident PT was evaluated by on-site by EMS and NP. Patient stated he had not eaten since yesterday afternoon prior to coming in for vaccine. VS were taken and EKG initiated. Patient stated he was feeling better after eating a snack and asked to leave. Patient has a medical Hx of Anxiety D/O and PTSD. NP advised patient that since his vitals were still elevated and dizziness still present she recommended he be transported via rescue for further evaluation. Patient declined and was asked to sign an AMA form. Patient agreed and picked up from the facility by family member.

Loss of hearing in left ear; Dizziness more than 24 hours after; loud tinnitus; Deep pain in left side upper abdomen/ lower ribcage.; Deep pain in left side upper abdomen/ lower ribcage.; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male consumer received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 16Apr2021 at 14:15 at single dose in left arm for COVID-19 immunisation at the age of 29-year-old. Medical history and concomitant medications were unknown. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 24Mar2021 at 13:00 in left arm for COVID-19 immunisation at the age of 29-year-old. On 17Apr2021 at 16:00, the patient experienced loss of hearing in left ear, loud tinnitus, deep pain in left side upper abdomen/ lower ribcage, dizziness (also reported as more than 24 hours after). The patient was no treated due to the events. On 19Apr2021, nasal swab resulted negative. The patient did not recover from the events. Prior to vaccination, the patient was not diagnosed with COVID-19; since the vaccination, the patient has not been tested for COVID-19. Information on the lot/batch number has been requested.

Patient got the 1st dose of Pfizer vaccine at 1:58 pm on 5/6/21. Patient felt slightly dizzy about 3 minutes after getting the vaccine. Then he passed out and fell on the floor with seizure for about 5 seconds. He regain conscious and said he didn't remember anything. He also said his stomach felt upset. Later he felt chest tightness and blurry vision. We called 911 at 2:02 pm. They came in at 2:07 pm. They checked the patient's blood pressure. Patient had low blood pressure. He was sweating and felt hot. He didn't eat or drink anything before getting the vaccine. They transferred him to the emergency room for further check-up.

Patient reported receiving second Pfizer vaccine on 5/5/21 and becoming dizzy that evening after administering his Palynziq injections. He also reported this happened the evening after he received the first Pfizer vaccine too, but did not disclose the vaccination date. He confirmed that he has not, at any other time, experienced dizziness after injecting his Palynziq.

Within two or three minutes minutes of receiving the injection, patient experienced lightheadedness and felt like fainting. Shaking or pulsating sensation felt in the arms and hands, along with sweating and elevated heart rate, lasting for about 10 minutes. Lightheadedness went away after about 30 minutes.

Around 4 AM I started to experience a fever of 101.2, full body weakness, trouble walking, muscle spasms, irritability, and chills. It was a very strange experience. I took 3 Tylenol at about 7 AM and symptoms started to alleviate around 8:30 AM. The rest of the day I had random body aches, chills, and fatigue. I felt 100 percent by 10 PM on 5/7/2021

Fatigue, chills, fever, muscle soreness, and joint pain all over for 24 hours, starting 24 hours after second injection. Laying down was painful due to serve joint and muscle pain in my neck and arms in the last 8 hours. I sat or stood to relieve the neck pain. I took 2 ibuprofen at 9am Saturday to help with the pain. I had fully recovered by 1pm Saturday, the 8th.

Pt c/o flushing/sweating, dizziness, hot flashes. BP 96/51, HR 83, RR 16 -- > 116/80, 83. Patient stable and released from vaccination site.

5 minutes after vaccine given, client experienced diaphoresis and ightheadedness. Ice pack and water given, client admits to not eating lunch and had been a little bit since eating/drinking anything. Initial B/P 70/60 HR 63. After 25 minutes B/P 145/91, HR 61, no respiratory distress or difficulty breathing. Pt felt 100% better after 35 minutes.

Patient felt lightheaded and turned pale immediately after dose. He recovered within 10 minutes and was discharged after additional 20 min obs.

Patient immediately felt pale and lightheaded after dose 2. Recovered quickly over 10 minutes. Discharged home after 20 min additional obs.

Syncope - pt. received vaccine, went to sit in waiting area then approximately 2 minutes later the pt passed (fell out of his chair). Pt. was rolled over on his side to prevent aspiration incase of a seizure. EMS was called immediately who responded within 45 sec to 1 minute as they were already in the store. EMTs then took over care. Pt. declined a hospital visit and was released after responders left the scene.

It started with arm pain at night. And then at 1am I woke up with chills. I fell asleep and woke up at 5am with severe fever. Fever was all day. I also felt weak, fatigued, dizzy, headache. Took Advil for most of the day. Took Tylenol at night. Took lots of fluids. Was in bed trying to sleep all day. Feeling good now the day after.

Intermittently feeling intense vertigo. My vision will suddenly start spinning, similar to the feeling of being too drunk. The feeling has come and gone twice, over the past two days.

Patient experienced a syncopal episode immediately following vaccination. Pt also become hypotensive, lightheaded, and pale.

Pt received Covid 19 Pfizer vaccine and about 5 minutes after sitting pt stated was feeling very dizzy and was going to faint. Pt was sweating and starting to black out, could answer my questions but did not see his wife who was standing infront of him and talking to him. Pt was given a sip of water. Paramedics were called and arrived within 5 minutes. At that time of their arrival pt started to feel better, his blood pressure was 110/70 mmHg. He was able to walk out with paramedics.

pt felt light headed in tent after vaccine, was assisted to ground and legs elevated. pt stated he has a hx of anxiety after soys and blood work pt stated he felt better after gatorade and snacks. was evaluated by onsite md and medical staff. pt was observed 30 mins and released in care of family.

Fell unexpectedly; I injured my nose, tooth; I injured my nose, tooth; My arm pain is 7 out of 10; scared to get up.; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection) via an unspecified route of administration on 28Apr2021 at 16:15 (at the age of 29-years-old) as a single dose in the left arm for COVID-19 immunisation and ibuprofen (ADVIL) from an unspecified date to an unspecified date at an unspecified dose (2) and frequency for an unspecified indication. Medical history included anxiety/depression (mitigated with SSRI) from an unspecified date and unspecified if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had no known drug allergies. Concomitant medications (taken within 2 weeks of vaccination) included escitalopram orally taken for an unspecified indication from an unspecified date to an unspecified date at 10mg, daily. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection) via an unspecified route of administration an unspecified date as a single dose for COVID-19 immunisation. On 29Apr2021 at 03:00 the patient experienced fell unexpectedly, I injured my nose, tooth, my arm pain is 7 out of 10 and scared to get up. The course of events was reported as follows: "Got up at 3am in the morning to take some Advil. Took 2 Advil then fell unexpectedly. Partner was awake and stated that I did not trip on anything. I did not have any previous dizziness or indications that I was going to faint (no night sweats, no stars or blurry vision, no muscle weakness). I injured my nose, tooth (no significant damage), and was scared to get up. My arm pain is 7 out of 10. I have no previous medical history of fainting after a vaccine." No treatment was received for the adverse events. The clinical outcomes of the events fell unexpectedly, I injured my nose, tooth, my arm pain is 7 out of 10 and scared to get up were recovered/resolved on an unspecified date in 2021. Since the vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

5/15/21 @1200: Gammaplex IV infusion started 1320: pt rang call bell for assistance, RN entered room to see pt shaking uncontrollably, pt reports that he is not feeling well, infusion stopped, and PIV flushed, VS obtained BP: 95/66 HR: 104 Temp: 100 RR: 24, Anaphylaxis kit retrieved, DON on phone assisting with walking through Anaphylaxis reaction needs/protocol 1325: 25mg (0.5mL) of Diphenhydramine given via SIVP, PIV flushed with 3mL NS post Diphenhydramine SIVP, manual BP taken at this time BP reading of 120/78 but really hard to obtain an accurate BP d/t pt shaking, Temp: 100 RR: 23, pt continues to shake, hands are cold to touch, finger tips are white with no cap refill noted, purple areas noted around pts knuckles at this time, pt reports that his feet feel tingly at this time and possibly his fingers, states that his back has a warm sensation and that he has a light feeling, pt reports feelings of being nauseated, garbage can provided for patient 1340: no improvement noted from 1st Diphenhydramine dose given, 2nd dose of 25mg (0.5mL) Diphenhydramine given via SIVP at this time, 3mL NS flushed post med, Acetaminophen 325mg x2 tabs that was dispensed for pre-med that pt declined to take was administered PO at this time, BP: 110/64 HR: 104 Temp: 101 RR: 23, continued body shakes noted, hands continued to be cold to touch with fingertips being white noted, no cap refill noted, purple areas still noted around knuckles of hands, pt still reports a warm sensation to his back, pt communicating with eyes closed most of the time, face coloring is pale 1345: pt reports that he feels like he is going to vomit at this time, pt vomited x 3 times into garbage can, 500mL Normal Saline bag per Anaphylaxis order begin at this time, rice pack heated and provided to pt for hand warming, hands continue to be cold to touch, pt continues to keep eyes closed, face continues to be pale 1347: pt reports feeling a little better at this time, lungs clear in all lobes bilaterally to auscultation, tachycardia noted via palpitation and auscultation, pt states at this time that his back does not feel as bad, color is starting to return to pt face at this time, hands continue to be cold to touch with white fingertips noted 1350: BP: 114/72 HR: 100 Temp: 101.9 RR: 20, pt breathing has decreased, pt reports that he feels like he is feeling better, pt discussed with me again that his provider stated that there was not enough information on time frame in between getting the COVID vaccine and his infusion, he also went on to report that he also spoke with another provider about getting the COVID vaccine and his infusion and that provider gave him the CDC website for him to read about the recommendations as well, he stated that both his provider and the CDC website stated that there was no recommended interval between the COVID vaccine and IVIG 1358: BP: 118/68 HR: 90 Temp: 101.7 RR: 18, color returned to face at this time, cheeks flushed, hands continue to be cold to touch but color have started to return to fingertips at this time, cap refill noted at 4 seconds, pt reports that he thinks he is feeling better at this time, states he feels that his speech is a little slower than normal, no slur noted, pt eyes are open and pt is alert, improvement in VS noted 1410: BP: 106/64 HR: 96 Temp: 101.7 RR: 18, pt reports feeling much better at this time, pt is holding conversation well and without difficulty, pt denies feelings of nausea, more color return noted to pt fingertips, cap refill noted of 3 seconds, pt reporting feelings of being drowsy at this time, reports that his back feels normal 1420: 500mL NS bag completed, pt reports at this time that he does not wish to restart his IVIG and asks if he can stay in the AIS for a little while because the Benadryl is making him super tired, pt reports that he does not have anyone that could come and drive him home, pt assured that he can stay in the AIS with RN as long as he needs 1445: BP: 104/56 HR: 106 Temp: 101.8 RR: 20, pt resting calmly, eyes were closed upon entering the rm, pt states he feels much better still, denies any new or concern symptoms at this time, states that he is just really tired, fingertip coloring has returned, cap refill less than 3 seconds noted, lungs clear to all lobes bilaterally 1500: pt resting calmly, pt opens eyes upon entrance into pt rm, pt continues to report feeling better just tired, pt denies any needs at this time 1515: no changes noted with pt, continues to rest calmly in recliner in room with eyes closed, opening eyes when rm is entered 1540: pt up to restroom 1545: BP: 104/63 HR: 102 Temp: 101.3 RR: 18, pt reports that he is feeling much better, he reports not feeling as drowsy now and that he feels okay for him to drive home, he denies any new symptoms, pt was encouraged to take Tylenol 2 tabs Q4-6 hours for temperature and body aches for the next 24 hours, pt was educated on contacting provider for further IVIG needs and rescheduling, pt educated on going to the ER if symptoms return, pt also educated on monitoring temperature at home 1550: PIV removed with tip intact noted, pt stabilized, all color has returned to hands, pt holding conversations without difficulty 1555: pt escorted out of AIS

Patient presented to Observation check in area (@ 4:20 PM) appearing shaky, diaphoretic and was complaining of being lightheaded. Patient was assisted to sit in a wheel chair and wheeled back to treatment area where he was assisted again onto the cot to lay down. Patient history was obtained while he was inside treatment area. Pt denied Medication and Food Allergies as well as any Past Medical History. Patient was given water to drink and stated he felt normal again, wanted to and was ready to leave 5 minutes later at 4:25 PM.

Pt had episode of syncope, flushing/sweating & Dizziness. BP 109/62; HR 74; RR 16. Hx of fainting from blood draws. MD saw pt & pt stable ok to leave vaccination site

Patient fainted within 15 minutes of vaccination and fell and hit his head on the floor. He felt better after resting and was released to home.

Patient presented to Observation check in area (@ 4:20 PM) appearing shaky, diaphoretic and was complaining of being lightheaded. Patient was assisted to sit in a wheel chair and wheeled back to treatment area where he was assisted again onto the cot to lay down. Patient history was obtained while he was inside treatment area. Pt denied Medication and Food Allergies as well as any Past Medical History. Patient was given water to drink and stated he felt normal again, wanted to and was ready to leave 5 minutes later at 4:25 PM.

Patient describes nausea and mild dizziness . Patient being sent home with mother who is driver . ER precautions given . Patient advised to follow-up with PCM for persistent symptoms.

Foot and ankle inflammation and swelling. It started out with my left foot/ankle but it is now impacting my right foot/ankle also. Currently, it has gotten to the point where I essentially can?t walk. I am having similar symptoms with my knees and right index finger but they are not as severe and not as debilitating. I am currently waiting for an appointment with a rheumatologist.

Approximately 5 minutes after receiving his first dose of the pfizer covid vaccine, the patient began feeling faint and ended up fainting while sitting down. He laid his head on his girlfriend's shoulder and fainted. He was alert and conscious within 2 minutes. At that time, the patient said he does suffer from vasovagal syncope and frequently passes out when his anxiety is high. He denied our attempts to call for 911. After 30 minutes, the patient left under his own strength. His girlfriend drove them both home.

1755 vaccine given by RN 1800 ptx pain, difficulty breathing, BP 140/70/72 1805 ptx sweaty palms, vagal symptoms, watery eyes, BP 99/42/70 1810 ptx dizzy, leaning back, I cant breath, Epipen given in left thigh 1812 ptx vomited large amount 1815 ptx improving, talking, paramedics called 1820 Paramedics arrived BP 137/73/70 1825 ptx transported to local hospital for follow up evaluation

Pt c/o dizziness and "head heaviness". BP 109/69, HR 62, RR 18 -- > 101/58, 68, 18. Pt given water. Pt stable and released from the vaccination site.

After a few hours of receiving the vaccine, I could start to feel soreness in my left armpit (lymphnode). This moved to all of left arm even all left side of body. Began feeling very tired. Less than 12 hrs after receiving 2nd dose I had to leave work early. 3:30 am the next morning I had uncontrollable shivers/tremors. To the point where I couldn't stand on my own. I had a fever of 101 degrees. As a result of the tremors I had entire body soreness. Hot flashes; alternating from sweat to freezing. Side effects began to dissipate after a full 24 hours.

Patient mentioned that he was light-headed and felt like he was going to faint. Also, he said that he felt nauseas. Staff helped patient move into exam room and laid him down on the bed. Patient asked for water and it was brought to him. Patient's vitals were low - BP : 70/39, Pulse : 68, Oxygen : 95. Doctor came in and examined and spoke with patient and also oxygen was given; after a couple of minutes patient said he was feeling better. Patient was vitaled again and this time - BP : 113/79 ; Pulse : 80. Patient was observed for 30 minutes and then cleared. Patient was instructed to follow-up with his PCP or emergency room if any more symptoms progress this evening.

29 y/o male with no medical history presents with dizziness and diaphoresis post vaccination. Patient states that this is his first vaccination in the two-dose series. Patient states that he received the vaccination to the left arm. Patient denies previous reaction to vaccinations in the past. NP, RN and Paramedics at patient side. Patient placed in. Patient vitals within normal limits (111/56 BP, 99% RA, 12 Resp.) Within 5 minutes patient states that he is feeling better and that he feels that he was scared because of the needle. Patient states that this has occurred with blood draws in the past. Patient provided with bottle of water and observed for 10 minutes more. Patient cleared to go home. Patient discharged in stable condition with brother at side.

Patient stated that he felt lightheaded. He was told to sit down on a chair. A moment later, patient was found slumped over on his chair. Tapped on pt's arm to wake him up and pt woke up a few seconds later. pt drank some water and felt better. pt declined to call 911

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Additional Details: Patient reported lightheadedness and dizziness, BP was 110/60 and Pulse was 61. Performed basic blood pressure management activity alongside potential hypoglycemic episode provisions.

This description was reported to this writer. The patient had just arrived and sat down in the post vaccination area. He was sweating profusely on his head. The patient was assisted to the floor by the nurse. The patient did say to the nurse that he was "feeling lightheaded". He stated that he had a needle phobia. Patient denied a history of fainting and of diabetes. Vital signs were taken. EMTs were notified to attend to patient. Patient was assisted to a chair. Encouraged to drink fluids . Patient was released by EMTs after 30 minutes.

about 5 minutes after receiving the pfizer vaccine patient became sweaty and skin got clammy and he felt like he was going to faint. He lost all color to his face. Blood pressure was taken and it was 92/60. We gave him a cold pack on the back of his neck and had him lay down and elevate his feet and legs. Also got him some cold water to drink. He started to feel better in about 15 minutes after that. We continued to monitor blood pressure about every 5 to 10 minutes and it got to 99/72 and last check was 120/65. He did not want the ambulance or to go to urgent care. We told him to take it easy the rest of day and to have somebody with him til next morning. And then he and his friend left to go to his parents house.

After I received the vaccine my left arm hurt real bad for about 50 days to lift or move. I went to the ER one day because of the pain and was prescribed pain medication.

Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Additional Details: patient fell down and apper to have seizure , we called emc ,emc take care of the pt, and he was ok,pt refuse to go to er.

Approximately 5-10 minutes after receiving the vaccine patient fainted and slid out of chair onto floor. Patient regained consciousness within a 1 minute of event occurring. After patient was hot, pale, and sweaty. Patient DID NOT complain of nausea, vomiting or visual changes.

Patient presented to Observation check in area (@ 4:20 PM) appearing shaky, diaphoretic and was complaining of being lightheaded. Patient was assisted to sit in a wheel chair and wheeled back to treatment area where he was assisted again onto the cot to lay down. Patient history was obtained while he was inside treatment area. Pt denied Medication and Food Allergies as well as any Past Medical History. Patient was given water to drink and stated he felt normal again, wanted to and was ready to leave 5 minutes later at 4:25 PM.

Extremely dizzy and chances of fainting; Extremely dizzy and chances of fainting; Sweaty; Brain fog/confusion; Brain fog/confusion; This is a spontaneous report from a contactable consumer (patient). A 29-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in left arm on 29Apr2021 (Lot Number: ER8736) at the age of 29-years-old as single dose for covid-19 immunisation. Medical history included prediabetes. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication(s) included amoxicillin within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient experienced extremely dizzy and chances of fainting, sweaty, brain fog/confusion, all on 20May2021. No treatment received for the events. Patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) administered in left arm on 29Apr2021 (as reported), (Lot Number: EW0187) for covid-19 immunisation. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included Nasal Swab: negative. Outcome of the events was recovering.

Date added: 06/05/2021 at 10:29 AM (MDT) Patient wants to be seen for covid symptoms. Experiencing headaches, dry cough, congestion, only thing he does not have is fever and chills. Been going on for a week now. Started with the COVID vaccine that was received last Friday been sick since last Saturday. onset week ago, 5/28 he received covid vaccination pfizer first dose - from CVS and developed same evening headache congestion now has neck pain for 2-3 days, 3/10, worse with nothing not worse with movement and has full rom, no fever or chills but has dry cough, and congestion and raspy voice, has headache slight headache, back of head 7/10, daily headache for a week now, and has lightheadedness when stands up for a week, headache is worse with activity, and worse when lays down, taking tylenol and ibuprofen and dayquil and nyquil but headache recurs and only slightly improved by medication. has no PCP had covid19 illness July 2020

Patient c/o dizziness, and a buzzing sound in ears for a few minutes. Vital Signs 2:25pm--99% pox 80hr 160/110bp 97.1temp 2:30pm--99%pox 70hr 140/95bp 14rr 2:40pm--98%pox 74hr 140/100bp 97.2temp Took patient into the private cot area to lay down for a few minutes, where we took vitals and he drank some water. Pt stated he is dehydrated from working outside 5 days in a row. He said he was not dizzy prior to receiving the injection. The buzzing sound resolved after a couple minutes. The dizziness resolved after laying down for approximately 15 minutes. Patient walked to his car without any s/s of distress.

Patient got the vaccine around 12:45pm. At around 1 pm, the patient fainted for about 7 seconds and fell out of the chair in the waiting room. I ran outside of the pharmacy to assist him. He was conscious but confused for a few moments. Then said he felt fine. Patient showed no signs of allergic reaction. I asked him if he had any injuries/bleeding and he said no. I asked him to stay at the pharmacy for another 30 minutes so I could observe him closely. We gave him a cup of cool water to sip on. At around 1:10 pm, I went outside the pharmacy to check on him again and he said he felt flushed and asked for a bucket. At 1:15 pm, he vomited into the bucket. He said he felt 100% better after vomiting. I had him stay at pharmacy until shortly after 1:30 pm when he said he felt okay to go home. I called him at home around pm the same day and he said he felt fine.

At the time of injection, he experienced a burning sensation immediately from the injection site to the fingers. The burning lasted a few minutes. He then was standing waiting for his wife to receive her vaccine. He became dizzy and diaphorectic. He passed out for a moment. I kept him in the chair and monitored his breathing and tried to keep him alert and responding to my questions.

Swollen lymph nodes within 5 minutes. After 3 hours, malaise, dizziness, fatigue, weakness, chills, nausea. Symptoms worsened over the past 10 days. Uncontrollable and inexplicable panic attacks, debilitating episodes of sickness.

Directly after administration of the vaccine, the patient started to feel like he was going to faint and became nauseous. I got him some water and when I returned he was slouched in his chair. His leg and arms started to twitch for at least 10 seconds and he was incoherent. After the twitching stopped, he seemed to not have full recollection of the past minute and asked if he had passed out. His shoulder muscles were tight, he felt very warm, and soon after become nauseous but did not vomit. We gave him an ice pack to cool him down in addition to the cold bottle of water. We waited for a friend to come pick him up and during the wait he recovered and was able to hold a conversation, not feel dizzy, and stand up on his own. After 30 minutes of observation, the friend arrived so I walked with him out of the pharmacy to the car.

Still feeling dizzy; Dizzy; Not able to concentrate on his work; Weakness; This is a spontaneous report from a contactable consumer (patient himself). A 29-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiration date were unknown), intramuscularly in right arm on 01Jun2021 (at the age of 29-year-old) as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were none. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiration date were unknown), intramuscularly in right arm on 12May2021 (at the age of 29-year-old) as a single dose for COVID-19 immunization and had fever. The patient did not receive any other vaccines 4 weeks prior to COVID-19 vaccination. It was reported that, patient stated, he had his second dose of COVID Vaccine like 12 days ago. So he was still feeling dizzy on an unspecified date in 2021, and he was not able to concentrate on his work on an unspecified date in 2021. So he just wanted to know how long it would last. Patient stated that he experienced side effects mostly after the second shot. Patient had ibuprofen after the vaccine. Patient was still experiencing dizzy and was not able to concentrate on his work. Patient experienced only dizzy, weakness on an unspecified date in 2021. No investigation assessment. The outcome of the events was unknown.

Adverse Events: Severe Loss of Breath; Numbness in Extremities; Chest Pain; Heart Palpitations; Fainting; Dizziness Treated with Oxygen and High Dose of Benadryl at hospital. Returned home roughly 4 to 5 hours after treatment.

Patient received vaccine at 5:50pm and within 2 minutes while under the required 15 minute observation, he passed out and fell forward. Patient hit his chin and mouth breaking a tooth and complaining of jaw pain. Emergency services were called and paramedics checked all vitals and stated vitals were normal. Patient refused treatment and to be transported to Hospital. Patient has been seated and is still under observation by pharmacist. Patient left with father at 6:28 pm. Patient seems to be stable and pharmacist recommended to be taken to the hospital for further observation. Will be checking in with patient within the next few hours.

Pt getting shot felt tingling 30 seconds after then nausea and lightheaded. He got stiff, gasped and passed out. Per pt, he had a "hallucination". Pt experienced LOC for approx 5 seconds, he "took a deep snort" and came back. Pt pale and diaphoretic, vomited and moved to med obs 1. VSS. Resolution of symptoms within 20 minutes, and released.

Muscle weakness, nerve damage, burning in legs, numbness/tingling in legs, numbness/tingling feet and hands and arms, severe cramping - cannot walk for more than a few minutes. Treatment will involve Solumedrol steroid injections, Tizanidine muscle relaxers, and Meloxicam inflammatory medication.

Pt's mother states 06/21/2021 after receiving the 1st dose of Phizer vaccination, hot at the site of the injection then blacked-out, fell face first on face. ER visit, Fractured his jaw, nose and knocked out teeth. 06/22/2021 Surgery/plates required, jaw wired. Currently discharged.

Day after vaccine, I was sick all day. Hard to breathe; heart rate would shoot up and then come down in one minutes sessions; I had body aches - all over. Doing anything felt painful. Eating was uncomfortable and sitting was uncomfortable. I had some fever. 238.5 Celsius and it got a little worse during the day (and that number is the end of the day). I had some pain in the chest, too - center of chest. I also had a headache throughout the day. I did a televisit (wednesday) and she advised to take acetaminophen for fever. She said my blood pressure was fine and my heart rate was still under 100 most of the time. The next day, everything seemed fine - all symptoms seemed to go over night except heart rate - still was elevated and the difficulty breathing was still there. Even sitting - my breathing and heartrate felt like it was working. Friday, things were mostly similar - heart rate came mostly down. But end of day, difficulty breathing came worse and chest pain became worse and tightening of chest was more intense. No fever after Wed though. I went to see the Urgent Care doctor at Urgent Care. Friday, the second week after the vaccine, the symptoms received. Pain in left arm started (started Tuesday or Wed the second week) and I had chest pain and tightness in the chest and slight difficulty breathing, nausea, dizziness and no fever. ER - on Saturday - 11:30PM - they did more tests - everything heart related came back fine so they ruled out Heart attack; but didnt' know what it was; gave medication for nausea in case it would help. IV medication and then one medicine to drink on the spot. It didn't really help - the symptoms continued and slowly disappeared the next day (the second Sunday after the vaccine). Nothing new since then.

Patient reports after he received vaccine he started having dizziness, and pressure on left side of chest. Patient reports he received Pfizer vaccine at pharmacy. Patient was seen at this clinic today with left sided chest pain

Symptoms began to appear around 1:00 am, 6/16/2021. Symptoms included labored breathing, pounding heartbeat, lightheadedness, headache, chills, injection site soreness, and feeling unwell. Side effects were eased with Tylenol. Symptoms gradually diminished over the course of approximately seven days.

Felt like had torn muscles in shoulder--intense pain / sudden pain; Limited range of motion, withoutany muscles feeling tense or locked up; Sore arm; Pain and sensation continued to worsen in my arm and shoulder, until it spread to my spine; spine hurt more and more; This is a spontaneous report from a contactable consumer, the patient. A 29-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: En6202) via unspecified route of administration in left arm on 17Mar2021 (at the age of 29-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient did not have allergies to medications, food, or other products. The patient was not diagnosed with COVID-19 prior to vaccination. The patient had not tested positive for COVID-19 since the vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient had not received any other medications in two weeks prior to vaccination. On 18Mar2021, the patient started the morning after vaccine, with just a sore arm (pain in arm). The second day after the vaccine, it felt like the patient had torn muscles in shoulder--intense pain (shoulder pain) and limited range of motion, without any muscles feeling tense or locked up (movements reduced). The third day, pain and sensation continued to worsen in arm and shoulder, until it spread to spine (condition worsened). By the end of the night, arm started to feel okay but spine hurt more and more (pain in spine), feeling like it had a compression injury. It was reported that, the patient that if he had no memory, and someone told he had been in a car accident, or compressed his spine by jumping from 30 feet in the air, he would readily believe it. It was the fourth morning as the patient wrote, and spine still felt same way. No physical activity or other explanation for sudden pain, no prior history of injury/pain for these areas. It was unknown if the patient had received any treatment for the events. The outcome of the events shoulder pain, movements reduced, condition worsened, pain in spine was not resolved and for event pain in arm was resolving at the time of this report. No follow up attempts are needed. No further information is expected

5/10 min after shot I started sweating profusely and y body temp felt really hot, I then started feeling faint and my vision went blurry and I had stabbing pains in both arms. This lasted 10 minutes and was extremely uncomfortable, by the time medics reached the scene I was okay and the only symptom that remained was the stabbing pains.

Sudden chest pain, near syncope, light headed, dizzy, shortness of breath. Went to urgent care and was sent home after negative EKG. Continue to have intermittent chest pain, light headedness, fatigue, and shortness of breath. Went to the hospital but EKG showed nothing abnormal. Referred to a cardiologist. Wearing a heart monitor and MRI scheduled. Continue to have fatigue, shortness of breath, and chest pains.

Throat tightened, became hard to swallow. Chest tightness, and became dizzy. First symptom to occur was the throat; felt as if a rock was stuck. Chest tightness followed and dizziness after. All symptoms occurred after the 15 minute waiting period; EMS was called and I took a Benadryl to immediately combat the symptoms.

shortly after the vaccine, the patient had a seizure while sitting on his chair for about 10 seconds and was feeling dizzy. He sipped some water and he felt better. paramedics came to check on him and he was stable.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Mild

Patient in observation area, covid vaccine clinic. patient got vaccine at 1316. at 1330, girlfriend alerted staff patient wasn't feeling good. patient looked pale. Nurse next to patient. Lost consciousness for about 30secs. regained consciousness after stimulation. patient then started vomiting, x2. transferred to gurney. vital signs checked. normal. monitored every5 min x3 then every 15min. Observed for about 30min. patient refused to have nurse call 911. refused to go to ER or urgent care. vital signs remained stable. check BP while sitting and standing. no change in BP. patient did feel dizzy. started vomiting again. Advised patient to go to ER or urgent care but patient and girlfriend refused D/C home stable

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: patient felt lightheaded after shot. I gave him a water bottle that when he placed on the ground he started to fall over/ lose consiousness. 911 was called immediately. I was able to catch patient and tried lowering him to the ground as he regained consiousness. cold water was also used to cool neck area. ems took patients bp and wrote up report but patient refused to go to ED. fiance was called to drive home/ to go eat after 30 mins to ensure patient was stable, hydrated.

lightheaded, drank water and laid down for several minutes - symptoms resolved and patient left without further issues

Starting the day after I got flu like symptoms. Headache, night sweats, chills. Starting last night, after sweating an obscene amount, I started feeling dizziness. Not a normal dizziness, but a severe one with brain zaps. The type of brain zaps someone has when coming on or off affexor/venlafaxine (which I?m currently on). The dizziness only happens when I stand and the brain zaps happen more frequently than when the dose changes or is forgotten with the snri. Before someone asks... yes... I?m taking my affexor properly and haven?t changed how I?m taking it since my covid shot.

12/18 VACCINATION 12/19 WOKE UP, HA, FATIGUE, MUSCLE ACHES. 12/20; HA WORSE, SYMPTOMS WORSE 12/21 FELT BETTER 12/22 VERTIGO, FACE IS RED. URGENT CARE. PRESCRIBED NAUSEA MEDS.

The vaccination was administered on Saturday evening, December 19th, 2020. The next morning around 10 am I began to feel nauseous and light-headed. That feeling waxed and waned all day and improved in the evening. The next morning on Monday, December 21st I was 10/10 nauseous and near vomiting. I went to work but had to leave because of nausea. Ultimately I vomited upon returning home and was nauseous with abdominal pain and achy all day. The next morning on Tuesday, December 22 nausea continued but with a rating of around 6/10. Then came the intense headache, body aches, and fatigue. This continued into the next day (Wednesday, December 23) prompting me to get COVID tested and take off of work on Thursday, December 24th. Nausea improved (5/10) on December 24th but fatigue, abdominal pain, and body aches did not. December 25-27 were slow improvements with nausea, abdominal pain, and fatigue but were limiting activities of daily living. By Monday, December 28th most symptoms had cleared.

The patient complained of dizziness, itching, immense sweating within one hour of the vaccine administration. Over the next 12-24 hrs the patient had bloody emesis, diarrhea and noticeable swelling of tongue/lips.

Dizziness c/o feeling warm and dizzy w/ diaphoretic skin. Recovered after cold pack to neck and monitoring for 30 min. Narrative: 7 min after vaccine, c/o feeling warm and dizzy. Skin diaphoretic and pale. unlabored breathing. @1308: 98/54, 76, 96% O2 sat.; @1316: 122/66, 92, 20, 95% O2sat and stated feeling better. Observed for 30 minutes and d/c'd in stable condition. ambulated around the room and denied any c/o prior to D/C. Resolved.

Severe chills late that night of the second vaccination. Migrane as well as light sensitivity. Preassure in the head as well as vertigo. Chills have almost resolved this morning into the next day after vaccination. The migranes, head preassure and vertigo still persist.

01/08/2021 (2330): Chills and body aches came on suddenly and quickly. Tried to warm self and sleep. During the night continued to wake with body aches, chills, fever, dizziness, headache and fatigue. 01/09/2021 (0520): Spoke to Doctor and informed of symptoms. Told to take tylenol and drink lots of fluids. Medication did seem to help with body aches. Had already been drinking lots of fluids. 01/09/2021 (0730): Feeling better. Still having Fatigue and headaches. 01/09/2021 (0900): Headaches, skin tingling, flashes of chills/fever, slight body aches. Noticed a dullness to sense of taste and smell. Continued for the rest of the day. Took tylenol again. 01/10/2021 (1130): Fatigue and slight bodyaches. 01/11/2021 (1300): Slight body aches. Was tested for COVID per Rapid test per work. Negative. 01/12/2021 (0600): Only symptom remaining is very infrequent body aches when exerting myself.

received vaccine 01/08/21, reported around 02:00PM 01/09/21, onset of chills, muscle aches, fever, did not take temps, flushed feeling, headache, injection site pain, general weakness, fatigue, unable to get up due to weakness. Around 01/09/21 at midnight reported started feeling better. 01/12/21 reports repeat of symptoms like on 01/09/21, however not as bad and did throw up, reported body sweats on this day and only lasted about 4 hours.

In the evening after getting the shot, I started getting chills and became more sensitive to cold temperatures. Many of joints became stiff, some of which made a cracking sound when I flexed them. Several muscles in my arms, legs and back felt sore and weak. After a restless night of sleep, the cold sensitivity is all but gone. Some of my joints and muscles are still a little stiff and sore, but I'm sure they'll be better by the next morning.

Pt c/o slight throat numbness and slight dizziness aprox 20 minutes after receiving second dose of Pfizer Covid vaccine. Pt denied experiencing difficulty breathing, flushing of the skin, and itchiness.

01/21/2021 @ 03:00 AM: Started feeling dizzy, nausea, headache, body ache, and vomiting. Was referred to the emergency room by duty nurse.

out of the body experience as he has a sensation like he feels like a different person and sees everything different/feels weird; feels dizzy/has dizziness/when he sits, he feels like he was moving; vertigo; feels like he was drunk but was not drinking; overslept; This is a spontaneous report from a contactable consumer (patient). A 30-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number EL3249, expiry date 31May2021) via an unspecified route of administration (right arm), on 19Jan2021, at single dose, for covid-19 immunization. Medical history included Wolff-Parkinson-White syndrome from Nov2019 wherein the patient had surgery to correct. There were no concomitant medications. The patient just received the vaccine yesterday and wanted to report side effects. He stated he overslept this morning on 20Jan2021, and he was supposed to be at work at 7am. He rushed to get into his vehicle, and he was sitting at a stop light and started feeling this way at 8am. He stated that on 20Jan2021 08:00 he has an out of the body experience as he has a sensation like he feels like a different person and sees everything different. He feels dizzy/has dizziness kinda like vertigo on 20Jan2021 08:00. He added it feels like vertigo, but it was not vertigo, he was unsure if it was vertigo. Everything feels weird. He feels like he was drunk but was not drinking and, when he sits, he feels like he was moving on 20Jan2021 08:00. The outcome of the events was unknown.

Waves of weakness; dizziness and lightheadedness; Feels like I am about to pass out while sitting/resting.; Fading vision approx 24hr post admin of second vaccine; This is a spontaneous report from a contactable other hcp, the patient. This 30-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (Lot number: Unknown), first dose, via an unspecified route of administration in the left arm on 21Jan2021 at 13:30 (at the age of 30-years-old) as a single dose for COVID-19 vaccination. Medical history included prehypertension from an unknown date and unknown if ongoing and attention deficit hyperactivity disorder from an unknown date and unknown if ongoing. The patient had no history of syncopal events. The patient did not have any known allergies. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) and lisinopril (LISINOPRIL). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient previously received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (lot number: Unknown), dose #1, via an unspecified route of administration on an unspecified date in the left arm as a single dose for COVID-19 vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 22Jan2021 at 15:30, the patient experienced lightheadedness, dizziness and waves of weakness and fading vision approximately 24 hours post administration of the second dose of the vaccine. He stated it felt like he was about to pass out while sitting/resting. No therapeutic measures were taken as a result of the events. The clinical outcomes of the lightheadedness, dizziness, waves of weakness, fading vision and felt like he was about to pass out while sitting/resting were unknown. It was also reported that since the vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Severe vertigo/dizziness/motion sickness leading to nausea and vomiting. Vertigo has lasted 5 days . Nausea and vomiting lasted 2 days. All symptoms started 6 days after dose 1.

Patient experienced light headedness and symptoms consistent with syncope, as well as nausea. the syncope event occurred in the chair without a fall. per patient reporting patient had not eaten 8 hours prior to administration time and also experienced anxiety with vaccines. patient was given supportive care including assisting to the floor carefully with a pillow provided and feet elevated. patient was also provided with juice to support any potential low blood sugar.

After less then 5 minutes of receiving the Pfizer vaccine I experienced dizziness, difficulty breathing and I could feel my heart rate accelerating rapidly. This side affect lasted for about 5-10 minutes. After which I left and haven't felt right since and it's been about 8 hours since receiving the vaccine and at the time of writing it is now 1630 time.

dizziness, feeling hot all over. Grabbed at chest "it feels a little tight" hand is getting numb no reaction with 1st vaccine 1155 c/o headache. Took pt to adult urgent care in wheelchair. Patient was seen in urgent care and referred to ED at 12:50pm.

1 day after vaccination I developed nausea, light headed feelings and felt like the room was spinning. I am now on day 4 after the vaccine and I still feel tired and nauseous.

Patient began feeling dizzy and a burning sensation in his throat directly after vaccination. Vital signs were stable.

Fainting episode; Loss of hearing; Left collar-bone lymph node enlarged noticeable swelling to area and left lower neck near carotid artery/lymph nodes; Soreness in area; Cold sweats; Light-headedness; This is a spontaneous report from a contactable consumer, the patient. A 30-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration in the left arm on 08Feb2021 at 07:00 (at the age of 30-years-old) as a single dose for COVID-19 immunization. The patient did not have any relevant medical history. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient had no symptoms until 5 days post vaccination. On 13Feb2021 at 12:15, the patient experienced fainting episode, loss of hearing, left collar-bone lymph node enlarged (noticeable swelling to area and left lower neck near carotid artery/lymph nodes), soreness in area, cold sweats, and light-headedness. The events required a visit to the physician's office and emergency room (as reported). The clinical outcomes of the fainting episode, loss of hearing, left collar-bone lymph node enlarged, soreness in area, cold sweats, and light-headedness were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Patient had tightness in throat, then syncope shortly after, which let to him falling to the floor from a chair and hitting his head. After patient was released from vaccine site, he developed shortness of breath, and went to the ER, where he was given diphenhydramine, which patient says helped. Patient then had 10 days of symptoms neurological and cardiovascular symptoms (slowed cognition, mood changes, somnolence/hypersomnia, palpitations) and went to ER four times and was diagnosed with a concussion/post concussive syndrome. He was referred to neurology and had an EEG conducted. He was given prednisone during this time.

PATIENT ARRIVED AT PHARMACY FEELING DIZZY, LIGHTHEADED AND ITCHYNESS ON FACE. NO TROUBLE BREATHING. SLIGHTLY IN PANICKED STATE. HE WAS DRIVING FROM A store ON THE WAY HOME AFTER RECEVING HIS VACCINATION WHEN HE EXPERIENCED THESE SYMPTOMS. STOPPED BY OUR store AFTER FEELING LIKE HE MAY PASS OUT FROM DIZZINESS. IMMEDIATELY HAD PATIENT SIT DOWN AND ADMINISTERED BENADRYL 50MG AFTER CHECKING PATIENT WAS ABLE TO BREATHE, SWALLOW, AND TALK. MONITORED PATIENT FOR THE NEXT 30 MINUTES UNTIL HE CLAIMED HE FELT MUCH BETTER AND WANTED TO DRIVE HOME. OFFERED TO CALL 911 WHEN HE SAT BUT PATIENT REFUSED. COUNSELED PATIENT ON DROWSINESS FROM BENADRYL AND THAT IT MAY WEAR OFF LATER.

Patient received his 1 dose of Pfizer vaccine and was waiting in our lobby for the recommended 15 minutes. He fainted after about 10 minutes. He fell from the bench to the floor where he landed on his stomach. When I ran over to him, his eyes were open but his body was limp. I tapped his back and asked if he was ok, and he was startled as if I woke him up from sleep. He was alert and was able to speak, he asked for water and I gave it to him. I asked of he wanted me to call emergency services but he declined. He then vomited in the waiting room trash can. His sister was with him and began to rub his back and fan him. I asked again if he needed to go to the hospital and again her declined. I told them to please wait in the lobby at least another 15 minutes before leaving and he did. I called to patient around 8pm to check on him and he said he was fine and had no more symptoms.

Patient complained of dizziness and giddiness. onsite EMS was called vitals BP 114/62 98% O2 HR 60 . Patient refused evaluation and care , released againt medical advice.

Lightheaded (scared of needles). BP 154/95 (pulse 88), 139/87 (pulse 93), O2 sat 100%. Given juice and crackers.

Patient developed dizziness, lightheadedness, ~30 minutes after vaccine administration, which persisted despite conservative treatment for possible vasovagal episode.

Approx 5 min post vaccine, c/o dizziness/light headed- became cold with clumsy arms/hands. Placed on floor with legs elevated (given water and sugar snack)VSS: HR 48, BP 98/60. After laying supine with legs elevated: HR 78, BP 112/72, Osat 97%. At D?C HR 71, BP 118/64, OSat 98%. Escorted home.

30 year old male found resting in cot. clinic staff found patient on ground. patient states he has known responses to injections. felt faint and assisted self to ground. syncopal. unknown duration, no trauma. hypotensive/bradycardic. 12 lead performed. non-stemi. secondary/neurological exam normal. base contact made for a association.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient was very nervous about getting covid vaccination. Shortly after patient recieved covid vaccine, he sat in the chair of waiting area. He got up from chair after a few mins to try to notify someone he was not feeling well and subsequently started to fall to the ground. Rx technician caught his fall and brought him safely to the ground where he laid. he was unconscious for a 15 seconds and regained consciousness. 911 was called and paramedics subsequently came, bp was ok after

Flushing, headache, lightheadedness, hypotension, nausea this morning and had oatmeal. NKDA Vitals: 87/56 P 46 RR 18 O2: 100% - Patient: reports he is a runner, unknown baseline BP/HR Exam: General: Alert, diaphoretic, pale HEENT: Normocephalic, Neck: ROM normal

Lightheaded , diaphoretic states this always happen when I get shots. Patient did not want treatment or transport

Vasovagal syncope approximately 5- 10 minutes post vaccination. Pt reports that he started to feel lightheaded and stood up and passed out. pt then hit his chin on a low setting wall and had a small 1cm laceration on his anterior chin. pt fell prior to my arrival to finding him down. when I arrived pt seemed to be mildly disoriented for about 30 seconds to 1 minute. pt reports that he had + LOC for a few seconds while he fell but was conscious when I arrived. pt was advised to seek out wound closure for chin laceration.

Lightheaded diaphoretic states this always happens when I get shots. Patient did not want any treatments or to be transported.

while standing up became lightheaded. No chest pain, SOB, diaphoretic, abdominal pain. no tingling at vaccine site

Client received Pfizer vaccine at a Senior Center @ 11:01. While in the recovery area, @ 11:05 c/o lightheadedness, ears ringing and diaphoresis. AAOx4, vitals stable @11:06: 105/42, 64, O2 sat 100% on RA, 11:15: 92/60, 11:28: 91/61, 59 O2 Sat 99% on RA. Unaware of normal B/P range. Offered snacks, declined, receptive to oral hydration, stated, "did not eat yet today". Monitored another 15 minutes in recovery, symptoms resolved, in NAD, felt better, denied dizziness, gait steady. DC from recovery to self care, recovery Nurse, RN walked client to waiting vehicle, no need for 911.

After about 15-20 mins, patient started to experiencing symptoms of mild to moderate itching over several different areas of skin. Patient acknowledged symptoms but felt that he was alright. Symptoms increased to moderate continuous itching most promiment on hands, forearms, lateral sides of neck. Patient had c/o of headache, slight dizziness, increased HR (sustained 110s) and increased BP (approx 184/130). Pulse ox was 99% on RA. No trouble breathing, no angioedema noted. Informed pharmacist and ambulated patient to ER for evaluation. ER continued observation, administered famotidine 20mg (oral), diphenhydramine 50mg (IM), dexamethasone 10mg (IM). Patient remained stable and was discharged within an hour with a steroid pack.

Patient received 1st dose of vaccine and sat in the post- vaccination area. Pt lost consciousness and and slumped to floor off chair. RN and RN responded to patient. Pt was conscious and responsive to verbal stimuli. Pt reports he became sweaty and dizzy and then passed out. Pt denies any pain or urgent medical issues. After incident pt reports to passing out once before due to getting blood drawn. Pt stable and responsive after post vaccination area clearance. Patient denies blood thinners. No deformities noted upon physical exam.

Patient complained of "lightheadedness" following vaccine administration. Patient was taken by POV to the ED where he was diagnosed with a vasovagal episode and discharged without activity restrictions

Client reported that he consumed a marijuana edible prior to coming to the vaccination site. Client received the vaccine and then stated he felt like he was going to faint, he appeared to be post-ictal and was unconscious for approx 30 seconds. Client regained consciousness and was given Gatorade. Client stated he has a history of seizures and marijuana use.

A dull to pounding headache depending on motion and light, a little tightness of breath/mucus feeling, and intense vivid dreams that night

patient was given the vaccine and then went to observation room. While there, he complained of dizziness and became diaphoretic and passed out for about 10 seconds. Vitals were taken and a rapid response was called for the team to come. He came back and felt thirsty and was pale. He was then transferred to Urgent Care to be observed before being discharged.

PATIENT STATED HE FELT FAINT AND NAUSEOUS ABOUT 5 MIN AFTER RECEIVING HIS FIRST DOSE OF PFIZER COVID-19 VACCINE. HE WAS SITTING IN THE OBSERVATION AREA. WE HAD HIM LIE DOWN ON THE FLOOR, GAVE HIM FRESH COLD WATER AND MONITORED HIM. AFTER 5 MIN OF LYING DOWN HE BEGAN TO FEEL BETTER AND AGAIN SAT UP IN A CHAIR FOR AN ADDITIONAL 15 MIN. WE CONTINUED TO MONITOR HIM AND VERIFIED HE WAS FULLY RECOVERED BEFORE LEAVING. PATIENT STATED AT THE BEGINNING THAT HE HAS THIS REACTION TO ALL VACCINES/SHOTS

2nd day after vaccine; shoulder in severe pain on same arm as injection; pain caused nausea, dizziness, and buckling over; woke up with pain that never went away; concentrated around past surgery site

Around 5:30pm two days after my vaccine, I experienced extreme nausea which led to vomiting. After, I experienced ringing in the ears which has continued until now. Dizziness has also continued.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient felt light headed, appeared flushed and sweating. Had shaky hands. Patient was given orange juice and is fine

Patient felt slightly dizzy, "like rain drops hitting head," mild tingling . No medications given, symptoms resolved.

Headache; generalized body aches; pain in left arm injection site; severe fatigue; chills; mild fever; dizziness; This is a spontaneous report from a contactable consumer (patient). A 30-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EL3247, Expiration Date: unknown), via an unspecified route of administration in left arm on 17Feb2021 at 03:15 as a single dose for covid-19 immunization. Medical history included ongoing OCD and depression. Concomitant medications included escitalopram (ESCITALOPRAM) 10 mg once daily, Multivitamin. The patient known allergies: Erythromycin and Azithromycin. Historical vaccines included first dose BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EL3247) via Left arm for covid-19 immunization on 27Jan2021. The patient experienced headache, generalized body aches, pain in left arm injection site, severe fatigue, chills, mild fever, dizziness on 18Feb2021 at 05:00 AM. Patient has been tested for COVID-19 with test type: nasal swab on 05Jan2020 with result negative. No other vaccine in four weeks. Patient covid tested post vaccination yes. No covid prior vaccination. No treatment received for the event. The outcome of the events was not recovered. No follow up attempts are needed. No further information is expected.

Onset of dizziness & clamminess shortly after the shot. No nausea. No near syncope. He has had classic vasovagal events in the past including syncope atleast once. He thought symptoms were similar but less intense than prior V-V events. No CP, SOB, tingling. Initial BP - 132/90 P 97 O2 sat - 98% All VS remained stable throughout observation time. He felt better soon after lying down for a short time. No orthostasis occurred and he ambulated comfortably before D/C.

Patient arrives to observation at 14:15 following feeling lightheaded, having tunnel vision, feeling tingly, and sweaty after receiving the vaccination. BP 111/64 HR 61 oxygen sat 99% on room air. She was given some graham crackers and water. 14:25 BP 127/73 HR 75 Pulse oxygen 97% on room air. patient stated he feels better and was escorted to the exit in a wheelchair

post injection dizziness, seeing spots few minutes after. brought obs via wheelchair, states anxiety with injections. sitting on side of stretcher, patient states feeling better and back to baseline after given water. vss throughout stay in obs 1412 bp 131/75 hr 61 rr 18 sats 97%, denies dizziness upon standing. escorted to private vehicle without issues at 1435.

Recipient became gray, dizzy, light-headed and fainted after receiving the vaccine. Did not hit head or fall on floor. Lost consciousness for less than 10 seconds and stated he did not eat anything that day. 911 was called but he refused to go to the ED and said he was okay.

pt was faint, light headed and clammy; we got him to the floor, raised feet and gave ice pack, he laid there for about 5 minutes until he felt better, we then monitored him for another 15 minutes

Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Medium, Additional Details: THE PATIENT FELL FROM A CHAIR IN THE POST-VACCINATION AREA AND WAS FACE-DOWN, NOT RESPONSIVE. THE PATIENT WAS TURNED ON HIS BACK WHEN HE BEGAN TO SEIZE, SO HE WAS PLACED ON HIS SIDE. HE RECOVERED AND OPENED HIS EYES SHORTLY THEREAFTER. HIS BP WAS 120/59 MMHG, AND HE WAS PROVIDED CRACKERS AND WATER. THIS PATIENT DENIED ANY EPISODES LIKE THIS IN THE PAST BUT ALSO DENIED HAVING BREAKFAST THIS MORNING. THE PHARMACIST RECOMMEND FOLLOWING UP WITH HIS PCP, AND A RELATIVE PICKED HIM UP FROM THE CLINIC.

Fever of 101/102+, Sever body aches, head ache, increased or rapid heart beat, poor balance, shortness of breath.

(First COVID shot) Immediately (likely due to low glucose levels): Dizziness; muscle spasms; burning in neck and face; chills/chattering teeth (settled down after about an hour, drinking Gatorade and eating). About an hour after the shot: Nausea, lightheadedness, diarrhea. Afternoon of 4/9 to 4/11: Nausea, repeated vomiting, repeated diarrhea, chills, chattering teeth, headache, body aches, fatigue, unable to keep food down, fever. Morning of 4/11: Still feeling body aches, headache, and slight nausea; fever reduced; vomiting stopped.

30 yo M with h/o vasovagal events with lab draws was vaccinated with his first Pfizer Covid-19 vaccine (Lot# ER8729) in the left deltoid at 1202 4/12. Prior to vaccination, patient had had nothing to eat or drink. Pt became syncopal when moving from the vaccination chair to the observation area. When he fell, he hit his head. After the fall, pt remained on the floor and was placed in Trendelenburg position. BP - 105/63; P-40 to 51. Patient reports having a low heartrate. Patient 15 minutes patient attempted to sit up but was dizzy and laid back down. After 5 to 10 minutes, patient was able to sit up and eat some crackers and drink juice and water. After 15 minutes, pt was moved to recliner. Provider noted a bruise above his right eye. About 15 minutes later the pt vomited and started coughing. Provider called EMS and patient was transferred to ED. During ED visit, reaction assessed and thought to be vasovagal reaction.

Patient reports feeling "hot and fatigued" roughly 30 minutes post-vaccination. He states he is feeling mild dizziness but denies and other symptoms. Patient was given juice and observed sitting in wheelchair. Patient reports symptom improvement and walked out on his own

Patient was waiting the required 15 minutes after and became light headed. Patient was placed in supine position with legs elevated until patient felt well again. After patient felt well, water and sugar was given. Patient waited another 15 minutes to be monitored and exhibited no further symptoms

Syncope post vaccine. Dizziness, nausea, jerking motions upon event last few seconds, incontinence, Vomited. Pt left with girlfriend at 2:45. symptoms resolved

Dizziness near syncopal episode. Room spinning per patient and head ache. VSS. Family at patient's side. No acute distress however patient with anxiety about situation and complains of neuro symptoms ongoing.

Pt said he felt extremely hot, sweaty, and dizzy. He then fainted, falling and hitting the side of his face.

Patient received vaccine and walked out of the vaccination room to sit down in the waiting area. Patient passed out and fell out of his chair. The nurse, pharmacist and physician's assistant working in the clinic attended to patient. Patient had low blood pressure and was disoriented. PA put patients leg up on chair for a few minutes until the ambulence arrived. EMT's checked patient out and he then was picked up.

Patient felt lightheaded and increased respiration, taken to med bay. Vitals stable (BP 110/76, HR72, RR22), states previous vasovagal reaction to vaccines. Given crackers and breathing relaxed. Patient left in stable condition

Patient had other reduced mobility. Patient refused evaluation or care, Released against medical above.

Mild SOB with H/A & dizziness. No signs of distress, USS, h/x of shelfish allergies. Instructed on Epi pen use & Benadryl and being driven home. Pt communicated understanding. Instructed by provider to call 911 in case of emergency. Pt discharged to home, denied SOB, with complaints of slight H/A. BP 121/73; HR 66, RR 16, SpO2 99%

First dose: sinus congestion, headache, lethargy, mild fever Second dose: Muscle/joint pain, dizziness, mild fever, headache, excessive sweating while sleeping, fatigue/lethargy

Assessment: 1. Suspect acute myopericarditis likely immune related/related to second dose of Covid vaccine. 2. Troponin elevation likely due to acute myopericarditis. This is a 30-year-old male with no previous cardiac history. This past Thursday he got the second dose of Pfizer Covid vaccine. He had the usual muscle aches at the site of the injection. The next day he felt crappy, cold, etc. Nevertheless he went to work. This was Friday. On Saturday he felt better. He visited his grandma. On the way to home he felt a little dizzy. He took a meclizine when he got to the his grandmother's home. He helped her eat, and then went home. On Saturday night he started to feel cold and chilled. His face felt li

Two weeks after the second COVID-19 Pfizer shot, on April 12, 2021, I started to experience constant dizziness and headaches that has continued to last to this day (April 19th), a total of 7 days so far. No over the counter medication has helped the symptoms. I have never experienced Vertigo before, but based on my research, my symptoms are similar to that of Vertigo.

Pt stood up about 10 minutes after receiving his vaccine. he felt dizzy and light headed and then lost consciousness for about 5 seconds.

Sudden dizziness after 10 mins. Had sweat a lot for 10-15 minutes. Had a feeling of about to get fainted. Symptoms subsided automatically within 15 minutes without any intervention.

patient was administered 1st dose of covid-19 pfizer 4/20/21 at 2:29 pm and was counseled to wait for 15 minutes in case of reaction. about 10 minutes later the patient began pounding on the door stating he was having a reaction and he was having difficulty breathing. I had him sit down in the counseling room. 911 was called and ems was dispatched. in the mean time store management brought him water. I asked the patient again if he was having difficulty breathing and he said no, but he felt dizzy and his heart rate was elevated. I asked him if he had any difficulty swallowing, or any swelling of the lips, tongue, mouth or throat - pt denied all symptoms. patient also denied a rash or any itching when asked. I also asked the patient if he had any nausea, which he stated he did. he continued to deny all symptoms except dizziness, and nausea when asked, and in talking to him while waiting for emt he never displayed any symptoms that would lead me to believe he was having difficulty breathing, or a true allergic reaction. when emt arrived and examined him his pulse, blood pressure and oxygen saturation was normal, and the patient stated he felt better and had a history of anxiety. patient declined to go to the hospital, waited in the pharmacy for a while longer, and had a friend come pick him up

patient had syncopal episode, resulting in fall from chair and hitting his head. Patient quickly regained consciousness when laid supine and was alert and oriented x 3

Patient had just received the Pfizer vaccine. I called patient back for lab draw when he complained of feeling like he was going to vomit. He was wobbly upon standing. We helped patient into bathroom as he still said he needed to vomit. Patient sat down on toilet and rested until he didn't feel nauseated. Patient stated he was ready to have his blood drawn. As we got him seated in the draw chair, The RN came back in. I explained that the patient became ill from the vaccine after she had left. She asked if he felt better now, he said yes and that was all that was stated/done.

Pt reports lightheadedness, dizziness. Pt helped to floor and reported feeling better. Pt transferred to Med. Obs. 1and placed in Trendelenburg on litter. Pt given water and allowed to rest. Vital signs as follows: Laying Down: 12:44 pm: BP-121/80, HR- 90, SPO2- 96% 12:50 pm: BP-121/79, HR-87, SPO2- 96% 12:57 pm: BP-114/77, HR-80, SPO2- 96% Sitting: 1:07 pm: BP- 121/85

pt reported lightheadedness and dizziness after receiving 1st dose of pfizer vaccine. pt helped to floor and reported feeling better, pt placed in Trendelenburg position on litter, VSS, pt rested and was released with no further symptoms after 30 minutes

11:10 am Patient received vaccine and immediately became dizzy and lost consciousness for approximately 5 minutes in the vaccination chair. RN, LPN, and RPh at chairside. Patient was placed on a stretcher and given juice. Patient color much improved after a few minutes. Patient given water and a granola bar. Patient states that he is feeling better. Staff offered to take the patient to the ED to be seen. Patient declined saying he felt well enough to go home, Patient escorted to his car by vaccine clinic staff.

Approx 5 minutes post vaccination patient got up from chair and fell against wall. He was standing but did not verbally respond to us. Patient was moved to lying position on ground and immediately began verbally responding. Blood pressure and heart rate were normal. Patient reported having blurred visions and feeling dizzy. Ice pack was applied to patients neck and he remained lying until EMS arrived to take over. Patient was taken to hospital with EMS per his request.

Post receiving the Pfizer vaccine within 15 minutes patient had a near syncopal episode (lightheaded, faint, dizzy, with N/V). Patient was put on a stretcher, recumbent position. Feelings of lightheadedness/vertigo almost resolved but with every attempt to elevate the head lightheadedness/vertigo returned (over a span of 45 minutes). Since patient could not be progressed to a sitting position without being symptomatic 911 was called. EMS evaluated and transported patient to Hospital at 5:50 PM.

more than likely an allergic reaction to the vaccine; Purple splotches; Dizzy and woozy; Nausea; Headache; Feels awful/slow motion; Tired; Sluggish; This is a spontaneous report from a contactable consumer. A 30-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in right arm on 22Mar2021 at 12:30 at the age of 30 years-old, (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation . Medical history included dyspepsia from an unknown date and unknown if ongoing Verbatim: Severe Heartburn , blood pressure measurement from an unknown date and unknown if ongoing Verbatim: Blood pressure , migraine from an unknown date and unknown if ongoing. Concomitant medication(s) included lisinopril (LISINOPRIL) taken for blood pressure for 3 years and ongoing; pantoprazole (PANTOPRAZOLE) taken for stomach medication and heartburn for about a year. Patient states he got the first round 3 weeks ago and he is supposed to get the second dose next Monday but was advised by his doctor not to do that. Patient states he got the shot on Monday 22Mar2021 and Tuesday 23Mar2021 he was tired and sluggish. On Wednesday 24Mar2021, mid afternoon, he had purple splotches all over his body, in arms and legs, like discoloration, his head felt like it had been dipped in cement and he couldn't think. States he felt cloudy, dizzy and woozy, nauseous, had a headache and feeling awful. States this occurred like 48 hours after the shot. He contacted a life long friend who is a doctor and works in a covid ward and he told him he was having a reaction and to take some Benadryl and Advil or Tylenol, and the friend told the patient to lay down and rest. He still didn't feel great but splotches went away and head felt a little bit clearer and he didn't feel like he was in slow motion or dizzy anymore by Wednesday evening, so he went to bed. On Thursday, the patient went into work but didn't feel great, not feeling 100%, and about noon on Thursday 25Mar2021, the symptoms started coming back, the purple splotches, his head felt just as bad, he had a headache, slow motion and not himself. The patient called his doctor and his friend and they said he needed to go in and get looked at. The patient tried to go into an urgent care and he states they said nope head to the ER. Patient states he was admitted into the ER and the ER staff said he was having more than likely an allergic reaction to the vaccine. They gave him steroids and an IV but he is not sure what it is and he was given, he thinks, Prednisone over the next couple days to help with side effects, he believes it was Prednisone, he knows it was a steroid. States he is not a fan of it and he doesn't like it at all. Patient states that he thought it was a pretty standard reaction and was not worried about it. Patient states he still gets headaches and maybe it's something else that is unrelated. States he stopped feeling tired and sluggish maybe the 29Mar2021, a week afterwards. Patient states that he has recovered with lasting effects as he's been getting migraines since then, states maybe it's unrelated but didn't happen a whole lot before. He has severe headaches and nothing he takes seems to help, has to turn lights off and works from home and patient reports that he had one yesterday. Patient states the purple splotches went away after he went to the ER and got on the medicine, the steroids. P atient states the nausea was pretty constant when a headache comes on, he doesn't have a headache every day but when he gets a headache he is definitely nauseous. The outcome of the events was for fatigue and sluggish, recovered with sequela, Purple splotches, dizzy and woozy slow motion, recovered, nausea and headache not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

After 2nd dose, client reported feeling hot, dizzy, and light-headed. EMT assisted client into gravity chair. Client was sweating and warm-to-touch. Client drank water from personal water bottle. RN provided education on vaccine side-effects and advised to remain in-place for observation for 30 minutes. Vital signs were within normal limits. Client reported side-effects resolved 15-minutes later. Client was advised to seek emergency medical attention if side-effects return and/or worsen. Client was provided information on VSAFE and walked out of vaccine site unassisted with steady gait after an additional 15 minutes observation.

took him a half an hour just to get out of bed; Tightness to left trapezius and left side of neck, same side as vaccine; increased pain and decreased range of motion to his neck; increased pain and decreased range of motion to his neck; inflammatory infectious process with atypical organisms; Lymphadenopathy/ compressing the nerves in his neck and causing his pain and decreased range of motion; This is a spontaneous report from a contactable nurse (patient). A 30-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: ER8730) via an unspecified route of administration, administered on the left arm on 31Mar2021 15:00 at a single dose for COVID-19 immunisation. Medical history included ongoing hypothyroid. Concomitant medication included levothyroxine sodium taken for hypothyroid. The patient previously received tetanus vaccine (6 weeks out from his Covid Vaccine) with no adverse events. Patient stated that his side effects began on 01Apr2021. He noticed tightness to left trapezius and left side of neck. This was the same side of the body he got the vaccine on. His symptoms worsened over the next two days. He had increased pain and decreased range of motion to his neck. On Saturday 03Apr2021. it took him a half an hour just to get out of bed. Stated that he went to the Emergency Room at the hospital where he works and they did a series of tests. He had CAT Scans with and without contrast, a MRI, and an Ultrasound. Mentioned later that they also did blood work (Apr2021). The Emergency Room doctor told the caller he was going to have his CAT scan read by a specialist. Caller stated they called him on Sunday 04Apr2021 and said his CAT scan showed an inflammatory infectious process with atypical organisms and Lymphadenopathy. He stated that he read that Lymphadenopathy was a side effect of the vaccine. They told him that the Lymphadenopathy was compressing the nerves in his neck and causing his pain and decreased range of motion. He had been on a week of treatment consisting of pain medications, muscle relaxers, and anti-inflammatory medications. The Infectious Disease was consulted and he was started on a 5 day course of Azithromycin. He was on the third day of this antibiotic per his report. He has a follow up MRI scheduled next Friday. He was calling to report his side effects and also to ask about what he should do in regards to his appointment for his second dose of the vaccination. His symptoms were worsening for the first three days. Since he has been being treated for them they have started to improve slowly day by day. Today he said there was minimal pain and tightness but he was still not back to one hundred percent. He was offered admission to the hospital for pain control after his emergency room visit but he decided to defer it to an outpatient setting. Was not admitted to the hospital. The patient felt that the events 'tightness to left trapezius and left side of neck, same side as vaccine'; 'increased pain and decreased range of motion to his neck' were medically significant and stated they were disabling, at least temporarily. There were no additional vaccines administered on same date of Pfizer suspect. Outcome of the events 'tightness to left trapezius and left side of neck, same side as vaccine'; 'increased pain and decreased range of motion to his neck' was recovering while unknown for the other events. Patient stated that he felt all of his adverse events were caused by the COVID Vaccination he received.; Sender's Comments: A contributory role of BNT162B2 to reported events cannot be excluded based on the temporal relationship. Case will be reassessed if additional information is received. 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.

was noticed falling out of his chair in the 15 min waiting area. At that moment I surrounded him and noticed he had passed out. It looked as if he had slightly hit shoulder first with no obvious head injuries. He came to in about 5 seconds in which he mentioned the fact passing out had happened to him before and was common with shots. The paramedics quickly attended to him and took blood pressure which came back normal. He denied transport by ambulance.

patient immediately felt light headed and weak as soon as the shot was being injected into his deltoid. After 2 minutes the patient still felt weak and the staff proceeded to lay him onto the floor. At this time, the patient passed out for about 5-7 seconds and he was conscious for the rest of the time. Blood pressure was 100/49 at the time when he fainted. By the time the EMT came, his BP was 112/69.

Patient reported feeling dizzy after the shot once he was sitting down in the waiting room for his observation period. Pharmacist went over to patient, he reported feeling more and more light headed and passed out. He remained upright in the chair and still was breathing with pulse. EMS was called at this time. He came to after about 10-15 seconds and was initially confused but easily reoriented. Got patient water and stayed with him in the chair until EMS arrived. EMS evaluated and took vitals. Recommended patient go to ER. Patient declined ride in ambulance. Patient's mother came about 20 minutes later to pick him up and drive him to the hospital. Pharmacist walked patient and mother out to parking lot and observ

Patient stated feeling light headed passed out shortly after chipping right front tooth and hitting head. Vitals taken 157/97 76 16 98% denied dizziness, regained consciousness immediately, denied nausea. Monitored for 30 minutes vitals stable instructed if nausea or dizziness to seek medical attention; verbalized understanding.

Patient received the shot and started feeling dizzy approximately one minute after. Dizziness worsened and nausea developed over the next few minutes. Patient laid he head in-between his knees and then passed out, Patient was unconscious for approximately 3 seconds. Patient was then helped onto a cot and his vital signs were taken. BP 150/90, HR 77, O2 98%, RR 18. Patient was advised to wait until all symptoms have subsided and at least 30 minutes have passed before leaving. Patient left with significant other driving.

Patient was feeling faint and dizzy and complained of tingling. He was give benadryl 25mg and monitored for 38 minutes. Symptoms were resolved before he left.

5 minutes, dizziness. Arm pain radiating down to the hand after 15 minutes. Pleural pain and tachycardia 1 hour after. Throat closing. Trouble breathing. Respirations 26. Pulse 130-170 resting. Normal 60-75. Took 25mg Benadryl tablet orally. 2 minutes after feeling of throat closing.

Shortly after receiving the vaccine during the 15 minute observation period, patient reported feeling lightheaded and sweaty. He appeared slightly pale. Patient did not pass out. 911 was contacted and paramedics evaluated him.

Patient received second dose of Covid19 Pfizer-BioNTech. A few minutes later, my pharmacy technician, was informed that patient had collapsed in front of the pharmacy. I was in the immunization room with another patient. I grabbed an Epinephrine 0.3mg auto injector and went to the patient. He was unconscious and unresponsive. I told him to call 911 and to send for paramedics. I administered one dose of 0.3mg epinephrine and patient woke up within a few seconds. He stayed sitting with me assisting as this was his most comfortable position. He later transferred to a chair and paramedics/emt took over when they arrived.

client arrived to observation tent. After recieving vaccine c/o of dizzines . Client was placed on grass. EMS and doctor paged to observation site. VS taken at 2:10. 97%02 HR -68 116/81. Client is then placed to chair and states he stills feels dizzy. Client was then placed back to supine position. Then reassed to see if he was stable to sit. Client states he dont feel confident driving home. Wife was called and picked client wife picked up at 3:13. AOX4.

About 5 minutes after receiving his vaccine, he started feeling woozy, started sweating profusely and became pale. He was laid on floor, feet elevated and ice pack applied to this neck. After about 2 minutes, he said he felt better. Color started coming back to his face. He was then helped to a chair. He took a couple of sips of water. Said he was feeling better now than when he came in. After about 6 minutes his color had returned to normal for him. He was talking and joking with his girlfriend. Ask him to remain for 15 more minutes to make sure he did not have any other effects. Told him that we would call him tomorrow and check on him. Left after 15 minutes.

Had raising heart beat and dizziness the with the first shot in the evening of 3/12/2021 it happened about two times and it went away. Second dose 4/2/2021 Heart palpitations started immediately after the second dose. Did not mention anything to the staff at the workplace vaccine event. I kept having heart palpitations, on 4/13/2021 I had a sharp pain on the left side of my chest that radiated down my left arm. I made an appointment for the next day. 4/14/2021 I left work at about 9:30 for dizziness, blurry vision, vomiting, and sharp left side head pain. I had a doctors appointment at 2:30 on 4/14 they did an EKG and it came out abnormal, blood pressure was borderline. Was put on blood pressure medication for 3 months.

Headache, Dizziness, Shoulder Pain, Arm pain and Stomach pain started 3-4 days after the vaccine and dizziness has affected the daily activities including work. Been happening for 5 days now

Got vaccine in my car and parked. Had a little extra bleeding at the time of injection. Once parked, I had immediate and intense nausea. Very dizzy and light-headed. My hearing went away. I closed my eyes for a second and passed out. I awoke about ten minutes later covered in sweat. Felt better at this point and it was my time to leave, so I felt well enough to drive home at that moment. I should have reported the adverse event at the site.

pt does not do well with any types of shots. Pt almost fainting was not abnormal. evaluated by EMT before release. no medications were given during observation.

Tinnitus, dizziness. Has not gone away after a full week. Have spoken to others with similar stories. They report its not going away.

Pt felt dizzy & light headed. c/o middle back hurts. 2:55 PM - Lymph nodes on throat felt swollen. Noted tonsils are slightly enlarged but uvula is WNL & breathing w/o difficulty. BP 146/79 P 59. 3PM - Left w/o assistance.

After patient received the vaccine, epxerienced a syncope episode. , had some lightheadness. (-) for N/V (-) for cx/px. Patient able to respond to verbal commands. Vital signs taken for sequence of 4x's. Pt elvaluated. Alert and oreinted. Refused transport to ER. Ambulatory without assistance. Patient left with family.

Patient got dizzy and lightheaded. Patient has history of vasovagal response during blood draws. Vital signs are stable Juice and crackers were given and patient was being monitored Discharged to home

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: PATIENT FELL OFF CHAIR AFTER HE GOT HIS PFIZER COVID VACCINE AND HIT HIS HEAD ON BOARD. HE DEVELOPED A BRUISE ON FOREHEAD. PATIENT LOOKED PALE. PHARMACY TECHNICIAN GAVE HIM SOME WATER AND TARGET STAFF APPLIED ICE PAK ON FOREHEAD AND OFFERED HIM SOMETHING TO EAT

Syncope about 10 minutes after the COVID19 Vaccine was received, followed by a brief state of disorientation, nausea, lightheadedness and diaphoresis. No vomiting. Patient's initial SBP was 99 and it quickly dropped to 88. HR 32, Epinephrine administered. SBP rose to 91, HR to 42. 2nd dose of Epinephrine was administered and EMS called and took patient to the ED at hospital.

Had syncopal episode after vaccine while walking to chair. Fell and hit head, has abrasion above left eye. No head neck or back pain. Is very pale with a heart rate in the 40's and hypotensive. IV established and brought blood pressure up and heart rate up. Was nauseated prior to IV but that resolved. Transported to hospital by ambulance.

Patient felt dizzy immediately after the vaccination and had near syncope, used alcohol the near before Sa2 97 HR 127 BP 144/96 Repeat after fluid and juice 10:20 am - 98% HR 97 BP 152/102 He felt better and requesting to go home left after 45 mins OBS

Pt. c/o "a little dizziness". Pt had blood drawn in the morning and did not eat. Snack and water provided. Pt. also reports he has anxiety and this feels similar. Pt. waited additional 15 minutes and reports symptoms resolved. Pt. dc' d home.

nausea; lightheadedness; ill-appearing; Hot; vomiting; dry mouth; chills; This is a spontaneous report from a contactable Healthcare professional. A 30-Year-old Male patient received BNT162B2 (BNT162B2) 1 single dose via Unknown route of administration in unspecified anatomical location on 20210315 (Lot number: EN6206) for COVID-19 immunisation. On 15Mar2021, during his 15-minute waiting period after the injection, the patient experienced chills, dry mouth, Hot, ill-appearing, light-headedness, nausea and vomiting. He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. The patient had complained of chills and vomiting (scantly, x 3 times) and was ill-appearing. He was not diaphoretic. Zofran. The therapeutic measures taken as a result of the adverse events were not reported and follow up response to treatment had no change. The patient was transported to ED (emergency department) by POV (privately owned vehicle). The patient had not recovered from the events at the time of this report. No follow-up attempts are possible. No further information is expected.

Per patient, he has a history of fainting with immunization. Pt felt dizzy after shot was given. Pt was given water and snack to eat while being monitored. Heat may have been on contributing factor. Patient felt nauseous and threw up about 15 minutes after shot was given. Patient stated he felt better as soon as he threw up. Patient was accompanied by spouse. After more than 30 minutes of being monitored, patient was able to go home to rest.

14 days after second vaccination, pt. had dizziness, blurred vision, memory loss; went to hospital x 3 days. Tests were run. Blood clot was never confirmed despite CT scans but was suspected. Pt. is now on ASA 81mg daily maintenance and suffers no ill effects. History was given by mom when her younger son had his vaccine. This patient may have had a VAERS generated by the hospital.

Patient received the first stick where the hub of the needle was split and the vaccine ran down his arm. Upon deciding that he had not received any of the vaccine, I administered a second dose bc the hub was split all the way down. I administered it and left him to go wash my hands. After about a minute, we heard a loud sound. When I got to him, he was getting up and was pale. His face was white, hands clammy and sweating. He did not remember falling. I took his bp which was 99/65. My tech went and got him some water. He started drinking and then vomited. He said he immediately felt better. his girlfriend went and got him some juice. He sat there for about 15 more minutes. He sated that he felt fine, but he had not had anything to eat or drink that morning. (also a beer the night before). He got up and walked out without any help and was going to get him something to eat. He was hungry.

Had bloody stool followed by dizziness, ringing in ears, loss of strength, heavy sweats-- nearly passed out. Most symptoms passed after event but was weak for the rest of the day.

Patient became dizzy, collapsed, and was unconscious for approximately 30 seconds. Called 911. Patient became aroused, still complained of lightheadedness, had an irregular heartbeat, remained laying down until EMS arrived, very pale in the face. Remained with the patient until EMS arrived. Patient went to the hospital.

Pt c/o of lightheadedness during his observation. He initially did not want to come to the triage area as he verbalized that he gets lightheadedness occasionally. Pt mentioned that he had a hx of passing out in the past when he was in hs. No C/P, SOB, DIB, N/V, speaks in full sentences, mentating well. NP, monitored pt. VS stable; BP 119/79, HR 60, R 18, O2 99% on RA. Pt released from vaccination site in a stable condition. ED precautions discussed. Pt expressed understanding.

Lost his vision; Breathing almost completely shut down; Severe fever and sweats that night; Ringing in his ears; Cold sweat; Severe fever and sweats that night; Could not get up from the chair or move to 40 minutes; Achy; Arm severely sore; This is a spontaneous report from a contactable consumer (parent of the patient). A 30-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), second dose via an unspecified route of administration on 09May2021 (Batch/Lot Number: ER8735, at the age of 30 years) as a single dose for COVID-19 immunization at a pharmacy drug store. Medical history included allergies to antibiotics (penicillin and all cross over drugs). The patient has no prior no health issues. The patient was not diagnosed with COVID-19 prior to vaccination. Historical vaccine included the patient received the first dose of the BNT162B2 vaccine (Batch/Lot Number: EW0151) on 09Apr2021 for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medication was reported as none. The patient was not taking any other medications within 2 weeks of receiving the vaccination. On 09May2021, the patient received the second dose of the BNT162B2 vaccine. On 09May2021, the patient had a immediate reaction to the vaccination where his breathing almost completely shut down. He experienced ringing in his ears, lost his vision and had cold sweats. He could not get up from the chair or move for 40 minutes. It was reported that the patient meditates, and he kept his breathing going on his own. The pharmacist assisted him. That night he was achy and had severe fever and sweats. He had to rest for many days. His arm was severely sore and took many days to recover. It was reported that the patient has a very high threshold for pain, but this was severe. The patient has not been tested for COVID-19 after receiving the vaccination. The consumer inquired if the patient should avoid all COVID booster shots next year. The consumer inquired if it possibly this was a polyethylene glycol reaction. No treatment was received for the events. The outcome of event arm was severely sore was recovered in May2021. The outcome of the events loss of vision, breathing almost completely shut down, severe fever, ringing in his ears, night sweats, cold sweats, could not get up from the chair or move and achey was reported as recovering.

Began experiencing ringing in ears and pressure in ears about 48 hours after receiving first dose, accompanied by mild dizziness. The pressure lessened another 48 hours later. The following week the pressure in ears became greater along with headaches and more dizziness.

While waiting for 15 minutes after receiving vaccination, patient was walking around the store, and suddenly he said, he "blacked out." He fell sideways into the wall, and then fell backwards. He gained consciousness right after. Patient said, he "blacked out," and next thing he was on the ground. Patient was conscious and oriented to what had just happened. EMT was called, and vitals were taken. Vitals were all normal, and patient felt ok. Patient was not taken to the hospital.

Light headedness, weakness, and subjective fever onset during the morning of 6/6 following injection of second COVID-Pfizer vaccine on 6/4 at approx. 4:30 p.m, and the initial even also included minor muscular spasms, headache, heartburn, and abdominal pain. These symptoms worsened throughout the day. My pulse felt weak. My breathing became rapid and shallow, even though it was not difficult to draw breath. The major symptoms on 6/7 were headache, with a sense of my motion being affected. My urine throughout this time was excessively dark, even though I was drinking more water than normal. The following day, 6/8, most of my joints began to heart, and I became very stiff; this sx lessened after taking a long, slow walk. On 6/13 another event involving slowed heart rate, subjectively weak pulse, and shortness of breath ensued. There had been no unusual or excessive physical activity, and as I had not experienced this phenomenon before receiving the second vaccine dose on 6/4, I believe that the 6/13 event was also linked to the vaccination.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Additional Details: EMTs arrived, patient was already conscious on the floor with feet up, cleared to return home by EMT after checking vitals.

Systemic: Dizziness / Lightheadness-Severe, Additional Details: pt felt lightheaded 1 min after recieving the vaccination. pt fell to the floor and was resposive. I elevated his feet and checked his vitals and called EMS. Pt was resposive the whole time. EMS showed up within 7 minutes and evaluated him and pt was released and fine to go home. His wife drove him ome.

Patient reported feeling lightheaded to the nurse. Appeared pale and drowsy according to observers in the room. Patient unable to speak name to nurse when asked or answer any questions. Skin cold and clammy to the touch. Immediately layed patient down onto cot and elevated feet. Vital signs taken at time of reaction (BP 132/70, HR 57, T 96.9, RR 16, O2 97% RA). Patient stated he was starting to feel better, offered and accepted a glass of water. Patient sat up and denied any dizziness, nausea, or lightheadedness. Vital signs upon leaving (BP 124/76, HR 72, T 97.0, RR 17, O2 99% RA). Patient was able to ambulate independently to the outside accompanied by two nurses.

3 days after shot got vertigo for about a week. dizzy & lightheaded, problems seeing, vision was distorted. burning/ tingling in left leg.

Pfizer-BioNTech COVID-10 Vaccine EUA. Patient experienced diaphoresis, lightheadedness, and paleness. His first set of VS included BP 87/41, P 73. Patient stated this has happened a few times in the past when he gets shots. Certirizine 10mg PO administered at 1245. Patient denied SOB, trouble breathing or swallowing, and symptoms of anaphylaxis. Before leaving clinic, VS included BP 121/62, P 60, O2 100%. Patient felt comfortable with no additional or worsening symptoms upon leaving clinic.

2 days after taking the vaccine, I got dizzy and got a sensation of vertigo. I've ever since been to Neurlogist, Audiology and vestibular rehab. I am still not able to feel balanced. I feel like a liquid inside my body is moving.

Patient stated that he had COVID-19 a few months ago and recently had flu like sxs about 1 week ago. Shortly after receiving the first injection of Pfizer, he began to feel lightheadedness. VSS: 152/100 81 pulse and 98% pulse oximeter. Offered water and snack, and after 30 minutes, resolution of lightheadedness. Blood pressure decreased and patient was discharged to home.

14 minutes after the injection, within a 30 second time period, and lasting 8-10 minutes, I was overwhelmed with the following symptoms: Sever Shortness of Breath, Dizziness, Nausea, Blurred Vision, Sweating, Muscle Fatigue, Elevated Heart Rate, and Body Aches. I was immediately monitored and administered a normal dose of Benadryl where I waited upwards of 1 hour for the symptoms to wear off. All remaining minor symptoms were gone by next day. I've developed pin-pointed neck pain limiting my range of motion within 2 days after the injection. Pain still persists today. No other symptoms. PCP recommended against getting the second dose of the vaccine.

Patient complained of lightheadedness, slight vision loss, and feeling overheated. This lasted for maybe a few minutes; laying down on his back helped relieve the symptoms.

Following the administration of the second dose patient sat down to wait for 15 minutes. A couple minutes after sitting down patient began to feel "odd" and had a syncope event. Patient hit his head when falling and had some minor bleeding. We immediately attended the patient and called 911 so that he could be checked on. After some time patient felt ok, paramedics attended his wound and checked vitals. Patient's family came to the pharmacy to pick him up, aside from the wound patient felt ok.

Pt received first dose of Pfizer at 0856 to left deltoid and felt immediately lightheaded and had syncopal episode. Pt was able to regain consciousness 5-10 seconds after syncopal episodes but still complaint about feeling lightheaded. Pt felt warm to touch and had was pale. An ice pack was applied to back of neck, vital signs were checked immediately. Pt was asked if he has anything to eat prior to vaccine and he stated he did not have anything to eat. Ice water and granola bar was offered. Around 0858 pt stated he started to feel better, 0859 vital signs indicated the following BP 111/45, HR 47, SpO2 97% RA. Pt denied going to treatment room for further observation or laying down on gurney. Pt kept insisting he felt a lot better and "none of that was necessary". Pt's skin color came back to normal state and stopped feeling lightheaded after eating and drinking a cup of water. Vital Signs were taken again as the following: BP 104/57, HR 62, SpO2 98% RA. Pt felt safe to go home with significant other. Pt doing well, speaking in full sentences, laughing, alert and oriented x 4.

After 10 mins patient received Pfizer vaccine, he felt nauseated and got faint for about 5 seconds. After drinking water and apple juice he said he felt better but still nauseous. When 911 arrived, they checked his vital and it was normal. Upon checking up he got better and chose not to go to hospital.

8 days post-vaccine I woke up with shortness of breath and mind racing that turned into heart attack-like symptoms (shooting pain down left arm, couldn?t breathe, fear of death, lightheaded) and to call ambulance. Cardiologist said that I had inflammation around my heart. Since the medical event I have had four others. Notably, I have never had a history of these types of attacks and they started happening 8 days after first vaccine shot. I am 30 years old, 5?10?, 170 pounds. The vaccine has to have been the cause of these as lifestyle hasn?t changed one bit since vaccination.

About 30 seconds after injection was administered, the patient's face went blank and their head fell back. I took their mask off and they were snoring. I tried to get the patient to the ground and they started seizing and clutching at me. When the patient's knees hit the ground, they came to and asked what had happened. The whole incident took a total of less than 5 minutes. EMTs were called and they checked out the patient and confirmed their vitals were ok. Patient stayed for 30 minutes after incident for monitoring and had returned to normal.

customer asked how felt was ok, gave covid-10 im sat for 2-3 minutes, fell off chair. pharmacist picked up patient patient woke(said not aware of falling out of chair and on floor) no injuries reported, noticed excessive sweating/said vision blurred/ bp normal(taken by rph). 911 called by front store. rph stayed with patient until emt arrival gave info as to events prior to theier arrival. emt came in and reported patient was ok and on there way home.

Patient received Pfizer Covid vaccination at pharmacy on 7/20/21 at around 4:15pm. Patient was told to wait in our waiting area for 15 minutes. Around 10 minutes later, patient was throwing up. He called his mom who works at bakery. She bought him some donuts and gave him water. We checked his blood pressure and it was 111/78. He told us he was feeling dizzy, nauseous, sweating, and felt like his body was shutting down. He gave him an ice pack and told him to lay down. He continued to monitor him for 15 more minutes. He told us he was not feeling any better. His mother told us to go ahead and call 911. We called 911 and the paramedics took him.

client's fiance alerted EMTs client was lightheaded and with nausea. EMT brought client anti-gravity chair and emesis bag. EMT began vitals. PHN arrived at 1825, client sitting upright in chair, pale, alert and oriented 4. Per client has history of syncope with needles but did not tell vaccinator. Client stated on his way to observation began feeling lightheaded and "felt his heart racing". Vitals at 1925: blood pressure 132/76, pulse 57, oxygen sat 99%. Client stated no additional medical history, no current medication, no known allergies. Client denied headache, blurry vision, nausea, chest pain, palpitations, or shortness of breath. PHN gave client water and asked client to take small sips. Client asked to stay longer in observation. EMTs stayed with client. Vitals at 1835: blood pressure 135/70, pulse 67, oxygen sat 98%. Client stated nausea resolved and lightheadedness improving. EMT gave client Capri-Sun juice at client's request. Client brought to a sitting position in anti-gravity chair. Client's skin color normal for ethnicity. PHN advised client to not drive, per client fiance would drive. Vitals at 1845: blood pressure 130/68, pulse 60, oxygen 99%. Client stated "there is no more nausea and no dizziness". Client informed EMTs he wanted to stand up and walk. At 1847 client stated he wanted to leave. EMTs advised client to follow up with provider and gave ER precautions. Client left before completing observation time and left facility with steady gait at 1848.

feeling light headedness; Fever; hangover type feeling in head; This is a spontaneous report from a contactable consumer, the patient. A 30-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 22Apr2021 at 10:00 (at the age of 30-years-old) as a single dose for COVID-19 immunisation. Medical history and Concomitant medications were not reported. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP6955) via an unspecified route of administration in the left arm on 01Apr2021 (at the age of 30-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 22Apr2021, right after receiving the vaccine, the patient experienced light headedness, fever and hangover type feeling. After 10 days, fever and light headedness were gone but patient still got hangover type feeling in head and it was mostly in front part of head. The event resulted in doctor or other healthcare professional office/clinic visit. The clinical outcome of events fever and light-headedness were recovered on an unspecified date in 2021. The clinical outcome of event hangover type feeling in head was not recovered at the time of report. No follow up attempts are needed. Information about lot/batch number cannot be obtained.

Symptoms that lasted ~12-18 hours; Body Temperature dropped to 90, couldn't warm up for hours, was shivering/shaking for whole time period; Loss of strength trouble walking collapsed multiple times; Strong; Headache; Loss of Control of Bowels; Vomiting; Brain Fog; Numb Face and issues talking; Issues since then Discomfort in chest at all times.

Constant tremors all over, equilibrium off, hypersensitive to noises, fatigue. No treatment. Still continuing

Dizziness, NauseaVomiting, Tingling feeling Narrative: Patient returned after 1.5 hours. Monitored an additional 30 minutes. Tingling sensation and nausea diminished. Upon return at 1420: 130/84, HR 79 o2 98%; Recheck 1425: 118-81, HR 73 O2 97%; 1440 120/81, HR 73 O2 98%; 1455 127/85, HR 71 O2 99%. VSS stable. Per patient request, 25mg Diphenhydramine administered by staff Patient sent to ED for further observation.

Started feeling very fatigued around 6/7 PM on 1/7/21. Ate dinner shortly after and took my normal sleeping pills as previously listed. Around 12:30 AM on 1/8/21 I woke up feeling very cold. I got up, used the restroom and grabbed some acetaminophen (1000mg). I took the medication and started feeling very dizzy and light headed. After that all I remember is sitting on the kitchen floor feeling like my body was buzzing/tingling. My ears were also ringing really badly. I attempted to get up but was unable to get orientated for what I believe was about 15-30 minutes. I called my BF at 1:10 AM after I was able to get up and moving. I elected not to go to the ER because I didn?t want to directly expose myself to COVID. I stayed up for about another hour, drank some water and ate some crackers. I took 25mg of diphenhydramine and went back to sleep. The rest of the day up to writing this I have been very fatigued and achy. Mild dizziness and confused feeling. I didn?t hit my head but I have about a four inch scrape down my back and a small cut on my foot from the broken glass.

I felt fine the rest of yesterday but started to feel really tired and worn down late last night. I took my sleeping pill like normal and went to bed. I woke up feeling really achy and cold so I went to take some Tylenol in case I had a fever. Started feeling dizzy and light headed and I passed out. I cut my foot on the glass I dropped and scraped my back as I fell. I don?t remember being blacked out very long. I just remember sitting on the floor feeling really lethargic. My whole body felt tingly and my ears were ringing really bad. Was able to get up and get back to bed. Decided to go back to sleep and not go to the ER. This morning I?m still a little dizzy but mostly just have a headache and am extremely tired. I plan to get into my doctor today so I will keep you updated. Just wanted to let you know what happened so you could report it.

Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing; Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing; Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing; Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing; Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing; first dose of BNT162B2 on 16Dec2020 12:00, second dose on 05Jan2021 15:00; first dose of BNT162B2 on 16Dec2020 12:00, second dose on 05Jan2021 15:00; This is a spontaneous report from a contactable Physician (patient). This 31-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscularly on 05Jan2021 15:00 (lot number: EK9231) at single dose in Arm Left for COVID-19 immunisation. Facility where the most recent COVID-19 vaccine was administered was Hospital. Medical history included Migraines. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medication received within 2 weeks of vaccination included paracetamol (TYLENOL), ibuprofen (ADVIL) occasionally as needed. The patient previously received first dose of BNT162B2 intramuscularly on 16Dec2020 12:00 at 31-year-old (lot number: EH9899) at single dose in Arm Left for COVID-19 immunisation. The patient experienced Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing on 06Jan2021 03:00 AM. The outcome of Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing was recovering. Tylenol, Advil, Bed Rest was received for the adverse events Myalgia-Injection Site Pain-Chills-Generalized Weakness-Dizziness upon standing as treatment. The events were assessed non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19.

Within 2-5 minutes of receiving the vaccine, I began to feel dizzy. I signaled for help while in my car and help arrived. Within the next few minutes the severity seemed to go from ?0-100? and I began to feel a deep impending sense of doom and panic/fear. I also felt extremely tense in my muscles and felt itchy in the chest area. That continued for 15 minutes or so before subsiding slowly. Staff surrounded my car and were very supportive and great about the situation. It was one of the most frightening experiences to date I have had. No EpiPen type intervention was done. Once the event was on the downswing I was kept for additional observation and release on my own accord. Everyone there was great. I am reporting for my own records in case further testing reveals I have an allergy to this vaccine for employment purposes should the vaccine become mandated prior to me having alternative means of vaccination or allergy testing competed to determine if it was an true reaction or not so I can get vaccinated safely.

3 hours following vaccine experienced vomiting, loss of balance and throat tightening resulting in shortness of breath. Was seen in same day care within 20 minutes of symptom onset. Given Kenalog 80mg intramuscular and Zofran 4mg intramuscular with improvement of symptoms

1145 vaccine administered 1147 patient stood up from chair and then had syncopal episode. Fell face first onto floor. Hit head on wall trim on the floor. Eyes dilated, fists clinched, arms and legs shaking , not responding to verbal cues. Seizure like activity last approximately 1.5 minutes 1150 called 911 1200 ambulance arrived on scene. patient c/o lightheadedness and needing to continue to lay down 1210 transported patient to ER at Hospital

Pt. left once at observation lane. Pt. began to feel woozy and anxious. Paramedic assessed pt. Once symptoms subsided, Pt. was released by paramedics to leave.

102 degree fever, body aches, severe chills, lethargy, weakness, muscle aches, fatigue, swollen lymph nodes. Rested in bed for 4 days, felt better on the fifth. I feel an onset of similar symptoms today 03/05/2021, 17 days after 2nd vaccine dose.

Pt received vaccine. Pt was light headed, dizzy and feeling hot 15 min post vaccine. Crew arrived to pt. Vitals assessed. Crew brought pt to ambulance. ALS assessment and fluids given due to hypotension. Transport to hospital.

Pt. c/o "feeling high" like she had some drink. She felt light headed. Denies SOB denies chest pain. @ 1040 BP 160/100, HR 84, RR 18. @ 11:49 BP 160/82. @ 1050 BP 160/90, HR 80, RR 18, no dizziness, O2.Sat 97%, 160/82. Stated she is fine and wants to go home. @ 11:22 pt left accompanied by her husband.

Patient has a fear of needles, which was not mentioned initially. The patient got the vaccine and was told to have a seat outside the immunization room for 15 minutes at least to ensure no side effects. The patient wanted to get something in the store. Pharmacist was immunizing the next patient already. Patient knocked on the door and stated he didn't feel good and was dizzy. I told him to take a seat I was going to get him some water. As he was about to sit down he passed out and hit the door with his head. EMS was called and patient was taken to hospital. The patient woke up 30 seconds after and was dizzy. He felt better after about 5 minutes.

He had a vasovagal response. He was diaphoretic, had dilated pupils, and was seen drooping his head. He was attended to by RNs who checked his blood pressure and pulse. His BP was 60/30 and his pulse was in the 40s. He was laid flat with his feet up. His blood pressure was then rechecked a few minutes later and it had come up to 102/60. His pupils constricted back to a normal size and he said he was feeling better. He was given water to drink, observed for 30 minutes and walked out to his car by an RN after 30 minutes of observation. He did report that he does this with all vaccines. He was driven home by another driver.

Patient fell and hit head after walking from the observation area to the elevator. No bumps, bruises, or scrapes. Vitals stable. BP 109/61, pulse 60, 98% O2 sat. AO x 4.

Dizziness; Vital signs: 12:29pm 112/78 67 18 O2 96%; 12:39pm 116/80 67 18 O2 96%; Patient stated he was no longer feeling dizzy after eating a snack and drinking water. DISPOSITION: Stable no longer feeling dizzy.

Roughly 5 minutes after receiving the injection the patient began to feel dizzy, nurses went to check on him and he had a syncopal episode, he was caught by nurses and was assisted to the ground, vitals were checked, monitored for 30 minutes until stable

Received dose at 2:02 pm. LVN alerted PHN to pt at 2:08 pm. Pt very pale, very diaphrotic, c/o lightheadedness and dizziness, very slow responses to verbal stimuli. Arms and nail beds blanched white. Called 911 at 2:08 pm. VS- SpO2- 71% on RA; P- 51; B/P- 80/40. Given Epi Pen at 2:10 pm. Repeat VS at 2:14 pm- SpO2- 79%; P-85. Still very slow response to verbal stimuli. VS @ 2:18 pm- P-63; SpO2- 97%- taking slightly deeper breaths. Some response to verbal stimuli, but still delayed. Ambulance arrived at 2:20 pm- final VS- SpO2- 82%; P-127- B/P 102/60. Taken to Hospital.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Syncope-Medium, Additional Details: Patient was in the waiting area after recieving vaccine where he fainted and fell out of his chair. His female friend asissted him and reached out to us. He regained consiousness and was able to speak to us clearly. There was a small cut above the left eye. He expressed that he has a fear of needles and this has happened before to him as well. He had no symptoms of an allergic reaction, no headache or visual distrubances. We monitored him for 30 minutes and did not feel the need to call 911.

20minutes after vaccine as per patient was diaphoretic. had palpitations and dizziness. The vaccine center called a rapid response. the team transferred patient to ED. Patient stated that after he was seen by a physician ,he spent 2 hours in waiting area and then went home

Nausea, vomiting, dizziness,head ache, diarrhea also arm injection was put it is very painful and swollen

Swelling of throat and neck, shortness of breath, light headed, took antihistamine and monitored for several hours.

Patient fell out of chair and was unresponsive about 10 minutes after vaccination. When able to talk complained of itching all over. EpiPen was administered. During fall landed directly on face resulting in laceration to nose and subconjunctival hematoma to left eye. Patient continued to be alert and responsive and itching resolved with EpiPen. He was transported by ambulance to Emergency Department.

All over body aches, chills, headache, abdominal pain, diarrhea, rash in the face, hive breakout in armpit underneath injection site, nausea, motion sickness when attempting to drive, unable to wear contact lenses.

Severe nausea, mild vomiting, severe aches, severe joint pain, mild dizziness, moderate fatigue, mild fever (101.2F), moderate chills, moderate runny nose

Pt in post observation after receiving his 2nd dose of Pfizer. Pt speaking and receiving education with RN when became pale, diaphoretic, and reported feeling light headed. Pt began to posture slightly but was still speaking in complete sentences and denied any troubles breathing. Medics called. Pt reported not having eaten much today and was given a juice box prior to medics arrival. Medics arrived on scene and BG was 61 per medics. Pt given oral glucose by medics are reported feeling better. Pt ambulated out of facility with steady gait. Pt color returned and was cleared by medics to drive himself home. Pt VSS prior to leaving facility. Initial VS: BP 100/55 Hr 55 O2 sat 100% on RA Last vitals: BP 130/90 Hr 68 O2 sat 98% on RA.

injection site ache from time of injection that has not subsided, general body ache onset from approximately an hour after injection that has not subsided, general body weakness onset within 12 hours after injection that has not subsided, headache onset from approximately 15 hours after injection that has not subsided, dizziness onset approximately 19 hours after injection that has not subsided, fever onset approximately 24 hours after injection

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient fainted after getting his pfizer shot. he was sweating.

Extremely lethargic, sore throat, chills, achiness, nausea, dizziness, congestion, runny nose, burning sensation in lungs, coughing, asthma attack, swollen lymph node under arm with injection

Pfizer-BioNTech COVID-19 Vaccine EUA About a minute after the shot I experienced dizziness, weakness and a bad headache. I also become very nauseous, had injection site numbness, a tingling feeling in my fingertips, lower back pain/joint pain and felt sick the rest of the day.

Patient complained of feeling dizzy and became syncopal. Patient was lowered to the ground and regained consciousness quickly. Gave patient juice while laying in stretcher. Became dizzy again while sitting up. Evaluated by EMS. BP 124/60 and HR 65. Declined transport and released home.

directly after injection, patient felt like he was going to pass out, tunnel vision, assisted to floor by staff, feet placed up on chair. arrived to obs, admits to needle phobia/anxiety. clammy, diaphoretic and pale. bp 110/72 hr 55 rr 18 sats 99% on ra. placed in tredelenberg, states relief, color returned and sweating ceased. water and apple juice provided. 5 mins later bp 117/78 hr 59 rr 18 sats 100%. patient sitting up on side of bed 5 mins later bp 127/89 hr 65, then standing bp 118/65 hr 55. states he feels back to baseline and escorted to vehicle with no issues.

Nausea and Feeling Faint within 5 minutes of injection under required monitoring from the health department post vaccine. Patient was taken to an exam room and given sugary drinks / food with which symptoms rapidly improved. Patient reports likely cause of not eating much since breakfast. Blood pressure observed as normal after stabilization.

Fever/chills/fatigue/dizziness starting approximately 16 hours after first dose. Symptoms lasted approximately 24 hours after onset. Treated with ibuprofen to lower temperature.

Monday afternoon 3/22/2021 I received the vaccine. The next day (23rd) I had dizziness and nausea started with stomach grumbling. 24th worsening nausea with some very green loose stools, still dizzy and started feeling fever, chills and then began loss of appetite. By the 25th & 26th my condition had worsened. still had fever and chills, nausea & lost appetite (could not eat anything). I was only drinking fluids by this time and I felt extremely fatigued and spent most of Thursday and Friday in bed recovering. By Friday I contacted my doctor, who said to go to urgent care if I didn't feel better on the weekend. Saturday my condition was the same and still on Sunday I was not any better. By Sunday, I took myself to urgent care, upon arrival, pulse was 124 with a temperature of 100.2F .. the worst symptoms for me were all body weakness/fatigue & fever/chills & nausea. I was prescribed medicine for the nausea and tested negative for covid. In all it was almost 2 weeks before I felt recovered from the vaccine.

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium

5 MINUTES AFTER RECIVING INJECTION, PT HAD LIGHTEHEADEDNESS AND ITCHING. NEVER HAD SYMPTOMS TO FIRST DOSE OR TO OTHER IMMUNIZATIONS PRIOR. HE WAS WHEELED INTO OBVS BY WHEELCHAIR, NEEDED NO ASSITANCE TO GET ONTO STRETCHER. WAS OFFERED AND GIVEN SNACKS AND WATER. PT REPORTS IMRPOVEMENT UPON ARRIVAL IN OBVS. VS @ 5:10PM: BP: 124/70 HR:70 RP: 20 O2SAT: 98% ON RA. VS @ 5:20 PM: BP: 132/75 HR: 72 RP: 20 O2SAT: 97% ON RA. VSS AT TIME OF DISCHARGE. NO S/S OF DISTRESS NOTED. PT ESCORTED TO EXIT WITH STAFF, PT REQYESTED TO AMBULATE REFUSED WHEELCHAIR.

Patient/ stated he was "lightheaded". Patient laid on floor and asked to elevate legs on chairs. BP 180/20, pulse 80, respirations 16. Patient recovered on own with some water, rest (laying down), and a snack. Patient transported home by mother once stable.

pt c/o lightheadedness and vision turning white; pt able to ambulate with 2 guards at his side to private obs room; wife present; pt placed on exam table and HOB put flat and legs elevated; eyelids fluttering, pt warm and diaphoretic; remained responsive and answering questions; pt states that he has fainted in the past, also has "sensitivity" to certain anesthetics; initial VS at 1013:cuff not registering BP, HR 38/dinamap,RR 18,Sao2 100%. Switched to smaller BP cuff and Vs at 1015: BP 78/43,HR 40,RR 18, Sao2 100%. Pt c/o nausea. VS at 1020: 98/51, HR 58, RR 18, SaO2 100%. Pt states that he is feeling better except still nauseous. VS at 1025: BP 112/59, HR 68, RR 16, SaO2 100%. HOB raised to 45 degrees, no c/o. Pt given cold pak and drink of water. 1030:pt states less nauseous, still "cloudy". 10:45:HOB placed at 90 degrees, BP 114/67, HR 66, RR 16, SaO2 98%. 10:50:pt states that he is feeling much better, talkative, ambulated WNL in room. 1055: BP 112/72, HR 56, RR 16, Sao2 100%. Pt states that he feels a "little tired" but fine to leave. Wife will drive pt home. 1100 Pt leaves clinc; no c/o.

Less than 5 min post vaccination today, he felt dizzy. No fall incident. Staff was able to assist him onto the floor. He was alert and oriented x 4 in NAD. Dizziness resolved in less than 1 minute. After 25 minutes of observation he was well and active. His wife is with him. He was discharged from vaccination site

Pt states he felt dizzy after vaccine was administered and he started to sweat. Pt reports he was anxious about taking the vaccine. Pt came to observation via wheelchair. No s/s of distress noted at time of arrival. VS at 1106: BP 109/68, HR 55, RR 18, O2 sat 98% on RA. VS at 1111: BP 123/76, HR 56, RR 16, O2 sat 98% on RA. Orthostatic VS obtained. Lying VS: BP 112/73, HR 52, RR 14, O2 sat 98% on RA. Sitting VS: BP 124/69, HR 53, RR 16, O2 sat 97% on RA. Standing VS: BP 124/82, HR 51, RR 17, O2 sat 98% on RA. Pt refused w/c to exit, opting to ambulate. Escorted to exit with staff.

Client reported dizziness and sweating 25 minutes after vaccination. Onsite EMS assessed vital signs. BP 100/60, Water provided. BP reached after 5 minutes 109/55. Observed for an additional 20 minutes. Reported feeling "normal". Declined further observation. Client exited site with family members.

Syncope: After instructed to sit in the lobby for a 15 minute observation time, the patient walked 20 feet over to my consultation window after a couple minutes reporting lightheadedness/dizziness and requested a seat in my vaccination room. Upon making my way through the pharmacy to open the door the patient collapsed from a standing position to the floor. The patient regained conscience almost immediately after the fall and reported no injuries. EMS was also on scene by coincidence, shopping. The patient declined their assistance.

Patient received dose 1 of the Pfizer COVID vaccine (lot ER8731, exp 7/2021) at 1230. At 1240, patient reported to EMT that he felt lightheaded, dizzy,sweaty, and anxious. EMT assisted the patient in moving to the reclining zero-gravity chair and laid him in reclining position. Vital signs: O2 97%, pulse 92, respirations 20, blood pressure 150/78. Patient reported he had not eaten in 16 hours but had been drinking fluids. Patient was offered water. Patient reported no allergies or medications, medical condition includes psoriasis. At 1247, PHN offered Benadryl, patient declined as he drove himself and did not want to feel drowsy at the wheel. Patient reported improvement in symptoms. At 1250, vital signs: blood pressure 130/78, O2 98%, pulse 98, respirations 22. Patient reported symptoms had resolved. At 1259, patient sat up monitored by EMT and PHN. At 1307, patient stood up monitored by PHN and EMT , continued to report no symptoms. PHN advised patient to call 911 and follow up with provider. Patient reported he did not have a medical provider, PHN encouraged patient to call for assistance with medical insurance and provider.

Dizziness, cloudy judgement, feeling like about to pass out. Slept all day first day after the shot. Second day had a bit headache and still some cloudy judgement but was much better. Third day fully recovered

Client received first dose COVID vaccine @10:45am, complained of feeling faint @ 10:48am. Client was placed in zero gravity chair, and reported feeling better. Vital signs stable, symptoms resolved and client left home @ 11:20am.

PATIENT WALKED UP TO THE COUNTER AREA AND STATED HE WAS FEELING LIGHTHEADED AND DIZZY. HE SAT DOWN, THEN BEGAN TO SHAKE AND START SWEATING. I STAYED WITH HIM AND MONITORED HIM, PARAMEDICS WERE CALLED. AFTER 3-4 MINUTES, THE PATIENT SAT UP AND BEGAN TO FEEL BETTER.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Pt urinated while unconscious-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: Pt reported no feeling well. Denied trouble breathing/swallowing. Pt lost consciousness. We were able to prevent him from falling or any\r\ninjury. 911 was called. He was out about 15 seconds. Regained consciousness. Was startled and confused but was quickly became reoriented to where he was, that he had just recieved vaccine and passed out. Patient's BP and condition was monitored until paramedics arrived. After coming around patient started to feel nauseous and felt like he would vomit.

4/17/2021; Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, he experienced an adverse reaction with the following symptoms: Dizziness, sweaty, and headache. Assessment: Time of assessment 09:09am. Alert and oriented, Anxious, Pallor, Diaphoretic and Headache. VAERS form obtained and completed by RN. At 09:09am- BP-134/101, P- 78, O2- 98%, given water, taken to stretcher, feet elevated, recheck VS at 0913am- BP - 128/78, P- 77, O2- 99%; 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 V-Safe system. COVID-19 Vaccine 4/17/2021 8:40 AM 0.3 mL 12/11/2020 Intramuscular; Lot: ER8730; NDC: 59267-1000-2

received vaccine, soon felt woozy, heart pounding, lips and fingers tingling, dizziness, reported to staff, brought back via wheelchair to obs at 0855. placed on stretcher in trendelenberg, states felt better moments after. snack and water given, instructed on hyperventilating and exercises to reverse this with controlled breathing. sig other at bedside, when symptoms resolved, patient and sig other escorted to exit without issues at 0920. 0855 intial/trendelenberg bp 139/85 hr 108 sats 100% on ra rr 22 0900 sitting bp 146/87 hr 106 sats 97% ra rr 20 0915 standing bp 130/85 hr 79 sats 98% ra rr 20