Pfizer

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

Patient received Pfizer vaccine and was standing with parents during his suggested 15 minute wait time. During this time, parents noted that he "passed out" but they caught him. He then gained consciousness immediately and sat down to be monitored by pharmacists on duty. His vitals were checked immediately. O2 saturation was 97-99. Blood pressure 138/83mmHg with HR of 81. Patient had trouble breathing for 2 minutes. O2 saturation did not change. After 2 minutes, he breathing improved and patient was calm.

Within 2 minutes of receiving the vaccine, he started sweating, he then vomited, lost vision and hearing. Had trouble breathing. Ambulance called

Patient noted swelling of throat. Benadryl given as well as juice and crackers. patient noted improvement after 30 minutes. Mother was agreeable to take him home. Home precautions given.

PATIENT PASSED OUT AND EXPERIENCED CONVULSIONS APPROXIMATELY 1-2 MINUTES POST VACCINATION. HE WAS UNRESPONSIVE FOR 5 - 10 SECONDS AND THEN BECAME ALERT COMPLAINING OF "FEELING HOT" AND HAD TROUBLE BREATHING. EMS WAS CALLED AND PATIENT WAS TRANSPORTED TO LOCAL HOSPITAL.

Myopericarditis 48 hours after 2nd dose of Pfizer vaccine with chest pain, shortness of breath, and nausea.

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

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

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

Pt began sweating, stated he had ringing in his ears, became very pale stated he was having difficulty breathing.

Developed Fever, chills, body aches, cough, sore throat and ear pain on 4/21. Started on Amoxicillin following telephone visit. Fever persisted and was seen for cough/fever on 4/26 at which time work up was initiated for persistent fever and antibiotic changed to Augmentin. Returned 4/30 due to continued fever, negative cause identified on previous blood tests. At visit had low BP with tachycardia and fever. New onset that day of conjunctivitis. Cough and L sided wheezing improved with albuterol. Lab eval and ED referral initiated for fluid resuscitation in consultation with pediatric infectious disease.

MYOCARDITIS. Patient is a 16 year old boy with ADHD who presented with fever and myalgias for 3 days, that progressed to sharp parasternal chest pain and some SOB. Patient received second dose Pfizer COVID-19 vaccine on 4/26, and after that shot experienced fever to 102 at home and myalgias. Subsequently his symptoms of chest pain have occurred. He underwent workup revealing of elevated Troponin, and EKG with some ST segment elevation, a slightly elevated CRP at 32, and a normal ECHO. Admitted for observation and concern for infectious myocarditis vs MIS-C. Cardiac MRI was done confirming Myocarditis, Troponin I was elevated and peaked at 23, 325pg/mL. Workup unrevealing of SARS. Other testing showed Resp virus panel negative, blood pcr for EBV, CMV, Parvovirus B19, enterovirus, and adenovirus all negative, HIV antigen/antibody testing negative. Patient treated with Ketorolac with steady improvement in symptoms over several hospital days. Discharged home 5/2 with Troponin I well down and symptoms resolved. Given reports in lay press regarding other cases of COVID-19 MRNA vaccine associated myocarditis, we are reporting this as a vaccine associated adverse event.

Previously healthy 16 year old young man presenting with chest pain admitted for myopericarditis. He was in his usual state of good health until 2 days ago when he experienced fever, chills and myalgias after receiving his 2nd dose of COVID pfizer vaccine. He improved until 5/2 when he developed a crushing, non-radiating, substernal chest pain which was waxing and waning in nature without specific alleviating factors. He had shortness of breath, but no palpitation, dizziness, or changes in pain on exertion vs rest. Family activated EMS who gave 325 mg of aspirin en route to the ED. In the ED, he was afebrile and hemodynamically stable. He was mildly diaphoretic, but otherwise, unremarkable on physical exam. STAT EKG showed ST elevations in V5 and V6 and ST depressions in V1 and V2 as well as PR depressions, which persisted on repeated EKG. Given concern for myopericarditis, they ordered labs including CBC, CMP, troponin and inflammatory markers which were only remarkable for troponin of 1.94 and CRP 3.5. Chest x-ray was normal. Cardiology was consulted and they recommended transthoracic echo which is pending. Cards also recommended starting Ibuprofen 600 mg q8 hrs and admission to cards for further management.

Within 3 minutes of receiving the vaccine, Subject experienced syncope, had ringing in the ears, loss of vision, was pale, diaphoretic, and hyperventilation. BP 102/49 and 96/58. Staff responded, provided supportive care. Subject regained consciousness. Reported on 5/5/2021 made a full recovery. It is noted he reports he worked out that morning, had not eaten or had water that day. Did not seek medical attention.

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

Patient is a previously healthy 16 year-old M presenting with acute onset chest pain, shortness of breath, nausea, vomiting, malaise, fever and myalgia to ED on 5/6/2021 at 20:44. He started experiencing symptoms on 5/6/2021 morning a t06:07 AM. He received his second dose of Pfizer COVID-19 vaccine on 5/4/2021 10:: AM. In the ED, CBC, CMP and UA was within normal limits. EKG at 20:46 and again at 21:14 showed ST segment elevation in inferolateral leads with possible myocardial injury, ischemia or pericarditis. Troponin 0 hour was 835 and at 2 hours 1674. Patient was admitted to the PICU for further evaluation and management. Echo on 5/6/2021 showed normal LV systolic function with SF 31% . Cardiac MRI on 5/7 showed contrast enhancement of inferolateral wall consistent with myo-pericarditis with small pericardial effusion. Troponins were trended every 12 hours and plateaued in the 1800's on 5/8/2021. Patient was diagnosed with acute myo-pericarditis. Respiratory viral PCR and COVID-19 PCR on 05/06/2021 were negative. Thyroid studies were normal. ANA titer is pending. Viral serology for HbsAg was negative and HIV was non-reactive. Results for additional viral serologies for Coxsackie viruses, EBV, CMV and HHV6 are awaited. Patient was treated with NSAIDs and Colchicine. IVIG was not given based on clinical judgement. Pediatric Cardiology was involved in patient's care and clinical decision making. Patient remained hemodynamically stable on room air throughout his PICU course. He was discharged on 5/9/2021 with Pediatric Cardiology outpatient follow up in 2-3 weeks. He will continue Ibuprofen 600 mg every hours and Famotidine 20 mg 2 times daily until his follow up.

Too trashed to train for his sport/described as too weak to train; Swelling; Loss of taste and smell to some extent; Brain fog; Swollen glands; Loss of taste and smell to some extent; Leg pain; Joint pain; passed out/hit the floor, put a big bump on his head; passed out/hit the floor, put a big bump on his head; Redness; Chills; Fever; Too sick to get out of bed; Shortness of breath; Headache; Muscle pain; Tiredness/Fatigue; Pain in the arm; 2 inch diameter raised circle at injection site; could not barely remember his name; tried to study but just wasn't there, head on desk. Still has difficulty focusing; This is a spontaneous report from a contactable consumer (patient's father). A 16-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot: ER2613 and expiry: Jul2021), via an unspecified route of administration in right arm on 31Mar2021 14:30 (at the age of 16-year-old) as single dose for covid-19 immunisation. Vaccination was taken because he was going back to school. The vaccine was not administered at a military facility. No additional vaccines administered on same date of BNT162B2 and no prior vaccinations (within 4 weeks). The patient received first dose of bnt162b2 (Lot: EN6199, Expiry: Jun2021) on 10Mar2021 at 13:30 in right arm (at the age of 16-years-old) as single dose for covid-19 immunisation and experienced loss of taste and smell and joint pain, all events started in Mar2021. Medical history included mild allergy to Birch pollen (which everybody has, but nothing else/patient tested for allergies, and had no significant allergies, they thought he might be because he spilled a sugared soda behind his bookcase in his room and there was mold growing so they thought he might be allergic to mold, so they tested for allergies and he has no allergy to mold) and ongoing vitamin supplementation. Family Medical History included Sarcoidosis with mother. Concomitant medications included vitamin d3 for vitamin supplementation from 2020 (about a year ago) and ongoing; ascorbic acid, rosa canina fruit (VITAMIN C) for vitamin supplementation from an unspecified date (several years ago) and ongoing and an unspecified ongoing multivitamin from an unspecified date (several years ago) at 1 taken daily for vitamin supplementation. On 31Mar2021, the patient experienced pain in the arm at 17:30, tiredness at 20:30, shortness of breath, headache at 22:30 and muscle pain at 22:30. On 01Apr2021, the patient experienced fever at 00:30, chills at 01:30, redness at 02:30, leg pain at 08:30, fatigue (ongoing) at 02:30, joint pain at 08:30, too sick to get out of bed and passed out and hit the floor, put a big bump on his head at 05:30 (about 15 hours after second dose, patient was at the kitchen table with his head between his knees trying to breathe, passed out, hit the floor and put a big bump on his head). On 02Apr2021, the patient experienced brain fog at 14:30, swelling at 14:30, swollen glands at 02:30, loss of taste and smell to some extent at 14:30 and too sick to get out of bed. On day 2 (02Apr2021) and was still about pushing 100 degrees Fahrenheit and on 21Apr2021 (after 21 days) sometimes over sometimes less. On the following Monday (05Apr2021), he struggled back to school after 5 days, but came home early. He has just been trashed, too trashed to train for his sport, further described as too weak to train, he hadn't trained for 3 weeks. He still has a fever. His local doctor did not have any suggestions other than he should take acetaminophen and ibuprofen alternately to get rid of the headache and fever. In 2021, the patient experienced 2-inch diameter raised circle at injection site and disappeared after 10 days and there was a time he could not barely remember his name, tried to study but just wasn't there, head on desk. Still has difficulty focusing and doing his calculus. It was reported that the time to recover from any exertion seems to be longer by a lot. On 01Apr2021, body temperature reached 103 degrees Fahrenheit. The patient tried to do a few things like a week ago just because he couldn't stand to be in the house anymore he took a bike out for about 15 minutes and was just trashed from that experience and took 3 days to recover. The events did not require emergency room visit nor physician's office neither hospitalized. The outcome was recovered from loss of consciousness, head injury on 01Apr2021; from illness on 02Apr2021; from headache on 04Apr2021; from chills on 06Apr2021; from pain in arm and fatigue on 07Apr2021; from erythema on 11Apr2021; from ageusia and anosmia on 14Apr2021; from lymphadenopathy on 16Apr2021; from arthralgia on 17Apr2021; from myalgia on 18Apr2021; from leg pain on 21Apr2021; from vaccination site swelling in 2021; then recovered with sequel from dyspnoea on 05Apr2021 and from swelling on 07Apr2021; then recovering from pyrexia, feeling abnormal; then not recovered from asthenia and unknown for the remaining events.

Pt came to ER with nausea, vomiting, difficulty breathing. Pt was coughing up blood O2 sat 90 room air initially then down to low 80's. Put on high flow 10 L nasal cannula. Diagnosis hypoxia, dyspnea at rest, pericarditis, elevated troponin 35. Transferred to second hospital. Update from them : likely myopericarditis with cardiogenic shock, respiratory failure, diffuse ST elevation on EKG, on Inotropes

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

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

reports "throat feels a little tight " and "hard to swallowing". Brought to observation area. Vss ( baseline HTN per his report). reports seasonal allergies. Oropharynx red upon inspection and drainage noted at back of throat. Able to drink fluids with difficulty. Reports immediate improvement of symptoms after PO fluids. Discussed symptoms of anaphylaxis with him. Released him to home after discussion of serious symptoms and what to contact ems for

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

Patient developed sudden onset of chest pain and shortness of breath worse with supine position. Patient went to the ER and ECG was done which was consistent with Acute Pericarditis. Patient was treated with Ibuprofen 600mg PO TID with resolution of his chest pain and SOB. patient was discharge home from the ER with cardiology follow-up 2 days later. Patient continues to have no chest pain or SOB and continues on Ibuprofen 600mg PO TID at this time. Repeat labs are pending.

Patient is a 16yo girl admitted on 5/19 with sepsis secondary to myocarditis and pneumonia, s/p IVIG, after presenting with fever, myalgia, sore throat, hypotension, elevated troponin, elevated CRP, and leukocytosis with left shift. Sore throat has been present for about a week and fevers began on 5/17 with a Tmax of 103. On 5/18, she began developing shortness of breath and upon evaluation by the PCP on 5/19, she was admitted. During initial workup on 5/19 upon admission, hospitalist was high concerned as she developed hypotension of 91/48 on 5/20 at 08:35am. CT of chest on 5/20 showed patchy consolidation of the posterior lower lobes bilaterally. At that point, I was contacted and recommended broadening regimen to clindamycin , ceftriaxone, and azithromycin. Upon transfer to Hospital, further serologies were collected which showed leukocytosis with left shift, highly elevated CRP, elevated troponin, elevated IL-6, elevated ferritin, negative Covid abs test, negative RVP, and negative Covid PCR. IVIG (2grams/kg) started on 5/20 at 22:57. Cardio and ID on board and all regular myocarditis infectious workup has been collected. ID consulted for workup and management. Of note, patient received the Covid vaccine on 5/1/21

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Medium, Systemic: Hypotension-Severe, Additional Details: Blood pressure dropped 94/33, heart rate 43. Epi-pen 0.3mg wagiven. (911 team) confirmed patient recovered, vital stable, Ok for parents take Pt to ER or home. Dr confirmed patient had vagal response on 7/12/2019 after vaccinated HPV.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Medium, Systemic: Hypotension-Severe, Additional Details: Blood pressure dropped 94/33, heart rate 43. Epi-pen 0.3mg wagiven. Personnel (911 team) confirmed patient recovered, vital stable, Ok for parents take patient to ER or home. Doctor confirmed patient had vagal response on 7/12/2019 after vaccinated HPV.

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

Vaccine administered at outside facility. Pt. is a 16 yo male with no significant PMH admitted on 4/26 with myocarditis, elevated troponin, and abnormal EKG. Pt. states that he was feeling his usual self until the day that he received his 2nd dose of the COVID vaccine on 4/24. On 4/24, he started to have a headache and subjective fevers. On 4/26, he reports having substernal chest pain at rest, non-radiating, associated with shortness of breath. Patient took tylenol with minimal relief. Patient denies cough, congestion, abdominal pain, nausea, vomiting, diarrhea, rash. No sick contacts. Since admission, troponin has been rising (up to 16), BNP normal, CRP to 87, ESR normal, CBC and electrolytes unremarkable. Clinical course and findings consistent with myocarditis. ID consulted for infectious workup and management. In my prelim recs upon admission, I recommended a dose of IVIG and holding off on steroids and antibiotics.

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

Patient developed chest pain and difficulty breathing when lying down; symptoms started at 7pm on 5/21/2021. Seen in the emergency room at Hospital for chest pain, found to have elevated troponin level of 11.6 ng/mL (normal <0.05). CT chest negative for pulmonary embolism. Patient transferred to Medical Center. Initial high sensitivity Troponin-T level 1224 ng/L (normal <15), BNP 805 pg/mL (nl <300). EKG with diffuse ST segment changes. Echocardiogram (5/23 AM) with normal systolic and diastolic function, LVEF 58%; no pericardial effusion, no pathologic valve regurgitation. Patient admitted to telemetry monitoring bed (no arrhythmias noted during hospitalization). Patient treated initially with Ibuprofen 400 mg PO q6 hours and famotidine 20 mg PO q12 hours for presumed myopericarditis. Workup sent for viral causes of myocarditis: Respiratory viral panel negative. Infectious Myocarditis workup sent: CMV, Cocksakievirus A and B antibody, CMV IgG/IgM, Echovirus antibody, Infectious Mononucleosis Screen, Lyme C6 AB IgG/IgM, Mycoplasma IgG/IgM, Parvo IgG/IgM, Varicella IgG/IgM. Follow-up echocardiogram on 5/23 (PM) and 5/24 (AM) demonstrated no change in LV systolic or diastolic function. Cardiac enzymes, including high-sensitivity troponin T, CK and CKMB, were trended. Cardiac MRI was performed - preliminary results show evidence of myocarditis Lab Trends (earliest to most recent, as of 1 pm on 5/25/2021): High sensitivity Troponin T: 1224, 732, 664, 1058, 1332, 1141 CKMB: 65.6, 41.6, 19.3, 11.4, 6.3, 3.2 Pro-NT-BNP: 803,493, 392, 293 CRP: 58.2, 32.8, 28.6, 14.9. At the time of sumission of this report, the patient remains in the hospital. Further results will be communicated to VAERS.

Difficulty breathing Difficulty swallowing Drove POV to hospital - denied ambulance transport -mother denied ambulance

14 hours after the vaccination my son began to feel short of breath, warmth in the chest, very fast heartbeat, and chest pain. We immediately went to an emergency room and they detected pericarditis. Followed with a little milder symptoms. He will continue to visit his doctor.

Chest pain - Pt with left sided chest pain with running yesterday, about a mile into the run, jogging on a treadmill. Sharp pain, severe, had to stop. Pain resolved within a few seconds when he stopped. Similar episode the day before but much more subtle mild achy pain. Has had faster heartrate and out of breath much easier since he received the 2nd COVID-19 vaccine 3 weeks ago. Dull pain/pressure in his chest has been persistent the last few days since he started running for soccer, club soccer just started. Rode a long intense mountain bike ride prior to the 2nd COVID-19 vaccine, no problems with that, that was 2 weeks after the first, 1 week before the 2nd shot. Since the second vaccine has been really fat

Fatigue on day 1-2. Chest pain and shortness of breath on day 3-4. No fevers. Symptoms fully resolved by day 5 without therapy.

myocarditis; chest pain; shortness of breath; This is a spontaneous report from a contactable physician. This physician reported similar events for two patients. This is the first of two reports. A 16-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06May2021 (Batch/Lot number was not reported) (at the age of 16-year-old) as single dose for COVID-19 immunisation. Medical history was none. Prior to vaccination the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient previously took ceftriaxone and received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunisation. On 08May2021, the patient experienced myocarditis, chest pain and shortness of breath. The patient was hospitalized for 4 days due to the events. The patient underwent lab tests and procedures which included COVID-19 test (nasal swab): negative on 09May2021. Therapeutic measures were taken as a result of the events and included treatment with ibuprofen. The patient outcome of the events was recovering. Information on lot/batch number has been requested.; Sender's Comments: Based on temporal association a contributory role of BNT162B2 to the reported myocarditis, chest pain and shortness of breath cannot be totally excluded. Additional information is needed to better assess the report. 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.,Linked Report(s) : US-PFIZER INC-2021565275 same reporter/AEs/vaccine, different patient.

16-year-old male with no significant past medical history who presented on 5/25/2021 with 2-day history of chest pain. Patient had his second dose of Pfizer Covid vaccine on 5/22/2021 and on 5/23/2021 he developed headache and body aches. In the afternoon of that same day patient developed retrosternal chest pain that he described as a pressure and radiated to the back. He took 2 Tylenols and went to sleep and he reports improvement of the pain. He woke up the next day on 5/24/2021 without any pain and was most of the day doing well but in the afternoon early evening the pain returned stronger. He describes as at least 5 out of 10 in severity, no shortness of breath but the pain got worse when yawning or taking a deep breath. The pain would improved if he lay on his left side. Given the symptoms he was taken to outside hospital where he was found to have ST segment elevation and elevated troponin concerning for myo/pericarditis he was transferred from this facility for further management. He was given 2 aspirins and the pain improved down to a 1 out of 10 and has remained the same. Interval history 05/26/2021: No acute events overnight. Denies chest pain, SOB, or headache. Eating well. VSS. No emesis. Almost back to baseline very minimal residual discomfort

Patient had the normal expected symptoms on the 2nd day following his shot ... with sore arm, fever to 101, fatigue & slight headache. He refused to take Tylenol that day, unlike his 14 year sister who had the same symptoms. On Sunday morning (the 3rd day) he woke up & told us he was having chest pain & shortness of breath. His sister was doing fine. So I gave him Tylenol at 10am to try to reduce any inflammation & he still had a fever of 100. About an hour later his fever had reduced to 99 but he was still having slight chest pain & shortness of breath ... mainly if he walked or moved around. He didn?t want to get it checked out but I called our insurance & they agreed that he should go to the ER for testing so we went there at around 3pm. He had testing done including EKG, chest X-ray & COVID-19 test which all came back negative & other lab tests that also came back negative. They gave him some meds & about 2 1/2 hours later diagnosed him with pleurisy. He still was having slight chest pain & shortness of breath when we left at 5:30pm but throughout the evening was getting better. We gave him Motrin before bed & another Motrin this morning before school, even though he said he was feeling better.

myocarditis; elevated troponin/troponin has been rising (up to 16); substernal chest pain at rest; shortness of breath; CRP to 87; abnormal EKG; headache; fevers; This is a follow up-spontaneous report from a contactable HCP (Nurse). A 16-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 24Apr2021 (Batch/Lot number was not reported) as 2ND DOSE, SINGLE for covid-19 immunization, at the age at vaccination of 16 years old. The patient medical history was not reported. NKA (No known allergies). Historical vaccine included first dose of BNT162B2 for covid-19 immunization. Concomitant medication included tretinoin (RETIN-A) 0.025 % cream taken for an unspecified indication, start and stop date were not reported. The patient experienced myocarditis, elevated troponin/troponin has been rising (up to 16), headache, fevers, substernal chest pain at rest, shortness of breath, crp to 87, abnormal EKG, all on 26Apr2021 with outcome of recovered on Apr2021. Reported as Patient with no significant PMH admitted on 4/26 with myocarditis, elevated troponin, and abnormal EKG. He states that he was feeling his usual self until the day that he received his 2nd dose of the COVID vaccine on 4/24. On 4/24, he started to have a headache and subjective fevers. On 4/26, he reported having substernal chest pain at rest, non-radiating, associated with shortness of breath. Patient took tylenol with minimal relief. Patient denies cough, congestion, abdominal pain, nausea, vomiting, diarrhea, rash. No sick contacts. Since admission, troponin has been rising (up to 16), BNP normal, CRP to 87, ESR normal, CBC and electrolytes unremarkable. Clinical course and findings consistent with myocarditis. ID consulted for infectious workup and management. In my prelim recs upon admission, I recommended a dose of IVIG and holding off on steroids and antibiotics.The patient underwent lab tests which included electrolytes: unremarkable on 26Apr2021, BNP: normal on 26Apr2021, c-reactive protein: to 87 on 26Apr2021, electrocardiogram: abnormal on 26Apr2021, CBC: unremarkable on 26Apr2021, ESR: normal on 26Apr2021, sars-cov-2 antibody test: positive on 29Apr2021 (Blood test), Symptomatic COVID-19 (Standard NAA): negative on 26Apr2021 (Nasal Swab), troponin: has been rising (up to 16) on 26Apr2021, troponin: elevated on 26Apr2021. The events resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization. The patient was hospitalized for events for 4 days. Treatment received for events. Patient had no covid prior vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Information about batch/Lot number has been requested.; Sender's Comments: The causal association cannot be excluded between the reported events and BNT162B2 use. 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 AE. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees and investigators, as appropriate.

Patient presented with chest pain initially with exertion on day one of illness (2 days post immunization), but by day 3 of illness (4 days post immunization) with acute onset midsternal chest pain that woke him from sleep. Pain did not radiate, he did not have any shortness of breath but pain with deep expiration. EKG performed in the ED showed diffuse ST elevations, and because of this patient underwent left heart catheterization. Left heart catheterization performed showed normal coronary arteries, left ventricle dysfunction with apical hypokinesis and an estimated ejection fraction of 50%, elevated left ventricular end-diastolic pressure of 20-25 mmHg, and no evidence of aortic stenosis, insufficiency, dissection, aneurysm. . Initial troponin level elevated to 12.4, max troponin level of 31.3. Pediatric cardiology was consulted with recommendations to start ibuprofen 600 mg every 6 hours. An echocardiogram was performed and showed mildly decreased longitudinal strain in the apex and inferior basal segments. Patient currently continued on ibuprofen 600 mg q6h, with improvement of troponin level.

16 yo previously healthy with pleuritic chest pain, occurring a couple of days after receiving second covid vaccine (Pfizer). Workup revealed mildly abnormal EKGs and elevated troponins. Cardiology consulted and Echo showed no evidence of myocarditis and bright pericardium without effusion c/w acute idiopathic pericarditis. He was started on several days of motrin and pepcid. Cardiology will see him in the office in 1 week. The cause of pericarditis may be related to recent covid vaccination - this has been increasing reported after mRNA vaccines and affects teens and adults, primarily males. Prognosis is very good with rest and NSAIDs. Strict RTED instructions provided. Normal activity allowed but NO sports or strenuous activity until seen by Ped Cards.

ON 06/06/2021 AND 06/07/2021 PATIENT PRESENTED NAUSEA, VOMITING, AND DIARRHEA. AFTERWARDS, ON 06/08/2021 THE PATIENT ARRIVED TO THE EMERGENCY ROOM COMPLAINING WITH SHORTNESS OF BREATH AND ACUTE LEFT SIDED PAIN.

mother reports that he developed chest pain, tightness and SOB on 6/5/21. He will see his Pediatrician on 6/16/21. He was supposed to have 2nd covid dose on 6/10/21 but has been postponed until doctors appt.

Had covid pfizer vaccine on 5/19/21 Had vaccine at 5 PM, the following morning at 7 AM patient had episode of experiencing chest tightness and difficulty breathing Reports had feeling of throat being tight, closing on him per his description Sx resolved after 1 hr Did not take any benadryl or other medicine No further chest pain since incdient

Central chest pain (started two days after vaccine, admitted to the Hospital on day three after vaccine), nausea, vomiting, shortness of breath.

cough with progressive dyspnea, pt found to be in biventricular systolic heart failure being treate with Milrinone, lasix, Patient has diabetes type 2 most recent HGB A1C was 12, with a BMI of 40. Hospitalized

4 HOURS POST IMMUNIZATION PATIENT EXPERIENCED SHORTNESS OF BREATH AND CHEST PAIN. WENT TO ER DEPARTMENT. CHEST X-RAY, EKG AND BLOOD WORK PERFORMED. NEXT DAY VISIT TO PEDIATRICIAN FOR UNRESOLVED CHEST PAIN, GIVEN ANTI-INFLAMMARY RX AND PPI FOR GERD.

Presented to urgent care on 5/28 with complaints of sore throat, Headache, body aches and fever for 103, slight cough, denies chest pain or SOB. Had a neg rapid strep. Diagnosed with viral illness 5/30 presented to the ED with chest pain, cough, wheezing and SOB. Also had diarrhea and low abdominal pain. Was hypotensive and bradycardia. Received 2 bolus of Lactated Ringers . EKG with ST segment elevation. Concern for MISC. Transferred to hospital. 5/30 at the hospital he had another bolus of fluid, continued bradycardia admitted to the ICU for potential for hypotension during IVIG for suspected MISC, worsening ST elevation on EKG. TTE unremarkable. Started on IVIG, anakinra, lovenox and solumedrol. Monitored on telemetry. EKGs consistent with myopericarditis. discharged home on prednisone on 6/4 with a long taper, has follow up with rheumatology and cardiology. Stool enterovirus positive culture positive. He had previously been diagnosed with COVID-19 in November 2020

4 days after 2nd dose of vaccine patient had onset of shortness of breath, chest pain, and palpitations. He did not tell his parents so evaluation was delayed. Shortness of breath and chest pain self resolved. He presented ~2 months later with persistent palpitations and was found to have a new diagnosis of frequent ventricular ectopic beats. 2 months post vaccination his inflammatory markers and troponin were negative and his echocardiogram showed normal ventricular function. However, the clinical history suggests the possibility of post-vaccine myocarditis. I am not positive whether he received the Pfizer or Moderna vaccine but I believe it was Pfizer. I am also not 100% positive about the date of vaccination.

Received second covid vaccine and one month later, developed chest pain, shortness of breath and was admitted to hospital for concern of myocarditis.

The day following the second Pfizer shot the patient developed a fever to 101.5 that improved with Tylenol and did not recur. On that same day he felt tingling in the hands and feet and reported a floating sensation. This too resolved with resolution of fever. On the third day after the shot he developed chest pain, difficulty taking a deep breath. He woke up the following morning with nausea which resolved but the chest pain and a feeling that it was hard to take a deep breath worsened. The pain was significant enough that he went to the ER. In the ER, he was found to have an ECG consistent with acute pericarditis and his troponin was elevated (2.75, upper limits of normal 0.03). He was started on IV Toradol and admitted to the hospital. His troponin kept climbing so he was also given IVIG (80 gm). The following morning his Troponin started coming down and he no longer was reporting any symptoms.

severe chest pain; shortness of breath; This is a spontaneous report from a contactable consumer (patient). A 16-year-old male patient received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: EW0179, expiration date unknown) via an unspecified route of administration in the arm left on 28May2021 at 11:45 AM at age of 16-year-old at single dose for COVID-19 immunization. Patient previously received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: EW0171, expiration date unknown) via an unspecified route of administration in the left arm on 07May2021 at 02:30 PM at age of 16-year-old for COVID-19 immunisation. Patient had no known allergies. Medical history and concomitant medications were not reported. On the night of day 1 into day 2 following the second vaccine, patient woke up with severe chest pain and shortness of breath that lingered for hours after onset. Events onset date was reported as 30May2021 at 02:00 AM. Events didn't result in emergency room visit or physician office visit. Outcome of the events was recovering. No treatment received for the events. Patient had no COVID-19 prior vaccination. COVID-19 was not tested post vaccination. Follow up needed, further information has been requested.

6/17/21-complained of constant headache in the AM- 6-7/10 located at temples and forehead , with mild light sensitivity In evening during shower - rapid HR, pounding constant 116 bpm Since afternoon chest pain with deep breaths-midline and to the left , at nipple line , able to pinpoint location , worse with laying on left side . temp - 102.3 f .

Patient developed chest pain and shortness of breath a day after vaccine Admitted to the hospital, troponin were elevated, Echo showed mildly reduced EF treated with colchicine and NSAIDs

Pt reported chest pain with exertion occurring approximately one week after the second dose of the COVID-19 vaccine. He was seen in the ED on 06/10/2021. At the time he described midsternal chest pain and shortness of breath. Which occurred with exercise. In the ED he had a normal ECG and echocardiogram but had elevated troponins 0.24 and with observation in the ED decreased to 0.18. He has since been refraining from any competitive sports or swimming.

Myocarditis. patient reports shortness of breath and fatigue 24 hours post vaccine. Admitted to the hospital 17 days post vaccine with elevated troponin, chest pain, and shortness of breath.

Chest pain and "vice like" pressure in the area of the heart, shortness of breath which lasted for three days. During the period of pain there was limited activity on the part of the individual. After three days the symptoms had subsided completely.

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

Chest pain, shortness of breath, severe myocarditis, rhabdomyolysis developed 2 days after his second shot.

Patient started by having fever, chills and vomiting. The next day, he started having chest pain and shortness of breath. Mother took him to Urgent care and then was asked to go to the ER. He was admitted to the ICU for positive cardiac inflammatory markers and diagnosed with Myocarditis.

My son began experiencing chest discomfort a few hours after he had received his 2nd dose. The discomfort only increased with his anxiety and having difficulty breathing. He also experienced his heart racing. I took him to the facility the following afternoon - approximately 31 hours after the 2nd dose and the facility completed blood work, x-ray and EKG; I was to follow-up with a cardiologist and that was also completed with Dr. and another EKG was performed, followed by an ultrasound of his heart. I have not received the result of the ultrasound as it was just performed on 06/30/2021.

Pt stated he felt like his throat was closing up(severity scale 3/10 per patient). Mother happened to have Benadryl so patient was given Benadryl 50mg. Pharmacist and mother observed the patient for about 45 minutes in the pharmacy. Pt felt better and left the pharmacy without incidence. followed up with the patient on 7-11-2010 again and spoke to the mother. Pt recovered from discomfort caused by throat closing but states his arm was sore.

Headache, chest pains, difficulty breathing. Went to ER, had EKG, echocardiogram and blood work. Tested troponin levels bc of recent covid vaccine. Then diagnosed with mild myocarditis Bc troponin levels were elevated to 27. Admitted to hospital and testing enzyme levels until they start heading down. Given Motrin to help with inflammation and chest pain

Loss of feeling in left leg and foot; Foot drags when walking.; Nausea; shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A 16-years-old male patient received bnt162b2 (BNT162B2, Formulation: Solution for injection: Batch/Lot number: unknown), via an unspecified route of administration, administered in Arm Right on 18Jun2021 09:15 as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization. The patient's medical history was not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested for COVID-19. On 27Jun2021 13:00 Hour, the patient experienced loss of feeling in left leg and foot. Foot dragged when walking. Leg shook when still. Nausea and shortness of breath. The adverse event result in doctor or other healthcare professional office/clinic visit. The patient received treatment for the events. The outcome of the events was not recovered. Additional information has been requested and will be provided as it becomes available. ; Sender's Comments: Based on current information available, the events mostly represented intercurrent condition in this patient with young age, unrelated to Bnt162b2. Relevant medical history, concurrent disease, trauma history are missing for a medically meaningful assessment. 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

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

This is a spontaneous report from a contactable consumer or other non hcp. A 16-years-old male patient received bnt162b2 (BNT162B2; Batch/Lot number was not reported), via an unspecified route of administration on 02May2021 11:00 as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 03May2021, the patient experienced high fever, chest pain and having trouble, like it hurts when he takes breath, ache. It was reported, reporter's son had the Pfizer vaccine, yesterday at 11AM, and he was fine and then this morning he had a high fever, the ache, all of that, but now, you know I have given him some Tylenol (treatment). He 16 and half, 17 in September and he was now complaining of some chest pain and having trouble, like it hurts when he takes breath, was this something that's normal, because have not heard about of this side effect. Therapeutic measures were taken as a result of events which includes TYLENOL. The clinical outcome for all events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Patient is a 16-year-old boy with no significant past medical history presents to the emergency department with concerns for chest pain and shortness of breath. Patient had his second dose of the Pfizer Covid vaccine 3 days ago. Initially after the dose he did experience some myalgias, fatigue, and a sore throat. The symptoms lasted overnight and into the following day. They then remitted. Yesterday, patient was feeling well in the morning, however, in the evening he began to experience significant shortness of breath. This shortness of breath along with some anterior throat and upper chest discomfort with deep respirations. He denied any associated nausea, vomiting, or sweating. With these symptoms he went to hospital. There he was evaluated and a chest x-ray was performed. Patient's chest x-ray did not show any concerning findings. Patient was discharged in stable condition with albuterol and encouraged to follow-up with his primary care physician. Today, patient's shortness of breath and chest pain returned. He states that it is in the center of her chest with occasional radiation to his jaw. He denies any associated nausea, vomiting, or diaphoresis. His pain was initially severe in route to the emergency department, however, it has lessened and is now 4 out of 10 in severity. Patient otherwise denies any other fevers, lightheadedness, change in vision, abdominal pain, constipation, diarrhea, or dysuria. Medical Decision Making: Pt presented for chest pain. EKG was given to me shortly after obtaining it. This showed ST elevation inferiorly and laterally with possible reciprocal change in I, aVL & V1. Troponin was markedly elevated. I discussed case with our interventional cardiologist initially who wanted to take pt to the cath lab. However, pt is a minor and he noted that he couldn't cath a minor. This decision was made after the patient was already in the cath lab. Therefore, I contacted Hospital and discussed this case with the on call cardiologist. He recommended pt be tranferred to the ED where they will evaluate him and possibly do an echo of his heart. I discussed this with the ED physician at hospital who agreed to see pt. He was then tranferred via ambulance for further care.

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

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

Approximately 15 minutes after vaccination, recipient developed tightness in throat. Taken into ambulance by EMTs. Seen by doctor at 20 minutes post vaccine. Patient developed stridor and shortness of breath. Treated for anaphylaxis- IM epinephrine x2, IV dexamethasone, 250 mL normal saline bolus. Transported to emergency department by EMS.

April 2- woke up with extreme fatigue, achy, headache, had trouble sleeping. In afternoon had 100 fever. April 3 - woke up with migraine type headache; fatigue; lack of energy; had trouble sleeping; had weird dreams. April 4 - work up with same headache; had trouble sleeping; had a neck ache and sore throat. Overnight, 230 am April 5, had severe stomach pain, breathlessness, pain in left elbow. Had headache after waking up, missed school, still feeling drained.

Within 1-2 minutes my son passed out and started violently shaking/convulsing. His chin was pinned to his chest, he struggled to breath and was making a sound as if he was loudly snoring but seemed to be struggling to breathe. I was unable to wake him. I'm not sure how long it lasted but maybe 2 minutes or so. He woke up and asked what was going on as we had all been standing over him trying to unsuccessfully wake him. He shared that he thought he'd been asleep and had been dreaming. He also shared that his throat hurt very much. He had the shakes for about 30 minutes after and was extremely exhausted. He slept for 14 hours as soon as we arrived home.

Pt was given Pfizer first dose at 930. Walked to monitoring area. Sat down and c/o of visual disturbances light/blurry, ears sounding like drums. Bilateral hands shaking and holding parent's hands. Sweat running down face. Color draining from lips/face and began c/o trouble breathing. 9:31 epi given in right thigh. Began feeling better and breathing regular. 9:34 Benadryl given. Moved to exam room for monitoring. VS and monitoring continued for 4 hours. Pt released with epi rx and f/u instructions.

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

Hives(gone later that day), Throat Swelling, Pain, Itching Nose Blockage, Itching(better than before as of 4/12/21)

Pt's father called on 4/9/21 afternoon and stated patient received dose 1 of Pfizer vaccine on 4/7/21 at stadium. On 4/8/21 pt.'s father states pt has fever, chills, some SOB and chest pain but feels better today (4/9/21). Pt's father also state patient took Tylenol for fever. Advised pt.'s father to take pt to the ED for evaluation and contact PCP. Pt's father verbalized understanding.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Flushed / Sweating-Mild, Additional Details: epipen was not given by pharmacy, but given by paramedics after getting to the pharmacy

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

Day 1-- shot, nosebleed 8 hours later Day 2-- feels gross, sore throat, 2 more nosebleeds, stays home from school, fatigue, chills around 7 pm, complains of nausea Day 3-- feels grosser, stays home from school again, another nosebleed, fever 99.2, fatigue, still sore throat, weak muscles, gets winded if he has to walk gave him advil, vitamins, lots of water, emergen-c, ice packs, hot water bottle, tylenol, room humidifier, tea w/ lemon & honey, cough syrup for throat, afrin to clear up nose when it was stuffed closed (after the nosebleeds, afrin did not cause them) Nothing has helped him, he felt worse with each passing day. Tomorrow is day 4.

1021: Patients mother alerted roving medic that son was experiencing respiratory distress. Medic immediately radioed their another medic. Two other EMT arrived at car at 1022. 1022: Patient stated he felt like his throat was being to close up and appeared to be gasping for air. Pt also stated he was beginning to lose sensation in his extremities; extremities tense and contracting; denied changes in vision. Mother stated no food or medication allergies but pt had previous anxious reaction to Hep B two years prior. Initial vitals on arrival: BP: 80/52 SpO2: 89% Resp: 26 1025: 0.3 mg Epinephrine administer into left vastus lateralis by emt overseen by another emt 1026: repeat vitals BP: 111/57 Sp

1021: Patients mother alerted medic that son was experiencing respiratory distress. Medic immediately radioed Personnel Personnel notified another Person and both arrived at car at 1022. 1022: Patient stated he felt like his throat was being to close up and appeared to be gasping for air. Pt also stated he was beginning to lose sensation in his extremities; extremities tense and contracting; denied changes in vision. Mother stated no food or medication allergies but pt had previous anxious reaction to Hep B two years prior. Initial vitals on arrival: BP: 80/52 SpO2: 89% Resp: 26 1025: 0.3 mg Epinephrine administer into left vastus lateralis by 2 personnel 1026: repeat vitals BP: 111/57 Sp

Two days following vaccine, patient experienced N/V and right lymphadenopathy (on same side as injection) which continued for two additional days. On Day 5, patient experienced neck and facial swelling, rash, itchy mouth, throat tightening, and difficulty breathing following lunch (chicken with cashews, no prior food nor medication allergies nor prior symptoms with any tree nuts nor peanuts nor soy). Symptoms improved with 50 mg diphenhydramine, but swelling continued, administered corticosteroids at urgent care facility and continued Medrol dose pack. Food allergy testing scheduled for mid-May.

Systemic rash with hives and itching, chest pain and shortness of breath, neck and facial edema, edema to extremities, nausea and vomiting Benadryl 50mg PO every 4-6 hours for 4 days and then PRN for itching/rash. Medrol Dose pack as directed, Daily Pepcid PO, Zofran PO PRN

The day following the vaccine c/o tactile fever, headache, stomach ache and fatigue (on 5/2). On 5/4 developed chest pain and shortness or breath. Reported to the ER with concerning EKG and troponin levels and therefore transferred where he has been admitted for myocarditis.

1st dose of Pfizer administered. A little over 1 hour elapsed before patient developed hives and itching beginning at injection site (deltoid), spreading first to elbow of the same arm, then to knuckles, chest, neck, torso, and face. Some wheezing was heard by family members, but the patient displayed no other significant signs of respiratory distress. The patient lives where only accessible via boat or plane. Family called a triage line and spoke with a nurse who encouraged immediate Medivac due to location time and extensive transit times to the nearest medical facility; however, family opted to keep child at home. A physician instructed the parents to administer 50 mg of Benadryl every 6 hours, which the family did. Rash and discomfort lasted approximately 4-7 days before total resolution.

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

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

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

Developed feeling of throat closing within a few minutes of vaccine. Benadryl given without improvement. EMS called. Noted to have stridor on arrival. Epinephrine administered with almost immediate resolution of symptoms. Taken to ED where noted to have uvular edema. Treated with dexamethasone. Uvular edema resolved, and discharged home.

felt like his throat was being to close up; appeared to be gasping for air; lose sensation in his extremities; extremities tense and contracting; respiratory distress; This is a spontaneous report from a contactable nurse, reporting for her son. A 17-year-old male patient received BNT162B2 ((PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 intramuscular, administered in the left arm on 20Apr2021 at 10:15 (Batch/Lot Number: EW0170) as a single dose (at the age of 17 years old) for covid-19 immunisation. Medical history included anxiety from an unknown date. There were no concomitant medications. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Historical vaccine included anxious reaction to Hep B two years prior (2019). The patient experienced respiratory distress on 20Apr2021 at 10:21 with outcome of unknown, felt like his throat was being to close up on 20Apr2021 at 10:22 with outcome of unknown, appeared to be gasping for air on 20Apr2021 at 10:22 with outcome of unknown, lose sensation in his extremities on 20Apr2021 at 10:22 with outcome of unknown, and extremities tense and contracting on 20Apr2021 at 10:22 with outcome of unknown. Chronology of events was as follows: on 20Apr2021 at 1021: Patients mother alerted roving medic that son was experiencing respiratory distress. Medic immediately radioed and arrived at car at 10:22. At 10:22: Patient stated he felt like his throat was being to close up and appeared to be gasping for air. Patient also stated he was beginning to lose sensation in his extremities; extremities tense and contracting; denied changes in vision. At 10:25: 0.3 mg Epinephrine administer into left vastus lateralis. The patient underwent lab tests and procedures which included blood pressure measurement: 80/52 on 20Apr2021, blood pressure measurement: 111/57 on 20Apr2021 at 10:26, oxygen saturation: 89 % on 20Apr2021, and respiratory rate: 26 on 20Apr2021. The events resulted in Emergency room/department or urgent care. It was also reported that since the vaccination, the patient had not been tested for COVID-19; Sender's Comments: Based on current known drug safety profile, the reported events were assess as intercurrent medical events and thus assessed as not related to suspected drug BNT162B2 . Case will be reassessed pending new 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

Complained of nausea, next day, vomited. C/o burning and throbbing in opposite of vaccine injection site. 4pm low grade fever. C/o he can't breathe. C/o burning of chest. States better on Sunday after taking benadryl and nyquil mom stated. Administered by a nurse per record. Mom instructed to take to dr for evaluation but he is asymptomatic as of 4 pm 5/10/21/

Patient reported feeling nauseous nearly immediately after vaccination and retreated to the store bathroom. Upon arrival, I found him profusely diaphoretic and very pale. He reported some difficulty breathing and was wheezing when speaking. He did vomit briefly. An epinephrine 0.3 mg auto injector was administered to his right thigh pending the arrival of emergency services.

Headaches, body aches, shortness of breath, difficulty breathing, chest tightness since Apr 26th (2 weeks and continuing). ER visits on May 4, 2021 and May 10, 2021.

17yo otherwise healthy male presents to clinic for worsening cough, runny nose congestion, and sweats starting 4 days ago. He received the COVID vaccine 5 days ago in the afternoon and initially had what he expected to be normal side effects from the vaccine that evening. Symptoms included body aches, runny nose and general malaise. However, over the last few days he has felt worse and developed more congestion, cough, and sweating. He did improve a little bit 2 days ago but then started to feel worse yesterday and had a worsening cough that is resulting in some chest tightness. Cough is productive sounding. Mom describes it as barking. No appreciable wheezing but he sounds hoarse. He has some SOB after coughing repeatedly. He states it simply feels like it is hard to breathe for 10-20minutes after a coughing attack but then it resolves. He developed sweating yesterday as well. He states he will just start sweating for no reason. No measured fever. No chills. Today he has dried skin and cracked lips from blowing/wiping his nose all the time. No fevers. No vomiting. No diarrhea. No numbness/tingling. No redness/swelling at injection site. No rashes. No HA. EXPOSURE: No one at home is sick, No known exposures prior to vaccine CHRONIC: None, no hx of asthma or allergies, hx of eczema. PCP: None UTD on imms. Vitals: Wt 163.4, HR 60, RR 18, Temp 97.8, O2 sat % 98 Past Results: Examination: GENERAL APPEARANCE: alert, no acute distress, non-toxic, mildly diaphoretic, talking and cooperating throughout exam, sitting comfortably on exam bed, able to talk in complete sentences. HEAD: no visible lesions or abnormalities. EYES: no eye, eyelid, or orbital abnormalities identified. EARS: BILATERAL TMs pearly gray without erythema, effusion, or purulence; EAC with normal amount of cerumen bilaterally, no mastoid erythema or tenderness. NOSE: patent nares, congested, clear rhinorrhea. MOUTH/THROAT: moist mucous membranes, uvula midline, mild pharyngeal erythema without tonsillar exudate, no soft palate lesions, no trismus, no soft palate swelling or erythema, no difficulty swallowing or drooling. NECK: supple, non-tender, FROM. CHEST: normal shape, good expansion, no visible lesions/abnormalities, no tenderness, no retractions, no grunting, no stridor. HEART: no murmur, RRR. LUNGS: clear to auscultation, prior to administration of inhaler, diffuse wheezing and rhonchi throughout, post inhaler, improved air movement with focal rales in RIGHT poseterior middle lung field around T5. ABDOMEN: soft, no tenderness, no masses palpated, normoactive bowel sounds, non-distended. NEURO: alert, non-focal exam. SKIN: warm, dry without rash, petechiae, or purpura. Pneumonia of right middle lobe due to infectious organism Start Albuterol (Eqv-Proventil HFA) aerosol, 90 mcg/inh, 2 puff(s), inhaled, every 6 hours, 30 day(s), 1 Start amoxicillin tablet, 500 mg, 2 tab(s), orally, 3 times a day, 10 day(s), 60 Imaging:XR CHEST 2 VIEWS PA AND LAT Notes: History and exam are consistent with Community Acquired Pneumonia. CXR final read indicates RIGHT middle lobe bronchopneumonia. Suspect that pneumonia is unrelated to COVID vaccine. Pneumonia is an inflammation of the lungs caused by infection. Antibiotics are used to treat bacterial pneumonia. Other medications may help improve breathing and relieve symptoms in bacterial and viral pneumonia. Start and complete entire course of antibiotics. Increase fluids and restas much as possible. Patient informed to return if not improved or go to ER if worsening sympmtoms, SOB, or increased chest pain. Should be rechecked in 2-3 days by PCP. Discussed side effects and risks of medications with the patient. Patient expressed understanding and a willingness to participate in the plan. Patient left the UC in a stable condition with all questions answered at this time. Cough Imaging:XR CHEST 2 VIEWS PA AND LAT Notes: Discussed cough in clinic. Will plan to treat with albuterol PRN cough/wheezing every 4-6hrs and Stiolto Respimat 2 inhalations QD after discussion with Dr. First dose of Stiolto given in clinic with improvement in symptoms and improved aeration. Focal findings now appreciable. Discussed close follow-up and when to return to clinic. Will report symptoms to VAERS. All questions and concerns answered and addressed.

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

Intense headaches the day after taking the shot, back pain from the waist up. 2 days later I woke up with chest pain and the lingering headache, my chest feels heavy and maybe shortness of breath. I did a bunch of research however I did not find anything about chest pain related to the second dose of Pfizer. I am not sure if it is some type of tissue or muscle pain or something more serious. When I massage my chest it does not ache like the muscle pain from my shoulder so id assume it has to do with maybe my lungs or heart.

After 1st shot; Patient developed multiple blood clots (lungs and legs) about 10-11 days afterwards. All tests for cause of clots were inconclusive. Patient received his second dose and with in 48 hours was hospitalized for appendicitis. If it was a reaction after just one shot, I would normally think it was a coincidence. With him have severe reactions after both shots, it seems very suspicious!

17-year old M with history of recurrent ear infections requiring PE tube placement who was in his usual state of health until 5/5 when he noticed a new itchy hive-like rash. He was short of breath 5/6, and developed fevers that night along with vomiting. He was seen 5/6 with negative COVID19 PCR and documented fever to 104. Fevers continued, and he was admitted the evening of 5/10 with concern for myocarditis. See below for hospital course. Additional information for Item 18: ...Screening labs were notable for mild lymphopenia, hyperbilirubinemia, hepatitis, and elevated inflammatory markers. Given prior COVID infection, rash, and systemic inflammation, additional studies including troponin, D-dimer, BNP, and EKG were obtained. EKG was reassuringly normal, however the D-dimer (2.48), troponin (1.27), and BNP (469) were elevated. Other work-up included chest x-ray which was unremarkable, and right upper quadrant ultrasound with incidental cavernous hemangioma of the liver. He was started on milrinone (5/11-5/12) after initial TTE was concerning for severely diminished LV function. Follow-up TTE 12 hours later was normal (on milrinone), and remained so after milrinone was discontinued 5/12. Follow-up TTE after discontinuation remained normal. Cardiac MRI was completed 5/14, although read remains pending. He received IVIG on 5/11, and was started on methylpred 50 mg IV BID, Anakinra 100 mg SQ BID 5/14, and transitioned to prednisone 30 mg PO BID with clinical improvement, down-trending troponin and systemic inflammatory labs. Subsequent CBCs have been notable for rising leukocytosis (5/16 WBC 56.3) and thrombocytosis (5/16 plts 690) and 4+ spherocytes (with no known personal or prior history of spherocytosis). He will likely be discharged 5/17. Infectious evaluation was unrevealing including cultures and viral studies. COVID spike and nucleocapsid antibodies were sent, but remain pending. Pt. initial COVID-19 infection was diagnosed October 2020, with positive saliva PCR testing. He was symptomatic for 3-5 days. He received his second dose of the Pfizer COVID19 vaccine 4/27 in his left arm; denies any significant reactions (arm swelling, injection site redness, lymphadenopathy, myalgias, fatigue, or fever). He has had passing contact with school classmates who have recently been diagnosed with COVID19.

17 y.o. male who presents with chest pain, elevated troponins and diffuse ST elevations concerning for pericarditis vs myocarditis admitted for cardiac monitoring and evaluation. Pt states he has had 1 day of sudden onset L shoulder pain and chest pain. Endorses dyspnea due to pain with deep breaths, denies tachypnea, nausea/vomiting, diaphoresis. Endorses mild chills and aches after COVID vaccine 3 days prior to onset of symptoms, denies any fever, URI symptoms, diarrhea, rash, known COVID contacts. Pain continued to worsen and spread across his chest, causing presentation to ED this afternoon. No history of PE, DVT, long travel, recent surgery, malignancy, alcohol or cocaine use. Significant cardiac history in family: dad with CAD w/LAD blockage, both parents with hypertension. At ED, labs notable for elevated troponin 0.456, repeat 0.67 and diffuse ST elevations on EKG concerning for pericarditis. COVID neg, CXR unremarkable, blood cx drawn, no abx started. Patient was given toradol for pain with minimal improvement. Peds cardiology was consulted and patient was transferred to different ED for further care. At different ED, repeat EKG showed similar diffuse ST elevations in I, II, aVL. Repeat troponins uptrending (4.91), proBNP 562, ESR 43, CRP 18. Mildly tachycardic but otherwise hemodynamically stable. Given tylenol for pain. Cardiology recommended admission for trending troponins, echo and cardiac monitoring. CV: Troponins were trended every 12 hours with a max of 4.91. His last troponin checked on the morning of discharge was 0.41. He had an echo that showed normal cardiac function, an MRI that indicated normal ventricular size and function, with minimal or healing and inflammation or mild myocarditis. During his admission, he had continuous cardiorespiratory monitoring, that did not show any arrhythmias. Resp: On 2L NC for comfort, no respiratory distress or hypoxia. FENGI: Regular diet Neuro: Ibuprofen scheduled and tylenol PRN for pain. He was initially started on ibuprofen 800 mg every 8 hours, but was starting to have pain prior to being due for medicine every 8 hours so his regimen was changed to 600 mg every 6 hours which controlled his pain adequately. ID: Myocarditis panel sent with some results still pending. Thus far, he is CMV negative, EBV IgG was positive but not IgM. RVP was negative. This all occurred in the setting receiving the Covid vaccine 3 days prior to presentation, which has been reported as a rare reaction to the Covid vaccine. At the time of discharge, labs pending results include mycoplasma pneumonia, coxsackie, parvovirus, enterovirus. Etiology of myocarditis remains unclear at this time, could be related to infectious etiology not yet clear to us, vs related to his COVID vaccine prior to admission.

Presented on 5/15 with chest pain and diffuse ST segment elevation consistent with perimyocarditis. He received his second COVID vaccine (5/11) 4 days ago- reports 3 days ago feeling sinus inflammation, throat felt swollen, and laid in bed all day, 2 days ago- he reports just having sinus inflammation sensation, 5/10- he reports feeling like every muscle including his neck hurt. No headache, vision changes, weakness, tingling. No cardiac history, leg swelling, rash, rhinorrhea, or recent illness.

Patient is a 17 yo male with no hx asthma who presented to medical center ED as transfer from facility with pleuritic chest pain and fever x1 day. Recent history of second covid vaccine on Friday (5/14). Patient reported associated fatigue, headache and muscle aches late Friday into Saturday (5/15). Sunday patient reported a fever (101 F) and chest pain with deep inspiration. No associated SOB, increased work of breathing or abdominal pain. Was seen initially at urgent care and then referred to facility for "an abnormal EKG." Pertinent findings at facility: troponin 0.31, EKG wnl, rapid covid negative, ESR 9, CK 134, D-dimer <150, WBC 12.4 w/ left shift. Transferred to medical center for further workup. While in medical center ED, troponin 1.59. EKG rSR' leads V1-V3 w/o ST segment elevation. MISC tier 1 studies drawn. Cardiology consulted - admit for observation, myocarditis infectious workup, echocardiogram and During his time in the ED, patient continued to have pain with deep inspiration as well as when he had to yawn. He other wise felt fine. Vital signs normal throughout out time in ED. His troponin continued to rise, with max of 14, so decision was made to start IVIG and steroids. His troponin fell over the next day. He remained stable from a clinical standpoint, and symptoms had resolved by the morning of 5/18. At time of filing, patient is still hospitalized at medical center, with further labs and imaging pending.

17-year-old male with a past medical history notable for autism who presents with 3-day history of worsening tachypnea, shortness of breath tachycardia. Patient presents with elevated BNP and troponin as well as severely depressed LV function on echocardiogram with associated EKG changes. Echo on admission with EF 22% and severe acute LV systolic and diastolic heart failure. Now on milrinone 0.5 mcg/kg/min, Lasix 20 mg IV q8h. Repeat 5/18 today continues with severe dysfunction, EF 28%. Troponin 0.09, BNP 616. Started carvedilol 5/19.

5/13 began as flu like , 5/14 6:00 pm couldn?t get full breath, went to Patient 1st, chest X-ray nothing , 5/15 4:00 am shoulder pain, couldn?t get full breath, Went to Hospital ER, Ekg progressively abnormal, Troponin and C reactive values increasing, transported to Medical Center ICU pediatric cardiology, physician and cardiologist, she diagnosed myocarditis and pericarditis. 5/18 discharged and home improving.

Symptoms of heart beating faster, louder and harder with mild pleuritic chest discomfort starting about 5 days after second COVID vaccine, ongoing but improving. Got his second COVID vaccine on 5.13.2021. Feels like heart is beating out of his chest, constant throughout the day, worst when laying down. Heart rate up to 100 at home. intermittent shortness of breath. No chest pain. After the vaccine, he developed a high fever for 2 days, a sore arm and tiredness. vitals normal at time of clinic exam today, May 24, 2021 RX: slow breathing, albuterol inhaler, reading recommendation: Breathe by hcp

17 y/o M with no PMHx presenting to ED from another ED for work-up of acute onset chest pain. Patient experienced this pain at approximately 2200 on 5/23 and this prompted ED visit. His chest pain was 8/10 at that time. Did not radiate. He mentioned pain with deep inspiration. Prior to Sunday night he describes feeling tired, malaise on Saturday. He says he had a fever on Saturday. Temperature at that time unknown. Otherwise patient was in usual state of health. Of note, Friday 5/21 was his second dose of the COVID-19 vaccine. He denies having any adverse effects after vaccine #1. Patient diagnosed with acute pericarditis at this time thought to be due to COVID-19 vaccine

Woke up on 5/7 with pleuritic chest pain, and admitted to the PICU on the same day. Found to have myopericarditis confirmed by MRI, now with residual low-normal EF of 56%. Discharged from hospital on 5/11.

Patient received 2nd Pfizer COVID vaccine on 5/21/21. He had fever and headache for about 24-36 hours, which he had also had after the first dose of the vaccine. On 5/23, he woke up with constant substernal chest pain, which worsened with exertion and deep inspiration. The pain increased throughout the day. In the ED, he was found to have elevated troponin ,CK-MB, elevated CPK, and elevated liver enzymes. EKG was concerning for ST elevation initially. Bedside echocardiogram showed low-normal function, normal coronaries, trace effusion, and no evidence of RV strain. Troponin and NT pro BNP were increased upon admission to our facility. Repeat ECHO showed borderline global hypokinesis of the LV with an LVEF of 51%. He received IVIG on 5/24/21 and also was started on ketorolac on 5/24/21. Troponin and CK were trending downwards at the time of this submission.

DAY 1: shaking jaw and body, chills, feeling cold, numb hands all came on suddenly at 10pm. Next day, headache and somache ache all day. Next day recovered except chest feeling weak and hard to breathe deeply.

The patient received his vaccine at 6 pm, he stayed at our site until 6:25. He reported throat tightness to mom in the next 5-10 minutes after they arrived home. He returned to our site and was accessed. He was stable and was given 50 mg Benadryl PO and ).3 Epi via Epi pen. He was then transported to ER by ambulance for observation. He was observed for 3-4 hours and was sent home with an EpiPen. The ER did give one dose of 2 mg albuterol PO for reported stridor.

Patient experienced fatigue, malaise and rash within 24 hours of second COVID vaccine. Then reported feeling short of breath with exertion while at wrestling practice on 5th day following COVID vaccine.

Thursday started with sore throat, fever, chills, stuffy nose and headache. We gave him Acetaminophen. Fever continued into Friday with the same symptoms. Hives began Saturday morning and gradually got worse. We gave him Benadryl at that time and the fever went up to 102.5 F. Wheezing in his chest began. Sunday morning the hives were worse and we decided to go to the doctor. We went to a walk in clinic who after an EKG wanted us to go to the Emergency room due to a "blip" and a concern for myocarditis. At the ER they administered Prednisone and more Benadryl through an IV. They decided to do a CT Scan to look for blood clots. (the ER doctor mentioned he was glad that we brought him into the ER...) No blood clots were found thankfully and they eventually released him, with a prescription for 4 days for Prednisone, more Benadryl and Pepcid. The hives continue today, the day after, and are barely under control by the Benadryl.

myocarditis; myocarditis; chest pain; shortness of breath; This is a spontaneous report from a contactable physician. This physician reported similar events for two patients. This is the second of two reports. A 17-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 01May2021 (Batch/Lot number was not reported) as 2nd dose, single dose (at the age of 17-years-old) for COVID-19 immunization. Medical history included myocarditis from 2019 to an unknown date. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 1st dose, single dose for COVID-19 immunization. Patient admitted to hospital with chest pain and shortness of breath, diagnosed with myocarditis on 05May2021. The patient was hospitalized for 6 days. Treatment received for the adverse events include metoprolol, amiodarone, ketorolac, IVIG. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 05May2021. The outcome of the events was recovering. The events were considered as serious (hospitalization). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. Information on the lot/ batch number has been requested.; Sender's Comments: Myocarditis is not uncommon disease in young population. This 17-year-old male patient had medical history of myocarditis from 2019. Based on information available, the reported recurrence of myocarditis with symptoms of chest pain and shortness of breath was not considered as causally related to the bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE). The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.,Linked Report(s) : PFIZER INC-2021565225 same reporter/AEs/vaccine, different patient.

Chills; Diarrheas; Vomiting; Fever; Headache; Sore throat; Cough; gets really tired easy; Short of breath; vomited again yesterday, comes back for a couple of days every week (diarrhea); This is a spontaneous report from a Pfizer-sponsored program. This is a spontaneous report from a contactable consumer (mother) or other non hcp. A 17-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER8736 and expiry date: unknown), dose 2 via intramuscular, administered in Arm Right on 23Apr2021 as 2nd dose, single dose for covid-19 immunisation. The patient previously took the dose 1 of the vaccine on 02Apr2021 (Lot Number / Expiry Date: ER8734, No expiry date, Route, Anatomical Location: Left arm) for covid-19 immunisation. He had no issues after the first dose of the vaccine. The patient medical history and concomitant medications were not reported. The patient's family history was none (Diabetes, thyroid issues, and anemia were in distant relatives, but not in immediate family). No vaccinations were given within four weeks prior to first administration of the vaccine. Adverse events following prior vaccinations were none. Additional vaccines administered on the same date were none. The patient experienced chills, fever, headache, diarrheas, vomiting on 24Apr2021, sore throat on Apr2021, cough, tired, short of breath and vomited again yesterday, comes back for a couple of days every week on 2021. After receiving the vaccine, the patient got sick; had chills, diarrheas, with vomiting twice. Did have a sore throat for a little but that has gone away. They had seen their HCP and have had Blood, urine, thyroid testing done and all came back negative; they took a stool sample also. They were being referred to the hospital and was waiting to hear back from the infectious disease doctor. His blood pressure was normal and had not gotten better since he had gotten the second vaccine. Arms don't hurt. The patient was not lethargic but he did feel himself, he got short of breath when he tried skate boarding and he got really tired easily. His diarrhea started initially 24Apr2021 through 27Apr2021 then went away for a couple of weeks, but came back for a couple of day every week. He had it then for 5 days in a row that time. It was usually 2-3 days before. The patient underwent lab tests and procedures which included blood pressure measurement: normal, blood test: normal on 20May2021 came back negative, pyrexia: 102.7, pyrexia: 99.3 to 102, pyrexia: 99.7 on 04Jun2021, stool analysis: unknown on 04Jun2021, thyroid function test: normal on 29May2021 came back negative, urine analysis: normal on 20May2021 came back negative. Outcome of the events Chills, Diarrheas, Fever and Headache was not recovered, Vomiting, Cough, Tired, Short of breath and vomited again yesterday, comes back for a couple of days every week (diarrhea) was unknown, Sore throat was recovered in Apr2021.

He experienced chest pain on the left side of this chest (pain 8 out of 10), had difficulty breathing, and felt his heart was beating really fast and coming out of his chest.

On Monday, May 31, 2021 at 1:20am pt. woke up with intense chest pain and labored breathing. He was able to fall back to sleep and woke up two hours later (3am) with the pain escalating. He did fall back to sleep again and once again woke up at 9am only to learn the pain was even worse and was barely able to breathe. He called me, his mother, and I raced him home and straight to our local Emergency Room. The ER originally thought it was a collapsed lung. After the x-ray came back negative for a pneumothorax, they continued testing. The very last test they did showed extremely elevated Troponin numbers at 1.05 and C-reactive Protein (CRP) numbers at 5.42. We were transferred by EMS/ambulance to the hospital 40 minutes away and checked into the Pediatric Intensive Care Unit (PICU). Pt was admitted in the afternoon of May 31st and was released on June 3rd at 1:30pm. June 1st his Troponin was 0.26 and CRP was 6.10. June 2nd Troponin was .45 and CRP was 3.54. The day he was released from the PICU (June 3rd ), his Troponin was .45, and the CRP was down to 1.83. Pt received daily EKGs, 24-hour heart monitoring, constant blood pressure tests, as well as blood oxygen levels. Once released from the hospital, Pt will be on light duty for at least a week, if not more. First follow-up Cardiologist appointment was June 8th at 10:30am. Echocardiogram, EKG, and blood work was ?normal.? Pt was put on a 72 hour heart monitor on June 8th and will be removed June 11th. Will start weaning off Ibuprofen and acid reducer, Pantoprazole, the next three weeks. Will continue to take Colchicine for three months, as well as light movement and exercise, nothing strenuous (swimming, running, etc.). Follow-up with cardiologist in one month (beginning of July).

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

2 days after 2nd Pfizer dose sudden severe chest pain with SOB, nausea, palpations. Unrelieved by OTC IB or rest.

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

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

Chest hurting sharp pain left side of chest he also complained of shortness of breath while working outside at store as a cart attendant this happen around 6pm June 11,2021

Approximately 6-7 days after the first dose of COVID vaccine (Pfizer) patient had low grade fever (100.8) malaise, and not feeling well. Progressed to chest pain and slight SOB. Continued low grade fever controlled with Tylenol and Motrin. Was seen in urgent care and tested for COVID. COVID PCR negative. EKG done (abnormal). Suggested covid 19 pneumonia and follow up with PCP. Was seen in ER that evening for increasing chest pain, SOB. Chest xray done. EKG not done. No labs sent. COVID PCR done. Negative. Improved at home with rest, Tylenol, Motrin. Sunday afternoon, was taken to ER for chest pain, increased SOB, and not feeling well. BP elevated, CXR done, EKG done, and bloodwork done. Troponin negative, D Dimer negative, labs WNL. No acute MI. Suggested pericarditis based on EKG results. Follow up suggested with cardiologist. Echo and EKG done on Tuesday May 4. Improving pericarditis/myocarditis. Final EKG done on Friday 5/7.

myocarditis with fever, tachycardia, pleuritic chest pain, elevated troponin, accelerated junctional rhythm, normal echo, tachycardia. MRI and two day hospitalization and follow-up with pediatric cardiologist.

Patient admitted to hospital on 6/16/2021. Patient was experiencing chest pain with intermittent shortness of breath for two weeks prior to presenting to emergency department. Troponin on admission 0.98, increased to 1.35 on following day then decreased to 0.85. ECHO was within normal limits. Patient discharged on 6/18/2021 and will have repeat troponin/ECHO in 4 weeks. Patient received Pfizer Covid vaccine on 4/26 and 5/17/2021.

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

Heart Palpitations, tachycardia, irregular heart beat and sharp constant 5/10 left sided chest pain since receiving COVID shot. SOB. PFIZER COVID shots 3/23/2021 and 4/14/2021 with symptoms coming on immediately after shots.

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

Patient had shallow breathing and mentioned pain with each breath, otherwise no other symptoms. Care team was in the room providing discharge assessment. Provider and patient verbally confirmed agreement to receive vaccine despite pain. Shortly afterwards, patient complained of shortness-of-breath but maintaining SATs and tachypneic, patient complained of not being able to feel upper extremities despite pressure on fingers. Non-rebreather was placed. Patient then became unconscious, sternal rubs were provided without response. The code team was called and patient began to seize. Ativan was administered and patient was prepared for intubation. Patient was intubated on the floor and subsequently transferred to PICU (Pediatric Intensive Care Unit).

On 06/02/2021, (23 days after vaccine) the patient and his identical twin brother were at dinner when patient had shortness of breath and chest pain. They brought the patient to Medical Center where a CT of the chest was performed to rule out a pulmonary embolus. No pulmonary embolus was identified and patient was transferred the patient via ambulance to Hospital to the intensive care unit. He was noted to have an elevated troponin, an elevated BNP and a left ventricular ejection fraction of 35%. He underwent a cardiac MRI on 06/04/2021 documenting delayed enhancement in the inferior and inferolateral walls of the left ventricle consistent with myocarditis. The patient's chest pain was quite severe and was only relieved once he was in the intensive care unit at Hospital. He did well for 2-3 days and did not require inotropes but his troponin vacillated and his ejection fraction remain low. He was given IVIG non 06/05/2021 after his echo showed an ejection fraction between 37 in 45%. He subsequently developed headache emesis and neck pain. On hospital day 5, the father was quite concerned for his son and thought ?he was going to die?. The father shared pictures of the edematous, pale son that he took with his phone. He improved over the next 1-2 days and was discharged from the hospital with an ejection fraction on 06/07/21 of 62%.

Pt pale and diaphoretic, unable to speak for a few seconds, with shallow resp. 911 called Laid down on cot bed, obtained vs, and monitored pt. until paramedics arrived on scene. Pt evaluated returned to baseline with VSS on RA, released to mother, who took pt to urgent care for further evaluation via private vehicle

Pleuritic chest pain lasting for 2 weeks. Started 5 days after second vaccine dose. Pain with inhalation, resolving after a few minutes. Occurring randomly throughout the day, including at rest. 4/10 stabbing pain located in the center of the chest. Worse with deep breathing. No fever, palpitations, loss of consciousness, cough, shortness of breath. ROS was otherwise negative. No illnesses preceding event. Resolved spontaneously. Saw PCP for annual physical, at the end of May at which time the pain had already subsided. Was referred to pediatric cardiology for further evaluation.

fever and chest tightness. Onset yesterday. Began after he received the second dose of his pfizer covid vaccine. He has generalized malaise and myalgias. Chest tightness with sob. Ed medications- Ns bolus 1000 ml, toradol 15 mg IV

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

PT is a 17 y/o previously healthy boy who presents with 3 days of moderate-severe, substernal chest pain, dyspnea, and nausea 2 days after receiving the 2nd dose of the Pfizer COVID-19 vaccine. On Tuesday (7/6), PT received the second Pfizer COVID-19 vaccine. The following day (Wednesday 7/7) PT had "flu-like symptoms" with chills, subjective fever, and a sore arm that resolved by Thursday (7/8). He was back to his baseline state of health on Thursday (7/8) and felt fine that whole day. On Friday afternoon (7/9) when he was at work washing dishes where he had some physical exertion he began to notice at 16:30-17:00 that he developed substernal, sharp, 7/10 chest pain that did not radiate, improve/worsen with deep breaths, sitting up, laying down or with movement of his upper extremities. It worsened towards the end of the night and peaked at 8/10 by 22:00-23:00 that same evening. His sister picked him up from work per his regular routine and he went home and took a shower which improved the pain to a 5-6/10 when he went to sleep. He woke up at 3 AM on Saturday (7/10) AM and had one episode of NBNB emesis associated with the chest pain. When he woke up later that morning he felt improved until 10-12 AM he developed mild chest pain again which he took Tums for. He also tried Motrin which did not help his pain at all. On the morning of admission (7/11), he woke up at 6-7 AM with upper right back pain, dyspnea, and nausea along with the persistent chest pain which prompted him to present to MFSH. He does endorse mild sore throat but denies any fevers, recent sick contacts, known COVID-19 exposure or previous history of COVID-19. There is a family history of cardiac disease including a fatal MI in his father. His mother's family also has a history of heart disease and both sides have a history of high cholesterol. He did add Whey Protein recently to his diet to for muscle building, but he DENIES any drug, alcohol, tobacco, vaping, marijuana, THC use. He does not play any sports regularly. He also denies any recent bug/tick bites or rashes.

At 2:25pm patient c/o SOB, increasing heart rate, hard to breathe, numbness all over body, and high level anxiety. Nurse took his blood pressure and tried to help patient stabilize his breathing in brown bag. Requested EMS immediately and patient was transported to hospital. HR: 170 BP: 150/100 Resp: 26

Patient is currently admitted to the ICU since 7/10/21 with potential post-vaccination myocarditis with associated troponin elevation and EKG changes. Initial symptoms included chest pain (pressure type), shortness of breath, vomiting, and generally not feeling well. Rash was noted by mom on his abdomen that became full body hives and welts (this has now improved). Cardiology is consulted in addition to primary intensivist team. He has been improving from a clinical stability standpoint, is hemodynamically stable now, but is still currently admitted and being monitored.

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

Immediately after administration, he started taking deep breaths and holding his chest with chest pain. He then lay down on the exam table and symptoms improved in a few minutes. 14 days later, on 6/17/2021, he developed severe muscle pain and was hospitalized two days later on 6/19/2021 for rhabdomyolysis. Discharged 6/22/2021 from Medical Center. He is an active athlete, plays alot of basketball and lifts weights. This was his first episode of rhabdomyolysis.

Dx:Pericarditis He complains of retrosternal chest pain that he first noted 01 Jun 2021. He stated he first noted it after eating some warm food at lunchtime yesterday and described it as an "achy" discomfort that does not radiate. It was intermittently mild throughout the day yesterday but worse when he woke up today. Stated that does make him feel mildly short of breath. Pt c/o acute chest pain with dyspnea upon exertion Seems like a straight forward very mild case. Had f/u cardiology appointment on 6/11. Normal CRP and ESR 6/11. ECG 6/11 still with diffuse ST elevation. Scheduled for ECHO. Phone message later stated ECHO normal

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

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

Sx. Started with extreme fatigue. At around 16:00. Near 18:00 I had developed a fever, concurrent with aches and chills. Near 22:00 I had developed a headache, one of a dull nature, with Sharp throbs. Between 22:00 and 00:00 01/11/:12 I had developed tinnitus. Near 01:00 01/12/2021 I had developed swelling of the injection sight with contralateral numbness on the left arm and leg. Near 02:00 01/12I had loss sensation In my left arm and developed numbness in the face. From 20:00 01/11 to 22:00 01/12 I had developed episodes of tachycardia with a peak resting heart rate of 143bpm measured via Watch. Between 15:00 01/12 and 22:00 01/12 I had experienced terrible non radiating angina proximal to the sternum. I had developed pain while urinating at around 21:00 01/11 my last urination was at 23:00 01/12, I did not go again until 16:00 01/13. I had experienced lower back concurrent with that. From 22:00 01/11 to 23:00 01/12 I had terrible SOB, and chest pain upon exhalation. Fever and body aches did not subside until through the night of 01/12:13. I had not experienced any symptoms as the night of 01/12. I had developed a rash across my chest near 18:00 01/11 though it has subsided it is still present.

10 minutes after injection, patient experienced a tingling in throat and esophagus felt tight. He could still swallow. Breathing was okay. Took 50mg Benadryl and felt better after about 45 minutes. No other symptoms.

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

Patient presented to the emergency department early March 28, 2021 after experiencing 5-7 hours of chest pain. The chest started when the patient went to bed the evening of March 27, where he began having substernal non-radiating chest pain with inspiration. The pain was relieved by sitting upright and by taking some acetaminophen. He received his 2nd dose of the Pfizer COVID-19 vaccine on March 25 (first dose was March 5). He was initially treated with ketorolac 15mg IV and given 1 liter of lactated ringer's solution via IV. His chest pain resolved after this. He was eventually given colchicine 0.6mg twice daily and ibuprofen 600mg 3 times daily due to concern for myopericarditis. He was ultimately found to have no evidence of pericarditis after undergoing a cardiac MRI, thus colchicine and ibuprofen were discontinued. Due to findings of mildly reduced ejection fraction on imaging, he was started on metoprolol XL 25mg once daily at discharge.

Patient felt flushed and had some "restricted breath." No rashes or wheezing. Vitals: BP 130/70, O2 sat 100% on RA, HR 78. Patient given PO Benadryl 50 mg and famotidine 20 mg @ 0920. Patient felt better @1000 and left with parents.

feeling unwell; sick to stomach; vomiting; chest pains; hard to breath; chills/freezing; weak; 104 fever; sore arm; sore muscles; This is a spontaneous report received from a contactable consumer (patient's mother). A 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Right on 22Mar2021 14:00 (02:00 PM) (Lot Number: EP6955) at the age of 18 years old as single dose for covid-19 immunisation. Medical history included Known allergies Morphine and sulfa antibiotics; Marphans syndrome, autistic, severe scoliosis & kyphosis. The patient's concomitant medications received within 2 weeks of vaccination included too many to put down here not enuf room. Facility where the most recent COVID-19 vaccine was administered at Hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The mother took care of the patient due to his sever disability iam filling this out for his as he was unable so he received shot (pending clarification), registered with v-safe, 22Mar2021 2pm. Fine, health check next 23Mar2021 day sore arm, kinda sore muscles, 24Mar2021, sore arm still sore muscles, 25Mar2021 13:00 (1pm), feeling unwell, sick to stomach started vomiting, chest pains, hard to breath, called 911 EMS advised him to stay home after vitals ok due to not wanting to expose the patient to actual Covid virus. At the time no fever 30 min after EMS left 104 fever sever chills, freezing coming in waves so weak. He can't get up to go to the bathroom. The reporter was worried and closely monitoring him. Treatment was received for the adverse event included Medication for vomiting, doctor apt in morning. The events were non-serious per the reporter. The patient underwent lab tests and procedures which included body temperature: no fever 25Mar2021, 104 30 min after EMS left on 25Mar2021. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events was not recovered.

Less than 5 min after dose, complained of throat slightly swelling but no anxiety sorry about breathing. Did not notify workers at site because didn?t think serious. Lasted about 45 min. Drove self home. Mom gave Benadryl and watched for 2 hours. Symptoms did not return. This was drive thru clinic and window down. Very allergic to pollen and symptoms resolved soon after window back up. Unknown if seasonal allergy reaction. (Has had same reaction to pollen in past) or vaccine. No further issues. No other symptoms.

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

10 Minutes after injection, passed out Headache for 2 days Fatigue for 2 days Vomiting for 1 day Hearing loss left ear currently Loss of appetite currently shortness of breath currently

Symptoms including time of vaccination and onset time of symptoms: 18 y/o male with hx of previous allergic reactions c/o mild SOB, "throat swelling" sensation 30 mins post first dose of Pfizer @ 11:23am, time of vaccine 10:53am. Pt speaking in full sentences, no acute distress/stridor/wheezing/lip swelling/rash on exam. Lungs CTAB. Pt immediately given 50mg Benadryl IM @ 11:23am Benadryl. Pt immediately reported improvement of symptoms, states SOB resolved and 60% improvement of throat swelling sensation @ 11:27am. Pt monitored an additional 30 mins and upon discharge pt reports COMPLETE resolvement of symptoms@ 11:53am. Pt instructed to call UBER/LYFT/friend for transport and to not operate vehicle for Benadryl can make him drowsy.Upon dc pt in NAD, lungs CTAB. No stridor/wheezing on exam.

Within 5-10 minutes of vaccination, the patient became diaphoretic, nauseous, and had a syncopal episode that lasted approximately 5 seconds. EMS evaluated the patient on-site. The patient was hypotensive (64/43) with a FSBG of 108mg/dL. EtCO2 and EKG were normal. EMS administered 1L normal saline and transported the patient to Hospital Emergency Department. In the ED, the patient reported being "anxious for days" about getting the vaccine and remembers hyperventilating prior to syncopizing. Upon assessment, the patient was normotensive (126/79) following fluid therapy. The patient reported improvement in the ED. The physician discharged the patient with diagnose of vasovagal syncopal episode secondary to an anxiety inducing event.

Asthma has been dormant for over five years and the covid vaccination has restarted his asthma and I cannot seem to get it under control. He's currently taking albuterol nebs and inhaler, prednisone, singulair and flonase

Patient presented as a transfer to our facility for Myopericarditis. He had received 2nd covid vaccine on Friday (5/7/21), subsequently had mild body aches the next day that improved with otc Tylenol. On sunday night he started to develop mild chest pain. Monday morning his pain acutely worsened with 8/10 chest pain, shortnes of breath, and emesis x1. He was ultimately found to have myopericaridits after being transferred to our facility for cardiac MRI. His troponin peaked at 5.71, had no pericardial effuison, and normal EF. Pain well controlled with colchicine and ibuprofen. After 2 days of observation he was discharged home. He did not have any viral prodrome or illness recently, no hx of family hx of rheumatological conditions.

3:45pm pt received pfizer covid-19 vaccine in L deltoid. denies any allergies other than penicillin. 4pm c/o slight pressure in throat, chills, oriented x3, sitting in chair 4:05 diphenhydramine 50mg/ml administered to pt @ 1ml IM in right deltoid HR 70 R 18 non-labored, non audible, no wheezing, BP 114/78 4:15 HR 70, R 18 non-labored/non audible/ says pressure om throat is gone, still feels a little cold, HR 105/74 4:30 feels abou the same, resp not labored, sitting in chair relaxed, HR 68 BP 117/78 (last ate at 1:30 pm) 4:35 feels tired, relaxed, sitting calmly in chair, no new sx BP 106/73 4:40 relaxed and tired. taken home by father via car. HR 68 non-labored breathing. no new sx

He had chest pains and could not breath after 48 hours, rushed to the ER. Stayed in the hospital for 4 days. He had a heart attack and was diagnosed with acute idiopathic myocarditis.

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

Three days after second dose of vaccination patient presented to ED with pleuritic chest pain and dyspnea. Patient found to have acute myopericarditis. Patient treated with IV toradol and acetaminophen with resolution of symptoms. Treated with metoprolol and colchicine. Patient was hospitalized for 48 hours then discharged in stable condition.

pericarditis; headache; fever; having trouble breathing; chest pain; tingling down his arms; This is a spontaneous report from a contactable consumer. An 18-year-old male patient received second dose of BNT162B2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 04May2021 at 16:00 (Batch/Lot Number: ER8736) as 2ND DOSE, SINGLE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had no Covid prior to vaccination and was not tested post vaccination. The patient experienced Pericarditis, headache, fever, having trouble breathing, chest pain and tingling down his arms all on 06May2021. It was reported that the patient had all the normal reactions to a significant extent, the headache, the fever, etc. But two nights after the vaccination he was having trouble breathing, he had chest pain, and tingling down his arms. The next day, patient was taken to urgent care and was diagnosed with pericarditis. The patient underwent lab tests and procedures which included EKG (electrocardiogram): pericarditis on 06May2021 (EKG showing Pericarditis and 10 days of medication). Therapeutic measures were taken as a result of all the events. The outcome of all the events was unknown.

Systemic: Abdominal Pain-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Pt was looking pale 10 minutes after the injection. He looks to be in pain holding his stomach while hyperventilating. After another 5 minutes, he began to vomit and slowly recovered. He stated that his stomach was hurting. His heart rate is 90bpm.

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

18-year-old healthy man received his second Pfizer COVID-19 vaccine on Sunday, may 16th. He had generalized muscle aches and mild flu-like symptoms which were not unexpected on Monday the 17th. On the 18th, he reported dyspnea on exertion, some chest tightness, and his throat felt like it was "closing". He also had tender anterior cervical lymph nodes and a fever to 100.8 °F. He came into the ER for further evaluation. After evaluated by cardiology, given his stability, felt appropriate for discharge with immediate outpatient follow-up.

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

Patient presented to urgent care with 3 days of pleuritic chest pain. He had abnormal EKG with T wave inversions in V1 to V3, elevated D-dimer and elevated troponin. Sent to ED. Patient received Pfizer Covid vaccine, first dose, approximately 2 weeks ago. About 3 days ago he developed chest pain with breathing, located at the anterior chest and radiating to the left shoulder. No associated cough, dyspnea, sputum production, hemoptysis. Chest pain is not associated with activity. He does not describe chest pain with the positional change or laying down. no fever or chills. He had 3 episodes of emesis this morning. No abdominal pain, no diarrhea.

Reported feeling dry throat and tightness. History of anxiety. No shortness of breath. No interventions. Left in stable condition at 12:35 p.m.

18 yo male with no significant PMH presented to the hospital on 6/2/2021 with c/o chest pain and SOB. Per patient and his mother at bedside, he received the second dose of Pfizer vaccine on Sunday. Day after had mild headache, aches, arm pain and abdominal pain. Last night woke up with chest pain and SOB. They called his pediatrician who recommended they come to the ER for evaluation. In ED was found to have elevated troponin and EKG changes. CTA negative for PE. EKG showed ST elevations/ PR depressions inferior/ lateral leads concerning for pericarditis. Patient was seen by cardiology and diagnosis of myo/pericarditis was made. Patient was prescribed Aspirin 325 mg TID and Protonix 40 mg QD for GI prophylaxis. Patient will follow up with the cardiologist 1 week after discharge for further management and medication adjustments.

Symptoms started out with rigors and a fever. This progressed to a diffuse maculopapular rash that resolved within 24 hours. Following day, he was tachycardic and tachypneic when he presented to the emergency department. Ultimately he was found to be in septic shock with myopericarditis. He required pressors. He is currently still in the hospital

Pt was in usual state of health until 6/2/21 and experienced fevers, chills, sore throat, shortness of breath, chest pain, erythematous rash on trunk and limbs, arthralgia inthe ankle. Presented to ED on 6/4-febrile, tachycardic and mildly tachypneic. Pt is still currently admitted in Unit. left axillary adenopathy

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

Within 1-2 days of first vaccine, patient developed COVID-like symptoms including, cough, sore throat, dyspnea, intermittent chest pain. No fever. He states symptoms worsened after the second injection on May 25th. Had a couple episodes of post tussive emesis. With symptoms going on for over a month, he presents to the ER for evaluation

Patient experienced fatigue and muscle aches immediately following the vaccination. His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain. He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.

5/4/21 Pt had first covid vaccine to right arm and aprox 5-6 hours later pt c/o sharp left upper back pain the proceeded to radiate to right arm and chest, causing some sob due to pain with breathing. Pain cont. throughout night. Seen in office 5/6/21 for symptoms that persisted, but improving. Denied swelling, n/v/d, palpitations. Pulse ox 97% on RA, RR 20, HR 88. No acute distress. EKG and CXR done, no abnormal findings. Advised motrin for pain, f/u if worsening of symptoms occur.

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

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

First, sever Asthma, following immunization person had Asthma. Epinephrine injection, USP 0.3mg X2. Oxygen, Ems care has Transport

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

Chest tightness, shortness of breath, tight jaw, tingling left foot, racing heart rate/arrhythmia, irritability, inability to sleep more than 1 hour a night, excessive thirst? still waiting on treatment

Chest and back itch incredibly; Does feel hot; now swelling of his face or throat; now swelling of his face or throat; This is a spontaneous report from a contactable consumer or other non-healthcare professional (Patient's father). An 18-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for Injection, batch/lot number: EN0187 and Expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 25Jun2021 14:30 (at the time of vaccination 18-years-old), as a single dose for COVID-19 immunization. The patient's medical history include sunburn and reported that he did have a sunburn 3 days ago. No concomitant medications were not reported. The caller provided other relevant medical history including but not limited to these conditions; diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity. The patient did not have any other vaccination prior to COVID vaccine (within 4 weeks). No family Medical History Relevant to adverse events. On 25Jun2021, the patient experienced chest and back itch incredibly, does feel hot, and now swelling of his face or throat. It was reported that, today (25Jun2021) the caller 18-year-old son had the Covid-19 vaccination. He had the vaccine about 2 hours ago. Everything was fine up until about 30 minutes ago. He claims his chest and back itch incredibly. He had no other symptoms and no rash. He does feel hot. He had no difficulty breathing and now swelling of his face or throat. The caller wife was a nurse. She did not feel like it was an emergency at that point but being a nurse, she wanted him to check and see if they have any Benadryl. No relevant tests. Patient did not visit to emergency room, physician office and not hospitalized. The outcome for all the events was not resolved. Additional Information has been requested.

Myopericarditis. Relatively asymptomatic admitted 6/15/21 with Left sided pleuritic chest pain 48 hrs. after 2nd Pfizer COVID vaccination.

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

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Additional Details: pt was advised to wait 15 minutes after the vaccine but was in ahurry. He fainted in the front of the sore @115pm. vitals signs were taken and everything was okay. we also called 911 and he was transported to the hospital with mional injuries. Deviation of his nose and nose bleeding were the prmary effecs.

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

Spoke to patients mother on 07/26/2021. Patient had first dose of the Pfizer vaccine administered on 07/25/2021 at around 11:30am. At approximately 8 pm patient had swelling of the throat and felt pain upon inspiration. Patient had red skin colorization/rash on upper chest and neck. Ambulance was called and patient taken to the emergency department. Patient was administered oral Benadryl and epinephrine. Patient was discharged with paper prescriptions for a steroid dose pack and an Epipen. Mother said after an hour in the hospital (after administering Benadryl and epinephrine) patient felt well and had some lingering throat pain. Per mother, hospital was not sure if the reaction was due to the COVID-19 vaccine or to some other form of exposure.

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

20 minutes after receiving the shot, my throat became tight and uncomfortable, and I felt like something was stuck in my throat. I was constantly trying to swallow to make the sensation go away. The throat tightness lasted but became progressively better for about 4 hours, until about an hour after I took 50mg Benadryl, when it went away completely.

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

After adminstaration of medication, patient had thightness in the throat. Paramedic came and took vitals signs and ekg. Vitals are stable. Patient symptoms subsided and he was release by the nurse.

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

patient started to feel hot and wheezing. wheezing appeared to worsen and he started reporting acid reflux. patient had his asthmatic inhaler and took it with no resolution of symptoms. patient was given a cold compress for his head and neck to help cool him down. EMS came in and checked his vitals. He was cleared after patients symptoms resolved.

5 minutes after vaccine, experienced SOB, sweating, trouble seeing/hearing, and anxiety. Since he has other allergies and has had an anaphylactic reaction in the past, he asked for the epipen which was administered. EMTS were called and he was brought to hospital as a precaution.

PATIENT HAD VACCINE ON 04/09. ON 04/10 DEVELOPED A FEVER, COUGH AND SHORTNESS OF BREATH THAT GOT WORSE DURING THE DAY ALONG WITH SHARP SUBSTERNAL AND PRESSURE LIKE CHEST PAIN. ARRIVED TO ER ON 04/11@1851.

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

4/4 headache, chills, temp 102.8, sore arm, hard swollen lymph node in right axilla. Symptoms persisted into 4/5 with addition of nausea. 4/6 tightness in chest, short of breath. Went to ER and was found to have elevated troponin level peaking at 9.6. Transferred to hospital, direct admit to CCU for suspected non STEMI. Hospital stay through 4/9 and diagnosed with myocarditis.

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

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

He presented with a sharp pain on the right side of his throat about 5-10 minutes after getting his 2nd dose of the Pfizer vaccine. He reported he had swelling of his throat when he eats shellfish and he does have an Epi Pen at home but he doesn't carry one with him. He said Benadryl usually also helped. I told him we had Benadryl if he wanted to take a dose and he did want to receive it before leaving. I confirmed with the patient that Benadryl did not make him drowsy and that after taking 25 mg, he said he would be fine to drive and doesn't get drowsy with that medication. I did administer 25 mg of liquid diphenhydramine. His throat was feeling better before giving the dose and he also mentioned that it might have been him just getting worked up over getting the vaccine.

Sympathomimetic Amines. Experiencing panic attack like symptoms. Started on Saturday at around 3:30 am and present at the time of writing this. Experiencing shortness of breath, trouble breathing, accelerated heart rate, numbness throughout body, shaking, and tight cheats and throat.

Approximately 15 minutes after receiving the vaccination, pt came from our waiting area and said he was having trouble breathing and his hands were shaking. I had the patient sit down and he and I both agreed the pt was having an anxiety attack. No treatment was given. paramedics were called at [patients request.

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

Chest hurting from shoulder to shoulder, arms going numb, hard time breathing. Start 1 day after second Pfizer shot, lasted for 3 days until taken to ER. Taken to ER, thought he was having a heart attack but heart was fine, just inflammation around the heart. Diagnosis was acute myopericarditis and demand is chemical myocardial.

Ems called at 1305. Ems on site and evaluated pt. Pt left vaccination site at this time. C/o sob and chest pressure.

Sharp chest and back pain that gets worse with any movement and hurts to breathe. Hot flashes, nausea, fatigue, joint soreness, shortness of breath. All these symptoms started 2 days ago and have not subsided.

Heavy pressure in chest area, causing difficulty breathing. Also caused headaches that caused blurry vision, and muscle tightness in shoulders and back on side of injection.

11:38 PSO298% pulse 113 reports throat feels tight and pain down his left arm to his elbow. 11:42 pain down left arm to wrist at this time. At vaccine site arm is blotchy red. Throat is feeling better. 11:52 left arm vaccine sight it itching at this time. Throat tightening is almost not noticeable. Ready to leave. PSO2 99% pulse 91. Informed to seek medical attention for further problems and to report the issue for today.

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

C/O THROAT TIGHTNESS, DIFFICULTY BREATHING, OFFERED WATER/SNACK, SYMPTOMS RESOLVED, REFUSED TRANSPORT, AMA SIGNED

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

Shortly after vaccination pt began experiencing blurred vision, loopiness, sweating, heavy breathing. BP: 128/60, P: 73, 98% room air.

Already reported in reference to patient was episodes of troubled breathing for 1st night and day after getting vaccinated. Pt called today to update that he had not been able to sleep at all up until last night on 5/9. He had been throwing up as well since 2 days after vaccination and 3-4 times daily.

Temporary loss of consciousness for a couple of seconds. Loss of vision, trouble breathing, perspiration, and confusion lasting ~15 minutes.

1st shot was given April 1st . On April 6-8th he began with low grade fever, chills, body ache. April 14th began to complain about chest pain went to hospital in and was told he had environmental pneumonia on right lung, was given antibiotics. April 17 went to the emergency room as fever and chill were high and had difficulty breathing. Was admitted and transfer to Hospital. Was given antibiotics Zithromax, iv fluids. Discharge on the 21st. Later that night we notice bumps that hurt on in front of his legs. Went to the doctor they indicated he had erythema nodosum was prescribed prednisone 2 a day for 5 days. At the end of treatment bumps had almost gone away. Took an x-ray that showed he had hilar lymphadenopathy and will go see a pulmonary specialist in June. Was told ok to take 2nd does of pfizer . 2nd does was taken 4/28th . On May 1st bump re appeared however only on ankle and heel. Went to the doctor and was put on another prednisone only 5 days once a day. Medicine did not help. On May 15 began with new symptoms and began to complain about wrist and ankle pain, heel pain. Not able to walk or stand correctly went to go see the doctor 5/19 and order a tb test and other blood work. Suggested to report to the cdc since symptoms appear after getting vaccine. PT is not feeling good, indicates his body feel different since the vaccine. weak , tiered, sweats from not doing anything. Waiting for results.

Reports "difficulty of breathing", chest tightness 1-2 hours post vaccination on 4/27/2021. Had fever, chills, headaches, rhinorrhea, and watery eyes. Resolved with allegra and Dayquil. Pt came for dose #2 on 5/18. Held dose #2. Need pcp clearance. Question of Allergic reaction vs. covid infection.

heart failure; heart attack; fluid in his lungs; This is a spontaneous report from a contactable consumer (patient's mother). A 19-year-old male patient received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EP7534), via an unspecified route of administration, administered in Arm Right on 25Mar2021 (received at the age of 19-years-old) as 1ST DOSE, SINGLE for COVID-19 immunization. Medical history included ongoing seasonal allergies and cardiac murmur he had as an infant. When probing medical history, the consumer reported that as an infant, her son, had a heart murmur. Her son saw a heart specialist in (State) who did an ultrasound/sonogram of her son's heart. The specialist said the heart murmur was fine and nothing needed to be done. She also adds that for family medical history, she and her husband don't have any early onset heart issues in either side of their families. She also reported that her son has horrible seasonal allergies. Concomitant medication(s) included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for an unspecified indication, start and stop date were not reported; triamcinolone acetonide (NASACORT) taken for an unspecified indication, start and stop date were not reported; montelukast (MONTELUKAST) taken for an unspecified indication, start and stop date were not reported. The reporter stated that her son (patient) had a heart attack (26Mar2021) after receiving the first dose of bnt162b2. The patient also experienced heart failure on 28Mar2021 and had fluid in his lungs on Mar2021. She called regarding the COVID-19 vaccine on behalf of her 19-year-old son who received his first vaccine on 25Mar2021. Her son received his first Covid 19 vaccine at a PRIVACY where he attends college. On Friday, 26Mar2021, he was feeling crummy, on Saturday, 27Mar2021, he was feeling crummy. On Saturday night, 27Mar2021, her son started texting her around 11:30PM saying he had pain in his left shoulder and left arm. He had already taken 2 Advil and it wasn't helping with the pain, her son asked if he could take a third Advil. The reporter told her son he could take a third Advil because it had been an hour and a half since he had taken the first two Advil. The texts from her son continued. He was getting no relief. He took a hot shower and tried self-massage and warm compresses. He ended up throwing up and he said he felt a little better. Her son tried to lay down and couldn't get any relief from his pain. The pain was tremendous in his left shoulder and arm. Her son told his mother, he thinks he needs to go to the emergency department. His mother is two hours away from him and told him to call 911. Her son had a friend take him to the emergency department instead of calling 911. Her son went to PRIVACY. While at the emergency department, the doctor thought that her son's pain was muscular. Her son received an injection of Toradol. Her son was discharged from the emergency room and went back out to his friend who had brought him to the hospital. Her son and his friend didn't even make it out of the emergency department parking lot when her son suddenly couldn't see anything. His eyes were wide open and all he could see was black. His ears started ringing. Her son went back into the emergency department. Her son received Benadryl and an Epi-pen thinking maybe he was allergic to the Toradol and having a reaction to the Toradol. Her son had blood work, an EKG, and vital signs done in the emergency department on 28Mar2021. His blood work were over 3000 which the reporter reports, indicates a heart attack. The emergency room doctor did not think the Toradol would have pushed his Troponin levels that high. With her son complaining to her about the pain in his left shoulder radiating into his left arm and throwing up, those are signs of a heart attack. Her son was maybe playing off the seriousness of the pain he was experiencing. It was agreed at that point it might be her son's heart. She was about 18 minutes away from the hospital when she received a call from the hospitalist, the doctor taking care of her son. And that doctor tells her that her son is not doing well and is not responding to treatment of the bag of saline fluids. The doctor is trying to get her son's blood pressure and heart rate back up. The doctor was afraid he might have to air flight him to the PRIVACY hospital. She told the doctor she is 18 minutes away and asked if he can wait that long or does she have to turn around and drive the opposite direction to the PRIVACY. At this point her son was having a COVID-19 viral test in case he needs to be transported to the other hospital. The doctor tells her that her son can wait the 18 minutes until she gets to the hospital. She arrived at the hospital and wanted to see her son, her son is on high flow oxygen and she has to gown and glove up to be in his room for fear of Covid particles since he's on the high flow oxygen. His COVID-19 viral test results have not come back at this time. Her son was admitted to the hospital for heart failure. He was in the hospital for 5 days. He was admitted in the wee hours of the morning on 28Mar2021. During the time he was in the hospital he had chest x-rays and he was given Lasix to get the fluid off his lungs. His white blood cells were way up so he was given an antibiotic. He had an MRI, Chest X-rays, and a Heart Catheterization through his wrist that would indicate that he had blocked arteries in his heart. He had no blocked arteries. The heart catheterization revealed an artery going into his 4th heart chamber was slow to open and close. The cardiologist prescribed Metoprolol for six months with monitoring. The cardiologist feels the Metoprolol will repair his artery and get his blood pressure and heart rate numbers where they need to be. He was admitted to the hospital at around 3:00AM on 28Mar2021 and was discharged on 01Apr2021. Her son's COVID-19 viral test came back negative, but his COVID-19 antibody test showed that he did have COVID-19 antibodies. The doctor didn't know if that meant that her son had a previously undiagnosed case of the COVID-19 virus or if he developed COVID-19 antibodies that soon after he received the Covid 19 vaccine. She reported when her son was discharged, he was feeling better, but still had residual fluid at the bottom of his lungs. Her son did have to go for a chest x-ray on Tuesday, 06Apr2021, after he was discharged, to make sure the fluid was making its way out of his body. When he was discharged from the hospital, he had some shortness of breath and he was tired and weak feeling. The pain in his left arm began before he was admitted to the hospital. The shortness of breath started during his hospital admission. At this point in time she would say her son has improved. The Metoprolol he was prescribed by the cardiologist is one half of a 25mg tablet once at nighttime. She stated that she does not have any information on how low her son's blood pressure and heart rate were during his time in the hospital. Therapeutic measures were taken as a result of the adverse events. Outcome of the events was recovering.

Patient presented to ED with progressive shortness of breath with exertion. Patient has a history of vaping nicotine for 2 years with increasing respiratory symptoms, shortness of breath for several months. Patient received first dose of Pfizer on 5/7/21 symptoms of shortness of breath predated vaccine but due to ongoing symptoms presented to ED 5/14/21 where he was found to have myocarditis. Patient was hospitalized for 2 days treated with colchicine with improvement in symptoms. Patient readmitted 5/21/21 with recurrent myopericarditis with newly reduced ejection fraction from 60% to 40-45%. Remains in the hospital at this time

PATIENT WAS GIVEN VACCINATION & ASKED TO WAIT FOR THE REQUIRED 15 MINUTES. SHORTLY AFTER BEING SEATED, I AS WELL AS HIS MOHTER NOTICED HE TURNED VERY PALE & WAS UNRESPONSVIVE. I QUICKLY FELT HIS PULSE & IT WAS FAINT AS WELL AS HIS BREATHING. WE CALLED 911. WE MOVED HIM FROM A SEATED POSITION TO THE FLOOR. HIS COLOR CAME BACK QUICKLY & HE WAS RESPONSIVE TO VERBAL COMMANDS. EMT's CAME & CHECKED HIS VITALS, HIS VITALS WERE NORMAL. EMT's RELEASED HIM UPON THE PATIENT AGREEING

I have below symptoms starting from 05/18/2021 Fever Nausea Shortness of breath Coughing Pain in body

Typical side effect symptoms experienced and cleared within 24 hours. Same symptoms returned (chills, low fever, heavy sweating, tense breathing) approx. 60 hours later along with severe aching chest pain. All symptoms resolved by next morning besides chest pain, which was severe enough to warrant emergency room admission about 72 hours after vaccination. Admitted to hospital overnight with an episode of palpitations around 6pm on the first night, being given motrin and colchicine throughout stay. Pain somewhat resolved and was discharged aprox. 100 hours after vaccination. Continued use of ibuprofen and colchicine in weeks following as pain slowly resolves.

Patient developed chest pain, shortness of breath and fatigue. Chest pain was worse with laying down. Went to Urgent Care and EKG revealed abnormal changes and was sent to ER for evaluation. Found to have minimally elevated troponin, WBC, Sed Rate, CRP and D-dimer. CXR and CT scan were normal with only small L axillary lymph node identified. Diagnosed with pericarditis and discharged home with Ketorolac for 5 days. Symptoms resolved.

On 5/28 patient developed mid-sternal chest pain that woke him from sleep. Worse with position changes, some associated palpitations and shortness of breath. Came to ED, EKG consistent with acute pericarditis. No evidence of myocarditis on either labs (troponin 0.028) or echocardiogram (normal biventricular function). Discharged from ED with supportive care.

difficulty breathing; chest pain; environmental pneumonia; low grade fever/ fever 104.3; chills/ chill were high; body ache; bumps that hurt on in front of his legs; erythema nodosum; hilar lymphadenopathy; This is a spontaneous report from a contactable consumer (patient himself). A 19-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: Unknown) via an unspecified route of administration, administered in left arm, on 01Apr2021 at 11:15 (at the age of 19 years old) as 1st dose, single dose, for COVID-19 immunisation. Medical history included asthma. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and no other medications received within 2 weeks of vaccination. On 06 to 08April2021 (as reported), the patient began with low grade fever, chills, body ache. Then on, 14Apr2021, the patient began to complain about chest pain went to the hospital. The patient was told that he had environmental pneumonia on right lung, and he was given with antibiotics. On 17Apr2021, the patient went to the emergency room as fever was 104.3 and chill were high, and he had difficulty breathing. The patient was admitted and transferred to a Hospital where he was given with antibiotics, azithromycin (ZITHROMAX) and intravenous fluids; he was discharge on 21Apr2021. Later that night, the patient noticed bumps that hurt on in front of his legs and went to the doctor. It was indicated that the patient had erythema nodosum and was prescribed with prednisone 2x a day for 5 days. The patient took an X-ray that showed he had hilar lymphadenopathy and will go see a pulmonary specialist. He was also told to take the 2nd dose of the vaccine; 2nd dose was taken on 28Apr2021. The patient underwent laboratory test for COVID-19 (nasal swab) on 12Apr2021, 15Apr2021 and 17Apr2021 which all showed negative results. The patient was not diagnosed with COVID-19 prior to vaccination and has not been tested for COVID-19 since the vaccination. The adverse events: erythema nodosum, hair lymphadenopathy and pain in leg have resulted to doctor or other healthcare professional office/clinic visit; while for the other adverse events have resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The outcome of the events was not recovered.

Pfizer BioNTech Covid-19 Vaccine EUA. Pt stopped by pharmacy today and reported that morning after his 2nd dose (6/14) he began experiencing shortness of breath, chest tightness, and chest pain. He also experienced fever and chills which resolved by Tuesday. Shortness of breath, chest tightness, and chest pain continued and patient was still experiencing today (6/17). He took motrin/ibuprofen which helped relieve some of pain, but some still remained. Blood pressure at pharmacy today was 115/109 mmHg with a heartrate of 86 BPM. A few minutes later it was 120/96 mmHg with a heartrate of 101 BPM. Recommended patient follow up with primary care physician urgently and get checked out at emergency room or immediate care.

Pt age 19, male, four days after his second dose of Pfizer vaccine had chest pain, shortness of breath,. He was admitted for two days to the hospital and had a work up. He improved with no official diagnosis and was released.

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

19-year-old male no past medical history brought in by father with complaint of shortness of breath, chest discomfort, palpitations, tachycardia x2 days. Symptoms began 1 day after vaccination. EKG revealed diffuse ST elevations, machine read as *ACUTE MI*. Patient was given 325 mg ASA, placed on O2, and transferred to ER via 911. Patient was hospitalized overnight for observation. Troponins were elevated at 13. Patient had full cardiology work-up and cath lab that did not reveal any arthrosclerosis or underlying heart disease. Diagnosed with myocarditis, discharged on metoprolol and aspirin. Has pending follow-up with cardiology, currently still with mild symptoms.

Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Tinnitus-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: 911 called. Patient evaluated by paramedics. Patient recovered and felt well enough to drive home. Patient refused hospital visit

I test positive for COVID on 06/28/2021. I have had a slight fever, congestion, sore throat, coughing, pain in the lungs.

19 y.o. patient who was hospitalized with the diagnosis of vaccine related pericarditis/myocarditis after developing SOB and chest pain. She is going to try to get more information on this patient, but she needs his consent. I will speak with patients father. In the interim, she is going to check with the hospital. In regards to the discharge summary, we will have to wait until the patient is discharged today, and it is translated. The reaction occurred about 3 days after receiving second dose.

9:45 AM client feels "throat closing, " shivering and cold. NP, safety, and EMT were called and arrived at scene. NP, assessed pt. no throat or tongue swelling present, client states he feels anxious, otherwise feeling "OK". 9:54 BP 134/77, HR 104, O2 92%, BS 142. client was laid on the floor with a sheet with his legs elevated, blanket was placed on his upper body. 10:00 NP, reassessed pt and stated he is not having a reaction to the vaccine. Client states "I feel better." 10:08 Patient is sitting in the chair BP 127/80, HR 94, O2 99% 10:10 NP assessed client and stated that he is well enough to go home. Advised client that if he has chest pain, or shortness of breath to report to the ER or call 911. Client verbalized that he feels much better. 10:15 patient is alert and oriented to person place time and situation, he safely ambulates to the car and his mother provides transportation.

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

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

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

Heart and lung feels weird, and has heart palpitations; Heart or lungs feel weird; Never had asthma but it feels like asthma; Little bit difficult catching his breath; Arm pain; This is a spontaneous report from a contactable consumer. A 19-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration, administered in Arm Right on 26Apr2021 16:15 (at the age of 19-year-old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient did not take any other vaccines within four weeks prior vaccination. On 26Apr2021, patient experienced arm pain. On 27Apr2021, patient experienced heart and lung feels weird, and has heart palpitations, never had asthma but it feels like asthma, little bit difficult catching his breath. The events did not result in emergency room and physician office visit. The outcome of the event arm pain was recovered on 28Apr2021 while other events were not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Side effects manifested after second dose as a migrane in the early morning (~4:30 AM). Migrane persisted for the next hour before the pain noticable dissappated; completely clear by 8:00 AM. Nasal congestion arose for a brief moment at approximately 6:30 AM but did not persist for longer than ten minutes. If relevant: I attended a gym (crossfit) session at 6:15 PM on 01/08/2021 which lead to deeper breathing, elevated heart rate, and major sweating. No side effects appeared to manifest at this time.

20 year old with cerebral palsy, chronic bronchitis, G-tube dependent received COVID 19 vaccine approximately 1030 on 2/18. Within 5 minutes c/o headache and had audible wheezing. He was treated with Benadryl in the vaccine clinic. He was taken to ER noted to be in resp distress. He received IM epinephrine and symptoms quickly improved. Less than an hour later was again noted to be wheezing and in respiratory distress. He was treated with second IM epinephrine, albuterol, steroids, and antihistamines. Admitted into PICU overnight and remained asymptomatic. Patient received the pneumococcal and influenza vaccines 3 days prior. Has never had any similar reactions in the past. Patient was discharged on 2/19.21.

I woke up in the middle of the night and felt like I was having trouble breathing. My chest hurts and every breath is painful. Can?t sleep due to the pain. Only happened today so going to get covid test then if problem persists past tomorrow I?ll go the doctors

Muscular pain on left arm and ribs muscles while having a deep breath. Very light fever. Took1g of paracetamol every day to help. (Doliprane) Fatigue. Left arm pain started 3/4 hours after injection the rest came the morning after.

25 minutes after receiving the first dose of the Pfizer-BioNTech vaccine I began to experience itching in the back of my throat while driving back home. I made the decision to turn around as I felt my throat was beginning to close. I got back to Medical Center around 2:35, where I was monitored until 4:15. I was giving Benadryl and water when I arrived and they took my vital signs. There was one RN monitoring me there entire time, keeping conversation with me, and checking my vitals every 15 minutes. Then around 4:15 a physician said I was okay to leave.

Client complained of throat tightness in parking lot after observation for 30 minutes. Client walked back to observation area, vital signs stable. Client able to have conversation with EMT and RN, denied trouble breathing, reports panic attacks when taking medications after allergic reaction to Alka Seltzer. Client's sister present. After 20 minutes of observation, client states" throat is loosened up, feels much better to go home". Client left observation area with steady gait with sister present.

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

Patient was given first Pfizer vaccine. Approximately 5 minutes after injection patient came to the nurses station complaining of some tightness in the throat. He states that it felt difficult to swallow. No complaints of SOB, difficulty breathing, no redness or swelling around the mouth. Nurse alerted the doctor of the day who performed an exam.

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

Client report receiving second COVID vaccine on 04/12/2021 at 5:00 pm, adverse reaction began 1 to 2 days after of increased diarrhea, vomiting, coughing, wheezing, slight SOB, nose bleed, and migraine headache. Client has not contact his PCP as of yet, plan to if no improvement in symptoms.

Not too much longer after receiving the vaccine, I went to sit and sign up for the next dose. Shortly after, I began to get overwhelmed because I felt like I got hotter, and I was trying to breathe and maybe look for water. Next thing I know, I woke up on the ground.

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

Pt developed CP, SOA about 60 hours after vaccine administration went to campus health center and eventually ER where he was diagnosed with bilateral PEs.

Pt called call center on 4/28/21 . Pt got his 1st dose Pfizer vaccine on 4/25/21 at site. Pt states he has chest pain when breathing and some trouble breathing this morning and body ache. Advised pt to go to ED immediately and pt verbalized understanding to go to ED for evaluation.

presented to the ER with complaints of abdominal pain. Found to have a ruptured appendix with intra-abdominal abscess, UTI, acute hypoxic respiratory failure related to bilateral aspiration pneumonia, and sepsis. Principal Problem: Perforated appendix POA: Unknown Active Problems: Sepsis (CMS/HCC) (HCC) POA: Yes

Initial presentation Patient was in his usual state of good health until 4/19 when he received his first dose of the Pfizer COVID-19 vaccine. Two hours after the injection he became nauseous and vomited multiple times. Overnight he experienced diffuse myalgia and suprapubic pain. He awoke the next day to a pustular rash on his chin, forehead, chest and back. The patient describes similar previous rashes that have resolved spontaneously. The next day he began to experience gross hematuria and presented to the ED with a temperature of 98.9, blood pressure of 100/69mmHg, heart rate of 110bpm, respiratory rate of 18 breaths per minute and an O2 saturation of 97% on room air. On examination, patient was ill-appearing with diffuse pustules on his face, chest and back, periorbital edema, and leukoplakia of the tongue and buccal mucosa. His abdomen was soft and tender to palpation in the suprapubic area and at both costovertebral angles. Hospital course In the ED the patient was found to have a metabolic acidosis of pH 7.33 with an anion gap of 16, lactate 2.6, neutrophilic leukocytosis (22k), acute renal insufficiency with a BUN of 45 and creatinine 3.81 (baseline is 0.76). The patient?s urine demonstrated packed RBCs and 5-10 WBCs. He was admitted to the medicine service for further management. On the medicine floor he was initially found to have rhabdomyolysis (CK 584), worsening renal failure (Creatinine 8), follicular conjunctivitis by skin biopsy, a low CD3/CD4 count (CD4 91, CD3 47, CD8 258) with normal complement, and bilateral tinnitus. CT A/P without contrast showed increased attenuation of renal pelves and ureters consistent with hemorrhage, but no renal stones or hydronephrosis was seen. The patient was treated with pulse dose 500mg IV Methylprednisilone for 3 days and then transitioned to 60mg Prednisone. The patient?s pustular rash and oral leukoplakia greatly improved while on pulse dose steroids, but his kidney function continued to decline (Creatinine rising from 8 to 11), and the patient?s bilateral tinnitus progressed to bilateral sensorineural deafness over 2 days. Bilateral hearing loss prompted an MRI of the brain which identified several punctate infarcts across multiple vascular territories in bilateral cortices and left cerebellum. The patient?s kidney function has continued to decline, with progressive hyperkalemia and hemodialysis was begun.

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

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

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

20 YO patient with no significant PMH who presents with headache, back pain, and chest pain. He received 2nd Pfizer COVID19 vaccine dose 5/8/21. Later that day he felt very tired. On 5/9/21, he developed a headache that worsened throughout the day, was felt over whole head, but more painful in temporal areas, and he became nauseous. On 5/11/21, he developed back and chest pain and had 2 episodes of NBNB emesis. The chest pain is sharp, located over the whole chest and extends to axillae. The back pain is worse in the right shoulder. The back and chest pain are worse with inspiration, movement, and supination. CMR confirmed myopericarditis. Patient treated with colchicine and NSAIDs and IVF, has cardiology f/u on

Patient presented with substernal pressure like chest pain within 1 day of his second Pfizer vaccine associated with fatigue and dyspnea on exertion. He was found to have markedly elevated troponins without EKG changes. He was admitted to the hospital for evaluation and monitoring where cardiac MRI showed myocardial infllammation consistent with myocarditis. There was no other apparent cause based on patient's history. He was found to have a reduced ejection fraction on echocardiogram as a result of his myocarditis. He continued to have dyspnea on exertion at discharge.

Overactive thyroid; Shortness of breath; Chest tightness; Fever; Fatigue; Anxiety; Panic; This is a spontaneous report from a contactable consumer (patient). A 20-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EW0151), via an unspecified route of administration in left arm, on 15Apr2021, as second dose, single, for COVID-19 immunization. The patient's medical history included asthma and allergies to tree nuts and penicillin. The patient's concomitant medications included fluticasone propionate (FLOVENT), salbutamol sulfate (ALBUTEROL), and an unspecified multivitamin. The patient previously took montelukast sodium (SINGULAIR) and bacitracin/ neomycin sulfate/ polymyxin B sulfate (TRIPLE ANTIBIOTIC Ointment) and experienced allergies to both; and the first dose of BNT162B2 (Lot Number: ER8727) on 19Mar2021 at the age of 20 years for COVID-19 immunization (right arm). The patient was not diagnosed with COVID-19 prior vaccination. No other vaccine was administered in four weeks. On 15Apr2021, the patient experienced initial anxiety or panic after shot was given. On 16Apr2021 (next day), the patient had fever and fatigue. The second day after (17Apr2021), the patient had shortness of breath and chest tightness. After several trips to the emergency room, the primary care physician (PCP) did laboratory tests that diagnosed an overactive thyroid (17Apr2021). Symptoms still remain and are being treated by an endocrinologist. Treatments included methimazole, lorazepam (ATIVAN), and diltiazem. The adverse events resulted in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. The patient has not been tested for COVID-19 post vaccination. The patient had not recovered from the events.

Pericarditis approximately one month after second vaccination. Chest pain and shortness of breath. Went to emergency room and was diagnosed with pericarditis. Negative COVID-19 test.

A minute or so after the shot had mild headache and difficulty breathing for 20-30 seconds.; A minute or so after the shot had mild headache and difficulty breathing for 20-30 seconds.; This is a spontaneous report from a contactable consumer (patient). A 20-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration administered in arm left on 18Apr2021 10:15 (Batch/Lot number was not reported) as single dose for COVID-19 immunization. Medical history were none. No known allergies. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications the patient received within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. Facility where the most recent COVID-19 vaccine was administered was pharmacy or drug store. The patient experienced a minute or so after the shot had mild headache and difficulty breathing for 20-30 seconds on 18Apr2021 10:15 with outcome of recovered on 18Apr2021. No treatment received. Seriousness criteria of difficulty breathing was medically significant. Follow-up needed. Information about batch/lot number has been requested.

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

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

3 days after vaccination had acute onset of burning chest pain, worse with lying down and deep inspiration. Initial EKG was normal but then developed ST changes. Presented to ED where troponin was elevated to 6259, peaked at 7595. MRI in hospital was consistent with myopericarditis. Discharged 6/11/21 on cochicine.

Incredible shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A 20-year male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN), via an unspecified route of administration, in left arm on 17Mar2021 at 15:45 (at the age of 20-years-old) as a single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medication included Ibuprofen once received for unknown indication from unknown date and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Prior to vaccination, the patient was not been diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 18Mar2021 at 12:00, the patient experienced incredible shortness of breath. The adverse event resulted in emergency room/department or urgent care visit. The patient did not receive any treatment for the event. The clinical outcome of the event incredible shortness of breath was not recovered. Information about lot number cannot be obtained. No further information is expected.

Patient presented with chest pain that started 3 days after second dose of Pfizer vaccine. He had chest pain, shortness of breath. EKG did show some borderline ST elevations in the anterolateral leads. Troponin was performed which was elevated at 5 initially. Plan is for admission for further workup and management.

Patient reported chest pain and difficulty breathing and presented to the ED. He was given Benedryl and morphine and was fine four hours later. He did follow up with his PCP.

difficulty breathing and shortness of breath.; fever; chills; lethargy; This is a spontaneous report from a contactable consumer. A 21-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 28Mar2021 (Lot Number: ER8734) at age of 20 years old as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history was not reported. Prior to vaccination the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient previously received first dose of bnt162b2 (lot number: EP7534) at age of 20 years old on 28Mar2021 for COVID-19 Immunisation and experienced fever, chills, lethargy. The patient experienced difficulty breathing and shortness of breath, fever, chills, lethargy on 20Apr2021 12:00. No treatment was received. Clinical course reported as: The night of the second dose, I began to have difficulty breathing and shortness of breath. This slowly became worse the next day. The breathing issues did subside over about two weeks and now I am 95% back to normal. I did experience fever, chills, and lethargy for both of the second doses. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 22Apr2021 Nasal Swab, sars-cov-2 test: negative on 25Apr2021 Nasal Swab, sars-cov-2 test: negative on 26May2021 Nasal Swab. Outcome of events was recovering. Since the vaccination the patient had not been tested for COVID-19. Case was reported as nonserious.

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

chest pain; difficulty breathing; This is a spontaneous report from a contactable nurse. A 20-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/Lot Number: EL9581), via intramuscular, administered in Arm Left on 18Feb2021 (at the age of 20-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history was not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number=EN9262) via intramuscular route of administration in left arm on 22Jan2021 as 1st dose, single for covid 19 immunisation. Prior to the vaccination, the patient was 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. On 19Feb2021 03:00, Patient reported chest pain and difficulty breathing and reported to ED. He was given Benedryl and morphine and stated that he was fine four hours later. He followed up with his PCP. Therapeutic measures were taken as a result of chest pain (chest pain), difficulty breathing (dyspnoea). Treatment received for the adverse event was Benedryl and morphine. The outcome of the vents was recovered.; Sender's Comments: A causal association between BNT162B2 and the reported serious unlisted event chest pain cannot be excluded based on a compatible temporal relation.

1 month following the vaccine patient started experiencing extreme fatigue, started having shortness of breath. PCP ordered echo and he has pulmonary hypertension on echo. Has recently started having some chest pain and tingling in arms and legs.

Left sided chest pressure (concern of myocarditis); Left sided chest pressure (concern of myocarditis); Left sided chest pressures, like a chest pain on the left side; Shortness of breath; Chills; Wasn't feeling good with joint pain; Wasn't feeling good with joint pain/Wasn't feeling good after he received the vaccine; Not feeling well; Whole time from the time he got the dose till now he is been not feeling good; Fatigued/Still feeling fatigued; A lot of congestion; Sick; Muscle injection site was painful, arm was sore; Arm pain, the site of injection was really painful; Muscle injection site was painful, arm was sore; Arm pain, the site of injection was really painful; He didn't looked good at all, he just looked white; Ear infection; This is a spontaneous report from a contactable other healthcare professional . A 20-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EW0178; Expiration Date: 31Aug2021), dose 1 via an unspecified route of administration, administered in Arm Left (at the age of 20-years-old) on 02Jun2021 as single dose for COVID-19 immunization. Medical history included asthma from an unknown date and ongoing. Concomitant medication(s) included salbutamol sulfate (PROAIR [SALBUTAMOL SULFATE]) taken for an unspecified indication, start and stop date were not reported. Nurse stated, Initially when he has a dose of the first dose like two three days after he was experiencing, he also had a muscle that was given, he had a muscle injection site was painful, that arm was sore that was given, but he also started experiencing shortness of breath and same left sided chest pressure and I called his pediatrician and that's why we are just watching him because it wasnt to the point where he was full blown shortness of breath, full blown chest pressure stayed last for a couple of days then getting it worst. But he had the chills, he had fatigue is still there and it started to subside and then couple days after since it subside, fatigue never left but then he started to get chills again and fatigue was even more pronounce and then started more congestion and then he has ear infection, which we took him to doctor 2 days ago and he has started antibiotics. So the whole time from the time he got the dose till now he is been not feeling good, so now with the antibiotics he is feeling a little better and on 04Jun or 05Jun, like Friday to Saturday he was expecting little shortness of breath and then he was having a little bit of left side chest pressure, he had the arm pain initially and the site of injection was really painful and then the fatigue probably started the same time Friday Saturday he just, he didn't looked good at all, he just looked white. The patient experienced left sided chest pressure (concern of myocarditis), like a chest pain on the left side, shortness of breath, chills on an wasn't feeling good with joint pain wasn't feeling good with joint pain/wasn't feeling good after he received the vaccine; not feeling well; whole time from the time he got the dose till now he is been not feeling good, fatigued/still feeling fatigued on an unspecified date, ear infection on 19Jun2021 and a lot of congestion, muscle injection site was painful, arm was sore; arm pain, the site of injection was really, muscle injection site was painful, arm was sore; arm pain, the site of injection was really painful, he didn't looked good at all, he just looked white on an unspecified date. The patient was treated with antibiotics for ear infection. The patient underwent lab tests and procedures which included sars-cov-2 test result: negative. Caller stated His sons next dose (of Pfizer COVID vaccine) is due Wednesday. But until now he has not been feeling good. I don't want to give him the vaccine when he's sick. Does that make a difference with the effectiveness if I delay the second dose and she heard people had worse side effects for the first few days with fevers, body aches, nausea, fever and subsided and then they take their 2nd dose and are better after the 2nd dose, also stated her sons symptoms were not acute, but is not sure if it is coincidental if his ear infection was due to the vaccine. The outcome of the events were reported as unknown.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of event myocarditis cannot be totally excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Paralysis from the waist up including arms, hands and face for approximately 20 min. Difficult breathing, increased heart rate.

Heart palpitations that persisted for over 5 days after the initial vaccine.; Minor shortness of breath.; This is a spontaneous report from a contactable consumer, the patient. A 20-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the arm left on 29Mar2021 at 17:00 (at the age of 20-year-old) as a single dose for COVID-19 immunisation. The patient did not have any relevant medical history. The patient did not have allergies to medications, food, or other products. Concomitant medications included cannabis sativa [marijuana] (MANUFACTURER UNKNOWN) started on an unspecified date for an unknown indication. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 29Mar2021 at 22:00, the patient experienced heart palpitations that persisted for over 5 days after the initial vaccine and minor shortness of breath. The event resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment for the reported events. The clinical outcome of the events heart palpitations that persisted for over 5 days after the initial vaccine and minor shortness of breath was not recovered at the time of the report. No follow-up attempts are needed. No further information is expected.

NauseaVomiting chest tightness, throat tightness Narrative: This is a 20 year old who had a sensation of throat tightness immediately after his covid vaccine. He was transported to the ED. Treated with epi pen, solumedrol, benadryl, and pepcid. Also reports nausea which was treated with ondansetron 4m IV. Symptoms have not reoccurred. Prescription also given for epi pen. Discharged to home.

high fever (102.3), muscle aches, local injection site reaction, head ache and shortness of breath and chest discomfort

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

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

Complain of chest tightness and SOB 15 minutes after receiving injection. Used Proventil inhaler with good relief. BP 136/82, p-92, O2 sats- 98%

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

tongue swelling, upper exteremity splotchyness, c/o mild difficulty breathing; treated with epi 0.3mg, Pepcid 20mg, Benadryl 50mg, transported to Hospital per EMS

15 minutes after receiving vaccine, throat closing, itchiness, chest tightness. EPI injected and given Benadryl. 911 called Transferred to ED via EMS. In ED given Solumedrol and an additional EPI SQ. Observed in ED for several hours. Advised not to get 2nd vaccine. Discharged home in stable condition

Patient left pharmacy after 15 minute observation period. Was reported that patient drank water, choked on it. Mom brought patient over to pharmacy saying that he was having trouble breathing and his skin was pale. Asked for me to call 911. RN on site assessed patient until EMS arrived. RN said that he sounded fine, but his heart rate was rapid. EMS did not take patient away and family left with patient.

Patient rec'd Pfizer COVID vaccine at 1438. Reported he felt "slight discomfort at the back of his throat" at 1451. VS WNL. Denied dyspnea. Water given. Denied difficulty swallowing. AT 1457, patient stated his "throat felt tight". Denied allergies to any medications and stated he has taken benadryl in the past. 50 mg PO Benadryl given. VS remained WNL. Stated throat "felt better" shortly after. Then c/o SOB and "feeling like he had to cough, but couldn't". Discussed treatment options and need for evaluation. States understanding. Consents to EMS being called. EMS called and patient monitored while waiting. C/o continued s/s and feeling "jaw tremble and chills, as well as back pain".

COVID-19 Vaccine, First dose of 2 Normal symptoms: fever, fatigue, malaise, sore arm Adverse event: Chest tightness, difficulty breathing (approximately ~30 hours beginning on Sunday the 11th the morning of Tuesday the 13th, elevated heart rate. Similar feeling to pericarditis - positions such as leaning forward and lying down on stomach relieved some difficulty breathing.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient states difficulty breathing and SpO2 using pulse oximeter was at 91. Epipen given due to patient stating hardness of breathing and low BP.

HPI: The patient is a very pleasant healthy 21 y/o male with no sig PMH, he received the second dose of Pfizer's vaccine on the 15 th, he had some retrosternal sharp chest pain which was worse with breathing about 2 days ago which got better, but last night he started having more chest pain radiating to his lower jaw, he presented to the ER where his troponin came elevated, he has no fever chills no SOB no other complaints. His chest pain resolved with no recurrence, his EKG was normal. No h/o heart issues or chest pain in the past.

Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Mild, Additional Details: Within 5 minutes of receiving the vaccine, patient admitted feeling lightheaded. He immediately became unresponsive and his body went stiff. He was carefully lowered to the floor, still stiff with ragged breathing. Patient was given an Epipen which brought him back to responsiveness. Patient was able to answer questions following Epi and admitted to being scared. Paramedics were called and patient was taken to hospital for further treatment.

Pt. reported feeling and SOB as per mum, pt had %. episode for a few second and regained consciousness. Pt also repeated muffled hearing vital signs: HR 98 SAT O2 90%. when rechecked, Sat O2 was 97%. pt was advised to lie flat in the car and was asked to a hydrated. pt. was given graham cracker.. Pt is not on any med, pt reported improvement in 5 to 10 minutes and advised to notify health care professional of any worsening of symptom or if symptom is not resolved. Pt left the site with parent

patient was nauseated 10 minutes after dose, proceeded to have tingling in feet first, then legs and arms that moved into abdomen as well. Pain and extreme heaviness in arm shot was administered in. Ice packs were placed on arm and back of neck. Patient then stated after another 10-15 minutes that breathing was becoming labored and then both hands drew in and locked unable to move them. EMS was called at this time and EPIPEN was readied but not administered. Patient continued to communicate tingling was coming and going and after another 10 to 15 minutes breathing eased up and tingling in lip and body was fading along with able to move fingers but not thumbs. EMS arrived and took all vitals and cleared patient. About 15 minutes after patient was able to leave on own accord.

21yoM states that on 25 March 2021, he noted 25 minutes after his 1st dose of Pfizer vaccines, he noted a throat tightness, feels tight, scratchy, noted a hoarse throat with some voice changes. He felt throat tightness made it hard to breath, he had associated lightheadedness, felt anxious, almost like a wheezing sound when breathed in and out in his upper neck. When he stood up, he did feel like he needed to hold onto something to steady himself, had some tunnel vision, improved with sitting down and closing his yes and taking deep breaths. He felt warm at the time, not cold or clammy. His friend said he looked ghostly white, no flushing, no hives, no angioedema. No sense of impending doom. He did take Zyrtec the day that he received the vaccine. He waited the 15 minutes after vaccine without symptoms, and had walked back to class by the time it started. Between the vaccine and symptoms onset, he denies eating anything, being stung by anything. He told a friend about his symptoms, and he returned to the hospital via base taxi arrived at ER. Symptoms were still occurring about 60 minutes after vaccination when he arrived at the ER. In the ER, he underwent exam, was given oral Benadryl. His symptoms of scratchy throat lasted for 2 days afterwards with some associated fatigue, post-nasal drip. He denies other symptoms. No fevers or chills. Small amount of pain and a ?knot? at the injection site the next day, but minimal according to the paitent. Denies hives, angioedema, SOB, wheezing, nausea/vomiting, no diarrhea, abdominal pain, nasal pruritus/congestion, ocuarl itching/redness, no syncope. No h/o vaccine reactions before. No h/o passing out before at all, specifically not to needles, blood draws, or vaccines before. No h/o venom or drug allergy. He does report a history of apple allergic reaction 1 year previous when eating a raw apple, felt his throat close within 15-30 minutes, no hives or other systemic symptoms. He took oral Benadryl and went to ER. He was given oral Benadryl, no Epipen. He followed up with his PCM regarding possible apple allergy and was told to avoid apples, but was never tested for apple allergy. Since then, when he drinks apple juice, his throat will start hurting, but otherwise, he has avoided raw and cooked allergies. He does report seasonal rhinitis symptoms that are worse in the fall. He takes allegra as needed to treat these symptoms. He is not carrying an Epipen currently

receive vaccine at 12:20pm. At 12:27 patient felt his throat beginning to swell and throat was "really scratchy". After drinking some water patient stated his throat felt better. at 12:45 patient stated his symptoms were mostly gone. At 1:15 patient was allowed to go home after 30 minutes of no symptoms with recommendation that if symptoms returned to go immediately to the ER

Normal side-effects subsided after the first few days. Restarted on the 11th at night with difficulty breathing, which later escalated into nausea, pain across the chest, ribcage, abdomen, thighs, calves, toes and re-ememergance of initial vaccine symptoms.

Unknown vaccine clinic site. Patient was seen at Per internal reported event: 21 y.o.male with PMH significant for asthma who was admitted 5/15/2021 with CP. Pt had Pfizer COVID vaccine #2 on 5/12. He developed fever and myalgias on 5/13. These had recovered by 5/14 - only complaint was sore arm and underarm swelling on the L. By 5/15, pt had severe CP with dyspnea. Taken to ED - noted to have elevated troponin and ST elevation on EKG. Now s/p LHC today - coronaries clean. Echo without wmas. Cardiology suspects acute myocarditis. No pericardial effusion to suggest pericarditis.

Patient is a 21 y.o. male with no past medical history who got his second dose of COVID (Pfizer) vaccine on Saturday presented with chest pain since Sunday. Patient says that he was in his USOH until yesterday when he started having substernal chest pain which was getting worse with inspiration but also with specific movements. He does have pain even at rest sometimes but he thinks that it's exacerbating by breathing. Had some nausea/vomiting as well. Denies other symptoms. Not really sob or leg swelling. In the ER, his Trop I was 10.7 and his WBC was 12.2. His EKG was NSR with short PR and STE I, II, III, AVF, V4-V6 Patient is a 21 y.o. male with no past medical history who got his second dose of COVID (Pfizer) vaccine on Saturday presented with chest pain since Sunday with some pleuritic characteristics. He was found to have a very elevated trop I to 10.7, leukocytosis to 12.2 and STE in I, II, III, AVF, V4-V6. His POCUS in the ER was without significant pericardial effusion and probably normal EF. Differential at this point includes pericarditis vs myopericarditis (there are some myocarditis cases reported in Israel post Pfizer vaccination, predominantly in young male patients) vs less likely ACS. Will need admission and further work up and treatment -Admission to Cardiology -NPO in case team tomorrow decides to proceed to LHC -Full echo and cardiac MRI tomorrow -Telemetry monitoring -Repeat EKG q4h overnight -send CRP, ESR -trend Trop to peak -would not start heparin gtt at this point -Please start tonight ASA 650 TID + Colchicine 0.6 mg BID 21-year-old man admitted with signs and symptoms of acute myo-pericarditis or in the setting of recent COVID-19 vaccination. He apparently had the findings are vaccine 2 days ago and developed pleuritic chest pain. His ECG shows pathognomonic changes for pericarditis in the is a small troponin elevation. He has no past medical history or exertional symptoms to suggest CAD. Bedside echocardiogram showed preserved left ventricular systolic function. He was admitted and placed on aspirin and colchicine. A cardiac MRI today showed evidence of myopericarditis. He had 3 beats of nonsustained VT on tele.

Patient fainted shortly (5 min) after being given the shot but awakened almost immediately, felt tingly feeling down fingers and legs that went away after being given water and snack. Chest pain and shortness of breath, ear ringing that subsided within minutes. No nausea reported.

patient c/o shortness of breath after receiving 2nd dose of pfizer vaccine. approx 12 hours after he began having chills, headache, fever. felt worse 4 days following 2nd dose. troponin checked at hospital and found to be 8.17.

Nausea; Lightheadedness; Patient felt SOB after vaccine. No significant medical history, seen by EMS with no intervention needed. Released to self care.

Patient said he had an extreme headache and slight difficulty breathing and his heart racing within 2 minutes of being vaccinated. His blood pressure was taken and was 164/94, and he was given water to drink. Within 5 minutes, the headache was beginning to subside and his blood pressure returned to normal levels at 129/64. After 10 minutes the headache was gone and the patient said he was feeling much better. He was monitored for another 15 minutes before being released to go home.

Patient had a seizure about 40 seconds after receiving the COVID19 (Pfizer) vaccine. He urinated, and became cyanotic, not breathing and faint pulse. CPR as initiated and 911 called. Patient regained consciousness after 30 compressions and was taken to the hospital after ambulance arrived.

Patient developed chest pain 5 says after his second Pfizer vaccination. He was admitted to Hospital and diagnosed with myopericarditis. Has ongoing shortness of breath and chest pain currently. He was put on Colchicine, Ibuprofen, and Pepcid and advised to begin light walking daily.

A couple days following the injection, began experiencing chest pain and shortness of breath while trying to sleep. Symptoms remained for three continuous days following onset. Symptoms were prevalent enough to lead to an impromptu doctor visit, and an ER visit the following day.

Tightness in throat for 15 minutes; light fever; feeling very sluggish; pain when the vaccine was administered.; This is a spontaneous report from a contactable consumer (patient). A 21-years-old male patient received first dose of bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number and Expiration date: unknown), via an unknown route of administration, in left arm on 30Apr2021 at 16:30 (at the age of 21-years-old) as First dose , single dose for covid-19 immunisation. Medical history included crohn's disease, coeliac disease, asthma and Bactrim allergy. Concomitant medications included amoxicillin (AMOXIL), codeine phosphate, paracetamol (TYLENOL WITH CODEINE) and ibuprofen (IBUPROFEN) taken for an unspecified indication. Patient has not received any other vaccine in four weeks. Prior vaccination, patient was not diagnosed with covid-19. Since the vaccination, patient has not tested positive for covid-19. On 30Apr2021 at 16:30, the patient experienced tightness in throat for 15 minutes, light fever, feeling very sluggish and pain when the vaccine was administered. Therapeutic measures were taken as a result of tightness in throat for 15 minutes, light fever, feeling very sluggish and pain. Treatment received for the events included Tylenol 500 mg. Outcome of events was recovering. No follow-up attempts needed. No further information is expected.

he couldn't move his shoulders or his arms; alarming reaction of pleurisy/I believed it was pleurisy there's inflammation of the lining of the lungs it lasted about a day; hard time breathing; Had a real severe sharp pain about few inches below his clavicle; This is a spontaneous report from a contactable consumer. A 21-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0172; Expiration Date: 31Aug2021), dose 1 via an unspecified route of administration, administered in arm Left on 28May2021 17:00 (Age At vaccination 21years) as 1st dose, single dose for covid-19 immunisation. Medical history included seasonal allergy (Verbatim: Pollen allergy), allergy to animal (Verbatim: Allergic to cats), Allergy to some nuts (Verbatim: Allergies to some nuts, allergy to animal (Verbatim: Allergies to crustaceans) He's not taking any of the drugs for it. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 10Jun2021 the patient experienced about 20 minutes he couldn't move his shoulders or his arms, alarming reaction of pleurisy/he believed it was pleurisy there's inflammation of the lining of the lungs it lasted about a day, hard time breathing, had a real severe sharp pain about few inches below his clavicle. After 20 minutes he was able to go to sleep but then it woke him up in the middle of the night and but after a day it was pretty much gone. Reporter is wondering if he should receive the second vaccine which is due on the Friday 18Jun2021. Reporter has a friend who had the exact same thing happen after the moderna shot. She went to the urgent care and was given ibuprofen. She wanted to know if her son really needs that second shot, he does not want him to get the second dose, if her son was in the age group that is immune after the second dose or not. Reporter requested to speak to team studying myocardia because son's health care. reporter don't think he needs the second shot for immunity because of his age and his lung linings something being inflamed his organs that scares him about his heart. He got the Pfizer COVID-19 Vaccine about 2 weeks ago. reporter want to say 5 foot 9 and he's probably 160 maybe a 160 pounds I think so yeah it's either 155 or 160 he is not sure. he was thinking of taking him to get an antibody test, just to find out that he can get the second shot. Patient received treatment of Advil for Had a real severe sharp pain about few inches below his clavicle, reporter think he just took one pill. The patient underwent lab tests and procedures which included weigh was he's probably 160, weight was it's either 155 or 160 on an unspecified date, weight was maybe a 160 pounds lbs on. Onan unspecified date in 2021, the patient had recovered from the events.

He could barely breathe; he felt like his heart it was something involved with his heart, he couldn't even take the normal breath; He could barely breathe; he felt like his heart it was something involved with his heart, he couldn't even take the normal breath; He had a swelling around the calves; This is a spontaneous report from a contactable consumer. The consumer (patient's mother) reported for her son. A 21-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number was not reported) via an unspecified route of administration on 12May2021 in arm as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. No other vaccines were administered. The reporter stated that her husband got the first dose (lot number: ER8732) on 03Apr2021 at 11:30 and all of a sudden, his ears started ringing, but in one ear it was like unbearable siren going on and it calm down. He received the second dose on 24Apr2021 at 11:30 (lot number: EW0170; expiry date 31Aug2021) and the events came back with full force again but were gone. She was sure that the events were because of the vaccine. Her husband went for an MRI because he got something going on with his brain and went to a neurologist but later it was gone. She reported that her girlfriend's husband lost hearing in one ear after he got the vaccine. She also reported that her son received the vaccine on 12May2021 and had lot of side effects which were very normal for 21 years old, but the third day he woke up and said he could barely breathe, he felt like something was involved with his heart and he couldn't even take the normal breath. She reported that they almost took him to the hospital, and he started to calm down by the end of the day, the events were gone but he had swelling around calves. The outcome of the events was recovered in 2021. Information about lot/batch number is requested.; Sender's Comments: Linked Report(s) : PFIZER INC-2021694827 Same reporter, different drug/patient/ AE

At around 5 am, I woke up with severe trouble breathing and extreme sinus congestion. Also have some body aches and feel feverish. It has been going on for over an hour now and not going away.

Overnight after shot just typical symptoms, some slight chills and next day just a little tired Day 2 after shot, April 11th. Chest pain, squeezing in chest. Unusual but manageable and didn?t feel terrible otherwise,maybe slightly tired. Tried leaning forward to make feel better. Day 3 and 4 chest pain/heart squeezing continued and was bothersome and, went to Urgent Care this day April 13th. EKG was a little abnormal and told to follow up with a cardiologist and take Advil. The heart squeezing feeling continued. Early morning hours April 14th very sick, excessive shaking (no fever), extreme nausea, faint feeling, dry cough (laying on bathroom floor). Not much, if any chest pain at the time. Went to ER. Not much chest pain during ER visit but nauseous and shaking etc. Test were run. Told that the symptoms were a delayed reaction to the vaccine and to follow up with a cardiologist because possible abnormal EKG and to take Advil as needed. Overnight at home, no chest pain but an hour of the shaking and nausea returned but not as bad as before. Over next couple days the chest pain/squeezing, slightly shakes and light headedness would come and go and by 4-16 feeling pretty great. The heart feeling mildly at most in the background but not debilitating. Starting week of April 20th maybe 4-5 flare ups with chest pain and no pattern but not debilitating. Could happen at rest. April 27th bigger flare up more debilitating, had to lie down, heart squeezing pain and maybe some wheezing when breathed in but not tightness in throat. Lasted about 30 minutes. Was just doing schoolwork with friends at the time so not under any physical or emotional stress at the time. After this from April 20 to May 3rd feeling heart symptom mildly but not debilitating and could resume normal active life. Had cardiology appt. May 3rd with nurse practitioner. According to NP the 12 Lead EKG run that day correlated with abnormal EKG from ER. Normal sinus rhythm with sinus arrhythmia Rightward axis Pulmonary disease pattern. Incomplete right bundle branch block Abnormal ECG. Given 4 lead heart monitor to wear for a week. Also ordered a CV CT angiogram coronaries with calcium scoring. The test could not be scheduled through them until July. Also told could go on hiking trip out west and to stop and rest if felt pain. For parents reassurance about hiking trip, had a second opinion over teleconference call with Dr., myocarditis specialist to confirm would be safe on hiking trip. Dr. said he should be good to go. He said these heart symptoms related to the second vaccine could fade over time. Hiking trip May 20th to May 30th. Did fine with exertion and just a few small episodes of the chest pain, light headedness and maybe a little shaking but these were at rest. Also, 4 lead heart monitor report was good. Returned from trip May 30th and no chest pain or symptoms for approximately 3 weeks through June 17th. June 18th went to urgent care for sore throat and ear. Prescribed amoxycillin. Took the amoxycillin and one Advil sinus, that evening had a heart squeezing episode return. This was the first time in almost 3 weeks. Did not take any more Advil sinus in case that caused the episode. Had another slight episode that evening. Hiked next day June 19th and fine. Then felt it slightly again after eating that afternoon of the 19th, also chest did feel a little tight all day. Then felt it again that evening. Still taking Amoxycillin as of today.

Shortly after getting the first vaccine and into the next day, I had sharp 'pins and needles' feeling in my lower abdomen, huge shortage of breath (Barley being able to breathe), extremely bad 'vertigo-like' symptoms. Very dizzy, blurry eyesight, not being able to stand up or hold my balance, my heart felt like it was doing weird things.

Patient developed pleuritic chest pain on 6/17/21 and was admitted to the hospital. He was subsequently diagnosed with myocarditis.

Stabbing heart pain. Shortness of breath. Weakness in right hand (opposite the arm vaccinated). Extreme joint pain to the extend of difficulty walking. Symptoms abated strongly after 48 hours with the exception of tightness in chest.

Heart inflammation, stabbing pain in heart, angina, difficulty breathing, increased blood pressure and heart rate.

Discharge Summary Risk of unplanned readmission within next 30 days: N/A (0-12 low risk, 12-21 moderate risk, 22-28 high risk, 29+ extreme risk) Reason for Admission: Present on Admission: ? Acute chest pain Final Diagnosis: Acute chest pain Myopericarditis Hospital Course: Patient is a 21 y.o. Caucasian male who presents with acute onset of fever, headaches, chest/back pain and rapid heart rate after having received second dose of Pfizer Covid vaccine on 5/21/2021. Chest pain with oppressive character (pressure-like, squeezing) that is associated with palpitations, sweating, SOB, not nausea, exertion, dizziness. +cardiac risk factors (smoking, and +FH). Patient evaluated by cardiology. Echocardiogram with normal left ventricular ejection fraction no pericardial effusion. Troponins downtrending. Patient diagnosed with myopericarditis pericarditis as per cardiologist: "discharge him home with plans for a repeat echocardiogram in 1 month and follow-up with a cardiologist. I do not feel strongly that we need to start cardioprotective medications or any anti-inflammatory medications as he is feeling better." Once symptomatically improved and repeat troponin downtrending patient was cleared for discharge by cardiology in stable condition Significant Medication/Changes this Admission: See MAR Follow Up Recommendations: PCP Problems Addressed During this Admission: Acute chest pain Elevated troponin Engages in vaping * No resolved hospital problems. * Consults: Consultants below were obtained for their respective expertise as needed (Please refer to their consult and progress notes for details). Discharge Disposition: Condition at discharge: Stable. Discharged to Home

Heart was pounding very hard and fluttering. Blood pressure and heart rate were elevated. Experienced shortness of breath and restlessness. Felt a sense of panic. All these symptoms came on quite suddenly, about 8 hours after receiving second vaccine dose. The symptoms subsided after about an hour.

This is a spontaneous report from a contactable other hcp. A 21-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) dose 2 via an unspecified route of administration, administered in Right arm on 12Jan2021 13:30 (at a age of 21-years- old) (Batch/Lot Number: EK3302) as dose 2, single for covid-19 immunisation. Medical history included none. There were no concomitant medications On 22Dec2020 historical Vaccine BNT162B2 dose 1 Lot number: EK5730 right arm. On 16Jan2021 06:30 the patient experienced stabbing chest pains, angina, heart spasms, difficulty breathing (hospitalization). The patient was hospitalized for stabbing chest pains (chest pain) for 1 days. The patient was hospitalized for angina (angina pectoris) for 1 days. The patient was hospitalized for heart spasms (cardiospasm) for 1 days. The patient was hospitalized for difficulty breathing (dyspnoea) for 1 days. The patient underwent lab tests and procedures which included blood test: unknown result computerized tomogram thorax: unknown result, sars-cov-2 test: negative on 19Mar2021, x-ray: unknown result. Therapeutic measures were taken as a result of stabbing chest pains (chest pain), angina (angina pectoris), heart spasms (cardiospasm), difficulty breathing (dyspnoea). On an unspecified date in 2021, the outcome of the events were recovered with sequelae. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: Based on the information currently available, events with the suspected vaccine BNT162B2 in this patient cannot be completely 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 RAs, Ethics Committees, and Investigators, as appropriate

Site: Pain at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Severe, Systemic: Shakiness-Severe, Additional Details: patient described an uncontrollable shaking for approximately 1/2 hours

I have had severe shortness of breath and breathlessness, chest pain, heart racing, heart fluttering, heart pounding, chest tightness, nausea, extreme fatigue, coughing, headache. I have no stamina at all, just slight exertion causes my heart to start racing and pounding, I can't climb stairs and I haven't been able to work in weeks, now I'm probably going to lose my job I fear and then will have no health insurance. I have more tests this week to try and find out if I have endocarditis, so I am racking up all kinds of bills. So far no one believes me or will help me! ALL of this started within a few days of the second Pfizer dose of COVID vaccine. Biggest mistake of my life. I feel like I'm dying and no one will help. You are literally killing me.

Employee presented to employee health office around 1:50pm after receiving vaccine approx 12:30pm today. Employee was pale, diaphoretic, c/o being lightheaded, dizzy, heavy breathing, and fatigued. Employee called PCP but then decided to go to the ER.

Vaccine was injected approximately 7:20 am. Patient was in observation area for 15 minutes and left the facility. 7:50 am patient was in the employee parking lot and complained of shortness of breath. Parking security radioed back to the facility. The doctor and onsite EMS staff ran to assist, and found patient short of breath with stridor, o2 sat in 70's with heart rate 140. Epi pen was administered. Patient was transported to Medical Center. EMS who transported him reported improved breathing and O2sat in 90's, heart rate 120's. The Occupational Health RN will follow-up with the patient.

He began feeling flush and shob and his heart was racing. Then his throat got scratch and felt like it was closing.

Symptoms: High fever (~102 F), chills, loss of appetite, tiredness, body aches, head aches, dizziness, slight difficulty breathing. Time course: 11:30pm 03/24/2021 to present (9:27am 03/25/2021). Treatment: Advil, emergency inhaler

Pt received Pfizer vaccination at 1340 today Waited 15 minutes in monitoring room after vaccination without incident Went to drive, home, felt "short of breath and like throat was tight", returned to clinic 1530: Pt entered clinic, put in exam room Epi pen to bedside Vitals: 118 HR, BP 137/86, O2 97% Lungs clear to auscultation throughout Respirations equal and unlabored Oropharynx clear NKDA Hx of asthma (has not needed rescue inhaler in one year) and migraine (PRN Maxalt) 1540 Vitals HR 102, O2 97% Drinking water, no distress 1545, states throat feels titer Lungs clear throughout O2 97, HR 107 BP 134/84 Prednisone 40 mg given PO 1600, states feeling better (less tight) Respirations equal and unlabored Conversing without difficulty HR 103 BP 134/85 96% Drinking water in no acute distress 1606 Lungs clear throughout Oropharynx clear O2 97%, HR 104 1612 96% HR 102 BP 121/80 Respirations equal and unlabored States feeling better Calling friend for pick up Advised patient if ANY worsening symptoms (shortness of breath, trouble swallowing, trouble talking, drooling, etc) he is to call 911. States understanding of this.

Pt reports experiencing palpitations and shortness of breath requiring EMS evaluation 5 minutes after vaccination. Heart rate measured at approximately 160bpm per EMS. Event resolved spontaneously during ongoing observation.

nausea, shortness of breath light headedness loss of vision loss of hearing tingly fingers to right hand.

My arm went completely numb immediately and then it started itching and then about an hour later my throat started to close and I could see my heart beating out of my chest and I ended up having to go to the emergency room and then over the next three weeks I have experienced every side effect that is listed With the worst being fatigue muscle ache and abdominal cramps

1330 recevied pfizer covid vaccine, lot # EW0153 right deltoid 1345 walked to tent, due to lightheadedness, anxiety, feels itchy at throat, VSS 1352 scratchy throat, rash at throat, ENT clear , HR RR,lungs clear A&P 1355 worsening symptoms , clearing throatt, sob, wheals on neck, epinephrine 1:1000 0.5ml IM given , 02 10 L via mask, 1402 throat symptoms resolved, no sob, pulse ox 100 , VSS ENT : clear, cardio rr without murmur,lungs clear A&P diphenhydramine 50mg IM left deltoid, IV hep lick Right antecubital 1413transported via ambulance sse progress note scanned into chart

I was tired and fell asleep at around 9pm and woke up around 2am; I went to go take a shower and once I got in, I had extreme chills; I couldn't breathe and I felt like my lungs were flaring up, and Iimmediately got out of the shower.; This is a spontaneous report from a contactable consumer (patient). 22-year-old-male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: unknown), via an unspecified route of administration in left arm on 17Mar2021 02:00 PM at single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. No other vaccines was administered within 4 weeks prior to the COVID vaccine. It was reported that patient was fine the day of the vaccine. On 17Mar2021, that night, he was tired and fell asleep at around 9pm and woke up around 2am. He went to go take a shower and once he got in, he had extreme chills and he couldn't breathe and he felt like his lungs were flaring up, and he immediately got out of the shower. Two weeks later, it happened exactly the same way even though he was fine for the weeks between. There was no treatment received for the adverse event. The outcome of the events was recovering. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

severe blurred vision; shortness of breath; shaking; stiffness in his jaws; patient who fainted; This is a spontaneous report from a contactable pharmacist. A 22-year-old male patient received the first dose of bnt162b2 (BNT162B2, Solution for injection, Lot number was not reported), via an unspecified route of administration on an unspecified date (received at the age of 22-years-old) as SINGLE DOSE for COVID-19 immunisation. Medical history SVT (supraventricular tachycardia) (diagnosed with SVT by his cardiologist, however it was never confirmed), palpitation, and had fainted in two different situations in the past. Concomitant medications were not reported. The patient fainted after the first dose of COVID-19 vaccine as soon as he stood up. He was unconscious for about 5 seconds. He was experiencing severe blurred vision, shortness of breath, shaking and stiffness in his jaws. He was 22 years old, 170 pounds, and 6 feet tall. He has history of palpitation. In the past he was diagnosed with SVT by his cardiologist, however it was never confirmed. In addition, he had fainted in two different situations in the past. Based on what the patient says, his health issues and why he faints was never fully understood by medical doctors. Outcome of the events was unknown. Information about Lot/batch number is requested.; Sender's Comments: A possible contributory effect of suspect BNT162B2 on event syncope 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.

Pt reported reaction with #1 dose of mild SOB and itchy throat. Given PO Benadryl and brought to ED for his SOB, though no additional treatments administered. Both ED Physician and PCP advised pt should still receive #2 dose. Pt presented prior to dose with normal mentation, and no difficulty ambulating or verbalizing beyond baseline. Pt had no issues when receiving vaccine then called over staff 2-3 minutes after vaccination to report SOB. EMS notified and staff. EMT and staff. EMR came to assist patient. Clinical Lead notified of 1st dose reaction and current reaction after SOB onset began and EMS brought over. Pt provided PO Benadryl 5 minutes after vaccine administered and able to swallow with no issue. I, Clinical Lead, remained at patient side where patient was able to describe his pain but had dyspnea and only able to get out 2-3 words at a time. After a few minutes, pt SOB worsened to the point he was unable to speak but no color changes noted. Mentation declined with pt somnolence present. At this point, Clinical Lead called 911 for backup as Benadryl had no relief of symptoms and SOB worsened along with mentation. Also noted that EMS pulse ox was not working so unable to provide accurate O2 saturation to delineate whether reaction was anxiety or allergic. Pt also noted history of seizure disorder though declined feeling was a current seizure and denied history of respiratory or cardiac conditions. Paramedics felt pt needed transport to the hospital and report provided by Clinical lead.

Pinched nerve pain, dizziness, swelling of throat, numbness/tingling right arm, nausea, difficulty swallowing. Arrived nauseous and listed symptoms -- verbalized improvement. Stable, released from vaccination site.

States felt fine until that evening and then developed muscle aches and felt somewhat short of breath. Thought these were both side effects so went to bed. The muscle aches have resolved but is still short of breath, reports hard to take a deep breath today although he sounds fine on the phone as he speaks calmly and in complete sentences. He has no mouth swelling, there has been no rash or hives at all. He has no hx of asthma and doesn't believe anxiety is playing a role. Pt concerned he may have gotten COVID from the vaccine.

SYNCOPE, FELL TO THE GROUND, WOKE UP CONFUSED, PALE, SOB, CODE GREEN CALLED, PROVIDED GATORADE, TRANSPORTED TO HOSPITAL.

positive cardiac enzymes; myocarditis; hypotension 3 days post 2nd vaccination who was admitted; left-sided chest pain; sob; diaphoresis; dizziness; paresthesia's to his hands; transient fever; chills; headache; body aches; This is a spontaneous report from a contactable physician. A 22-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 17Apr2021 (Batch/Lot Number: ER8731) (at the age of 22-years-old) as a single dose for COVID-19 immunisation as a single dose for COVID-19 immunisation. Medical history included scoliosis from an unknown date and unknown if ongoing , depression from an unknown date and unknown if ongoing. There were no concomitant medications. The patient previously received the first dose of BNT162b2 on 22Mar2021ont at 08:45 in intramuscularly in the left arm (Lot Number: ER8727) for COVID-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the COVID-19 vaccine. In Apr2021, the patient developed transient fever, chills, headache, and body aches which resolved 24 hours after his 2nd Pfizer vaccine, followed by left-sided chest pain, shortness of breath (SOB), diaphoresis, dizziness, paresthesias to his hands; hypotension 3 days post 2nd vaccination, on 20Apr2021, patient was admitted to hospital with positive cardiac enzymes, initially troponin T baseline at 663, 1 hour follow-up troponin T at 943 with troponin T delta at 42%. A 3-hour troponin T at 1913 with a troponin T3HR delta at 189% and CPK >1000 with the diagnosis of myocarditis. Covid screen was negative, Covid antibody was negative, HIV was negative, drug screen negative and rest of work up for other causes so far negative. On 20Apr2021, he was transferred to another hospital for further cardiac care. Treatments for the events included pressor, cardiac medications, cath, etc. Patient remains hospitalized. In Apr2021, the patient recovered from the events, body aches, headache, chills, transient fever. The patient had not recovered from the events, positive cardiac enzymes, myocarditis, hypotension, left-sided chest pain, SOB, diaphoresis, dizziness, and paresthesias to his hands.; Sender's Comments: A contributory role of BNT162B2 to the reported events cannot be fully excluded based on temporal relationship and lack of alternate explanation at this time. 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.

Nearly immediately after vaccination, patient began to feel light-headed and to sweat profusely. In three minutes, the symptoms evolved to include trouble breathing and tingling in left and right arms. Patient had his rescue albuterol inhaler on-hand, and took one dose by inhalation. One minute following dose, the difficulty to breathe improved. He remained in store for further observation for 15 additional minutes. Prior to departure, he confirmed that he was able and willing to leave the premises and declined emergency care.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Heavy breathing and feeling of dehydration

Pt presented with complaints of midsternal chest pain, SOB. He was found to have elevated troponins >700 at peak along with some shortness of breath. He was given fluids and NSAID.

Client received his vaccination successfully without incident. However, as he stood by to observe his friend receive his injection, client became dizzy and nauseous. Client walked over to trash can and threw up. Dr. present for assessment client. Client appeared pale and confirmed SOB, denied dizziness and nausea. VS: #1 BP: 83/45, P: 58, O2: 98%; #2 BP: 103/59; #3 BP: 122/86, P: 96. Dr. encouraged client to drink a bottle of water and a bottle of Gatorade. Client was compliant. After-which, client denied SOB, dizziness and nausea. Color returned to his face. Dr. released client to be observed for 15 more minutes under the observation tent. Client denied discomfort, dizziness and nausea at time of departure. Client was stable when he exited the premises.

Pt states the day after first dose of Pfizer COVID vaccine, throat "felt swollen on and off for a few days". Denies any difficulty breathing, rash, cold s/s, or other allergies. Denies interruption of ADLs. Denies difficulty swallowing. Did not seek medical care, did not take any OTCs for s/s relief. Presented for 2nd dose on 5/12/21. Writer discussed pt's reports with Medical Advisor. Recommended pt receive education regarding anything can happen with next dose and s/s allergic reaction/anaphylaxis. Discussed with patient. States he understands and would like to receive the next injection. Discussed waiting 30 min instead of 15 min for observation. Agrees. Received 2nd injection without difficulty.

Patient complained of sore/scratchy throat, harder to breath especially when seated, & numbness in hands & feet. He said it started & progressed after his vaccine. He called approximately 1 hour later & I advised him to go to urgent care. He said it resolved by the time he got there, but was seen anyway & cleared.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Feet - elevated feet on chair

Bleeding; Shortness of breath; Chest pain; Fever of 102; Viral myocarditis; This is a spontaneous report from a contactable consumer (parent). A 22-year-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration assuming left arm, at age 22 years, on 05May2021 (Batch/Lot Number: EW0153) as 2ND DOSE, SINGLE for COVID-19 immunization. The patient's medical history was reported as no. Concomitant medications were not reported. Patient historically took first dose of BNT162B2 at age 22 years on 14Apr2021 for COVID-19 immunization. Reporter's son unfortunately appeared was hospitalized for adverse reaction (bleeding) and the physician told reporter to report this. Patient had has viral myocarditis of heart on an unspecified date on May2021 after he got his second dose on 05May2021. On 06May2021, patient started having symptoms of shortness of breath, chest pain and fever of 102 (unit: unknown) after the second dose, so he went to emergency room. Then on Friday , 07May2021, he ended up with bleeding, so admission date is 07May2021 and he is still in the hospital at the time of reporting, they don't know how long. Patient also underwent lab test and procedure that includes laboratory test on May2021, 2 weeks before, patient was fine until the second dose. The outcome of the events was unknown.

Client received 1st COVID vaccine of Pfizer (Lot# EW0185 expiration date 05/27/2021). Client reported lightheaded. EMT responded at 1521. RN notified and responded to this event. At 1521, vital signs are blood pressure 120/69, heart rate 69, oxygen saturation 97%. Client reports history of asthma, no current use of any medication, allergies to Keflex. Client reports he ate today and felt "nervous coming today". Client was offered supplemental nutrition and fluids. Client denied nutrition, but accepted fluids. At 1528, vital signs are blood pressure 125/74, heart rate 73, oxygen saturation 97%. Client states "tight throat", no shortness of breath, headache in the occipital area, no nausea, no chest pain. RN offered 50mg of Benadryl by mouth. Client denied. RN educated Client about ED precaution and common adverse effects of COVID vaccine. At 1532, vital signs are blood pressure 125/67, heart rate 71, oxygen saturation 98%. Client reports tightness in the throat is the same. RN offered 50mg of Benadryl by mouth and paramedic services. Client accepted 50mg of Benadryl by mouth, but denied paramedic services. RN advised Client that Benadryl will result in fatigue and drowsiness. Client states his mother is driving him home. At 1534, 50mg of Benadryl was administered by mouth. At 1535, Client reports the tightness in the throat is improving, no shortness of breath, no chest pain, no nausea. At 1538, vital signs are blood pressure 123/77, heart rate 81, oxygen saturation 97%. Client reports headache is improving, no shortness of breath, tightness in the throat is improving. Client is accompanied by grandmother and reports mother is driving them home. At 1544, vital signs are blood pressure 123/77, heart rate 82, oxygen saturation 97%. Client reports headache is present but improving, tightness in throat is improving, no blurred vision, no chest pain, no nausea. RN offered paramedic services in regards to the tightness of the throat, but Client denied offer. At 1550, Client stood up with no complaints. Client left facility with grandmother and picked up by mother at 1553. Client walked out with a steady gait.

Chest Pain, Myopericarditis; From EPIC: From cardiologist healthy man who comes to the ER with left anterior chest discomfort for the last 36 hours or so. Symptoms are made worse by deep inspiration. Were improved following self administration of 600 mg of ibuprofen earlier today. 2 days ago he received his second COVID-19 vaccine (Pfizer). Following day he experienced arm pain muscular aches and pains severe discomfort of the right arm (injection site) later in the day there was nausea and vomiting on one occasion (nonheme). By last night he was able to eat dinner but subsequently felt short of breath with worsening chest discomfort morning the left arm continued to ache with musculoskeletal pains. Developed more discomfort in the left anterior chest radiating to the throat made worse by deep inspiration. Does not describe typical sharp catching pain of pericarditis. No cough sputum bruising bleeding abdominal pain change in color or character of bowels. Sign in the emergency room he was hemodynamically stable, in sinus rhythm with a normal EKG.Torrey work-up notable for an initial troponin of 1.28 and a follow-up troponin of 2.14. Chest x-ray perfectly normal. Elevated d-dimer. CT angiography negative for pulmonary embolism vascular injury, cardiomegaly, pericardial effusion but the radiologist did note thickening of several right posterior and lateral axillary lymph nodes raising a question of recent right-sided vaccination or injury/infection to the right arm. Presently he is perfectly comfortable able to take a deep inspiration with mild chest discomfort, breathing easily. I met him in July 2018He came to the emergency room with a 3-day viral syndrome manifested as headache nausea vomiting diarrhea and abdominal discomfort and then developed chest discomfort. He was found with diffuse mild J-point elevation on EKG consistent with a viral type pericarditis with troponins which rose to a maximum of 10.4. Work-up for myocarditis was negative. Echocardiogram perfectly normal. Symptoms responded to a course of nonsteroidal anti-inflammatory agents and colchicine. Seen in follow-up of repeat echocardiogram was perfectly healthy. Our diagnosis was myopericarditis. There is no history of shortness of breath dyspnea on exertion decrement of exercise capacity peripheral edema orthopnea PND palpitations lightheadedness syncope or collapse. No ill contacts. He works in a high security position and therefore qualified for early administration of the Pfizer COVID-19 vaccine. Graph past medical history notable only for the episode of myopericarditis and a remote tonsillectomy. There is no significant family history of sudden cardiac death or unusual heart disease. He takes no medications. Patient was recommended to take 4 weeks of ibuprofen and colchicine if needed for worsening chest pain. Patient was recommended to follow-up closely with his primary care doctor and check ESR, C-reactive protein as well as renal function. Needs close follow-up with cardiology as an outpatient.

This RN called out to observation for a medical emergency. RN, reported that patient's tongue was feeling "numb" and throat was feeling "dry". Patient laid back in his seat. Vitals signs taken, BP 116/76, HR 78, O2 sats 96%-98%. As this RN was talking to the patient, he c/o tongue swelling and throat feeling "tight and beginning to close" and chest tightness and "tingling" down his left arm. RN was instructed to give 0.3mg epinephrine injection IM into left thigh at 1535 and 911 called by other EMT on site. Patient's VSS. Patient remained laying down in chair. Breathing stable, VSS. Patient stated that he was starting to feel better but tongue still tingling. Paramedics arrived on site at 1545 and care turned over to them.

fever, chills and headache, which progressed to shortness of breath and chest pain-- 2 separate episodes that lasted 20-30 minutes each. Cardiology consult. Patient initially treated with aspirin 325mg, metoprolol succinate 12.5 mg daily and colchicine 0.6mg bid for 6-12 weeks. Patient to follow up with cardiology.

This is my 2nd dose of Pfizer. I got sick both times. After my fever was gone, still have stiff neck for a few more days. Today is 2 weeks after the second dose, I feel like I got covid all over again but only feeling shortness of breath for a number of times a day for everyday. I had to inhale long oxygen to feel better every time .

Second dose of Pfizer Covid19 vaccine on 07June2021. Onset of pleuritic chest pain on 10June2021 with elevated troponin. Cardiac MRI with epicardial and sub-epicardial enhancement consistent with myocarditis. Also meeting diagnostic criteria for pericarditis. Evaluation for other potential causes negative. Currently undergoing treatment for myopericarditis.

The side effects didn't all occur simultaneously. Friday evening I noticed severe arm soreness. Later Friday night (about 10 hours after getting the vaccine) I developed gradual onset chills, body aches, and fatigue. Saturday I woke up with a severe headache, body aches, fatigue, and fever. The headache became severe by mid-day, with fatigue also worsening throughout the day. Sunday was more of the same, though I believe the fever started inching down and the headache lessened. What developed Sunday afternoon/evening took me off guard though. I noticed a sudden drop in heart rate, a feeling of pressure and discomfort in the chest, nausea, and shortness of breath with exertion (consistently - not just once). (I'm a long-distance runner, so this is unusual for me.) At first I debated going to the emergency room, but since I'm so young and in otherwise good condition I thought nothing of it. I had similar symptoms the following day, but I avoided exerting myself until all of my symptoms from the vaccine had ended. I felt groggy and fatigued for several additional days, but by Saturday (8 days after getting the first dose of Pfizer) everything had resolved. I also developed swollen lymph nodes, which returned to normal size within about 3 weeks (before swelling again after the second vaccine). The second dose of the vaccine caused a more sudden and intense reaction, though I never developed chest pain/slow heart rate with it. Instead I developed sudden onset severe chills, fatigue, and body aches about 9 hours after getting the shot. A fast heart rate, shortness of breath, and sudden onset fever (temperature jumped nearly five degrees in about 90 minutes) quickly followed. My fever stabilized around 102.2 around 3 a.m. that morning, and slowly crept down throughout the afternoon/evening. Overall, with dizziness, body aches, extreme fatigue, etc., this was the sickest I've been since I had a severe case of the Flu in high school. The fatigue, shortness of breath, and fast heart rate continued for about a week - getting slightly better each day.

Chest pain, shortness of breath, high body temperature, feeling tired - hospitalised and diagnosed with acute myocarditis of medium severity, should do no phisycal activity for 6 months

2 days after second dosage the patient began to experience chest pain and shortness of breath at rest and worse with minimal activity-body aches--myalgias--headache

Patient present to ER on 6/19/2020 with 2 day history of fever to 103, bilateral pleuritic chest pain, back pain and fatigue.

Experienced random pains in heart area where I was unable to take deep breaths for 5+ minutes at a time. It would go away but then come back at random times. At worst this would happen 10+ times a day. The symptoms had subsided almost entirely by 4/15/2021, however, I still experience much shorter variations of this pain to this day that only last a few seconds and occur about once a week.

On the morning of 04-16-2021 I had a syncope in my restroom at my home. When I awoke I had convulsions. On Friday night, I developed fever, shakiness of my legs. On Sunday I had blurred vision, had nausea and had trouble breathing. These symptoms lasted one month. I had vertigo, nausea and had trouble breathing. As of today, I still have difficulty breathing, the nausea and dizziness are not present today. I will not get my second vaccine due to my symptoms to my first vaccine.

Patient blacked out, eyes dilated, started sweating, was unresponsive for about 2 minutes, with shallow breathing. He had a pulse the whole time. EMS was called. He started to be responsive, blood pressure was ok and he felt better so he refused to go to hospital.

Elevated heart rate within couple of minutes of receiving vaccine and extreme fatigue. Visited emergency room 4 times within two months after receiving vaccine and had abnormal EKGs. Followed up with a neurologist, cardiologist, gastrologist, and primary care physician to receive more follow-up tests but have not received any official diagnoses yet. As of July 7th, I still have rapid heart rate, low blood pressure, shortness of breath, bone cracking, and back & stomach & neck pains that all started since receiving the second dose of vaccine.

fever 104 degrees Fahrenheit; Chest pain; Shortness of breath; leg swelling; Dizzy; achy muscles; Caller received the first dose on 08 Apr 2021. He received the second dose on 24 Apr 2021.; Caller received the first dose on 08 Apr 2021. He received the second dose on 24 Apr 2021.; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A 22-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0171 and Expiry date: Unknown) via an unspecified route of administration on 24Apr2021(at the age of 22-years-old) as Dose 2, Single for COVID-19 immunization. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on 08Apr2021(at the age of 22-years-old) as Dose 1, Single for COVID-19 immunization. The patient's medical history was not reported. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of vaccination. The patient did not receive any treatment and diagnosed with COVID 19 and has not been tested for COVID-19 since the vaccination. On 25Apr2021,the patient experienced fever 104 degrees Fahrenheit, chest pain, shortness of breath, achy muscles, leg swelling, dizzy. The patient underwent lab tests and procedures which included blood test: unknown on an unspecified date, electrocardiogram: unknown on an unspecified date, full blood count: unknown on an unspecified date, pyrexia: 104 Fahrenheit on 25Apr2021 104 degrees Fahrenheit ,sars-cov-2 test: unknown on an unspecified date, x-ray: unknown on an unspecified date. Therapeutic measures were taken as a result of fever 104 degrees Fahrenheit (pyrexia) and treatment included Tylenol immediately. She took him to the hospital, and he was given more Tylenol. He was discharged from the emergency room 6-10 hours later. His temperature did go down to 99 and then to normal range. The outcome of events fever 104 degrees Fahrenheit, pain, achy muscles, achy muscles, leg swelling, dizzy was recovered and outcome of shortness of breath recovering while the outcome of inappropriate schedule of vaccine administered and off label use was unknown. Follow-up needed. Information about batch/lot number has been requested.

Tightness in chest Very irregular heartbeats Feeling of "enlarged" heart muscle Can't breathe properly Lump in throat Burning sensation in chest Severe lack of stamina Being active causes intense heart pressure to the point of fainting Swelling at injection site Symptoms started less than an hour after the first shot, still ongoing, getting worse ER visit on day 3, no clear diagnosis, no treatments. Still ongoing

6/10 chest pain and pangs around 36 hours after 2nd Pfizer dose (Saturday night). Shortness of breath, potential heart flutterings, and chest pain that comes and goes. Intensified around midnight. Sunday, increased around noon. Decided to get checked out at ER. Doctor said no evidence of a blood clot, and diagnosed me with ******"costochondritis"****** has not gone away, although slowly subsided by day 4. I still have shortness of breath, inability to breathe deeply, bend over. Got intense saturday night but is mild now.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: shot 1t 1256pm, pt began coughing 105pm, had sweating and extrem cough/brionchospasms, benadryl and water 106pm, called 911, emt came 125pm and cleared 145 pm

Chest pain; Shortness of breath; This is a spontaneous report from a contactable consumer. A 22-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Batch/Lot Number: EWC198), via an unspecified route of administration on 2021 as DOSE 1, SINGLE for Covid-19 immunisation. Medical history and concomitant medications were not reported. The patient experienced Shortness of breath on an unspecified date in 2021, Chest pain on an unspecified date. The patient was hospitalized for 2 days for the event. The patient underwent lab tests and procedures which included blood test: unknown on 10Jul2021, Electrocardiogram: unknown results on 2021, x-ray: unknown on 2021. Treatment received was inhaler and inflammatory for both the events. There was no prior vaccination within 4 weeks. There was no Investigation Assessment. The outcome of event was unknown Follow-Up (16Jul2021): Follow-up attempts are completed. No further information is expected.

Was given both doses. 2 months after the vaccine I began experiencing shortness of breath, trouble breathing, and sharp pains in my chest and what feels like my heart.

Patient developed 104.4 temp approximately 48 hours after being given the vaccine. I treated him with antibiotics, IV fluids, cooling methods. CXR does show a new right perihilar infiltrate. However, his fever came down within the next 24-48 hours. Unfortunately, he suffered a cardiac arrest on 1/21/21 in the early morning and expired.

After patients second covid vaccine, patient states feeling confusion, tight throat, itchiness, weakness. Patient went to the ED for monitoring. VSS stable and discharged. no pharmacologic or laboratory interventions taken.

Had some headache, fatigue, and fever within 12 hours of the vaccine, but that mostly stopped after 36 hours. Now experiencing mild discomfort when breathing in, feels like tightness in chest.

HE SAID HE WAS HAVING STRANGE FEELINGS LIKE HE WAS HAVING TROUBLE BREATHING, BUT ADMITTED IT MAY BE ANXIETY. I HAD A FRIEND/COWORKER SIT WITH HIM WITHIN SIGHT FOR OVER 30 MIN AND CHECKED IN WITH HIM Q10MIN. HE SAID IT WAS GETTING BETTER AND THERE WERE NO OTHER SYMPTOMS DEVELOPING. HE HAD NO WHEEZING OR DIFFICULTY BREATHING AT THE TIME I RELEASE HIM. I COUNSELED WHAT TO DO IF IT WORSENS OR OTHER SYMPTOMS DEVELOP. HE WAS GOING HOME AND HIS PARENTS WERE THERE AND HIS DAD IS AN EMT.

Shallow breathing, chest pains, intense headaches, similar to symptoms experienced when I had COVID a year ago. Occurred about 4 hours after receiving injection.. Comes in waves throughout the day.

Patient became weak and lightheaded. I found him pale, diaphoretic and tachypneic. He reported, "This always happens when I get a shot. I just need some sugar like juice." He denied difficulty breathing or chest pain. He was not nauseous nor did he vomit. I transported him to a private holding room via wheelchair and gave him a 12 oz can of Coca-Cola. He took sips and immediately reported feeling better. The initial vital signs I took were as follows: Temp 98.6 F, HR 67, BP 84/48 mmHg, RR 24/min, and SpO2 97%. After recheck in 15 min BP improved to 106/62 mmHg, his became more pink and no more diaphoresis. I observed him for 30 minutes total and he was stable to go home. He drove himself home.

23 year old male with a history of 31 allergic reactions, Mast cell activation syndrome, Addisons disease, and POTS, developed anaphylactic reaction after receiving first Pfizer COVID-19 vaccine. Patient took 50 mg benadryl 30 minutes before arriving at vaccine clinic in anticipation of possible reaction per physician's recommendation. Per pt he asked multiple physicians regarding receiving the covid vaccine and was given the permission to proceed. Also took 20mg hydrocortisone in the morning, then 10mg this afternoon for Addison's disease. 1603 - Pt received 1st dose of Pzifer covid-19 vaccine and during the first 5 minutes of observation complained of feeling itchy and wheezing, light headed, nauseous. 1608 - 0.3mg epi given at - self administered right thigh. 1613 - 90 mg of hydrocortisone (solu-cortef), patient's own medication, given by RN through pt's PICC line RUE; line was flushed with NS before and after and cleaned with alcohol swab. 1615 - Self-administered 4 mg Zofran (patient's own medication) at 1615 into the RUE PICC; cleaned with alcohol swab. 1615- Second 0.3mg of epi given- self administered left thigh. 1617 - Fire department arrived. 1621- pt complains of itchiness still but wheezing is reduced. BP 118/83 at 4:25 PM, normal O2 sat and pulse, normal respiratory rate. 1626 - patient placed in gurney, escorted out by Fire Dept en route to Hospital Physician assistant and five other RN were with the patient and his mother.

Passed out /Lost all awareness; Light-headed; Hyperventilating; He caught his breath; Elevated heart rate; Tingling sensation; He was unable to form cohesive sentences; Muscles movements were impeded; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received the first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Lot. EN6206) single dose, in the left arm, on 08Mar2021, at 11:45 AM, for COVID-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. The patient had not received any other medications within 2 weeks. Relevant medical history and concomitant medications were unknown. No known allergies were reported. The patient had not experienced COVID-19 prior vaccination. On 08Mar2021, at 12:00 PM, 5 minutes after vaccination, the patient became very light-headed. In a few seconds his vision went dark and he passed out. After an unknown amount of time, he became semiconscious and was hyperventilating. While hyperventilating, his eyes were open, but he could not see anything. Once he caught his breath, after about 15 seconds, his vision came back and he lost all awareness of where he was. After about 30 seconds, the patient realized he was in the observation area for the facility and alerted the medical professionals near his vehicle he was sitting in. Medical professionals checked his vitals, which were fine other than an elevated heart rate, and he had a tingling sensation over his body for the next two minutes. In this time, he was unable to form cohesive sentences, and his muscles movements were impeded. It took another 40 minutes to return to a relatively normal state. No treatment was received. The patient recovered from the adverse events. Post the vaccination, the patient has not been tested for COVID-19. No follow up attempts are possible. No further information is expected.

23yo male reported symptoms of lightheadedness, fast heart rate, and dyspnea. Pt was evaluated by medical staff and ems. Vitals: HR 105 (sinus tach), BP 150s/100s, 99% O2 Symptoms improved after 10mim of observation but vitals remained abnormal. Pt was transfered to local hospital for further evaluation.

Patient presented to medical for concerns of right sided radiating neck/shoulder pain. Patient noticed a lump on his neck just before deciding to seek medical evaluation. The pain initially started 3 days after his first Covid vaccine and was followed by night sweats and SOB which spontaneously subsided after one night. The neck/shoulder pain is still present. Noticed a single swollen cervical lymph node that was very tender to palpation. No other concerns found or surrounding LND.

SOB 3 mins after vaccine Denies chest pain, nausea, swelling , rash, itchy eyes. Patient describes it as if he went for air. Patient given water. v/s 136/76, 72,98% o2 RA, Alert and oriented x4. Patient felt s/s resolve after given water. 126/75

Tuesday Mar 30, 2021 ~ 30-45 minutes after I got my first dose, i felt shortness of breath, and my throat felt tight. I called 911, was talken to the hospital. These symptoms started going away on their own. The doctor thinks I probably had an allergic reaction to the shot.

Triggered an asthmatic response, restricting breathing. Occurred 9 hours after vaccine administration. Solved with prescribed Albuterol inhaler, two puffs of 90mcg spaced 1 minute apart.

anxious, lightheaded , lost hearing, heard ringing that was not there, cold hands, numb legs, upset stomach, difficulty breathing started about 5-10 minutes post vaccination gave patient water, gave 1 dose of epipen due to trouble breathing EMT found patient to have low blood pressure and advised to be checked up at hospital. Patient refused ambulance services but said he would go to ER to be checked out. Upon follow up several hours later patient said he felt better after getting outside and just went home

Within five minutes of receiving the vaccine, my throat started swelling, my tongue started swelling, and my tongue starting tingling. I've had two allergic reactions before; this felt less severe, but otherwise similar. At 6:18 pm, I was given a shot of epinephrine, and started to feel better. After that, I went to an urgent care center. They took my vitals, and everything looked alright. They told me to take Benadryl and monitor the situation, which I did. As I type (3:30 pm, 21 hours and 45 minutes later), I feel back to normal again: perfectly fine.

Developed tightness in throat and anxiety approximately 20 min after vaccination. Symptoms resolved in 30 min with no treatment.

Patient states he had 2nd dose of covid-19 vaccine on 4/7 morning, he states he had expected side effects such as fever (101), body aches, chills, and headache in 24 hours after the 2nd dose, then he felt back to normal on 4/8 morning. When he woke up on 4/9 morning, he experience really bad headache (6/10), and he has a tension feeling from his neck to the back of his head, and he felt off balance when he walks. He said the off balance symptom is getting worse this morning. He felt he is going to fall when he walks. He experience nausea without vomiting when he ate breakfast this morning. He also states when he breath deeply, he felt chest tightness, which is not usually there. Patient states he remembered that he had mild off-balance feeling about one month ago, prior to have the covid vaccine, but would recovery quickly after walking around a little bit. The off-balance feeling won't go away this time.

The patient reported feeling like his throat was closing up 15 minutes after receiving the vaccine. Reports he has h/o anaphylaxis to oysters in past 4 different times with h/o anaphylaxis. Pt refused epi-pen multiple times. He asked for oral medication. Reviewed risks/benefits. Vitals were stable with BP 150/84, Pulse-99, O2-97%. Pt without any swelling, SOB, chest pain, no rash, no tongue or lip swelling, no respiratory distress. He was given 25 mg Benadryl per pt request - reviewed risks. States that it was helping. Was taken by EMS to hospital via ambulance - pt was able to walk with them without issues. Was taken for observation.

reports light-headedness and nausea. VSS. continuous monitoring and approximately 10 minutes later reported that he had difficulty breathing at that time Benadryl 50 mg po was given at 1500. he was then taken to the occupational nurse clinic and laid supine with his legs elevated blood pressure was 140/93 heart rate 97 oxygen concentration 100%. He then reported chills blanket provided for comfort and emotional support given. continuous monitoring and emotional support given. 1515 vital signs were 126 / 82 heart rate 80 oxygen concentration 99% he reports that he is feeling better. He was monitored for an additional 30 minutes in the Med clinic his brother did arrive at 1540 at which time DC instructions were given including calling 911 if symptoms worsen- he gave verbal understanding, all questions answered.

Member experienced shortness of breath, migraines, dizziness, nausea and fatigue for 1 week after 2nd dose. Had to take off a week of work.

Patient noticed some SOB and chest tightness the evening after receiving the Pfizer COVID vaccine. A few days later his symptoms worsened to chest pain. He went to the ED and was further transferred to the hospital where he was found to have myocarditis. He is being treated with colchicine and lisinopril.

Shortly after receiving the vaccine, I developed a mild tightness in my throat that progressed mildly until I took Dayquil.

Asthma triggered throughout the day in shorter spans of time; hard time inhaling air, shortness of breath; blue lips; pale; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 23-years-old via an unspecified route of administration, administered in arm left on 10Apr2021 10:15 (Batch/Lot Number: EP7533) as single dose for covid-19 immunisation. Medical history included asthma and eczema from an unknown date and unknown if ongoing. Concomitant medications included albuterol sulfate and loratadine, pseudoephedrine sulfate (CLARITIN-D); all taken for an unspecified indication, start and stop date were not reported. The patient reported that his asthma triggered throughout the day in shorter spans of time, hard time inhaling air, shortness of breath on 11Apr2021 11:00; emergency Albuterol Sulfate inhaler not working to help, had to go to ER where they gave steroids for his lungs and breathing and out him in oxygen. He was told that he had blue lips and was pale on 11Apr2021 11:00. He was in ER for 4-6 hrs then hospitalized for one day to monitor and gave medicine. Then he was advised to go to the doctor and get referral for pulmonologist for asthma. Basically all of Sunday, his asthma would get triggered few hours then got short within every 30 min then every 5 min and inhaler stopped working to help the situation. Diagnosed with asthma since kid but had no serious issues prior to vaccination, only after vaccination. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization. The patient was hospitalized due to the events for 1 day. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 11Apr2021. Therapeutic measures were taken as a result of the events which included treatment with Steroid, IV Fluids, Albuterol, Advent, oxygen tank. The patient was recovering from the events.

Confusion, tachycardia, dizziness, throat felt like it was closing, initial 20 mins. For two weeks after recurring panic attacks and anxiety over nothing. Persistent brain fog

First day: severe chills (extreme body shaking), and body temperature alternating between overheating and moderate/severe chills every several hours. Body fatigue, temperature varying from low 99 F up to 101.3 F. These symptoms subsided after about 2 days. Also developing during this time was an asthma attack, characterized by wheezing, coughing, and difficulty breathing. Patient has had life-long history of asthma, moderate, well-maintained with albuterol inhaler (life-long) and Qvar redihaler (beginning in early-mid 2020). However, after the common symptoms subsided, the asthma attack prolonged for over a week (2nd injection on 22 Apr 2021, and present as of reporting (03 May 2021). Albuterol inhaler would ease the wheezing, but no effect on mitigating the coughing / difficulty breathing. Qvar redihaler had no effect. Asthma attack would alternate in waves (approximately every hour up to 4-6 hour cycles), of breathing mostly clearly (some difficulty persisting), and severe attacks when extremely difficult to breathe.

Received first dose of Pfizer on 3/1. Felt tired for few days and was fine. Started having neck and back pain and then extreme heart burn, pain down left arm, trouble breathing etc. Admitted into hospital on 3/20/21 with Triponin Level at 1.8 and Blood Platelets level at 20,000. Fever and resting heart rate of 135 BPM. Extreme heart burn and pain down left arm. Triponin level rose to 4.5. Platelet levels did not increase. After multiple blood tests to make sure they were correct Cardiologist and Hematoligist diagnosed as Myopericarditis and ITP blood disorder. Spent 4 days in hospital on heavy Decadron dose for ITP and levels improved. Myopericarditis being treated with Colchicine and Metoprolol. Was discharged from hospital on 3/24 and monitored at home. ITP levels still fluctuating and Myocarditis and Pericarditis are still being treated. No previous history of any heart or blood problems and no family history. 23 year old healthy male with no previous health conditions.

Patient relates onset of oral symptoms to include itching and throat tightness approximately 30 minutes after vaccine administration, progressive over course of day, evolving into dyspnea and single episode of nbnb emesis and loose stools. Eventually presented to ED that evening at approximately 2135. Treated with IV solumedrol, epinephrine, diphenhydramine, Pepcid, and albuterol inhaler with resolution of symptoms.

Pt feeling dizzy, nauseated, and tingling sensation to left arm and bilateral feet. Pt also reported slight SOB. Vitals: HR63, O2 SAT 98%, NO tachypneic noted. Pt also noted to be pale and diaphoretic. Pt was advised to seat back and given a bag to vomit in if needed. Patient encouraged to stay hydrated. After a few minute, patient felt better . observed extra minutes till patient felt better and could drive

Extreme heart pain; Pericarditis; very hard to breath; This is a spontaneous report from a contactable consumer (patient). A 23-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Right on 18Apr2021 11:00 (Batch/Lot Number: ER8735) at the age of 23-years-old as single dose for covid-19 immunization. The COVID-19 vaccine was administered at Pharmacy or Drug Store. Medical history included known allergies Gluten. Concomitant medication included levothyroxine taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received the first dose of BNT162B2 (lot number: Er8730) in Right arm on 28Mar2021 11:00 AM at the age of 23-years-old for covid-19 immunization. The patient experienced Pericarditis- Extreme heart pain, very hard to breath, taken to Emergency room (ER) 21Apr2021 19:00. Events result in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not been tested for COVID-19. The patient underwent lab tests and procedures which included blood tests: unknown results, electrocardiogram (EKG): unknown results, x-ray: unknown results, all on an unknown date. The outcome of the events was recovering.

PATIENT WAS FEELING FAINT AFTER SHOT. I TOLD HIM TO PUT HIS HEAD DOWN AND HE STARTED SWEATING. HE ALSO STATED HE WAS HAVING PROBLEMS BREATHING. I GOT A COLD COMPRESS WHICH HELPED SOME. I MOVED HIM TO LAYING DOWN AND TOOK HIS BLOOD PRESSURE. PRESSURE WAS GOOD. PULSE WAS 49. MONITORED PATIENT FOR A LITTLE. HE STARTED FEELING BETTER AND GOT HIM BACK TO SITTING AND WAITED ANOTHER 20-30 MINUTES. PATIENT LEFT WITH HIS FIANCE.

I got my shot on a Friday afternoon. The following Tuesday afternoon, I was out running sprints with a friend. After a couple, I felt super winded, like I was gonna pass out. This was concerning since I run at least 30 miles a week. Early the next morning, I woke up with my heart racing and shortness of breath. This persisted for a couple of hours. I woke up with a stiff chest, pain and aches around my body, and struggling to breathe. I went to urgent care and they did an EKG on me that came out abnormal. They referred me to a cardiologist where I got an appointment the next day. The cardiologist runs another ekg this time it?s worse. She sends me straight to the ER. They run a bunch of tests but nothing is conclusive. I?m released the next evening. The following Monday I had a checkup with my cardiologist and she referred me to someone she knows at a HCF. My appointment is not until the end of June

Patient received the first dose of the Pfizer Vaccine. About 5 to 10 minutes after the vaccine, patient complained of dizziness and some shortness of breath. I did not see any swelling or noticeable difficulty in breathing. Patient also complained of numbness and tingling on this hands. Patient was told to be very relaxed on the chair in order to recover. Patient then complained of losing sensation on his hands. Also, patient said that he was going to pass out at any time. Girlfriend was present with patient. I told patient that I can call 911 immediately if they like. We called 911 and within 5 minutes EMT ARRIVED. EMT arrived and ran some tests on patient. They said that patient 's respiration was getting back to normal capacity and confirmed that patient was having an anxiety attack. EMT asked if he has been taking medication for his anxiety. Patient said that he isn't on any medication for his anxiety. Patient was then taken to the ER.

My first dose of the pfizer vaccine was relatively asymptomatic. Received at local hospital. Sore arm that lasted a few hours, nothing too concerning. This adverse event describes my second dose however, received Jan 23, 2020, approximately 3 weeks after the first. Again, this was received at local hospital. The next day, I felt the expected side effects of terrible chills, whole-body myalgia, and a slight fever. Again, I was not too worried as this was expected. I could not sleep that night, but otherwise, I felt significantly better in the morning. Unfortunately, on Jan 25, 2 days after the second dose, I began to feel a strange tingling sensation in my forearms, and a pain in my lower back. This paresthesia felt as if the insides of my arms were vibrating, and rather than a "pins and needles" sensation, I felt electric shocks through my forearms and extremely discomforting tingles. I could not bend forward without terrible shocks through my arms, and my back pain can only be described as aching. I immediately scheduled an appointment with my doctor for Monday afternoon, That entire Sunday, it felt as if the tingling sensation, rated at 7/10 discomfort, grew to 10/10. I physically was wincing and turning, unable to find any position where my arms were not experiencing electric vibrations. My back pain, which was tender to touch, and if I pressed hard enough on it or laid on my back, caused the same electric sensation not just in the forearms but the entirety of my upper torso and my arm. Taking deep breaths was painful, as it elicited the same discomforting paresthesia. At the time, I was one of the first groups taking the pfizer shots, and it was still unclear if taking NSAIDs was a good idea to alleviate pains and the suppress the immune response. I agonized that entire Sunday and through Monday morning, the shocking expanding from just the forearms to the shoulders around the deltoid, and the back pain soon covered my entire upper torso. For whatever reason, waist-down I was completely fine. Even bending forward only elicited the pain upwards, nothing ever went down my legs. I had slight neck stiffness, a throbbing headache, intense back aches, bilateral upper extremity paresthesia, and pain on deep inspiration at the height of my pain on Monday morning. By this point, the pain had kept me awake for almost 30 hours. When I finally could see my doctor via telehealth appointment, he prescribed me 800 mg ibuprofen to be taken every 6-8 hours I believe. After taking the ibuprofen, the pain lessened significantly, going from 10/10 to 2/10. I was finally able to go to sleep sitting up straight on a sofa chair. The paresthesia was gone, the pain on deep inspiration was gone, but the tenderness and dull ache in the lower back seemed to stay even on the ibuprofen. I noticed that if I laid down on my back to try and sleep, even with the medicine in full effect, the electric shooting and paresthesia would immediately return. If I quickly removed pressure from that area, it went away. The ibuprofen's effect lasted only about 5 hours. I would take another as it slowly crawled back up to 4/10 pain or if the paresthesia was returning. Over the course of an entire week, I constantly needed to be on ibuprofen. By Friday, so almost 6 days after the shot, the paresthesia and back pain could be completely suppressed by the ibuprofen and I was able to lay on my back with no problems. Without medicine, I was sitting at a dull 3-10 back pain, but the paresthesia was gone. The back pain finally vanished on Sunday, 8 days after the shot, and I no longer needed ibuprofen. No fevers, chills, nausea, vomiting, diarrhea, radiation of electrical pain down the leg, vision change, or loss of bowel/urinary control throughout the course of these symptoms. My experience reported to my primary care doctor, via our health messages. I did not return any contact to hospital or my vaccination site.

I am healthy 23 year old male. I have never suffered from any sort of illness or conditions. After massive push by the goverment and incentivization to take the New Covid-19 Vaccines deemed safe , I went ahead and received the Pfizer shot on 05/24/2021. A day after I felt headache and dizziness. This stopped on the third day. Later I would have episodes of blurred vision. That stopped. But what has really affected me and continues to affect me , is that a week after I have developed major difficulty breathing. I never , ever not even once in my life have suffered from breathing problems. It all started on an afternoon a week after the shot randomly with really fast heart palpitations and after those palpitations stopped I was choking, I could not breathe at all. After this , I am having trouble breathing normally or getting enough air in along with tightness in the chest area. For instance, I struggle with two breaths and then the third I will likely get more air in. I have felt incredible tightness in my chest. There has been nights where I cannot sleep because I am unable to breathe , and feel like I am choking. So , I need to get up and walk around the house to catch my breath. I am having shortness of breath and my breathing is not like it used to be. I do not have any fever or any other symptoms , the persisting problem is the tightness and difficulty breathing. I already went to the Pulmonary doctor a couple days ago and underwent testing that are pending. I do not understand why this happened to me , I am not sure if it is a coincidence or if there is a relation between me having taken that Pfizer shot . But prior to taking that vaccine I never once had trouble with my breathing and never felt tightness around my chest. This is new to me and it scares me to think this might stay with me forever, whatever it is. I pray it goes away. I am still having trouble . and the fact that in the past I never thought about my breathing because it was normal, and now it is a constant issue throughout the day, moments when I can get air and others when it is very difficult. I am reporting this to leave a record of this incident because prior to me taking this vaccine , I was in fact a fully healthy person free of any sort of health issues.

Around 3:30 am on 4/17/21 typical vaccine side effects started: muscle aches, fatigue, temp. Symptoms continued through day time 4/17. Highest temp 102, took tylenol every 4 hours to help with fever and aches. At 9:30 pm began with continuous strong chest pain/shortness of breath. Nothing made it feel better. 9:45 PM Called after hour line of primary physician, who recommended going to ER. Left for ER at 10 PM. Chest pain had eased somewhat on the way to ER. Was seen at ER. Received EKG, lab work, CT scan, IV fluids and toradol. Chest pain was mild in ER and felt better by discharge around 3:30 AM. Felt normal by 4/19/21 and returned to work. Have seen a few reports in news about myocarditis/pericarditis in males which seem to fit patients experience, so wanted to report the incident.

Headache, chills and chest tightness. Beginning 8 hours after injection of second dose in series. Patient presented to emergency department two days later with persistent chest tightness and abnormal breathing sensation. ECG consistent with acute pericarditis.

Client's companion alerted EMT client was not feeling well. EMT informed PHN. Upon arrival at 1736 client sitting in chair, pale and diaphoretic. Client alert and oriented x4. EMT performed vitals at 1736: blood pressure 140/90, pulse 59, oxygen sat 100%. PHN began assessment. Client reported blurry vision, shortness of breath and feeling "very hot all over body". Client denies throat closing, no flushing noted, no swelling noted. Client diaphoretic, shirt soaked, arms and legs. Client pale and lips pale. Client reported has history of fainting with blood draws, no current medications and no known allergies. At 1740 client reports feeling "I can't take a full breath", pulse 43. PHN calls 911 at 1740. PHN and PHN observed client using upper muscles to take breaths. PHN auscultated clear lung sounds. 1743 weak pulse, 54. Client diaphoretic, alert and oriented x4. Client reports new onset of headache at. Vitals at 1744: blood pressure 130/80, pulse 56, oxygen sat 99%. At 1747 manual pulse 58. Fire Department arrived at 1748 and assumed care. Client signed AMA and walked out of facility at 1754 immediately after Fire Dept leaves.

This is a spontaneous report received from a contactable consumer, the patient. A 23-year-old male patient received his first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EP6955) via an unspecified route of administration in the left arm on 19Mar2021 at 08:45 (at the age of 23-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. The patient did not had any allergies to food, medications, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested positive for COVID-19. The patient did not receive any other medications within 2 weeks of vaccination. On 19Mar2021 at 13:00, the patient experienced fast heartbeat, slight shortness of breath and nausea. The patient did not receive any treatment for the reported events. The adverse event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events fast heartbeat, slight shortness of breath and nausea was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Mild

immunisation. Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 28Mar2021, after 12 hours of vaccination at 23:00, the patient experienced shortness of breath, brief fever, chills, muscle soreness, head fog and exhaustion. The adverse events did not result in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. No therapeutic measures were provided for the reported events. The clinical outcome of the events shortness of breath, brief fever, chills, muscle soreness, head fog and exhaustion were resolved with lasting effects at the time of reporting. No follow-up attempts are needed. No further information is expected.

Triggered an asthmatic response, restricting breathing. Occurred 9 hours after vaccine administration. Solved with prescribed Albuterol inhaler, two puffs of 90mcg spaced 1 minute apart.; Triggered an asthmatic response, restricting breathing. Occurred 9 hours after vaccine administration. Solved with prescribed Albuterol inhaler, two puffs of 90mcg spaced 1 minute apart.; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 23-year-old male patient received first dose of BNT162B2 (PFIZER BioNTech COVID 19 Vaccine, Solution for Injection, Lot number: EP7533), via an unspecified route in the right arm on 31Mar2021 at 09:15, as a single dose for covid-19 immunization. Medical history included asthma and allergies. The patient concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Post vaccination, patient has not been tested for COVID-19. On 31Mar2021 at 18:15, 9 hours after vaccine administration, patient experienced an asthmatic response and restricting breathing. Therapeutic measures taken as a result of the events included albuterol inhaler, two puffs of 90mcg spaced 1 minute apart. The clinical outcome of the events was recovering at the time of this report. No follow-up attempts are possible. No further information is expected.

Patient received first vaccine 12/30/20 with no adverse effects. He received second dose 1/11/2021. Improper spacing is being investigated. He developed episodes of rapid heart rate which has caused shortness of breath during the night. These episodes continue today. He is going to the Emergency Room.

Hives appearing on chest/thighs/back after 30-48hrs, progressing on the 2nd day rapidly across whole body. Itchy and red. Went to urgent care evening of 2nd day, received 50mg diphenhydramine that suppressed itching enough to sleep. Woke up itching and red at 6am of 3rd day, took 25mg diphenhydramine. Took 40mg prednisone at 8am. Went to urgent care at 10am for worsening hives, spreading and covering torso and onto face. Received dexamethasone injection into glute and prednisone prescription was upped to 50mg daily for the next week. Took OTC Zyrtec and Pepcid once following the second urgent care visit. Hives responded well after 2hrs post visit, assuming due to prednisone and dexamethasone. Day 4 (1/12/20) woke up with widespread hives that became further inflamed until an hour after prednisone taken with breakfast. Also woke up with slight sore throat and wheezing, both of which subsided. Currently scheduled to see an allergist on 1/13/20. No known allergies and no other known introduction of allergens in the past week.

Migraine; fever; muscle soreness; chills; issues staying asleep; shortness of breath; This is a spontaneous report from a contactable Other HCP (patient). This 24-year-old male received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection),LOT# EL0140 at right arm on 06Jan2021 02:15 PM at SINGLE DOSE for COVID-19 immunization. The patient received his first dose of the same vaccine BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 16Dec2020 02:30 pm at right arm Lot # EK5730 .Medical history included : Ilioinguinal neuralgia and Migraine without status migrainosus, not intractable.Patient had past drug allergy to Valacyclovir and Nsaids.No COVID prior vaccination. Facility where the most recent COVID-19 vaccine was administered was hospital .The patient didn't received any other vaccines within 4 weeks prior to the COVID vaccine. The patient received concomitant medications within 2 weeks of vaccination.On 07Jan2021 at 08:00 AM, upon second dosage of vaccine, the patient experienced Migraine, fever, muscle soreness, shortness of breath, chills and issues staying asleep. The events were assessed as non-serious. The patient had not been tested for COVID post vaccination. No treatment received for the events.The outcome of the events was recovering.

Patient started developing throat swelling, shortness of breath, and paresthesia of the left upper extremity and neck approximately 10-15 minutes after receiving the first dose of the Pfizer Covid Vaccine. Visual examination detected slight facial and periorbital swelling but no posterior oropharyngeal edema. Patient was slightly hypertensive (150/93) and tachycardic (105 bpm) upon arrival in the ED. Patient had no rash or urticaria. Diphenhydramine 50 mg, famotidine 20 mg, and lactated ringers administered IV. Patient was observed for several hours in the ED, and discharged in stable condition.

Worsening chest pain and difficulty breathing occurred two days after receiving second dose of Pfizer vaccine. Went to ER around 11pm (pain began 6pm) when no longer tolerable. Was given IV toradol, and had blood work done. Blood showed increased troponin levels after two tests but declined upon a third. Discharged hospital around 3-4am Sunday morning with prescription for po voltaren tablets.

severe weakness to point of not being able to walk, nausea, chest pain, dizziness immediately after vaccine given; rapid response team was called and then taken to ED; had shortness of breath and chest tightness, severe weakness, severe body aches. Fever up to 100.7 about 19 hours post vaccine; at 28 hours post vaccine continues to have severe weakness, chest tightness with SOB at times, slight cough with wheezing, diarrhea X3

Patient was working as a nurse following the administration of the shot and began to feel dizzy, nauseated and short of breath. Hands were visibly shaking. He could not stand or walk on his own. Patient's temperature was taken and presented with a low grade fever.

Woke up approximately 14 hours after receiving dose #2 with body fatigue. My large joints (e.g., hips, knees, elbows, shoulders) started to develops aches/discomfort. A hot shower helped relieve the initial discomfort, and I took 1g of APAP ~45 minutes after waking up. I then reported to work, which is an ambulatory care clinic that is working a drive-up clinic. As such, I had to work outside in ~20F weather. I had 4 layers on my upper body and 2 layers on lower body with wool socks. The cold did not bother me for the first two hours as I was able to return to a warm area between patients; however, as work became busy, I spent more time outside. The aches/discomfort in my joints progressively worsened as well as the general bodily fatigue. I took another 500mg of APAP, but it did not help much more. Eventually, the cold and body fatigue made breathing uncomfortable, and my breathing became slightly labored. Returning to the warm environment helped the symptoms not get worse, but focusing on tasks became slightly difficult. I returned home at approximately 1630, took another 1g of APAP, and proceeded to sleep from ~1730 until 0530 the next morning. I woke up feeling much better.

Patient is here today for personal appointment. It was noted by EMS that he was complaining of chest pain / pressure and experiencing shortness of breath / difficulty breathing per patient report. At 1625, call placed to outside EMS. History of: depression, obesity, history of stress-induced cardiomyopathy Nursing Assessment: Airway: Open Breathing: Spontaneous Circulation: Pulse present Mentation: Alert Skin: Normal Patient monitored. and Oxygen saturation level obtained. Patient complained of feeling disorientated after first dose of vaccine. After second dose patient complained of feeling tightness in his chest, some shortness of breath, and an itch in his throat. Patient on EMS monitor with a HR of 90 and oxygen saturation of 100%. EMS offered patient IV Benadryl which patient refused. EMS activated outside EMS service and was taken to ER. Patient agreed to plan of care He was transported to the emergency department via ambulance at 1635.

Diminished capacity to draw a full breath; Mild discomfort with deep breathing; Productive cough; This is a spontaneous report from a contactable other healthcare professional, the patient. This 24-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: unknown), dose 1, single dose via intramuscular route of administration in the right arm on 06Jan2021 at 09:45 AM (at the age of 24 years-old) for COVID-19 vaccination. Relevant medical history included attention deficit disorder and allergy to non steroidal anti-inflammatory drugs . Prior to the vaccination, the patient was diagnosed with COVID-19. Concomitant medications included lisdexamfetamine mesilate (VYNASE). The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 18Jan2021 at 06:00 AM, the patient had diminished capacity to drawa full breath that started 12 days after vaccine date and has persisted. mild discomfort with deep breathing, productive cough. Laboratory tests included negative COVID polymerase chain reaction (PCR) tests (nasal swab) on 19Jan2021 and on an unknown date. The clinical outcome of diminished capacity to draw a full breath, mild discomfort with deep breathing and productive cough was not recovered. There was no treatment received for the events. It was also reported that since the vaccination, the patient had been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

unable to bear weight on legs/could not walk or bear weight; shortness of breath; fever; nausea/nauseous; pain in left shoulder radiating to left chest 4/10; Chest pain at the side 5/10; tried to get up to walk but was very shaky and could not get up to walk/unable to walk/could not walk or bear weight; dizzy/light headed; almost instantly was sharp stinging in injection site; tried to get up to walk but was very shaky and could not get up to walk; WBC 14000, no unit of measurement, normal was 11000; This is a spontaneous report received from a contactable pharmacist and consumer (patient). A 24-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL3302 and expiry date: May2021), via intramuscular route on deltoid left on 25Jan2021 15:57 at 0.3 ml single for COVID-19 immunization at hospital. Patient did not receive other vaccine in four weeks and in last two weeks. Patient's medical history, family medical history and concomitant medications were reported as none. Patient had no known allergies. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number; EL1284; expiry date: Apr2021) via intramuscular route on left deltoid on 04Jan2021 at 10:45 AM for COVID-19 immunization; Hep B Adult Energix-BPFS (HEPATITIS B VACCINE, lot number; 2793Z) on left deltoid on 12Jan2021. Patient received 3 previous doses of HEPATITIS B VACCINE. It was reported that, the patient complained of pain in left shoulder radiating to left chest 4/10 and nausea immediately following injection, Chest pain at the side 5/10 (on 25Jan2021 at 14;00, after second dose of COVID vaccine). Taken to the ED (emergency department) via wheelchair at 1700. No rash, no swelling of lips/tongue or throat. No treatment was given for the events nausea and pain in left shoulder. No COVID was presented prior vaccination and post vaccination. Patient stated almost instantly was sharp stinging in injection site, he felt nauseous, dizzy, light headed, and had chest pains, he tried to get up to walk but was very shaky and could not get up to walk on25Jan2021 at 14:00. Stated that he was wheeled to the emergency room, he was admitted to the emergency room for almost 8 hours. Clarified he was not admitted to the hospital that he did leave that night. He was able to stumble out of the emergency room to go home. Clarified he got the vaccine on 25Jan2021 (his second dose). Stated he woke up next morning on 26Jan2021, unable to bear weight on legs, chest pain, and shortness of breath, fever. HCP prescribed Arnuity for the chest pain. WBC 14000, no unit of measurement, normal was 11000. Patient was unable to walk, nausea, dizzy, lightheaded and having some chest pain and patient was not hospitalized, spent 8 hours in Emergency Room. Outcome of the event fever was recovered on 27Jan2021; nausea, dizziness, was recovered on 31Jan2021; Unable to walk, lower extremities weakness of, shortness of breath was recovering; the event chest pain was not recovered; and for remaining events it was unknown.

2 hours after vaccine, complained of throat starting to swell while at physician's office. Was taken to ER and given Benadryl and Streoids. Observed for 4 hours after

Minutes after receiving my vaccine my left arm began to go numb with a full head headache following soon after. I was then moved to the observation area where my chest got tight, I had difficulty breathing and my temperature fluctuated which made me shake. When hives began to show on my face, neck and ears the on-site medical staff gave me a shot of epinephrine and Benadryl and put me on oxygen, during this time an ambulance was called by the staff. When I got to the hospital my heart rate and blood pressure was high, I was given oral steroids to help my anaphylaxis. For days after being released from the hospital I continued to have deep muscle pain and weakness in my left arm as well as a very strong headache

Nausea and Headaches occurred about 5 hours after the injection, since then they have come and gone periodically, usually lasting about 30 minutes, then going away for a few hours. I have been experiencing tightness in my chest and dyspnea upon exertion since about noon, Tuesday, March 23. NSAIDs have helped relieve some discomfort. Last night, I woke up with racing heart palpitations and tingling in my extremities. Today, I have experienced a sore neck and cramps in my legs, tingling in my extremities, and chest tightness with tachycardia. I have spent the week studying for an exam on Friday, so I plan on going to urgent care afterward.

PATIENT PRESENTED TO CLINIC FOR DOSE 2 OF COVID-19 AT 0920 (PFIZER LOT NUMBER ER8734 EXP 07/2021). AFTER RECEIVING COVID VACCINE DOSE 2, PATIENT COMPLAINT OF "STIFFNESS" ON RIGHT NECK AND "DIFFICULTY TAKING DEEP BREATHS". PATIENT DENIES OTHER S/S. PATIENT TRANSPORTED TO ED BY WHEELCHAIR FOR FURTHER EVALUATION.

3/31/2021 Patient was observed post Covid-19 immunization for 60 minutes for symptoms of agitation and shortness of breath. During the observation period, he experienced an adverse reaction with the following symptoms: per mother who is caregiver to son who is non- verbal with cognitive impairment- complaints of difficulty breathing and severe agitation. Assessment : Time of assessment 1100 Tachycardia. Extreme agitation , Medical interpreter used, patient non-verbal , cognitively impaired, attempted VS - unable to achieve due to combativeness. Actions taken: VS attempted- HR- 108, RA O2 sats - 99% Medications administered: No medication administered. Disposition: 911 called and patient transported to hospital for extreme agitation , tachycardia and trouble breathing. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 3/31/2021 10:47 AM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: EP7533 NDC: 59267-1000-2 Electronically signed by RN at 3/31/2021 12:08 PM Immunization on 3/31/2021 Detailed Report Note shared with patient

Pfizer-BioNTech COVID-19 Vaccine EUA Full-body muscle tightness, Extreme Full-body pain, delirium, violent shaking, fever of 105 F, Extreme shortness of breath, vision impairment. All adverse effects lasted for approximately four hours Ambulance would have been called but inability to move/speak prevented call for help

Patient reported feeling dizzy, anxious, rapid heart rate, slight elevation of blood pressure, mild shortness of breath. Patient requested 911 assistance. Paramedics assessed patient and after 30 minutes directed patient to hospital. Patient was not transported via ambulance. Patients Mother drove him to hospital for further assessment. I tried to contact patient 3 hours later and there was no answer. I left message to follow up.

This 24 yo male reports receipt of his first Pfizer Covid vaccine lot #EN6199 to his Left deltoid. He advised within <15 minutes following the vaccine he sensed the left side of his neck was swelling. He notified Immunization staff who brought him to the ER via w/c. He stated the ERMD did not perceive/palpate any swelling or nodules, and treated him with IV Benadryl with resolution of s/s. He did not require any other doses of benadryl. He received his 2nd Pfizer covid vaccine on 3/30/2021 lot#ER8734 to right deltoid. He stated within 15 min again, he had the sensation of throat stiffness (as if muscles really tight/tensed) and this made it difficult to breath and caused his chest to hurt. He was taken to the ER again and given Benadryl again with resolution of symptoms. He was released later without any reoccurrence of symptoms. He states he went to work on 3/31 where he began to feel bad/achy-feverish. Today he had a fever (not taken), total body aches but mostly to his left hand. He reports feeling fatigue and unable to do normal AM routine of working out. He could only stretch today. He denies any trauma, recent illness, difficulty breathing, swallowing, eating, ha, n/v/d, or other symptoms.

light headed, arm tingling, difficulty moving lips and hands. hyperventilation. evaluated by EMS, recovered and sent home

Pain at site of injection, high fever, shivering/chills, nausea, fatigue, slight congestion and heavy breathing, wet cough for a day and dry cough two days later after all other symptoms disappeared.

10 minutes after an immunization patient came saying he is not well. He was pale, sweating, had elevated breathing. He stated he feels very dizzy and feels like passing out. I sat down patient, called 911. as were waiting he was feeling better, breathing came to normal pace. He did not go to ER. Stayed longer in the lobby and later left.

Patient reported tightness in his throat after 14 minutes post-vaccination. Patients vitals: BP 126/102 & Pulse 74. Volunteer MD give patient 50mg Diphenhydramine. After 30 minutes of diphenhydramine dose, patient felt better, and did not have trouble breathing nor swallowing either. Patient was monitored for an hour and released from observation at 12:34pm to home.

anxiety, mild chest tightness, shortness of breath. resolved after 2 administrations of 25mg diphenhydramine. patient remained in clinic for about 45 minutes before being discharged home.

Throat tightness - tightness gone by 1300. BP 150/85, HR 56, SpO2 98% (1230) -- > BP 147/85; HR 56, SpO2 97% (1255)

Presents to ER with midsternal chest pain which started yesterday morning. Patient states that the chest pain started on the left side and moved in the middle. The patient had associated shortness of breath. Chest pain nonpleuritic. Denies any cough, fever, chills, abdominal pain, nausea, vomiting, diarrhea, headache. Patient received COVID-19 Pfizer vaccination 4 days prior. Denies any history of hypertension, hyperlipidemia, diabetes mellitus, DVT, pulmonary embolism. Denies any family history of premature coronary artery disease or sudden death.

Immediate Effects: 10 Minutes - Heat Flash, Feeling of Fainting, Gasp for Air (Lasted 20 seconds) Post-Immediate Effects: 45 Minutes - Extreme Difficulty Breathing while driving; Symptoms of Panic Attack Set in (Never Had a Panic Attack Prior - Arms, Legs and Lower Jaw was tingling and numb; Could not speak; Difficulty in Dialing 911 from rapid finger movement.) Received Medical Attention from EMT and chose to go home when severe symptoms subsided after 20 minutes. Long Term Effects: Day 2 to Present: Difficulty breathing, confusion, unable to do any physical task (walking up stairs) without being dizzy, disoriented and gasping for air, pain near arteries in neck, knee and heart - with each pulse. On 4/12/2021 - Urgent Care Visit - Long Term Symptoms Present. PulseOx read 96; Tested Negative for COVID-19. Nurse Practitioner recommended ER if condition worsened. On 4/17/2021 - ER Visit - Severe Long Term Symptoms Present. Blood Panel Done; Chest X-Ray, EKG, Brain MRI. ER Doctor recommended seeing neurologist, immunologist and cardiologist.

After first injection of Pfizer rash to one arm. Patient decided to have second vaccine and rash and throat itchiness, Complains of difficulty breathing

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Additional Details: called 911. paramedics arrived. pt felt much better lying on the floor. after 20 minutes, paramedics took blood pressure and pulse. he didn't want to go to hospital so paramedics let him go. we advised him to go to doctor's office or similar place for his second shot where he can be monitored. pt didn't have any injection site reaction but this report doesn't let me submit without selecting a bubble.

DIAGNOSTIC STUDIES: 1. Chest x-ray that was normal. 2. CT angiography of the chest showing no abnormalities. 3. Echocardiogram showing no significant abnormalities. HOSPITAL COURSE: A 24-year-old male, primary care patient, received a second dose of the Pfizer COVID-19 vaccination 3 days prior to admission. Following this, he had a fever, chills, body aches, and then developed severe chest pain. The pain was worse lying flat, better when sitting up and leaning forward and worse with a deep breath. He had gone to an urgent Care and was recommended going to the emergency room. The patient's troponins were elevated and his EKG was fairly classic for pericarditis. He was felt to have probably viral myopericarditis and was admitted for observation. He was placed on aspirin and colchicine. He seems stable from Cardiology to be discharged on this regimen as well as symptomatic treatment. It was not known whether the COVID vaccine was implicated with this or not. DISCHARGE DISPOSITION: CONDITION: Stable and improved. MEDICATIONS: 1. Colchicine 0.6 mg b.i.d. 2. Aspirin 650 mg t.i.d. 3. Oxycodone/acetaminophen 5/325 mg every 4 hours p.r.n. for pain. 4. Zofran 4 mg sublingual q.8 hours p.r.n. for nausea. DIET: Regular. ACTIVITY: As tolerated. FOLLOWUP: With Cardiology on May 3rd. If worsened pain, shortness of breath, or high fever, return for evaluation sooner. In which case, steroids may be administered.

Events: Tingling in left arm, lightheaded, nauseous, trouble breathing, sweating, temporary loss of vision, increased blood pressure. Treatment: immediate help, fanning, given water, asked state of mind questions, Outcome: vision returned, heart rate and blood pressure returned to norma, started shivering for a few minutes. Lingering feelings of anxiety/unease. Arm soreness.

Patient reported a "weird reaction." Felt odd right afterwards. Felt like his throat was tight. "Maybe" had sob with it. He was monitored for 40 min thereafter and it subsided spontaneously. It took him a while to feel better. No rashes and did no need medication.

PATIEN STARTED TO EXPERIANCE A THROBBING HEADACHE APROXAMATELY AN HOUR AFTER THE VACCINE, PATIENT ALSO NOTED AN ELIVATED HEART RATE AND DID ALSO SAY HE WAS HAVING TROUBLE CATCHING HIS BREATH, BUT SAID IT WAS PROBOBLY BECAUSE OF HIS MASK HE WAS WEARING., PATIENT WAS MAINLY CONCERNED ABOUT HEADACHE. PATIENT WAS WALKED IN BACK TO THE CLINICAL SERVICE ROOM NEXT TO PHARMACY SO HE COULD BE MONITORED SOME MORE , I ASKED IF WAS EXRIENCING ANY MORE SYSPTOMS,NEGATIVE. COUNSLED ON POST VACCINE ADVERSE EVENTS AND THAT HE COULD EXPERIANCE MORE SYMPTOMS LATER ON SUCH AS FEVER,CHILLS AND WAS COUNSLED OTC SOLUTIONS TO TREAT. WAS OFFRED AND ACCEPTED OTC IBUPROFEN AND WATER. SINCE PATIENT WAS WORKING WHEN ADVERSE EVENT OCCURED , TALK TO STORE MANAGEMENT TO LET ASSOCIATE GO HOME SO THAT HE COULD REST. WAS SENT HOME TO REST.

Trouble swallowing saliva at night, hesitation to swallowing saliva. Unable to take deep breathes, chest paint when taking deep breathe.

Approx. 15 minutes post injection. Increased pulse rate of 120, chest pains, slight difficulty breathing, very shaky and lightheaded. Not short of breath, he was able to have meaningful conversation. He appeared in pain. He did indicate an history of stress induced seizure.

5/6 - 2nd dose of Pfizer COVID mRNA vaccine 5/7 - fatigue, malaise, muscle aches, fever 5/8 - near resolution of symptoms 5/8 - dinner with family and 6-7 beers; chest pressure sensation at bedtime with fatigue, malaise, some dyspnea 5/9 early AM - woke with acute L chest pain, stabbing, radiation through chest, worse with exertion, 7/10 in severity, pleuritic, also with dyspnea 5/9 - presented to ED. Afebrile, hemodynamically stable, CBC and CMP overall wnl other than mild hyperglycemia. CPK 500s. ESR 4, troponin 3.77, EKG with t wave inversion in III, chest xray normal, d-dimer negative. COVID/resp viral panel negative. Initially admitted to the ICU and treated as NSTEMI/ACS with heparin drip, aspirin, beta blocker, and statin. left heart cath with normal coronaries and TTE was normal. Troponin peaked at 7 and downtrended to 5. a1c is pending. 5/10 early AM - symptoms had resolved. Cardiology recommending cardiac MRI to further evaluate but working diagnosis is myocarditis. He has no precedent viral illness, and no history of tick bite but does live in a wooded area and goes for hikes, states he always checks for ticks after being outside.

Pt complained of dizziness, racing heart rate, face swelling/numbness and throat tightness. Zyrtec 10mg given. MD recommended epinephrine injection. Patient refused. EMT called to bedside for EKG. MD recommends transfer via ambulance to ER. Patient declined after thorough education of importance of going to ER. Patient declined and signed to leave Against Medical Advise.

Started developing chest pain a week after taking the first dose. Progressively worsened since then till present/had bouts of sharp chest pain/CP; X-Ray showed pleural effusion and slight fullness of main pulmonary artery.; pleural effusion; Fatigue/tiredness/High fatigue and tiredness persisted from right after the vaccine till present; diarrhea; tiredness; high fever; chills; nausea; brain fog; This is a spontaneous report from a contactable consumer. A 24-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 12Apr2021 as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient started developing chest pain a week after taking the first dose (13Apr2021). Progressively worsened since then till present. At present also have fatigue, diarrhea and tiredness. Yesterday, had bouts of sharp chest pain so got an X-Ray from ED which showed pleural effusion and slight fullness of main pulmonary artery. Doctor stated it was indicative of CP. In the initial few days after the first dose, had high fever, chills, nausea and brain fog. High fatigue and tiredness persisted from right after the vaccine till present. The patient was very healthy and have never had a heart complication before. The timing might be indicative of a causation between the vaccine and the present medical condition. Ae resulted in doctor or other healthcare professional office/clinic visit. There is no other vaccine in four weeks, no other medications in two weeks, no treatment for ae, no covid prior vaccination. The patient tested covid post vaccination (RT-PCR) with Nasal Swab on 03May2021, covid test result was Negative. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. List of any other medications the patient did not receive within 2 weeks of vaccination. The outcome of the events was not resolved. Information on the lot/batch number has been requested.

MYOCARDITIS. I experienced extreme chest pain, tightness, shortness of breath, painful heart beats, I could feel each beat. I hunched over in my bed groom grabbing my abdomen and fell onto my bed and almost passed out from whack I?d assume is lack of oxygen. I could barely breathe for about five minutes and felt relatively severe pain particularly in the right side of my chest. I could feel every muscle, tendon, and artery inflamed, enlarged, and hurting. My chest felt like it filled up with a balloon. Heart rate went up too. I have NEVER EVER felt ANYTHING like this in my LIFE. Not even close. It was a brand new sensation to me first time I?ve ever felt anything like this at all, and very intense and frustrating. Keeping in mind I am in perfect health. I am a body builder with a perfect physique. I work at a high end restaurant and have an extremely good diet. I have a normal sleep and sexual routine, I don?t use any medications whatsoever even Tylenol or ibuprofen. I have no pre existing conditions. I have no history of heart or cardio problems. My family has a history of low blood pressure. I have next to no stress or anxiety in my life. I am 24 years old I work out and run miles, five to six days a week. I don?t use nicotine, tobacco, and I haven?t had a drink of alcohol in ten years (14yrs old). I smoke marijuana on a daily basis. After about ten minutes the incident went down and I was able to breathe a little better but still had pain and tightness in my chest. I have had shortness of breath ever since. This is being written the day after the event about 26 hours later. I ran a mile last night and went to the gym it seemed to help both my breathing and the pain and tightness but it has not fully gone away. I feel my heart straining somehow as I am typing this. One thing to note is I did not want to get vaccinated but was pressured to do so, and before getting it I was very nervous and honestly upset. The woman administering it was not helpful at all and actually mocked my unsureness and was very rude and unprofessional. She didn?t answer any technical questions I had. During my interaction with her between my nerves and her behavior I?m absolutely certain my heart rate was elevated at the time of getting the shot. I have only had one shot. The episode of myocarditis occurred two weeks after my first shot. Two days after my scheduled second shot, which I missed because of work and was going to reschedule before this occurred. I am not going to be getting the second shot. Will be following up with my primary care doctor as soon as possible. Haven?t had time.

patient fainted immediately after for about 1 second, his head dropped but then he woke back up. right after the dose he began breathing quickly, so i instructed him to take his mask off and lay back if he needed. i grabbed him a water and took his blood pressure/hr. EMS was called, patient denied care. HIS BP WAS 104/73 AT 12:53 PM AND HIS hr WAS 72 BPM. I did notice some mild seizure like physical symptoms as he woke up - arms and shoulders jerked a little for a few seconds. he said that the same, but worse, reaction happened after his first dose.

Site: Pain at Injection Site-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Pt has history of vaso vagal syncope. Patient entered an episode of syncope and quickly recovered. Paramedics arrived to futher consult patient to recovery.

Patient arrived on 03JUN2021 to receive 2nd dose of Pfizer. Patient reported that following 1st dose of Pfizer and completing standard observation period of 15min, he developed onset of Hives and SOB 1 hour (10am) following administration of the Pfizer vaccine at 0900. Patient reports that he did not seek medical attention and chose to wait out the symptoms. Patient reported that his SOB resolved 30min following onset without medical intervention. Patient reported that his Hives resolved 2hours following onset without medical intervention. Patient 2nd dose of Pfizer was not given due to potential adverse reaction to 1st dose.

This is a spontaneous report from a contactable consumer (patient). A 24-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date not provided), 1st dose via an unspecified route of administration, administered in Arm Left on 13May2021 13:00 at age of 24 years old as a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced heart pain, pushing down on the chest, and being very heavy, feels really weak, short of breath, he can't get deep breaths in, uncomfortable, all on 16May2021. The outcome of all events was not recovered. Clinical course: Caller stated he got the vaccine 13May2021, the first dose. Caller states he had bad heart pain, that he was 24 years old and it was like it was not sharp but it was like it felt heavy all the time, like his chest was heavy like somebody was pressing on it (on Sunday he began to have heart pain that he describes as being worse in the morning, pushing down on the chest, and being very heavy). Stated he felt really weak. Caller stated these started on Sunday, 16May2021 last week and it was pretty uncomfortable. Caller stated he wanted to know what to do next, should he reported to his doctor or got it checked and was it normal. Caller stated he was also short of breath, he can't get deep breaths in and that started the same day 16May2021. Caller provided all his symptoms were persisting. States they all started in the afternoon. Caller stated it was the Pfizer Covid 19 vaccine. Stated the 1st dose was 13May2021 in his left arm at 1pm. Caller does not have dose, NDC, lot or expiry date to provide as he does not have his card. Events were not required to visit emergency room or physician's office. There had no evets occurred I following prior vaccinations. There had no any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Patient's Medical History and relevant test were none. Vaccine was not administered at Military Facility.

Woke up with chest pains when breathing, overall tightness with sharp pain in the right pectoral as well as neck pain. Waited a week and then went to an urgent care for symptoms and they sent me to ED. After evaluation I was admitted for more testing and started on treatment. Discharged on 6/10 taking ibuprofen and colchicine with outpatient follow-up on 6/17/2021.

Pt called to report covid19 vaccine side effects on 5/11/21 at 5:18pm. Pt got Pfizer vaccine on 3/24/21 and 4/17/21 at Fairgrounds. Pt states after 1st dose vaccine he experienced some SOB and went to the ED for evaluation and covid19 test result was negative and that was 1-2 weeks after the first dose. Pt states coughing, sore throat and some mucus onset sometime between 1 and 2nd dose vaccine along with voice change. Pt denied emergency symptoms and advised pt if emergency symptoms arise to go to ED or call 911 and pt verbalized understanding. Pt spoke to doctor at clinic last week regarding the cough and voice change and was prescribed Benzonatate. Pt has urgent care visit scheduled.

Shot 1, dry mouth Shot 2, body aches, 2 days following SOB and continued effects of this with no improvement

At 1620, pt. received Pfizer vaccine administered by RN at clinic. Pt. was sent to observation area, which is in the cafeteria. At 1625, Support staff checked on pt. and pt. reported he felt dizzy and immediately informed RNs. Pt. was sitting on the chair and drinking water when this incident occurred. During assessment, pt. was found diaphoretic, pale in skin color, pt. reported blurry vision, and trouble breathing. Pt. respirations rate was 16 breaths per minute, non-labored, no signs of any distress. Pt. stated no prior medical history. After a few minutes, pt. started to recover. Pt. skin color started to improve and less diaphoretic. At 1629, EMS called by RN. Pt was moved to another area away from other patients. Pt. was able to ambulate, follow commands/ directions without any deficits. At 1637, EMS arrived, pt. vitals was taken BP=100/50's and stable. Pt. refused to go to the hospital for further observation. RN stayed with pt. until 1700. Pt. was given some snacks and drinks (gatorade and water). Pt. was moved across the nurses' vaccination table for further monitoring. Pt. fully recovered and left to go home at 1732.

Starting around May 19: chest pain, occasional nightly sweating. assumed would pass Starting around May 24: Moderate pressure in the left ear and a rapidly worsening sensitive+swelling throat, chest pain, nightly sweating, frequent hot flashes throughout day Prescribed Prednisone 10MG as 5, 4, 3, 2, 1 each day. Taken as directed, minor improvement noticed Prescribed Doxycycline Hyclate 100MG 1 twice a day. Taken as directed, no improvement noticed Emergency visit 06/14/2021 for partially closure and hypersensitivity in throat noted at 2:18am. Emergency Oral surgery at noon for impacted wisdom tooth after discussing symptoms Prescribed Hydrocodone-acetamin 5-325MG 8 each day. Prescribed Ibuprofen 800MG 2 each day. Initially no notable improvement. After 9 days notable improvement to swelling Prescribed Amoxicillin 500MG 4 each day. Prescribed Hydrocod/APAP 5-325MG 6 each day. Notable improvement to swelling Prescribed Oxycod/APAP 5-325MG 6 each day (as alt for Hydrocod). Never taken After 1 week prescribed additional stereroid anti-inflamatory. Can't recall name Since 07/25/2021 and Currently: Severe pressure behind eyes and ears, worsening sensitive throat, runny nose, worsening cough, chest pain, nightly sweating, frequent hot flashes throughout day All symptoms of night sweat, chest, hot flash, sensitive throat, and ear pressure have been sustained from May. I just want to be healthy again please just help me figure out what the cause is I hope it has no relation to the vaccine I think its just chance I keep getting sick. But I don't get sick so it makes no sense! I've been sporadically out of work since vaccine for I believe over 5 weeks and it is incredibly disheartening

I believe these symptoms are consistent with the reports of myocarditis; Headache; Shortness of breath; Chest tightness all sustained between 12-24 hours after receiving 2nd dose; This is a spontaneous report from a non-contactable consumer, the patient. A 24-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EWO198), via an unspecified route of administration, administered in Arm Left on 05Jul2021 at 20:15 (at the age of 24-years-old) as single dose for covid-19 immunization. Facility type vaccine was Pharmacy or Drug Store. Medical history included known allergies to Penicillin from an unknown date and unknown if ongoing, covid-19 from an unknown date and unknown if ongoing (If covid prior vaccination: Yes). There were no concomitant medications. Historical vaccine included previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection), via an unspecified route of administration, administered in Arm Left on 14Jun2021 at 20:15 (at the age of 24-years-old) (Batch/Lot Number: EWO181) as single dose for covid-19 immunization and did not experience any adverse reaction. No other vaccine administered in four weeks. Adverse event description stated by patient as on 06Jul2021 at 08:00 was headache, shortness of breath, and chest tightness all sustained between 12-24 hours after receiving 2nd dose. Took 2 Tylenol 24hrs after 2nd dose, symptoms dissipated, reappeared next morning, albeit reduced severity. I believe these symptoms are consistent with the reports of myocarditis (though the symptoms are admittedly nondescript) experienced by others in my demographic group following the 2nd dose. Patient was tested covid post vaccination. The patient underwent lab tests and procedures which included Nasal Swab test on 07Jul2021 with unknown result. The patient received treatment for the events. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Nausea, diarrhea, chills, body aches, shortness of breath, fatigue, muscle aches, headache, sore throat

Chest was painful, after the first vaccine; Breath was hard, and it was painful, after the first vaccine; Breath was hard, and it was painful, after the first vaccine; This is a spontaneous report from a contactable consumer (patient). A 24-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration on 20May2021 (at the age of 24-years-old) as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. In May2021 morning, the patient experienced chest was painful, after the first vaccine and breath was hard, and it was painful, after the first vaccine. The patient called about his situation and to ask for some advice. The patient did not know what to do. He read online that if people have had side effects like chest pain, they should go to the hospital. The patient asked if he should go to the hospital. He was outside of a hospital at the time of reporting. The patient reclarified that if people are young and under 25 years old, they do not have to worry and the side effects usually last for 2 or 3 days and then disappear. His effects have lasted for 4 days. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

chest pain; has been running out of breath pretty easily, and is pretty fatigued; has been running out of breath pretty easily, and is pretty fatigued; This is a spontaneous report from a contactable consumer (patient). A 24-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 28Jun2021 (Lot Number: EW0164) at 24 years old as single dose for covid-19 immunisation. The patient medical history was not reported. Concomitant medications included unspecified vitamin type. The patient had experienced chest pain on Jun2021. When the chest pain started, he had kind of a very sort of dull and not severe pain. It started within a day or two of the vaccine dose. He had that for a little bit, then it went away, then it came back a couple days ago. He started yesterday, which has happened only twice, to have a sharp pain that ripples across the left side of his chest that lasts for 5-10 seconds and was painful enough for him to stop what he was doing, and it came without warning then went away on its own. He had been running out of breath pretty easily, and was pretty fatigued. He went to urgent care today, and they didn't know what wrong with him, and if it got worse, to go to the emergency room. When he first got the pain in the middle of his chest he went to the chiropractor because he thought he might have a rib out, which indeed it did go away for a while. He didn't know if it could have anything to do with his left side though, the middle of chest, because it seems like two completely different things. He did take Naproxen sodium and the pain went down a bit, he took one last night and the pain went away for a bit. He says that this is an off brand of what might be known as Naprosyn. The dose is 220mg (EXP: Aug2022). He took one liquid gel type capsule by mouth, and his pain was reduced. The patient underwent lab tests and procedures which included COVID-19 molecular test: negative on 16Jul2021. The outcome was unknown.

"I work in the ED in behavioral health. I got my Covid vaccine at 12/23 1930 and I got super sick 24 hours getting my covid vaccine, I had chills and fever which I know is a normal side effect. But I had some shortness of breath which I thought was weird, I feel totally fine today"

Rapid onset of headache, muscle aches, joint pain, and fever the evening after getting the shot. Injection arm soreness, general weakness. Minor cough, and possible throat swelling. Swollen lymph nodes. Treated fever with cool washcloth to the head all night . Fever reached a maximum of 103 °F at midnight. Around 5:30am took ibuprofen. All symptoms subsided by late morning around 9:30am, except for slight headache.

1/16/21 - 3:40 PM - Metallic taste in mouth 1/16/21 - 3:45 PM - Chills 1/16/21 - 3:50 PM - Neck / Back soreness 1/16/21 - 3:55 PM - Lightheadedness 1/16/21 - 6:45 PM Difficulty Breathing / Lung Pain, tiredness 1/17/21 - Arm / Body pain, difficulty sleeping, tiredness 1/18/21 - Arm / Body pain, difficulty sleeping, tiredness 1/19/21 - Full body aches, arm pain, lightheadedness, dizziness, tiredness

Patient called from work approximately 3 hours post-vaccination with symptoms of chest pain, shortness of breath, vomiting, and UE paresthesias. He proceeded to have a syncopal episode and 911 was called by his co-workers. Pt regained consciousness prior to EMS arriving. He reported feeling nauseated and was found to be hypertensive. He was given Zofran, which helped with his nausea. His blood pressure normalized. Patient felt better and declined any further evaluation or treatment, including declining transfer to ED.

Severe apneic episodes with sleep. I have no history of sleep apnea, BMI of 24, exercise regularly, no known snoring. The night after my first dose at around 23:00 while falling asleep I shortly after having been asleep would wake up gasping for air. Attempting to fall back asleep I felt the need to consciously make myself breathe, and when I would fall asleep no more than 5-10 after I would wake up gasping for air. This continued on until around close to 03:00 on 1/7/21. When I finally fell asleep around 03:00 woke up gasping for air around 04:45 and never fell back asleep. The next two nights, 1/7/21 and 1/8/21 I would have trouble falling asleep because these same apneic episodes were happening until around 03:00. The night of 1/9/21 I had no issues sleeping, and have had no apnea since those three nights. These apneic episodes were followed by extreme anxiety from being unable to sleep fully (I worried moreso about not falling asleep than the apnea). Heart rate when counted ranged for 70s-80s and my normal HR while sleeping is around low 50s.

Body aches, Awakening Shortness of Air around 0345, became cold quickly, unable to get warm, started to shake and shiver, then was super hot, began to have some sort of out of body phenomenon or hallucination, felt like was about to pass out but was able to sit up and check temperature and discovered a temperature of 103.5 at around 0600. Was able to take Tylenol around 0630 and take shower. Remained weak and exhausted until 1000hours on 1/27. Left arm has pain around injection site.

Shortness of breath at rest, chest tightness, coughing with deep breathing: approx. 48 hours after the vaccination Otherwise, normal flu-like symptoms between 12 to 24 hours: - pounding headache - night sweats - feverish - muscle aches - fatigue

Received dose 2 of COVID vaccine. Within 12 hours of receiving the vaccine, started to have intensifying symptoms all of a sudden: low grad fever of 100.0, cold chills, cold intolerance, a migraine, joint pain, muscle pain, injection site pain, increased hart rate and a heaviness in the chest that made it slightly more difficult to breathe. At 24 hour mark, only injection site pain and headache persisted. Reported injection site swelling 36 hour after vaccination.

exhibited COVID-19 symptoms of congestion, fatigue, cough, vomiting on 1/28/2021, followed by loss of taste and smell on 1/30/2021. Taste and smell returned on 1/31/21. Cough and SOB worsened 2/4/21 necessitating ED eval that was unremarkable. Mostly recovered by end of 10-day isolation period, but with persistent occasional cough and SOB. Was afebrile throughout the course of the disease.

Shortness of breath x 10 min, pt discloses having anxiety in certain public places and have these type of 'attacks", V/S normal. Observed for another 15 min, pt recovered and was released by doctor on duty.

Within 2 minutes following injection, grew pale, clammy, dizzy, and also had tonic contraction (fanning) of fingers. Client hyperventilating- was helped to a cot, elevated legs. Mask removed for ease of breathing. Was offered food and water, which he took- hands softened within 7-8" and color returned to face and arms within approximately 12 minutes. Had some food and water, which he stated helped. He felt he was dehydrated, hungry, and fearful. Never had episode of fainting or dizziness in the past.

At 10pm on the date of vaccine. Started having night sweats. Started feeling SOB. Went to sleep and sleep was restless. Next day woke up and felt body aches. Forced self out of bed . Had stomach pain, loss of appetite. Had a bloody nose twice that day. Extremely fatigued through the day. Also experienced ringing in the ears intermittently since that day and hasn't resolved since it started.

Patient began feeling a tightness in their throat shortly after leaving the observation area at the vaccination clinic at 4:30 pm, but was not noticing any difficulty breathing or swallowing. After two hours, the patient was experiencing some lightheadedness as well, and requested assistance from a local urgent care clinic, where it was advised the patient should come in and be checked out. At 7:30 pm, the patient's vitals were tested and all appeared in the standard range. The patient was administered some Benadryl, Pepcid, and Decadron, all orally. An Epipen was prescribed in case of a flare-up over the next 24 hours, however after an overnight rest the symptoms have disappeared.

nasal and chest congestion; nasal and chest congestion; Severe dyspnea; tiredness; wheezing; coughing; headache; fever-like symptoms; injection site soreness; This is a spontaneous report from a contactable consumer (patient). A 25-year-old male patient received 1st dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT/Batch number and expiration date unknown) via an unspecified route of administration at arm left on 20Mar2021 at 14:00 at age of 25-year-old at single dose for COVID-19 immunisation. Medical history included severe asthma, rhinitis, allergies to grapseed, beans and legumes. Concomitant medications included budesonide, fluticasone propionate (FLOVENT), omeprazole, tiotropium bromide (SPIRIVA), levosalbutamol hydrochloride (XOPENEX). There was no other vaccine in four weeks. Patient experienced severe dyspnea, nasal and chest congestion, tiredness, wheezing, coughing, headache, fever-like symptoms, injection site soreness; all on 20Mar2021 at 02:45 PM. The events were reported as resulting in doctor or other healthcare professional office/clinic visit and disability or permanent damage. There was unspecified treatment for the events. Patient didn't have COVID prior vaccination. Patient was not tested COVID post vaccination. Outcome of the events was not recovered. Information on batch/lot number was requested.

Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tachycardia-Medium, Additional Details: Patient reported a shell fish allergy that produces similar reactions. Patient has not taken Benadryl before and dose not own an Epi-pen.

Patient reported scratch and tightness in throat. Vital signs obtained, 124/82, 62, 92%, 18. Patient reports no. nausea, vomiting, rash, difficulty breathing, or other symptom. Patient lung sounds clear. Administered 25mg PO Benadryl and apple juice. Patient monitored. Symptoms resolved. Vital signs rechecked, 122/82, 72, 18, 96%. Patient monitored for a total of 30 minutes past onset of symptoms.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hyperventilation-Mild, Additional Details: Patient was waiting after getting dose, fainted, ambuelnce was called. Patient awoke, severe sweating and heavy breathing but responsive. Was monitored by EMT but left without further incident.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Weakness-Mild

Ascending Body Aches, headaches, chills, mild audible expiratory wheezing 6hrs, Albuterol Inhaler for wheezing, 600mg, Motrin, 500mg Tylenol.

Pt received vaccine and within minutes of receiving the vaccine, pt stated that he had dizziness and felt light headed. Neuro assessment was performed by reporting nurse and neuro assessment WNL. Pt started hyper ventilating and pt was advised to slow down his breathing. Pt continued to complain of feeling dizzy and lightheaded. Pt had bilateral feet elevated on a chair and bilateral arms raised. Site was called to the patient and they assessed the patient. Pt was laid down on the floor and bilateral feet elevated. Pt had a 12 lead ECG performed showed 60 with a run of SVT with rate of 182. Pt had VS taken initally 80/40, 62, 24. continued treating patient, FSBS was 79. Pt was advised to go to the ER for further assessment and treatment. provided O2 2L via , 12 lead ECG monitoring, IV access to right AC, 20g secured with opsite, 0.9% NS bolus of 200ml. Pt was transported. Ship staff aware of incident and will f/u with patient status.

Vomiting Fever Pneumonia due to COVID-19 virus Sepsis Acute respiratory insufficiency -Continue supplemental oxygen as needed to maintain spO2 over 90% -Patient completed remdesivir as well as a convalescent plasma. -Patient will complete 5 more days of oral dexamethasone. oral Decadron.

Healthy 25yo M with no personal or family hx CAD. 2 days after 2nd dose of vaccine had temp 38C and pleuritic chest pain. 3 days after vaccine woke with substernal chest pain, left arm numbness. EKG suggests pericarditis, markedly elevated troponin, possible myocarditis diagnosis (still pending).

Patient was given first COVID vaccine for a 9:45AM appointment by a certified immunizing pharmacy technician. The vaccine was given approximately around 10:00AM and was seated for 15 minutes in pharmacy waiting area after vaccine. At Around 10:15AM patient reported feeling very itchy all over his body, he felt his throat feeling a little tight, and his tongue felt swollen. Paramedics were called and on their way. Patient refused an EpiPen. Paramedics arrive on site around 10:30AM and took the patient with them..

Patient describes no immediate adverse event after vaccine receipt to suggest IgE reaction (e.g. oral/facial/throat/tongue edema, SOB, wheeze, CP, urticaria, pruritis, etc.) . He reports he felt ill the following day with weakness, cough, increased nasal drainage, decreased exercise tolerance resulting in SOB and elevated HR. He was seen in ER 29 APR (day 8) and diagnosis was URI vs. vaccine reaction. He states these symptoms have resolved. He reports 2 weeks ago (day 7) he was then in the field training and exposed to poison ivy. On day 14 he developed dermatitis to arms, abdomen and groin. He self treated with topical benadryl cream, which made symptoms much worse and produced a large plaque. He switched to calamine, and witch hazel. On day 17 he developed a targetoid erythematous dermatitis to his hands and arms. He was seen in ER and diagnosed with EM and contact dermatitis and treated with oral prednisone, and cetrizine and Bactroban for sites of secondary infection. He reports lesions to hands and arms are mostly resolved, and abdominal plaque is much improved. He is using cetrizine and pruritis is not significant. He had no oral lesions, oral pain, vesicles, vision changes.

PATIENT WAS IN OBSERVATION AREA AFTER BEING VACCINATED. HE CALLED FOR HELP STATING THAT HE WAS HAVING SOME LABOR BREATHING, NUMBNESS OF HAND AND FEELING HOT. PATIENT TOOK SOME SIP OF COLD WATER THAT WE OFFERED BUT NOT GETTING ANY RELIEF. HE CONTINUED TO PANIC SO WE CALLED THE AMBULANCE. WHILE WAITING , HE WAS ASSISTED TO LAY DOWN ON THE SIDE ON THE FLOOR. THE PARAMADIC CAME AND ASSESSED THAT HE WAS JUST PANICKING.

Patient was having trouble breathing . Patient was brought back to the the observation 1 to be observed. We took the patients vitals at 9:15 am heart rate 76, resp 18, Blood pressure 132/78 o2 100%, again at 9:25 am heart rate 76, resp 18, Blood pressure 119/83, o2 99%. Patient was talking and breathing fine. Patient was released home with others that were driving. Patient was released at 9:27 am.

Pt reported an anaphylactic history to bee stings with his last reaction being in 2017 during his screening. Pt was instructed to wait an additional 30 minutes following his vaccination. Pt was given his vaccine at 1134. Pt reported a sensation of "tongue swelling and chest tightness" at 1139. Pt reported it felt like his past anaphylactic reaction. Pt voice sounded muffled, tongue appeared swollen. Pt self administered 1 adult Epi Pen at 1139 with x1 RN and x1 medic supervision. VS were taken. HR was 107, BP was 137/92, SpO2 was 97%. Lung sounds were clear in the apices and diminished in the bases bilaterally. Periorbital swelling was noted at 1140. 911 was called and an ambulance was dispatched at this time. The pt denied a feeling of nausea, denied dizziness. Pt was alert and oriented x4/4 for the entirety of observation. VS were taken again at 1144. The HR was 97, BP was 131/85, SpO2 was 97%. Last reported oral intake of a "bagel and coffee at 0800". VS taken again at 1147, HR 101, BP 135/86, SpO2 98%. Pt reported a continued feeling of throat tightness, periorbital swelling was increasing. Ambulance arrived at 1154 and was given full report. Paramedic assumed care at 1155. Paramedic team deemed it safe to administer one more dose of epinephrine and transport patient via ambulance to ER. In ER, patient endorses mild chest tightness but denies any shortness of breath, oral pharyngeal edema, difficulty swallowing, wheezing, abdominal discomfort, nausea or vomiting, pruritus, or hives. He was given Benadryl, methylprednisolone, and famotidine while in the emergency department to finish the allergic reaction cocktail. He was observed for a total of 3 hours after his last epi injection and he remained HDS and asymptomatic. He was given a prescription for EpiPen autoinjectors with multiple refills. Patient was advised that he should not receive his second covered vaccination without discussing with his PCM. He was given strict return precautions and patient felt comfortable being discharged home.

Patient developed sudden onset of fevers and malaise on 5/7/21 (26 days after his 2nd Pfizer COVID vaccine). His symptoms progressed to involve shortness of breath which prompted his admission to our Hospital on 5/12/21. He rapidly deteriorated requiring intubation and ultimately placement on ECMO and temporary internal heart pump (Impella device) placement. He was thought to have myocarditis due to elevated troponins at the time of admission and cardiac MRI showing wide spread myocardial inflammation suggestive of myocarditis. He was treated with high dose steroids and supportive care due to the concern for cytokine storm and eventually started to show signs of improvement. He was eventually taken off ECMO, internal heart pump and ventilatory support and went home after 20 days in the hospital. However, follow up cardiac MRI revealed ongoing myocarditis, but his ejection fraction had improved.

Sore arm; Felt light headed; left side of my face becoming numb; restricted breathing threw my nose; pain forming in the left side of my neck; left cheek on my face began to swell; top left part of my throat began to swell; tingling feeling on the left side of my face.; This is a spontaneous report from a contactable consumer, the patient. A 25-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EP7534), via an unspecified route of administration in the left arm on 16Mar2021 at 03:15 PM as a single dose for COVID-19 immunisation. The patient's medical history included asthma. Concomitant medications included ZYRTEC D for unknown indication from an unspecified date. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 16Mar2021 at 03:30 PM the patient experienced pain in arm, light headed (waited the recommended 15 minutes and left), numbness in face, breathing difficulty, neck pain (immediately went back to the facility that administrated the shot, was put under observation), cheek swelling, throat swelling and tingling. Treatment received for the events included diphenhydramine and Tylenol. The clinical outcome of the events pain in arm, light headed, numbness in face, breathing difficulty, neck pain, cheek swelling, throat swelling and tingling was resolving. No follow-up attempts are possible. No further information is expected.

throat fell really tight. They told him was throat was closing up.; Anaphylaxis/anaphylactic shock/severe allergic reaction; Swelling of the throat/throat was swelling; Trouble breathing; Itchy throat; Said that his throat felt really thirsty.; He is very upset./He is pretty devastated.; His throat started to do it again.; They said maybe it was something he ate or maybe sinuses; This is spontaneous report from contactable consumer (patient) and contactable consumer (patient's mother). A 25-year-old male patient received the first dose for BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot No. EWO187) at single dose for COVID-19 immunization on 19May2021 at 12:00 or 13:00. Relevant history included Diabetes, obesity, endocrine abnormalities, genetic/chromosomal abnormalities, respiratory illness, compromised immune status and Allergies. The patient had Allergies to non-steroidal anti-inflammatory drugs that can induce anaphylactic shock, severe reaction, swelling of face and throat. Relevant concomitant drug was unknown. No history of all previous immunization with the Pfizer vaccine considered as suspect. No Additional Vaccines were Administered on Same Date of the Pfizer Suspect If applicable. No Vaccines were Administered prior vaccinations (within 4 weeks). Family Medical History was none. About 3-5 minutes after being administered the Vaccine, the patient immediately developed anaphylactic shock. He was transported via ambulance to the Emergency Room on 19May2021 where he verified he was admitted to the hospital Emergency room for about 5-6 hours and discharged from the hospital the same day, 19May2021. He was told not to get any additional doses. He was still having swelling of the throat and went back to the ER today and was given a steroid prednisone 40mg a day for 5 days. He was advised to take benadryl also. He said he didn't get any IVs or anything. He had a past medical history of anaphylactic reaction to NSAIDS. He has been advised not to get the second dose. The patient stated the anaphylactic shock occurred with trouble breathing, throat was swelling and itchy throat. He did go into ER, they told him to just keep drinking fluids, that there was nothing else they could really do. When he was seen in the emergency room they gave him Benadryl and a steroid: Prednisone for now which he is on for the next couple of days. He was told that after 2 days or something, that after getting injected that he wouldn't have any symptoms-but he is still having those pretty severe symptoms of anaphylactic shock. Initial onset of anaphylactic shock was about 3-5 minutes after Pfizer Covid Vaccine shot was administered. Within 10-15 minutes he had swelling of tongue and throat and difficulty breathing. They called an ambulance, the ambulance took him to the Hospital emergency room where he was admitted and discharged that same date on 19May2021 after about 5-6 hours; he reported discharge time was around 16:40. They told him to come back if he had any issues that occurred over next couple of days or worsening or causing problems; to call back the nurses line. He was on a lot of Benadryl, a lot of antihistamines. When he gets off the antihistamines almost all the allergic reactions of the anaphylactic shock reoccur. This morning, 21May2021, he didn't take any Bendaryl before bed, and this morning when he woke up he was alright. After being at work like 30 minutes he felt the itchiness; scratchy throat; swelling of tongue; a little swelling of the throat; difficulty breathing. He took Benadryl and called the hotline who told him to call the Emergency room, he called the emergency room and went there. He talked to them this morning because he went to work and had issues breathing. He called and they told him to come in asap, so he went in to the emergency room; they gave him Benadryl and told him there was nothing else they could do other than him taking the steroid: Prednisone. The patient was in the hospital 3 days and will be day 4 tomorrow. He was trying to figure out how long this will last. They told him to talk to his doctor. They basically told him they were not responsible. The patient's mother reported that her son received the shot Wed 19May2021. Does not know if the Walgreen's reported this. He left there in an ambulance within 10 minutes of getting the shot. They took him to the emergency room and he got mixed information. He went back again today. They blew him off and told him maybe it was something he ate. She assumed that an allergic reaction would be about 24 hours but this is day 3. She is scared he may be taking too much Benadryl. He said he felt like he needed something to drink. Said that his throat felt really thirsty. He went back inside since his throat fell really tight. They told him was throat was closing up. They saw that his throat was swollen and they called the paramedics. Within 15 minutes they came and brought him to the emergency room. Nobody had given him Epi. They were going to give it to him an Epi pen but he wanted to wait for the paramedics. He was freaking out. The paramedics showed up and they were unable to give him Epi, stating he didn't have hives. He only received Benadryl. They he had to have to give him extra Benadryl because whatever they gave him in the IV because the first didn't work and his throat was still closing up. It made him feel like a drug addict asking for Benadryl. She was not sure if they gave him Benadryl in the ambulance, knows that it was given in the emergency room. The Benadryl may have been started in the ambulance but she is not sure. They did give him oxygen in the ambulance. Clarified he was in the ER over 4 hours, but was not admitted to the hospital. They gave him steroids but forgot to send him home with steroids. He had to call to find out about getting them and they told him they forgot to send the prescription in. He was late starting the next dose of steroids. He went back to the ER today, day 3. He didn't feel too bad today and went to work. After exerting a little energy and moving around, his throat started to do it again. He didn't have Benadryl on him. He left work because he thought it was going to close up again the day he got the shot. Once he calmed down, he took Benadryl. He called the hospital to ask if this was normal. He was told that it is not normal and was told that if he still felt bad, to come to the hospital. They said maybe it was something he ate or maybe sinuses. He spoke to one of the doctors. They had never shown him how to use an ePi pen. He does not know how long this will last. He gets scared. Treatment: Has only been taking Benadryl. He started the steroids yesterday and today. They had given him Benadryl today in the ER and he is home now. The patient visited to the Emergency room twice, first time by ambulance, confirmed he was not admitted. He was pretty devastated. The outcome of events was unknown.

Immediate reaction of arms tingling and nausea/vomiting. Basic vaccine symptoms the first week including headache, nausea, fever. After about a week, COVID fog/fatigue symptoms began. It is currently 6 weeks later and I have fatigue, shortness of breath, head pressure, double vision, cannot concentrate for any length of time and dizziness/unsteadiness. I have not been able to go to work since the vaccination and have people helping take care of me. I cannot take a shower without being short of breath after. I have been put on 2 different rounds of steroids ? the 2nd more aggressive, which did not make a difference. I have been to my general doctor several times, an allergist and a neurologist. I have had extensive bloodwork, an MRI, and an EKG ? all were normal. My symptoms have not improved at all in the past 3-4 weeks.

Acute pleuro-pericarditis, take naproxen and cochicine, still recovering This was my first dose. Took vaccine on June 2, mild pain in chest on June 3, it got a bit better after a day or two. It came back on Sunday with more pain suddenly. Went for a walk and it felt better for the rest of the day and also the next day. On Wednesday is was bad, more painful than sunday, went to PCP. Thursday was the worst day, hurt to move, can't move in bed and wakes up from pain from moving or rotating in bed. Having chest pain since last week, sharp pain on the left front of chest. Pain worsens when leaning forward. Significant pleuritic pain. Started taking Naproxen and Cochicine and conditions have been much better. Still recovering with very mild pain in the same area now.

Intermittent tachycardia and shortness of breath, L sided chest pain and upper abdominal pain. Initially symptoms were more constant, was improving to intermittent by 6/21/21. The shortness of breath occurred without exertion.

Around the 2nd I was coughing up green phlegm and had a severe cough. After getting antibiotic, the symptoms were not better after the dosage was over. I started getting more of a wet, heavy cough. Most of the phlegm I was coughing up was coming from my lungs. I was getting light headed and breathing was getting very struggled. On the evening of 6/10/2021, my mom advised that I go to the ER as my breathing was getting very taxed. During this visit I was diagnosed with RSV and tested COVID negative.

Immediate reaction of arms tingling; Nausea; Vomiting; Headache; Fever; Fatigue; Shortness of breath; Head pressure; Double vision; Cannot concentrate for any length of time; Dizziness; Unsteadiness; This is a spontaneous report from a contactable consumer or other non hcp. This consumer (patient) reported for himself that a 25-years-old male patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: EW0171), dose 1 via an unspecified route of administration, administered in Arm Right on 02May2021 12:00 (Age at vaccination: 25) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included seasonal allergy. The patient's concomitant medications were not reported. The patient previously took erythromycin and sulfa. On 02May2021 12:00, the patient experienced Immediate reaction of arms tingling; Nausea; Vomiting; Headache; Fever; Fatigue; Shortness of breath; Head pressure; Double vision; Cannot concentrate for any length of time; Dizziness and Unsteadiness . Patient was received steroids as treatment for events. No hospitalization prolonged. The patient underwent lab tests and procedures which included blood test: normal on, electrocardiogram: normal on, magnetic resonance imaging: normal on, sars-cov-2 test: negative on 06May2021, sars-cov-2 test: negative on 19May2021. It was reported that patient had basic vaccine symptoms the first week including headache, nausea, fever. After a week, COVID fog/fatigue symptoms began. It is currently 6 weeks later and patient had fatigue, shortness of breath, head pressure, double vision, cannot concentrate for any length of time and dizziness/unsteadiness. I have not been able to go to work since the vaccine and have people helping take care of me. I cannot take a shower without being short of breath. I have been put on 2 different rounds of steroids - the 2nd more aggressive, which did not make a difference. I have been to my general doctor several times, an allergist and a neurologist. I had no previous health problems. Symptoms had not improved in the past 3-4 weeks. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been not tested for COVID-19. The clinical outcome of all events were not recovered. Follow-up attempts are needed. Further information is requested.

Severe nausea, heart palpitations, syncope, shortness of breath and triggered an organ rejection event (I am a kidney transplant patient).

2 days s/p second Pfizer vaccine (6/7 and 6/28) patient presented to ED with pleuritic chest pain and difficulty breathing. Diagnosis myo / pericarditis. Transferred to MC start treatment with colchicine, lisinopril, metoprolol,

Pt called health system call ceneter on 5/18/2021 and verified pt with 2 identifiers. Pt stated pt got 1st covid vaccine Pfizer @9:25am 5/14/2021 at Pharmacy and pt got chest pain(mild chest pain), mild SOB, abdominal cramping(last 2 days), fatigue since next day from vaccination. Noted pt has hx of seizure 2 years ago and taking medication for seizure. Pt also said upper back pain and pt had mild fever next day from vaccination. Noted no known allergies. Instructed pt to call 911 or go to ED d/t pt shows 3 emergency s/sx of covid vaccine side effects. Pt is educated covid vaccine side effects.

Incoming TC from patient, reporting possible COVID-19 side effects / adverse reaction: Patient called in reporting difficulty breathing, rapid heartbeat, chest tightness, dizziness when walking ""had to hold onto my dad's shoulder while walking so I don't faint, I feel anxious like something is going to happen."" Reports received 2nd dose Pfizer 5/07 felt "okay" afterwards. Starting 1 week ago 5/18 started to rapid heartbeat, anxious, even at rest. States HR is 78 O2 sat 98%. Was seen at a clinic 1 week ago, EKG performed WNL. Advised to call 911, or seek emergency care. Pt stated he will have his dad drive him toER.

Short bouts of difficulty breathing during low to mild exertion, without chest pain, beginning about 3 days post vaccination and continuing at a frequency of about one episode per day and lasting for about 2.5 weeks. No treatment sought at the time of this reporting, and some improvement experienced over time.