Pfizer

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

26 year old male, presented for pfizer COVID-19 vaccine today, no history of anaphylactic reaction. Approx 15 minutes post vaccine, patient reported he felt his throat was warm, felt like it was "tightening" and was having difficulty swallowing and felt short of breath. Given an epi-pen, 50 mg IM benadryl. Initially refused ED transfer via EMS.

About half an hour after receiving 2nd dose, I started to feel a little nauseous and my throat felt like it was tightening a bit. It was nothing too major, but I did call paramedics to monitor me. The episode subsided about a half hour after that. However, I did have a more severe episode a few days later on March 5th, in which I had to receive urgent care. It was shortly after lunch which included a spicy hot sauce I had a little bit of. I started having a similar reaction as earlier described, which eventually subsided once at the doctors office for a bit. However, it did lead to a panic attack, which is something I had never had before. Overall, I had never reacted like this before. I am wondering if one the side effects of the vaccine may be causing it.

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

About 14 hours after the injection, pt developed difficulty breathing and hoarseness. Pt improved slightly after taking their symbacort & albuterol.

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

30 minutes later he developed somewhat of a sore throat that he describes as a throat tightness accompanied by very slight chest tightness. He denies any angioedema, SOB, DOE, wheezing, rash, itching, or hives.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: PATIENT STARTED FEELING NAUSEATED AFTER SHOT BECAME PALE ,STUNBLED HAD DIFFICULTY BREATHING AND HE LAID DOWN X 30 MINUTES . AFTER WE CALLED 911 HE SAID HE DIDNT NEED IT BECAUSE HE HAS A REACTION AFTER EVERY IMMUNIZATION

5 minutes after getting shot, started to feel same effects of Tree nut allergy anaphylaxis. Did not need an EpiPen, but still had trouble breathing for the day.

anxiety, sweating, SOB 5 minutes after vaccine, Has hx of phobia to needles and says he normally feels faint after vaccines. full resolution of s/s after water and snacks. refused transport. Alert and orietned x4, NAD , able to speak full sentances. V/S stable.

Patient got Shortness of breath, leg cramps, lost control on his body and seizures 2 hours after getting the vaccine and stayed for about 5 minutes. No medication or treatment was given. reported by his sister

Patient with a history of cardiomyopathy had an episode of chest tightness and shortness of breath after receiving the vaccine.

Fainted on April 9, waking to racing heart and shortness of breath. Chest pain and shortness of breath persisted. Visited Emergency Room evening of April 11. Multiple tests revealed diagnosis of pulmonary embolism. Was immediately transferred to hospital early April 12. Received blood thinning treatment and catheter operation. Discharged April 15, with prescription of Eliquis for continued blood thinning.

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

Post vaccine pt stated he started gulping and felt tightness in his throat. Pt was transported to observation wing. Pt refused Benadryl. Pt did drink some water and ate some crackers . After laying on the stretcher for a while patient stated he felt better . Pt was released at 1055 Vitals as follows: 1024 BP 132/86 HR 80 RR 18 SpO2 98 1030 BP 110/75 HR 74 RR 19 SpO2 97 1040 BP 120/84 HR 80 RR 20 SpO2 96 1048 BP 129/81 HR 78 RR 18 SpO2 97

Visit 4/29/2021 Patient is a 27-year-old male comes in today with a recent Covid vaccination, Pfizer 4/20/2021. Patient was originally seen 7 days ago for symptoms of shortness of breath and high anxiety after having the vaccination. Since that time, patient has been doping his own research and feels that his is having an adverse reaction to the vaccine. He is complaining of 4 days of CP intermittent dull and tightness in nature, lasting < 1 min up to 30 times daily, Chest discomfort last throughout the day, nothing makes it worse or better, which also increases his anxiety and to panic. Visit on 4/21/2021 Patient states that after he received the vaccination he had some brief interval of shortness of breath, high anxiety that lasted approximately 30 seconds to 1 minute and then resolved. Patient scared that he was having an allergic reaction. Patient denies any other symptoms, SOB, wheezing, coughing, chest pain, nausea, vomiting,diarrhea, redness to site or red streaking, enlarge lymph nodes. All sx. resolved same day

4/13/21: 26 y.o. male who presents with central nonradiating chest pain and dyspnea for the past 2 mornings. Seen in urgent care and sent here for elevated troponin. EKG nonischemic. No symptoms currently. Repeat troponin slightly elevated. BNP elevated but no clinical evidence of heart failure. CRP elevated, sed rate normal. Respiratory viral panel negative. CTA PE study negative for PE or other acute pathology. Echo normal per cardiology prelim report verbally. Patient hemodynamically normal. Respiratory viral panel including Covid negative. Concern for possible vaccine reaction. Will be reported by pharmacy. Seen by cardiology in the emergency department. Will be admitted overnight for observation given concern for troponin still climbing as well as monitoring for arrhythmia. Patient concerned about being admitted but willing to stay after further conversation.

Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies; Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies; Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies; fatigue; muscle soreness; injection site soreness; mild nausea; slight nasal congestion; headache; This is a spontaneous report received from a contactable consumer (patient). This 26-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 12Apr2021 01:15 PM in left arm at single dose (lot number=EN6204) for COVID-19 immunization. Medical history included Attention Deficit Hyperactivity Disorder, Obesity, Temporomandibular Joint Dysfunction, Ocular Migraines. No allergies to medications, food, or other products. Concomitant medications included cannabis sativa. The patient previously received first dose of BNT162B2 (Lot number=ER8730) on 22Mar2021 01:00 PM in left arm for COVID-19 immunization. On 13Apr2021 07:00, the patient experienced fatigue, muscle soreness, injection site soreness, mild nausea, slight nasal congestion, headache. Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies which started 14Apr2021 at around 07:30 am while he was setting up for work and had come and gone. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient did not diagnosed with COVID-19. Since the vaccination, patient had not been tested for COVID-19. No treatment received for the adverse events. The outcome of events was recovering. No follow-up attempts needed. No further information expected.

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

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

Pain when breathing and difficulty breathing. Nausea. Started 12 hours after the 2nd dose and has yet to go away 1 week later. It's hard to breathe without coughing and pain. And the nausea came I had body aches too. But everything else went away except for the nausea which has been haunting me and the difficulty breathing which has limited the amount of work i do at work and has had an impact on my sleeping as well.

Presented with chest pain and dyspnea. Admitted to the hospital. Initially, the diagnosis was NSTEMI. Further testing showed myocarditis.

administered first dose of Pfizer to patient. Patient was waiting 15 minutes post vaccine and when we went to check on him before closing for lunch, patient reported SOB and difficulty breathing. He stated he was currently a Nurse and requested administration of Epipen. administered 1 dose of EpiPen. Patient requested a second dose of Epipen but did not appear to need another dose and reported tightness lifted off chest but still SOB noted. called 911. administered patient 25 mg Benadryl liquid dose as secondary measure per protocol. Patient consumed 2 bottles of water prior to Ambulance arriving about 25 minutes after calling 911. Patient refused to lie down in supine position. He reported to EMTs that he had allergy to NSAIDs and Zoloft, so updated patient's PQCF form to reflect since patient originally reported NO to DRUG ALLERGIES. Patient left with EMTs on stretcher but reported SOB improving but still present.

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

Chest pain, chest tightness, difficulty breathing, all of which were worse when lying down. Soon developed fever, chills, and night sweats, and eventually tachycardia (resting 160 bpm) with atrial flutter and then atrial fibrillation Original pain was within the week of the vaccine, but the fever came on about a month later and lasted for 2 weeks.

heart was racing; throat getting a little tight; This is a spontaneous report received from a contactable pharmacist via a Pfizer- sponsored program and Medical Information Team. A 26-year-old male patient received first dose of BNT162b2 (COMIRNATY, solution for injection, lot number: EW0153), via an unspecified route of administration on 26Apr2021 as 1st dose, single for COVID-19 immunization. The patient medical history and concomitant medications were reported as none. It was reported that, the patient got the first shot on 26Apr2021, instantly he's heart was racing and 5 minutes after he felt his throat getting a little tight, after 5 minutes still tight, 2-3 minutes it resolved on its own without any medication, no Benadryl and no medical assistance, he was okay after that. Patient confirmed that he did not experienced difficulty of breathing. The patient was advised to go to the doctor's office or hospital for the second shot in case he gets an anaphylaxis or worse reactions to the second dose. He states that the symptoms were resolved in about 2 minutes on the same day. The pharmacist was asking if these were considered as a severe allergic reaction and he wants to know if the patient should get the second dose or not. The outcome of the events heart was racing and throat getting a little tight was recovered on 26Apr2021.

shortness of breath; This is a spontaneous report from a contactable consumer (patient). as single dose for covid-19 immunization. Medical history included none. Concomitant medications included vitamins nos (MULTIVITAMIN); colecalciferol (VITAMIN D3); whey protein (WHEY PROTEIN ISOLATE) received 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 not diagnosed with COVID-19. In 2021, the patient suffered from shortness of breath 20 days after first dose and 3 days prior to second dose. Tested for COVID-19 was negative. The patient underwent lab tests and procedures which included COVID-19 PCR Nasal Swab was negative on 17Apr2021 and on 21Apr2021. Treatment received for the event included indomethacin and colchicine. The outcome of the event was not recovered.

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

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

day after: all CDC side effects + sore chest + neck pain + sleeping for 16 or more hours 2 days after: all CDC side effects + chest pain + trouble breathing 3 days after: lessening of all CDC side effects to no CDC side effect + trouble breathing through ER prescribed medication (2 inhalers) 4 days - 4 weeks after: intermittent shortness of breath fixed through further prescribed medication (2 inhalers) and steroid given 5+ weeks after: no noticeable side effects

Pt. states received Phizer vaccine and 06/23/2021 woke nauseous, headaches, chills, trouble catching breath. Plans physician visit 07/08/2021 to receive Ultrasound due to stomach problems. Low appetite, fatigued.

Contracted COVID-19 symptomatically; contracted the COVID-19 virus and its symptomatic with the virus now; Contracted COVID-19 symptomatically; contracted the COVID-19 virus and its symptomatic with the virus now; Fever; Congestion; Shortness of breath; Lost sense of smell; This is a spontaneous report from a contactable consumer. A 27-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 19Jan2021 (Lot Number: EL3247, Expiration date: 31May2021) at the age of 26 years as single dose, and dose 1 via an unspecified route of administration, administered in Arm Left on 29Dec2020 (Lot Number: EH9899, Expiration date: 31Mar2021) at the age of 26 years as single dose, for covid-19 immunisation. The patient medical history was not reported. Concomitant medications included multivitamin like is generic multivitamin of men, a chewable Vitamin D3, and L-Lysine. On unspecified date the patient contracted covid-19 symptomatically; contracted the covid-19 virus and its symptomatic with the virus now, experienced fever, congestion, shortness of breath, lost sense of smell. Therapeutic measures taken as a result of the event contracted covid-19 symptomatically, included Sudafed 120 mg once a day and Ibuprofen 400 mg twice a day first 3 days. The outcome of the events was unknown. Subsequently Product Quality Complaint Group provided the following conclusions: Conclusion: The complaint for lack of effect of the PFIZER-BIONTECH COVID-19 VACCINE lot EH9899 was investigated. The investigation included a review of manufacturing and packaging batch records, deviation investigations, and an analysis of complaint history for the reported lot. The final scope included the reported finished goods lot EH9899, fill lot EH9783, and the formulated drug product lot EH9782. A complaint sample was not returned, and photographs were not received. No related quality issues were identified during the investigation. There is no impact to product quality. No root cause or corrective/preventative actions were identified as the complaint was not confirmed. All release testing performed prior to the release of the reported batch was within specifications. Conclusion: The complaint for lack of effect of the PFIZER-BIONTECH COVID-19 VACCINE lot EL3247 was investigated. The investigation included a review of manufacturing and packaging batch records, deviation investigations, and an analysis of complaint history for the reported lot. The final scope included the reported finished goods lot EL3247, fill lot EL3230, and the formulated drug product lot EL3223. A complaint sample was not returned, and photographs were not received. No related quality issues were identified during the investigation. There is no impact to product quality. No root cause or corrective/preventative actions were identified as the complaint was not confirmed. All release testing performed prior to the release of the reported batch was within specifications. No follow-up attempts are needed. No further information is expected.

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

Around 7 pm I started feeling really anxious. I checked my HR on my smart watch and it said that around 12pm my HR was 157bpm which was right after getting the vaccine when I started walking home. My resting HR is usually 47-52bpm. I am a very active person. I have been waking up in the middle of the night multiple times in night sweats and it feels like my heart is contracting very hard. I notice that my HR jumps up right when I start to be more active, but more than normal. On the 11th my average walking HR was 140. Today at work my HR was 134 at the highest around 9am and the lowest was 56bpm around 7am when I was getting ready for work. Additionally to the increased HR I have SOB when I walk and talk. I did have a sore arm as well the first day, but nothing more than any other injection I have had before.

Sunday 1/17/21 at approximately 6pm began with cough, mild sinus headache, mild shortness of breath. Monday 1/18/21 morning around 8am, awoke with headache, continued coughing, began taking Tylenol and taking Vitamin C. Tuesday 1/19/21 morning woke up feeling worse. Pain to bilateral shoulders, body aches, cough and runny nose.

Headache, Muscle and joint pain, Fatigue , Sore throat, Cough, Shortness of breath , Abdominal pain , Facial swelling , Nasal congestion , Diarrhea , Nausea. Benadryl IM, Prednisone tablet, Ventolin inhaler.

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

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

Before 2nd dose screening reported throat tightness lasting 1-2 hours after dose 1. Possibly anxiety/OCD symptom per patient. Dose 2 not given.

Patient verbalized "scratchy" dry throat, feeling of swelling to lips, throat, tongue. Bilateral arm soreness. Headache. Vitals taken and stable. 10mg Zyrtec given. Patient feeling less swelling to lips, and throat. Vitals before discharge BP 132/73, HR 87%, O2 99%. Discharged home ambulating and stable.

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

Shortly after getting vaccinated the patient complained of his head hurting and feeling nauseous. Within a few more minutes the patient said that their chest felt tight and was having shortness of breath. The patient was given water and a cold compress. The patient started breathing heavily. The patient was starting to sweat on their forehead. The temperature was taken and was 97.3 degree F. The patient was given a bucket at which time they proceeded to spit a small amount of mucus and bile into the bucket. The patient denied needing an ambulance. The patient called their mother who came and transported the patient to the hospital. The patient was watched for a total of 25 minutes and left the pharmacy at around 12:50.

Patient is a 27 year old male with no significant medical history presents to MC on 2/6 from Urgent Care for further evaluation of chest pain. He states that he woke up at 5:30am with abrupt onset of chest pain with present like quality in the middle of the chest. It was non-radiating with associated nausea, small amount of emesis, and dyspnea. His pain lasted for about 15 minutes and he started experiencing it again after half an hour with numbness and tingling of his bilateral distal digits and diaphoresis. He decided to seek evaluation at local Urgent Care around 7:30am. States that he was immediately send here through ambulance due to findings of EKG changes. He was given aspirin and nitroglycerin with some alleviation of pain. Currently, he feels little better although continues to have chest pressure substernally every 45 minutes lasting 5-10 minutes. His dyspnea is resolved. He does not have pleuritic chest pain, fever, chills, nausea, vomiting, abdominal pain, diarrhea, leg swelling, rash. Additionally, he has been in normal state of health until this 2/2/21 when he received second dose of COVID-19 (Pfizer) vaccine. He had extreme fatigue with left arm soreness. He reports no sick contacts, recent illness, or travel. MRI cardiac done 2/9/21 with assessment reveals Infero-lateral myocarditis. Patient remained hemodynamically stable and was discharged with ibuprofen taper for 10 days, c/w colchicine 0.6 mg QD x 3 months and pantoprazole 40 mg QD

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

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

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

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

1242: Vaccine administered. 1255: RN called to assist with patient. Caregiver stated that the patient reported that he "felt funny" and "feel like I can't breathe." Caregiver stated that the patient was no longer responding to questions being asked. Caregiver reported not being able to arouse the patient after shaking his leg twice an no response. Caregiver stated that excess secretions from mouth is normal. 1255: Patient responding to questions being asked. Heart rate 123 beats per minute and oxygen saturation level 99% on room air via pulse oximeter. Lungs clear to ausculation. Patient sitting power chair. 1257: Apical heart, regular with a rate 100 beats per minute. 1258: Unalbe to obtain blood pressure in left arm due to tone. 1259: Blood pressure in right arm 168/92. 1303: Blood pressure in right arm 158/98. 1309: Patient reports feeling better at this time. Patient with caregiver. Caregiver verbalized appreciation.

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

Patient reports throat felt itchy and like it was closing up 10 hours after the vaccination. He had tonsil stones and gargled salt water to dislodge tonsils stones took a benadryl, but throat still feels itchy after tonsil stones were removed, although improved. He had difficulty sleeping at night because of throat swelling.

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

Headache (lasting 3 days after), Body aches (lasted 2 days after), Neck Stiffness (lasting 3 days after), Chills (lasted 2 days after), Sweating (lasted 2 days after), Dehydration (lasting 3 days after), Nausea (lasted one day on second day after), Pain at Site of Injection (lasted 2 days after), Difficult Taking Full Breaths Nausea (lasted one day on second day after), Fatigue (lasting 3 days after)

When I woke up on Sunday, April 11th, 2021 at around 9am, I have felt like my muscles have been ripped apart, I was sweating, I had labored breathing, and I could not get up for the day. I slept all day, feeling like I had the flu, and was sleeping until 7pm that day. I called out of work when I woke up because I knew on Monday I would not be able to make it, as I felt like I was very tired, lethargic, and sore. This feeling was throughout every inch of my body. I also went to take a shower that day and I had a hard time breathing in the shower, to the point where I had to sit on the edge of the tub, just to make sure I would not pass out from lack of oxygen. This was the scariest sickness I have ever had in my entire life. I literally thought I was going to die. Monday came around and I felt even worse, my muscles were sore, I felt extremely tired, I could not do anything, and I was in bed all day. Today is Tuesday, and I have felt a little bit better, but I have missed two days of work because of the effects this vaccine has had on my body. I made a virtual appointment with a doctor on the app on phone and met with Doctor who basically told me that the only thing I could do for myself is take Ibuprofen every 8 hours for the pain and swelling that might occur and drink plenty of gatorade. It is Tuesday, April 13th, 2021 at 11:29pm at night and I still feel the same as Monday, very weak, tired, and sore all over my body. I have never had this with a vaccine before, until I got the COVID-19 one. I have taken the Flu Vaccine, Hep A, Tantnius, Chicken Pox and never felt like I was so tired I could not get out of bed from these vaccines.

NOTE: Taking Tylenol, Ibuprofen, Diphenhydramine HCL, Clear Eyes Eye drops. Have secere bruising of the eyes. Shortness of breath. Muscle Aches. Joint Aches. Congestion. Mucus buildup. Headaches. Brain noble unstable pressure, and heaviness. Unbalanced and unstable proprioception.

After eating lunch approx. 24 hours after receiving the 1st dose of the vaccine, I began to cough suddenly. I then got itchy eyes, had some wheezing, and sneezed/got a runny nose. About a half hour after getting these symptoms, I took 10mg of children?s Benadryl (Diphenhydramine). I then found two hives/itchy bumps. One on my right arm near my elbow and one on the left side of my abdomen. About 20 minutes after taking the Benadryl, the symptoms mostly went away and I felt very tired. I still have some wheezing.

Onset: 4/28/2021 Sx: fever, chills, cough, SOB, fatigue, myalgias, h/a, loss of taste & smell, sore through, runny nose & congestion. Brief LOC today with brief mild disorientation and confusion immediately after. Social: no reported exposures Immz: Pfizer #1 = 1/19/2021 & Pfizer #2 = 2/10/2021

Mild throat swelling, able to swallow, no respiratory distress. Stable, released from vaccination site.

Bilateral tonsil pain, head and throat pressure 6 min after vaccination. No problem drinking water. Given Benadryl 25 mg IM x1. Stable, released from vaccination site.

After first Pfizer dose, I was just feeling really tired. After the second dose, around that afternoon/evening I started feeling my mouth feeling weird. The next day I saw blisters filled with yellow/whiteish puss in my tongue. I went to the ER later i felt a lump under left shoulder while showering. On 28 MAY 3 AM I suddenly felt my face feeling numb and tingly along with my legs. Mind you I have been in the field emplacing howizters for the past few days in a field exercise. I also jammed my finger on an 80 lb metal bar on 26 MAY and got my finger poked with a hot device that also drained the blood after getting an xray. I called medical ER at 242 and spoke to Dr.(?) Doctor did not give me his name spelling after I asked for the spelling and he told me that I could always come in to the ER. I told him whether the finger pricking and blooding draining could cause the left facial numbness and legs tingleness. He said no so i am now assuming it is an adverse side effect. I am a smart guy have bachelors in journalism but right now I cannot concentrate and filling out htis form hastily just i case the effects get worse and I have to go to hospital er. Talking to the Dr. (?) was harder than normal and he asked if my breathing was normal, I said i am breathing heavily, which I did not have much control over. He said breathe normally and I will be better from the tingliness. I can write well I am a journalism major but this is hard to write for me . I am also feeling chills and I am also not feeling well. I was able to get this link from my local online meeting and I am glad I can contribute to the research and science in general. I wish the doctor had tested me for possible problems when I had an adverse effect from the first vaccine but the doctor told me to come back if the "viral infection" gets worse after I breathe normal. I did take a PT test and my 2 mile run time increased and it was much harder to run than the 2 mile run. Time went up by at least 3 minutes.

Pleuritic chest pain, shortness of breath, subjective fever, and malaise within 24 hours. Symptoms and signs consistent with myopericarditis.

Received second dose of Pfizer vaccine on Fri 5.14.21. On Tuesday 5.18.21 started to develop chest tightness and pressure (like someone was pushing against the center of my chest). Also experienced some shortness of breath. Went to Emergency Room Fri 5.21.21, all tests came back fine. Went to cardiologist in early June 2021 and in early June a cardiac MRI found everything to be normal. Cardiologist has me taking advil and prilosec at the moment. Have experienced these symptoms since 5.18.21 and has not gone away.

INCREDIBLE PAIN IN STERNUM. COULD NOT MOVE. SHORTNESS OF BREATH. CHEST PAIN SUBSIDED SAME DAY. SHORTNESS OF BREATH IS ONGOING

Patient received second dose of COVID vaccine on 03JUN2021 and 2 days later began having pleuritic chest pain and fever which improved with ibuprofen. Chest pain continued to worsen and presented to regional hospital. Started on Colchicine, had elevated troponins. Echocardiogram showing pericardial effusion. Left heart cath at hospital was unremarkable with no evidence of CAD. Still with mild pleuritic chest pain with deep inspiration but none at baseline. The admission diagnosis is myocarditis.

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

No initial reaction to the vaccine, but I started to get what I thought to be a sinus infection about two days after the first vaccine. Congested, but overall healthy (ran 13 miles on 04/04/2021). I woke up in the night about a week after the first vaccine (around 4:00 AM on 04/07/2021) having trouble breathing -- tight throat and chest. I thought it was my sinus infection, received a negative covid test, and started taking augmentin. The tightness continued for about 3 days along with a shortness of breath, no other symptoms though. My resting heart rate was also hovering around 100 bpm until the weekend before the second vaccine. I had no initial reaction to the second vaccine either. However, about a week later the same thing happened. I woke up around 1:00 AM 04/26/2021 hyperventilating with a tight throat and chest. This continued for about 3 days again, so I took another covid test -- negative again. My resting heart rate was back up to 100 bpm. I started to think it was a strange reaction to the vaccine, so I still had my infusion for Crohn's Disease on 04/30/2021. Blood pressure was okay, somewhere around 104/67 I think, but my heart rate was 107 bpm. After that weekend, I felt back to normal. Not sure if this was all caused by the vaccines, but it seems possible.

-Fever, shortness of breath, chest pains on 06/12/2021 -No more fever the date afterwards but still mild conditions of chest pains and shortness of breath. Went to work on 06/16/2021 and chest pain and shortness of breath got worse. Took off from work for the week and now pains and breath shortness are going away.

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

Patient reported having intermittent shortness of breath shorty after the second covid vaccine and it is progressing over 1 month without reducing. Patient got admitted to our hospital and found by cardiologist to have cardiomyopathy with ejection fraction 15-20%, dilated ventricles with unknown etiology beside recent covid vaccine.

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

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

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

SARS-COV-19 Infection. Congestion, Diarrhea, Loss of taste, loss of smell, shortness of breath, fatigue, muscle aches.

Heart inflammation, fever, headache, arm ache, chest pain, shortness of breath, pulsing pain throughout body, extreme pain at injection site, injection site was very hot to the touch, redness at injection site, swelling at injection site

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

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

Body aches, fever 101 F, chills, diarrhoea, loss of taste and smell, followed by shortness of breath, turned out that I became positive with COVID-19 virus and all my family including my mother who is 70+ and my pregnant wife got infected with active virus.

Patient returned about 2 hours after receiving vaccine complaining of chest tightness, shortness of breath and arm and chest pain. Patient declined rapidly and could not breath. Called 911 and administered 1 dose of Epipen 0.3mg. Patient's breathing improved immediately. Patient went to ER for further workup.

Systemic: Anaphylaxis-Severe, Systemic: Rash (other than injection site)-Medium, Systemic: Minor Rash/Itching/Shakiness on left side, followed by trouble breathing; symptoms lasted 1 day

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

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

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

Chest pain and shortness of breath. working diagnosis: pleuritis has history of mild COVID infection: diagnosed with COVID via PCR on 12/12/2020 and recovered. Hospitalized at Medical Center from 02/8/2021 to 02/09/2021.

Pain in the back that spread to below the front right rib. Pain resulted in shortness of breath and pain on inhalation.

Was symptom free from Lyme for 2 years. Lyme symptoms flared up day after vaccine and cont in addition to chest pain and breathing difficulties. Heavy fatigue, joint pains, breathing difficulties progressing. Following up with MD this week.

Patient had 2nd COVID vaccine on 2/21/2021. He started having a temperature on 2/24/2021. Patient then started having trouble breathing. We took him to hospital. He was admitted on 2/25/2021. He steadily declined and was sent to ICU and died on March 1, 2021.

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

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

Developed subjective wheezing, throat "scratchiness," and periorbital swelling approx 90 minutes after receipt of 2nd-dose Pfizer COVID-19 vaccine (no reaction after first dose).

Mother and patient reports directly after injection patient experienced chills and shaking. That resolved within 3-4 hours. The next morning he woke up with a sore throat that felt swollen that persisted through today 4/10/21.

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

Developed slight fever of 101 the day after the second dose of the vaccine. The following two days were lead by extreme fatigue, headache, and shortness of breath.

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

Blurred vision; Face and skin are red; Lips tingling; feeling slightly itchy at the injection site after the vaccine/Itching all over his head, scalp, arms and hands, everything; Hives; Tongue and lip swelling/Tongue was starting to swell; Tongue and lip swelling; Shortness of breath; Tachycardia; Anaphylactic shock/anaphylactic reaction; Still has a rash and is itchy/break out rash and get itchy again; Not really wanting to eat dinner; I got home my arm had swollen/Whole arm and hand were swollen; I started feeling slightly itchy at the injection site after the vaccine; Nausea; This is a spontaneous report received from a contactable consumers and other Health Professional. This is a report combining information from duplicate reports 2021372891 and 2021368246. The current and all subsequent information will be reported under manufacturer report number 2021368246. A 28-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection; lot number : EP7533), dose 1 intramuscular, administered in Arm Left on 02Apr2021 11:30 (Batch/Lot Number: EP7533) as SINGLE DOSE for covid-19 immunisation. Medical history included Sleep Apnea ongoing; idiopathic hypersomnia ongoing; High blood pressure (They want to treat her husband for high blood pressure but they don't want to do that until after these reactions. She clarifies he was having issues with high blood pressure prior to getting the vaccine); Little overweight. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) from 2020 and ongoing 20 mg, 1x/day; modafinil from 2019 ongoing 200 mg, 1x/day for Idiopathic hyposomnia for Sleep apnea. patient got the first dose of the vaccine on Friday and within 30 minutes, went into anaphylactic shock and was taken to the local emergency room after being administered Benadryl and an EpiPen without any kind of changes. He was discharged and then on Sunday night, he went into anaphylactic shock again and was taken back to the ER after once again being administered Benadryl and an EpiPen. Now, he was kind of starting to break out in a rash again. This has thrown them for a loop because most of the time they had heard that more severe reactions come with the second dose. She confirms this was her husband first dose. Her husband had sat at Pharmacy for the required 15 minutes and he was feeling a little itchy around the vaccine site. It was just around the site, so they left. In the 10 minutes to get home, he started itching all over his head, scalp, arms and hands, everything (02Apr2021). they looked at his site and his entire arm was starting to swell and there was a rash that had gone all the way down his arm. her husband whole arm and hand were swollen and his tongue was starting to swell. He was administered liquid Benadryl and the Epi shot, He was brought to the emergency room at the hospital. He went home after going to the ER. Her husband had another anaphylactic reaction last night. He hasn't had any new foods or exposure to anything. states that they did say it was possible to have a relapse but that it was rare. He had presented slightly differently but kind of similar. It started with him feeling nauseated and not really wanting to eat dinner. He went upstairs to shower and he started to get itchy again. So, she administered 50ml of liquid Benadryl to just get it into his system and then about 10 minutes later, it was not really having any effect and his tongue and stuff started tingling. She looked at his tongue and his tongue was starting to swell again. So, that's when she administered the EpiPen and 911 was called. Her husband was brought to the Emergency room again and was discharged a few hours later. They didn't keep him overnight for observation or anything. states he is still experiencing blurred vision, red skin, and chest is still red a little bit at the top, and his face is red. His lips are started to tingle but was not interfering with his breathing yet, shortness of breath, tachycardia 02Apr2021. Caller states that about 1 hour ago, patient took one tablet of Benadryl and was given 20ml liquid Benadryl 15 minutes ago. Tests: X-ray was clear (Negative), blood work came back normal. She just feels like its getting to the point where everything is just being prolonged. When they went to the ER, he was been on Benadryl, EpiPens, they provided him steroids, Oxygen, Prednisone, Pepcid to try and prolong the effects of the Benadryl and it doesn't seem like anything is working. patient started feeling slightly itchy at the injection site after the vaccine. I waited the 15 minutes after the injection without having any serious side effects. By the time I got home, my arm had swollen and developed hives 02Apr2021. received Benadryl and an Epi pen. By that time, the rash and hives had spread throughout my body, and my arm, hand, and tongue had swollen. was having trouble breathing and was taken to the ER. On Sunday evening, had a relapse and it started with nausea. Within 30 minutes, was itchy and my tongue started swelling. Patient had Blurred vision; Face and skin are red; Lips tingling; Not really wanting to eat dinner on 05Apr2021; the patient not receive any other vaccines within 4 weeks prior to the COVID vaccine; List of any other medications the patient received within 2 weeks of vaccination: Adderall; Prior to vaccination, the patient diagnosed with COVID-19 was Unknown; Since the vaccination, the patient not tested for COVID19, The patient received treatment for all events except events blurred vision; face and skin are red; tingling lips; appetite lost. The outcome of the events blurred vision; face and skin are red; tingling lips; appetite lost was unknown; rest of the events was not recovered.

Swelling in throat, feels as if something is in my throat that needs to be swallowed. Slight pain when I swallow. Swelling is on the right side of my throat located under my adams apple.

PATIENT EXPERIENCED A "HOT FLASH' AND TIGHT THROAT AT ITHE 15 MIN MARK, COLD AND CLAMMY FOREHEAD, 121/79 89, 100 % GIVEN COLD WATER TO SIP, REPORTS NO DIFFICULTY SWALLOWING AND IMPROVED TIGHTNESS WITH SIPS. 0935 SIDE EFFECTS RESOLVED DISCHARGED AT 945 TOLD PO'S NOT THROAT TIGHTNESS. PATIENT EDUCATED TO REPORT SIDE EFFECT TO VACINATOR AT SECOND DOSE APPOINTMENT PRIOR TO ADMINISTRATION. PATIENT VERBALIZED UNDERSTANDING OF PATIENT CARE PLAN.

Shortness of breath, rapid heartbeat, tiredness and weakness, tingling in the face and extremities, could not articulate, swelling on the right side of the face.

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

Patient said after about 15 minutes that his throat was swelling mildly. We asked him to wait an extra 15 minutes in which he said it was resolving. I offered him some Benadryl, but he did not want one. He said he has had it happen before but not as bad with food allergies. Not sure what is causing his food allergies.

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

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

In the weeks following the first dose of the vaccine I began experiencing near daily chest pain, primarily on the left side of my chest. I also felt that I was breathing heavier than normal while doing normal activities, such as walking or going up stairs. I also feel as if when my heart does get elevated my heart is thumping and beating much harder than normal. This is unusual for me as I am young and in very good shape. This also came with frequent panic attacks.

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

On days 1 and 2, I experienced normal symptoms from receiving the vaccine, fatigue, joint and head aches that lasted through the weekend and up to day 5. On day 5, I noticed unilateral lymphedema of my tonsils. On day 7, I went to an Urgent Care but didn't get much treatment. My condition worsened, I was fatigued, no appetite and thirsty. On day 8, I popped a fever of 103. On day 9, it worsened to the point that it was hard to breathe. I went to the ER on 10 and had a full array of tests. I was treated with dexamethasone and a bolus saline IV. My symptoms went away after treatment around day 14, but the lymphedema lingered for awhile longer.

Tingling, numbness in left arm and heart area; shortness of breath; abnormal heartbeat all on a daily basis since about a week or 2 after the second vaccination shot.

Tinnitus, blurred vision, nausea, low blood pressure, hypoglycemia Deep breathing, called medics. Sx started subsiding after some time, breathing and paramedic arrival. Bp 95/63 pulse 66. Pt reported not eating much before shot. No prior history of vaccine teaction

Pt was brought to the triage area with c/o chest tightness, weakness, and mild SOB. No CP, non-radiating. VS taken: (1:47 PM) BP 141/97, HR 108, Resp 20, O2 sat 100 on R; (1:52 PM) BP 147/98, HR 106, Resp 18, O2 sat 100% on RA. Pt no in apparent distress, speaks in full sentences, mentating well. Nurse manager and attending MD at triage area to monitor pt. Advised pt to go to ED but pt refused. Pt stated that he will be fine and just need to go home and rest. ED precautions discussed. Pt verbalized understanding and signed AMA form. Pt left the triage area with no assistance, ambulating well, with steady gait.

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

I went to the emergency room after feeling a strong feeling of heart racing and trouble breathing. The symptoms occur starting 06/12/2021 and got severe on 6/15/2021 causing my emergency room visit. This hospital didn't know what was happening to me so It was ruled a panic attack and heart palpitations. But the symptoms lasted days at this point.

Patient has been having chest pain, shortness of breathe after 2 weeks of getting vaccine and was diagnosed with pericarditis on 06/22/2021.

Also had the second one and his allergies were much worse; He ended up having flu like symptoms 12 hours afterwards and cough.; He ended up having flu like symptoms 12 hours afterwards and cough.; The day before yesterday he had a lot of breathing issues that were so bad he had to get a updraft of Albuterol to help; This is a spontaneous report from a contactable consumer (patient). A 28-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection) via intramuscular route of administration in left arm on 11Jan2021 (Lot number: EJ1685, Expiration Date: not reported), at the age of 28-years, as single dose for COVID-19 Immunisation. Patient medical history includes ongoing allergy. Patient concomitant medication was not reported. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection) via unspecified route of administration, administered to left arm on 21Dec2020 at 8:30 AM (Lot number: EJ1685, Expiration Date: not reported), as single dose for COVID-19 Immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. After receiving second dose of vaccine patient did not think much of it and his allergies. Knows some have allergies worse than others. On an unknown date in Jan2021, patient allergies were much worse, patient experienced flu like symptoms 12 hours afterwards and cough. It is been a month and he still have cough, the day before yesterday he had a lot of breathing issues that were so bad, he had to get an updraft of Albuterol to help. Treatment received by Albuterol to help and steroid injection. Patient had to visit saw the primary care provider and she gave him a steroid injection and it seemed to help quite a bit also. He still has some other minor issues, but they are not so bad. Again, mentions the primary care provider stated the other patients had to be seen and they had delayed reactions as well. He is not so bad since he got the steroid. He enquires any other thing he should do as far as treatment he should receive. Recommended caller to consult medical provider for further medical advice. The outcome of the event breathing issues was unknown. The outcome of rest all the events was not recovered. Follow-up attempts are completed. No further information is expected.

The morning after the first inoculation I woke up at 7:30 am with severe chest pain . It would hurt to inhale and exhale and I was short of breath, possibly due to the not being able to inhale without pain. Breathing was shallow as to not cause pain. I administered hydrocodone 15 mg PO q6h for pain. I told my pulmonologist who stated it sounded like pleuritis. He stated I should go to the hospital if the pain comes back . I admit I did not follow this order as I felt the pain med resolved it and did not want to go to an ER if it wasn?t critical. The chest pain lasted 96 hours and then resolved . The pain was severe enough to wake me from my sleep multiple times. That was the only AE associated with the first shot . The second shot had many more side effects , Severe nausea , emesis , diarrhea , migraine headache , high fever , shaking , and sinus discharge. The chest pain also came back and I did the same regiment of pain meds to treat the severe pain. These side effects lasted 7 days and then resolved .

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

Sharp chest pains when inhaling, shortness of breath, and mild fever. They lasted for about 5 days, but I never went to the doctor because I was unaware of Myocarditis as a side effect prior to taking the shot.

Heart inflammation, shortness of breath, numbness of left arm, sharp pains in left arm, tightness in chest.

Dx:Pericarditis Combination of sharp and dull pain similar to episode in 04/2018 s/s: Dyspnea with lying down or orthopnea, palpitations, acute chest pain or pressure Alternative diagnosis ofr the patietn's s/s other than myocarditis are MI, PE. Alternatice etiology for cause for the patient's myocarditis: History of pericarditis in 04/2018 similar symptoms to this time. Due to the past history, I feel this is not a pertinent case to include in our overall data, but if so we will need to review the hospitalization records from 05/20/2021. 06/11/2021: Further review of records from ED visit 5/20, follow up and labs, I feel this patient should not be included due to past medical history of pericarditis.

six minutes after receiving vaccine patient complained of feeling as if his throat was closing up. Pt appeared pale and clammy. Vital signs BP 150/100, Heart rate 142, PO2 99. 2 doses of EPI given, EMS called. Pt was transported to Hospital.

Temp 99.4- 24 hours Short of breath - on going N/V - 3 days Productive cough. - on going Chills - 3 days Sweats - 3 days Headache- 24 hours Tiredness - 4 days

I had a sore throat that felt like it was closing off, muscle aches, pains. Received Dose 2 on 01/12/2021.

I was having like sore throat but not very severe almost like a tight throat; I was having like sore throat but not very severe almost like a tight throat; Difficulty swallowing; I began to have a stuffy nose; Sleep restless; Upon swallowing I had increased amount of mucus going down; Since getting the second dose, I have been breathing more shallow; I have had tiredness, body aches, just not feeling well; I have had tiredness, body aches, just not feeling well; I have had tiredness, body aches, just not feeling well; I noticed my heart rate, it seems to be irregular; I feel like mine is like speeding up and just an irregular; Weakness, I have been super weak, I have not been able to do much physically/I have just been sleeping, just resting, my body is getting weak from that; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot # EL3246), via an unspecified route of administration, on 05Jan2021 at 9:40 am at single dose for COVID-19 immunisation. Age at vaccination was 29-years-old. Medical history was none. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 14Dec2020. Concomitant medications included multivitamins. He is a very health conscious individual. He is very healthy. On same day of getting the vaccine, 05Jan2021, on that evening the patient began to have a stuffy nose and then he had a very restless sleep. He woke up the very next day. On 06Jan2021, with difficulty swallowing. He was having like sore throat but not very severe almost like a tight throat. He noticed that he had, upon swallowing he had increased amount of mucus going down and then he noticed yesterday and today as well, it was like not difficulty breathing but very shallow breathing. He is typically a deep abdominal breather. Since getting the second dose, he has been breathing more shallow. He has noticed increased amount of tiredness. He has body aches, he is not sure about body aches because he has just been sleeping, just resting, his body is getting weak from that. He is not sure but he has had tiredness, body aches, just not feeling well. He is still able to eat and he is still able to drink. he noticed his heart rate, it seems to be irregular, not alarming but it was like, he is not sure if you are a coffee drinker but sometimes when you take caffeine your heart rate speeds up. He feels like his is like speeding up and just an irregular. Also, weakness, he has been super weak, he has not been able to do much physically. Outcome was unknown.

12hr after second dose: increased pain at injection site, but no swelling or redness; headache; Discomfort is a 6/10; gradual onset of soreness raidiating from lymphnodes in neck; gradual onset of soreness in chest/ soreness in bronchi; gradual onset of soreness in back; gradual onset of soreness in hips; gradual onset of soreness in legs; gradual onset of soreness in glutes; soreness in upper lungs; soreness in upper respiratory system; This is a spontaneous report from a non-contactable consumer. A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=EL3247), via an unspecified route of administration on the left arm from 18Jan2021 at a SINGLE DOSE for covid-19 immunisation. Medical history included major depression, anxiety; increased airway sensitivity due to being former smoker from an unknown date and unknown if ongoing. Concomitant medication included vilazodone hydrochloride (VIIBRYD), loratadine (LORATADINE), theanine (THEANINE). The patient previously received the first dose on 28Dec2020 (Lot number=EK3730). There were no noticable effects after the first dose but 12hrs after second dose (19Jan2021), the patient experienced increased pain at injection site, but no swelling or redness. There was gradual onset of soreness raidiating from lymphnodes in neck, chest, back, hips/glutes, and legs; headache; soreness in upper lungs/bronchii (they are hypersensitive and usually sometimes get sore in reaction to irritants in the air), as well as upper respiratory system, but no difficulty breathing. Discomfort was at 6/10 on 19Jan2021. The outcome of the events was not recovered.

Severe fever (103.4) that tapered off for 4 days/ Severe body aches Severe Nausea Labored respiratory rate Productive cough

syncope; pleurisy; difficulty breathing; Flu-like symptoms; fever; chills; muscle and joint aches; muscle and joint aches; persistent headache; This is a spontaneous report from a contactable health care professional (patient). A 29-year-old male patient received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number: EK4176) in the hospital, via intramuscular route on 10Feb2021 at 10:30 at a single dose on the right arm for COVID-19 immunization. Medical history included Non-Hodgkin's lymphoma from 2010 to 2011 and allergies to penicillin on an unknown date and unknown if ongoing. Prior to vaccination, was the patient not diagnosed with COVID-19. 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 did not receive any other medications within 2 weeks of vaccination. The patient received the first dose of BNT162B2 (lot number: H9899) in the hospital, via intramuscular route at 01:15 PM on the left arm for COVID-19 immunization. Since the vaccination the patient has not been tested for COVID-19. It was reported that on 12Feb2021 at 08:00 PM (also reported as '3 days after injection') the patient experienced flu-like symptoms that included fever, chills, muscle and joint aches, and a persistent headache. On 13Feb2021 (also reported as 'on the 4th day', the patient developed pleurisy and difficulty breathing and had 2 syncope events the morning of 14Feb2021 (also reported as 'on the 5th day'). The patient was taken by ambulance and admitted to ER for further testing. It was determined that all symptoms likely related to the second dose of the COVID-19 vaccine recently received. Pleurisy persists one week following vaccine dose. The patient went to the emergency room/department or urgent care due to the events. As treatment for the event, the patient was monitored and given IV fluids over 12 hour stay in CDU. The outcome of the events was recovered with sequelae (reported as recovered with lasting effects). The events were reported as non-serious.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events due to temporal relationship and current known drug safety profile. 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.

Symptoms: difficulty breathing diaphragm region Outcomes: resolved with PO Benadryl and extended monitoring

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

Sensation of throat closing, tightness in throat, panic attack. I was given 50 mg of Benadryl and a shot of Dexamethasone

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

Intermittent Chest Pain, Palpitations, burning sensation in the area of the heart, weakness, hyperventilation due to pain, inability to sleep, and chronic cough while standing or sitting but not while laying prone. Seen at Atrium Health Urgent Care Clinic Shelby NC on 14 Mar 2021. Then at the Emergency Room CaroMont Regional Medical Center Gastonia NC on 17 Mar 2021. Seen by PA-C on 19 Mar 2021 at Novant Health Family Physicians of Gastonia. Then seen again at the Emergency Room CaroMont Regional Medical Center Gastonia NC on 20 Mar 2021. Symptoms have begun to subside as of the date 28 Mar 2021 with the exception of the chronic cough.

Dry mouth 10-15 mins after shot Swollen throat/discomfort swallowing about 45 mins after shot Numbness feeling in face about 1 hour after shot

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

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

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

throat numb; Numb lips; face started to feel numb; Feel asthmatic; My head felt cloudy; This is a spontaneous report received from a contactable consumer (patient). A 29 years old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot Number EP7533 and Expiration Date unknown) via an unspecified route of administration on 03Apr2021 01:30 PM (vaccine location: Left arm, vaccination age:29 years old) at single dose for COVID-19 immunisation. The patient's medical history included peanut allergy and asthma. The patient was not diagnosed with COVID-19 prior to vaccination. The concomitant medications included Loratadine, Montelukast, salbutamol (ALBUTEROL HFA), ciclesonide (ALVESCO). Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Around 30-40 minutes afterwards after vaccine (reported as 03Apr2021 02:00 PM), patient experienced lips, throat, and face started to feel numb. Additionally, patient started to feel asthmatic and head felt cloudy. Seriousness criteria was provided as life-threatening for events. Treatment received for event included Benadryl. The outcome of event was recovered in Apr2021. No follow-up attempts are possible. No further information is expected.

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

48 hours after the vaccine I developed most covid symptoms. This included difficulty breathing, cough, aches, soar throat, and chills. These symptoms then decreased in severity over the next 6 days.

SHORTLY AFTER RECEIVING THE VACCINE, PATIENT REPORTED A SLIGHT TIGHTENING OF THE THROAT. PATIENT TOOK DIPHENHYDRAMINE 25MG AND REPORTED FEELING BETTER SHORTLY THEREAFTER.

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

Patient experienced throat swelling after the vaccine and was transported to the ER. They were given Benadryl, which resolved the issue.

I began experiencing chest tightness/pain (initially concentrated on left side) some hours after receiving the vaccine. Two days later, I visited the hospital and all heart/blood tests appeared OK. It is now a week out and chest discomfort continues?it has manifested itself in other parts of my chest as well and is more present at certain times than others (e.g. when taking a deep breath). Minor shortness of breath. My primary care provider advises it may be costochondritis. Note: I had COVID-19 in late March.

Difficulty breathing and chest pain for several hours- went to Dr following week-sent to hospital ER- admittedfor 3 days-with multiple blood tests, EKG's and cardio cath done- diagnosis was Myocarditis/Pericarditis. Had MRI on Hearth done 5/18/2021 follow up with cardiologist 6/1/2021

Normal side effects (Fever, Chills, Fatigue, Body/Joint Aches, Headache) all on 5/20 only Persistent Cough and Chest Pressure accompanied with Difficulty Breathing started on 5/21 and is ongoing

Pt states the day after he received the vaccine, pt teeth hurt and he was having lung pain. Pt also stopped smoking the day he received the vaccine. Pt is unsure if symptoms are related to incident. Pt lung pain has resolved. Pt states that 2 days after he received the vaccine, he complains of hand nerve pain, with his middle and ring finger. The nerve pain is still present. Pt also complains about after getting the vaccine, days later that patient complains of foot/nerve pain. Pt was shot with a bullet in past and had nerve pain before in similar spot and it has returned after receiving the vaccine. Bullet fragments are still in patient.

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

slurred speech; Memory loss; loss of cognitive functions; increased appetite; nausea; headaches; weight gain; unable to stay focused; shortness of breath / difficulty breathing; chest pain near heart; This is a spontaneous report from a contactable consumer or other non hcp. A 29-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0162) unknown dose via an unspecified route of administration in deltoid left on 15Apr2021 at 01:45 (at the age 29 years) as single dose for COVID-19 immunization. Medical history included depression. 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: Allergy medicine, ibuprofen. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 15Apr2021 at 16:00, the patient experienced memory loss, loss of cognitive functions, increased appetite, nausea, slurred speech, headaches, weight gain, unable to stay focused, shortness of breath, difficulty breathing, chest pain near heart. Outcome of the events was recovered with sequelae. No follow up attempts are possible. No further information is expected.

tiredness; weakness; headache; muscle pains; feeling unwell; stomachache; heavy breathing; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm right on 19Feb2021 at 10:45 (Lot Number: EL9266) (at the age of 29-year-old) as single dose for COVID-19 immunisation. Medical history included type 1 diabetes and penicillin allergy, both from an unknown date and unknown if ongoing. Prior to vaccination the patient was not diagnosed with COVID-19 and since the vaccination the patient has not tested positive for COVID-19. Concomitant medications included insulin and sertraline hydrochloride (ZOLOFT), both taken for an unspecified indication, start and stop date were not reported. On 19Feb2021 at 11:30, the patient experienced tiredness, weakness, headache, muscle pains, feeling unwell, stomachache and heavy breathing. No therapeutic measures were taken as a result of the events. The patient outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Chief Complaint chest pain History of Present Illness Very pleasant 29-year-old gentleman has lived in the US since 9 years old presents to the emergency room with chest pain. Started around Thursday of last week, has been constant progressively worse sharp and worsened with deep inspiration coughing progressed to the point was so severe that he had to come to the emergency room tonight. He denies fevers or shaking chills or any coryza prodrome. He received the 2 dose Pfizer vaccines February 11 and March 18 and has not had Covid Has been monitoring serially for HIV and this has been negative including this evening In the emergency room was given aspirin initially with concern

Patient developed pleuritic chest pain. Was found to have ECG changes consistent with pericarditis. Troponin was elevated, high sensitivity Troponin-I was 7,272 and trending up to 17,120. He was also found to have mildly reduced ejection fraction 45-50% on TTE. Symptoms resolved after 2 days, and patient is now doing well.

Was seen in urgent care 4/23/21 with shortness of breath, cough, congestion. Was tested for COVID which was negative and given rx for albuterol and Tessalon perles. Had Pfizer vaccine 4/28 and subsequently developed chest discomfort 2 days later, along with shortness of breath, productive cough and sinus congestion. ESR elevated at 15 though CRP was normal at 0.5. Troponin normal. ECG showing diffuse ST elevation. Chest x-ray negative. He was started on indomethacin 25 mg 3 times daily. Seen by cardiology 5/4/21 with ongoing chest discomfort and shortness of breath. He was started on colchicine. BNP, and d-dimer were checked which were normal. CXR normal. He was subsequently admitted 5/9-5/11 with transient left sided numbness. TTE showing normal LV function, no hemodynamically significant valvular abnormalities, normal CVP, and no interatrial communication.

2 weeks after last dose, has a 5 liter pleural effusion unexplained by cytology reports. Began treatment for metastatic disease, they now suspect CHF due to enlargement of the heart and recurring pleural effusion

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

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

PATIENT BEGAN WITH FEELING HOT AND A HEADACHE. PATIENT WAS GIVEN A COOL RAG TO PLACE ON HIS HEAD AND NECK. PATIENT THEN CONTINUED TO HAVE SHORTNESS OF BREATH DESCRIBED AS A KNOT IN HIS CHEST. HE WAS GIVEN 10ML OF BENADRYL, THEN VOMITED A FEW MINUTES LATER. BENADRYL AND COLD WATER WAS ADMINISTERED AGAIN. THEN HE STARTED FEELING TINGLY IN HIS RIGHT ARM. THEN TIGHTNESS IN HIS ENTIRE CHEST. THIS LASTED OVER AN HOURS TIME FRAME. BEGAN AT 8 MINUTES AFTER ADMINISTRATION.

Patient had a left sided segmental and subsegmental pulmonary embolism, severe back pain, dyspnea, tachycardia and tachypnea, started on 6/24.

I am an internal medicine resident at a hospital. By the end of one my call days I started having substernal chest pain, non radiating that was worsened with breathing. I initially thought it was heartburn so I took tumms followed by PPI without any improvement. The pain continued to worsen so I did a quick bedside echocardiogram on myself (poor quality probe), however did not appreciate any effusion, wall motion abnormalities or change in EF. I continued my shift and went home in poor shape unable to speak due to pain on deep breathing. When I laid on my bed the pain worsened significantly and improved when sitting up, so I suspected pericarditis and started NSAIDs. Symptoms improved significantly the following morning and resolved in 36-48 hours with the NSAID course. I never did an EKG to confirm the diagnosis and was never started on anything other than the NSAID course due to uncertain diagnosis. After hearing concerns with myocarditis with pfizer I thought I would report my case knowing it is nearly 2 months after vaccination and there is no definitive diagnosis.

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

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

throat closing; panic attack; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-119 VACCINE, Solution for injection, lot number: EP6955) via unknown route of administration on 22Mar2021 12:00 PM in right arm at dose 1 single for COVID-19 immunization at Pharmacy or Drug Store. Medical history and Concomitant medications within 2 weeks of vaccination were not reported. Patient previously took rabeprazole (ACIPHEX) and had allergy. Patient experienced sensation of throat closing and panic attack on 22Mar2021 06:45 PM. Adverse events resulted in emergency room/department or urgent care. Treatment received for the adverse events included 50MG Benadryl and shot of dexamethasone. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of events was recovering. No follow-up attempts are possible. No further information is expected.

Patient received the COVID-19 vaccine on 5/12/21. He stayed 15 minutes in the vaccination area and went back to work. He did NOT have any issues until that evening. He had respiratory issues for 3 weeks after the vaccination. He did NOT go to the ER or a doctors office for evaluation. He "toughed" it out at home and eventually felt better. He felt like he "couldn't breathe." I had a long conversation with him on 6/30/21 when he came in for his 2nd shot. I had concerns about giving him a 2nd vaccination and told him that he would need to speak to his medical doctor / an allergist to see if he can get a 2nd shot. i did NOT give him the 2nd shot. He did not have a typical reaction (in my opinion) and did NOT sound like a cold or illness. I advised him to log his side effects in the V-Safe website and he did this today.

myocarditis/pericarditis - shortness of breath, heart palipations, chest pains ongoing for multiple weeks

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

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

After recieving second dose of Pfizer vaccine, patient developed pchest pain radiating to back the following day. Associated with nausea, vomiting, and chills. Chest pain was also pleuritic. Symptoms improving over the preceding days while in the hospital.

Vaccination occurred at 08:27, advised to wait 30 mins for observation. At 08:47 pt stated feeling "tightness in chest" Pt.'s SpO2 was 100% and HR 60 and had clear breath sounds upon auscultation. Advised pt. to wait longer for observation. Around 0905, pt. stated that it was "becoming harder to swallow" and "the feeling traveled up to my throat." Vitals were SpO2 100%, HR 57, RR 18, BP 124/80 on right arm, and skin WNL. Pt. did not appear to be in any respiratory distress. Advised pt. to seek emergency care if the feeling got worse or continued. Pt. stated that he was comfortable having his friend who was present drive him to the Pt. departed clinic around 0913, headed to

Approximately around 1450, 10 minutes after injection, while in monitoring area, employee started c/o nausea and then began to vomit. He then c/o feeling flushed, itching, headache, chest tightness, and SOB. V/S: B/P 126/82; pulse 103; resp 20; O2 sat 99% on RA; lungs clear upon asculatation; pupils equal and reactive; skin pink. Doctor was notified and assessed the employee 1455 - Doctor ordered Benadryl 50mg IM which was administered to the Left arm by nurse. 1505 - FSBS was 87; O2 sat was 98% on RA; pulse 97 1510 - O2 sat was 98% on RA; pulse 90 1520 - O2 sat was 98% on RA; pulse 98; employee was still vomiting; lungs remained clear 1528 - Employee reported that all symptoms were about the same, but waxing and waning; doctor ordered to give Zofran 4mg SL and this was given by nurse. 1530 - O2 sat was 98% on RA; pulse 90; B/P 122/90 1540 - O2 sat was 96% on RA; pulse was 88. Rechecked on Left hand - O2 sat was 98% on RA; pulse was 94 1545 - Employee reported improvement of headache, itching, chest tightness, flushing, and SOB; however, was still vomiting almost continously 1550 - O2 sat was 99% on RA; pulse 83 1600 - B/P - 118/84; pulse 78; resp 20; O2 sat 98% on RA; Employee still vomiting continously 1613 - Doctor recommended that the employee be evaluated in the ER. A family member/friend was called. Employee was taken to a private vehicle via wheelchair and transported to ER for evaluation.

After vaccination, employee went to the monitoring area. Around 1450, he complained of nausea and then began to vomit. He then began to c/o flushing, itching, headache, chest tightness, and SOB. Symptoms began approximately 10 min. after immunization. V/S: 126/82; pulse 103; resp 20; O2 sat 99% on RA; pupils equal and reactive. Dr. was notified and assessed the employee. Dr. ordered Benadryl 50mg IM at 1455. This was administed by RN to Left Arm. At 1505, FSBS was 87; O2 sat 98% on RA, pulse 97. At 1510, O2 sat was 98% on RA; pulse 90. At 1520, O2 sat was 98% on RA and pulse 98. Employee continued to vomit. Lungs were clear upon assessment. Skin was pink. At 1528, employee reported that the symptoms were about the same...maybe waxing and waning. Dr. ordered Zofran 4mg SL which was administered at 1528. At 1530, O2 sat was 98% on RA; pulse was 90; B/P was 122/90. At 1540, O2 sat was 96% on RA; pulse 88 - rechecked on Right hand which gave a reading of O2 sat of 98% on RA; pulse 94. At 1545, employee reported improvement of headache, itching, chest tightness, flushing, and SOB; however, was still vomiting almost coninuously. At 1550, O2 sat was 99% on RA; pulse 83. At 1600, B/P was 118/84; pulse 78; resp 20; O2 sat 98% on RA. He continued to vomit. At 1613, employee was taken via wheelchair to private vehicle of a friend and was taken to ER for evaluation.

Globus sensation, throat swelling but able to breath, talk and keep water down. 20-30 mins after injection

Client returned to Clinic reporting "Tightness in the back of his throat". Denied difficulty breathing or other symptoms. Patient was clearing his throat periodically. Patient states he has anxiety, so he also believes that is adding to his symptoms. After checking vitals administered epi and dial 911. Patient had started to clear his throat more often. Continued to monitor patients symptoms and did not have any worsening of symptoms and after approximately 5 minutes, he stated he felt better. EMS arrived and discussed with patient and he elected to refuse transport to the hospital. He has a buddy in the parking lot who drove him here.

20 hours after injection, I started having progressively worsening severe back pain, neck pain, headache, chills (no fever), skin sensitivity, noise sensitivity, fatigue, and brain fog. 2 days after the vaccine, I had abdominal pain, and cough. All of that is now better except for the cough. It is now 4 days after the vaccine, and it seems the vaccine has triggered an asthma attack requiring inhaled albuterol. My asthma attacks typically linger for a couple weeks after upper respiratory infections, and this feels exactly like that, I wouldn?t be surprised if this asthma attack persists for a couple of weeks.

Felt like he couldn't breath; He still has his sense of taste, but it is dulled; Recently got the vaccine and also came down with covid; Recently got the vaccine and also came down with covid; Exhaustion/feeling tired; Loss of smell; Mild congestion/The congestion went into full nasal drainage; This is a spontaneous report from a contactable pharmacist (patient). A 30-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL0140, Expiry Date: 31Mar2021), via an unspecified route of administration on 31Dec2020 13:00 at single dose for Covid-19 immunization. The patient had no relevant medical history and concomitant drug. The patient experienced recently got the vaccine and also came down with covid on 04Jan2021 00:30, mild congestion/the congestion went into full nasal drainage on 31Dec2020, loss of smell on 02Jan2021, exhaustion/feeling tired on 03Jan2021, felt like he couldn't breathe, he still has his sense of taste, but it is dulled on an unspecified date. He was a pharmacist. He received his first dose of the COVID vaccine on Thursday 31Dec2020 1pm. Shortly thereafter, he got the typical side effects of the vaccine that are posted. Then 2.5 days letter he no longer had a sense of smell. Everything he read said that he probably came in contact with COVID prior to administration. His questions was since he test positive for COVID, should he still get the second shot. He got it at a clinic. He did experience mild congestion which started by 6 o'clock. He started to notice slight congestion that kind of went away. Then, on Friday, about 24 hours later, he really noticed he had congestion. He took pseudoephedrine hydrochloride (SUDAFED) and paracetamol (TYLENOL). Then his sense of smell diminished with the congestion and felt like he couldn't breathe. On Saturday, he decided to not take medication. That was when he noticed he could not smell anything. He had full blown congestion. It probably took two days when he started to lose his sense of smell. He received the shot on Thursday. On Saturday, he lost his sense of smell. He still has his sense of taste, but it was dulled. Sunday, he was just exhausted and feeling tired. These were all listed as typical side effects except for the loss of smell. Saturday was the worst. The congestion went into full nasal drainage. On Sunday he had no sinus issues. He still hasn't gained his sense of smell back. The exhaustion set in Sunday 03Jan2020. He doesn't feel like any of the side effects are serious. The exhaustion has started to let up some so it is improving. He was pretty much back to normal. He just couldn't figure out why he had a loss of smell. He had a COVID rapid test on 04Jan2021 at 8:30 am (as reported). He received an alert and hour later that it was positive. He was wondering whether the loss of smell could be from the vaccine. The patient underwent lab tests and procedures which included COVID-19 rapid POC test: positive on 04Jan2021. The outcome of events for mild congestion/the congestion went into full nasal drainage was resolved on 03Jan2021, for loss of smell was not resolved, for exhaustion/feeling tired was resolving, for other events was unknown. The events were reported as non-serious.; Sender's Comments: Reported event "recently got the vaccine and also came down with covid" is considered possibly related to suspect BNT162B2 based on temporal association and known drug safety profile.

At 0803 employee complained of his throat tightening and he was placed on an AED and EMS was called and a non-rebreather and Anaphylaxis kit were brought 0805 HR 118 RR 22 employee breathing was not labored AED "no shock advised" employee now reporting centralized tight feeling chest pain 0807 HR 122 RR 20 employee breathing was not labored. AED "no shock advised" 0809 HR 118 RR 22 AED "no shock advised" 0811 HR 102 RR 18 employee breathing was not labored. AED "no shock advised" Employee reported Chest pain "less tight" still with dry mouth ,difficulty swallowing and now burning sensation in throat 0811 HR 104 RR 18 AED "no shock advised" employee breathing was not labored 0813 EMS arrived and care of employee handed over. 02 and pharmacy monitoring applied. They assessed and took patient to ED Received Solu-Medrol, Pepcid, and Benadryl in ED

About any hour after sore throat left side , headache ,stomachache ,chills, throughout next day swelling in throat neck and face left side very hard and painful to swallow ,eat , drink felt like a golf ball was in my throat. By 3rd barely ate only had soup and a mild case of diarrhea , day face neck throat pain still and swelling , warm wash clothe hot fluids help with pain, 4 day cold things help reduces swelling in face and throat, neck still swollen and a lot more pain in face jaw , neck, still hard and painful to swallow. Current day a lot of pain in jaw neck throat face still only happening on left side of body more pain then before but less swelling neck still swollen a little bit. I tried cough drops soup heat ice and still having pain don?t want to pay for an ER visit found old painkillers haven?t taken yet. How long do symptoms like these last for ? I take medication for ADD and that masks pain to make it bearable. What do you recommend to do if I don?t want to go to the ER ?

Vaccine given at 3:15pm. Pt in observation area, had sudden onset stridor/wheezing and difficulty breathing at 3:28pm. Pt placed in a wheelchair and taken immediately into hospital ED department, arrived in ED at 3:29pm. Pt in sinus tach with O2 SAT 83% on RA, placed on O2 without change, intubated successfully x1 at 1550 and placed on 100% FiO2. Orogastric tube and foley catheter placed. Medications given: Decadron 10mg IV, Benadryl 50mg IV, Pepcid 20mg IV, Epinephrine (0.1%) 0.3ml SQ, Epinephrine IV infusion initiated at 0.05mcg/kg/min, Rocuronium 90mgIV, Etomidate 30mg IV, Racepinephrine (2.25%) 1.5ml inhalation x2, Propofol 5mcg/kg/min IV infusion, NS 0.9% x 1 liter IV, Potassium Chloride 20mEq, Versed 2mg IV. Pt had own Epipen which was noted by ED MD as being used in ED. Pt admitted to CCU, extubated within 2-3 hours per pt request (per CCU RN) and placed on BiPAP. BiPAP weaned overnight and patient on room air by morning with SATs in the upper 90's. Weaning of Epinephrine infusion in progress. Projected outcome: pt to be discharged tomorrow (1/23/21) from CCU to home (per CCU RN).

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

Patient noted some throat swelling a couple minutes after vaccine. Epi and benadryl given. patient refused 911 transport. Monitored in tent and discharged in care of accompanying party in stable conditions. Precautions and reaction advise given.

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

Tongue numbness, throat tightness, difficulty swallowing. Evaluated by EMS, refused to be transport to nearest ER for further evaluation.

substernal chest pain; shortness of breath; Troponin peaked at 9.100; This is a spontaneous report from contactable physician. A 30-year-old male patient received his second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were unknown), intramuscular in left arm on 04Mar2021 at 15:45 at single dose for COVID-19 immunization. Medical history and concomitant medication were reported as none. The patient has no known allergies and has other medications in two weeks. It was unknown if the patient has other vaccine in four weeks. He has no COVID prior to vaccination. The patient received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not provided), via an unspecified route of administration on 10Feb2021 at single dose for COVID-19 immunization. The facility the vaccine was administered was reported to be other. On 07Mar2021, the patient who has no prior medical history was admitted for substernal chest pain and shortness of breath; troponin peaked at 9.100 with no EKG changes. Heart catherization was normal. The patient was not tested for COVID post vaccination. The events resulted in emergency room/department or urgent care and required hospitalization for one day. The outcome of the events was recovering. Information on the lot/batch number has been requested.; Sender's Comments: Based on the information currently available, a possible contributory role of the suspect drug in the reported events cannot be completely ruled out given the known suspect drug profile and/or implied temporal association. 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 Regul atory Authorities, Ethics Committees and Investigators, as appropriate.

30 yr/o male who presents with chest pain. He states that symptoms have been present for about an hour. He feels as if "somebody is punching me in the base of my heart." He also notices a racing heart beat as well as some shortness of breath. Symptoms are nonradiating and moderate to severe.

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

Patient received vaccine. Within 2 minutes patient became sweaty with shallow breathing. Patient then lost consciousness and began shaking. Time lasted a few minutes. Provider was notified and by the time provider arrived patient was alert and conscious. Patient was taken to an urgent care exam room for further treatment.

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

called to see pt in vaccinator's room; pt sitting on exam table, increased RR, skin color white; pt diaphoretic, warm, responding to some questions; HOB placed flat and legs elevated; sweatshirt removed; mother at bedside telling pt that he is "all right"and states he has anxiety; VS at 1058:141/78; HR 64, regular; RR 22; SaO2 100%. At 1104 pt with slight tremors, continues to respond to questions; ice pak applied to neck; VS 133/84, HR 64, RR 20, SaO2 100%. 1115 pt without tremors, more awake, calm; HOB raised to 45 degrees; VS 122/72, HR 54, RR 18, SaO2 96%; Pt taking sips of Glucola and water, no c/o nausea; pt conversing appropriately. 1130 pt sitting at 90 degrees; states that he feels tired, no other c/o; VS 123/58, HR 55, RR 16, SaO2 97%. Pt ambulating in room, gait steady and strong; ambulated well in hallway. 1145-Pt left clinic stable, no c/o; mother accompanying pt and will drive pt home.

First day after vaccine: chills, fever, whole body aches, expected soreness at site of injection Second day after vaccine: tightness in back of throat (maybe even already in chest, hard to pinpoint) that felt a little like choking Third day after vaccine: moderate headache and general head discomfort, particularly behind eyes No treatments for any of the symptoms, I've just been letting them each run their course and they've each only lasted about 24 hours so far.

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

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

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

Primary complaint: chest pain. Patient received 2nd COVID vaccine and had 2 cups of coffee on an empty stomach this morning. Pain in center of chest. Worsens during inspiration. Stays in one spot. Does not move or change. Patient does not work out and no family history of heart issues. Vital signs taken once. Patient refused a 2nd set of vitals. Patient advised to follow-up with primary care in regards to heart issues.

Diarrhea, Chills, Hives, Itchy Eyes, Runny Nose, Shortness of breath. I took some Benadryl because the reaction felt similar to an allergic reaction. I?m doing lots better now.

C/O TROUBLE BREATHING/CHEST DISCOMFORT, PROVIDED WATER AND SNACK, SYMPTOMS RESOLVED, REFUSED TRANSPORT, AMA SIGNED.

Patient presents to ER with a complaint of facial swelling, tightness in throat and chest, and shortness of breath. Patient states that his symptoms first began yesterday (4/27) at approximately 1400 shortly after receiving his first dose of the Pfizer Covid vaccine. Patient was seen in the ER for this yesterday, was treated and released. Patient was given prescription for prednisone to take at home, however states that he has not filled or started this prescription yet today. He states this morning he started to have some returning chest and throat tightness, redness around his chest and face, and shortness of breath. He states symptoms of been constant since onset. He states he took a single p.o. Benadryl and used his albuterol inhaler at home, with minimal relief. At this time patient is reporting some mild dyspnea with intermittent nonproductive cough, mild throat tightness, and redness to the skin. IV Solu-Medrol, Pepcid, Benadryl, IV fluids, nebulized breathing treatment. Symptoms improved in the ER, no longer shortness of breath. Pt to continue PO steroid

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

The next day: fatigue Two days later: no symptoms 8 days later: coughing in the morning, shortness of breath, fever 9 days later: no fever, no cough, no shortness of breath, new symptom: hives/rashes and itchiness 9-13 days later: hives/rashes and itchiness Hives/rashes treated with benadryl/antihistamines

severe dyspnea; This is a spontaneous report from a contactable Physician (patient). This 30-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 12Jan2021 (Lot Number: EK9231) at the age of 30 years, as single dose for COVID-19 immunization. Medical history included COVID-19 in Mar2020. The patient had no known allergies. There were no concomitant medications. Historical vaccine included BNT162B2, dose 1 in right arm, on 20Dec2020, lot # EK5730. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 26Jan2021 the patient experienced severe dyspnea, seriousness criteria reported as disability. The clinical course was reported as follows: Patient with history of COVID-19 infection in Mar2020 developed severe dyspnea approximately 2 weeks after vaccination. Refractory to treatment with bronchodilators. Only responsive to high-dose steroids. Of note, patients symptoms from COVID-19 had completely resolved months prior to vaccination and patient had no other medical history. Therapeutic measures were taken as a result of severe dyspnea and included Breztri, albuterol, prednisone. The clinical outcome of the severe dyspnea event was not recovered. . It was also reported that since the vaccination, the patient had tested for COVID-19: Sars-cov-2 test: negative on 04Feb2021 with nasal swab.; 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 Dyspnea cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified.

4/28 4am Fatigue 8am joint pain 10 am chest pain, difficulty breathing 8pm chills, sweating 4/29 Chest pain 4/30 2am vomite, chest pain, sweating, difficulty breathing. 3am myocarditis.

This is a spontaneous report from a contactable consumer (patient). A 30-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EW0167), via an unspecified route of administration, administered in left arm on 30Apr2021 15:00 as 1st dose, single for COVID-19 immunization. Medical history included amoxicillin allergy. The patient's concomitant medications were not reported. Facility where the most recent COVID-19 vaccine was administered was pharmacy or drug store. The patient did not receive any other vaccines within 4 weeks prior to COVID vaccine. The patient did not received any other medications within 2 weeks of vaccination. The patient experienced difficulty breathing, feverish on 01May2021 23:00. The events resulted in emergency room/department or urgent care visit. The patient was hospitalized due to the events. Therapeutic measures were taken as a result of the events and included treatment with prednisone 20 mg for 5 days. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was not recovered. Seriousness of the events was reported as non-serious. Information on lot/batch number was available. Additional information has been requested.

Significant chest pain, shortness of breath, and extreme fatigue after little to no activity whatsoever. I am still experiencing these symptoms five (5) days after receiving my second dose of the Pfizer vaccine. Additionally, I can assure anyone reviewing this report that I absolutely did not exhibit these symptoms (or anything similar) prior to Saturday, 22 May 2021.

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

Patient received his first dose of Pfizer COVID Vaccine (Lot #EW0185, Exp 08/2021) in left deltoid on 05/21/2021 at 11:58 am. Patient states he had been taking penicillin for tonsillitis for approximately 3 days before receiving his first dose of COVID Vaccine. Patient states approximately one hour after receiving his first dose of the Pfizer COVID vaccine, he began to experience "swelling" in his throat. Patient states he was unable to speak for approximately one minute, so he took a drink of water and the swelling immediately relieved. Patient denies SOB. Patient states he lost his voice for two days following this episode. Patient called PCP to report symptom and his doctor advised patient to discontinue use of antibiotics. Patient states he has had an "uncomfortable sore throat" since discontinuing his antibiotics. Patient denies allergies or medical conditions. Patient due to receive dose 2 of Pfizer on 06/11/2021 at . On 06/11/21, patient consulted with nurse about adverse event following his first dose of Pfizer vaccine. Nurse elevated concerns to next upline nurse. Nurse elevated medical consult to doctor. Patient was given medical clearance from doctor at 3:10 pm. Patient received his second dose of the Pfizer COVID vaccine (Lot #ER8735, Exp 08/2021) at 3:11 pm. Nurse provided patient with education related to when to seek medical care, including shortness of breath, chest tightness, and sensation of throat tightness. The patient demonstrates understanding of teaching and states he will call doctor if he experiences these symptoms.

Approximately 3 weeks after first COVID shot (Pfizer), noticed shortness of breath symptoms consistently that have lasted every single day for the past 7-8 weeks. Have been to Emergency Room, followed by Cardiologist, Pulmonologist, etc and my heart and lungs are fine... physical therapist I've been to multiple times says the intercostal muscles in my ribs keep getting inflammed for an unknown reason and that is making it to where my lungs can't fully expand. Practically speaking, it means that for the last 2 months I've felt awful and felt like I can't breathe. I've never had any issues with this before and I was a healthy 30 year old. Even my general practitioner thinks that it was the vaccine at this point since nothing else changed.

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

heartrate was faster than normal; tightness in his chest and left arm; tightness in his chest and left arm; he was kind of laboring to breath; the left side of neck was numb; "pins and needles" sensation from "heads to toes for weeks".; metallic taste; Tired and fatigue; arm soreness; This is a spontaneous report from a contactable consumer (patient). A 30-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 11Apr2021 (lot number: EW0150, expiration date: Jul2021) as single dose for COVID-19 immunization. Medical history included having issues ever since with certain foods and having that reaction ever so often throughout the week. Concomitant medications were not provided. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 20Mar2021 (at the age of 30 years old, lot number: EP6955) as single dose for COVID-19 immunization and after the first dose the patient's arm was still sore and tight before the second shot. On 11Apr2021, the patient experienced arm soreness. The patient experienced metallic taste, tired and fatigued on 12Apr2021. On 19Apr2021, patient reported tightness in his chest and left arm, it was in the left side of his chest, he was kind of laboring to breath, and the left side of neck was numb. He reported that the symptoms were cyclical in nature and that the only thing that's changed in his medical history was the vaccine. On 03May2021, he's also been experiencing a "pins and needles" sensation from "heads to toes for weeks". The patient experienced pins and needles for the last three weeks from the top of his head to his toes, in his fingers, arms, and legs that was also reported as worsened. Patient had been having blood work and x-rays on all of this. None of this was happening to the patient before the vaccines. Also, the patient's heartrate was faster than normal on unspecified date (also reported as on 01Apr2021) and he went to the emergency room on the 19Apr2021. The patient's faster than normal heartrate normally happened in the middle of the night and it woke him up between 2:00 am and 5:00 am. The patient had to walk around and do breathing exercises to slow down his heart rate. After the patient's emergency room visit, the faster than normal heartrate happened roughly around noon and then after that first week, it started earlier around 10:00 am or 10:30 am. The patient went to the emergency room and was admitted and discharged the same day. The patient was in hospital from 19Apr2021 to 19Apr2021 for events tightness in his chest and left arm, it was in the left side of his chest, he was kind of laboring to breath, and the left side of neck was numb, heartrate was faster than normal. Lab data included the patient wore a Holter monitor from 05May2021 to 09May2021. The Holter monitor showed that it was collected normal, normal range, and no issues or symptoms. On 19Apr2021, the blood work and chest X-ray done but both was negative. EKG with result of normal on 19Apr2021. H pylori with result of negative on 02Jun2021. Outcome of events metallic taste, tired and fatigued was recovered on 13Apr2021, while of the other events was not recovered.

2nd Dose: Experienced first symptoms around 6:00pm on June 24, including severe headache and moderate general weakness. Around 9:00pm experienced mild shortness of breath and moderate lymph node swelling under injection arm armpit which carried into June 25. This report is being submitted on June 25 and the mild shortness of breath and armpit lymph node swelling is still present. 1st Dose: Mild to moderate weakness and fatigue day after the first shot (June 3, 2021) with no additional symptoms. Symptoms completely resolved by June 4.

I was immunized with the 2nd dose of the Pfizer COVID-19 vaccines on May 4th, 2021, and on May 5th started experiencing left shoulder pain radiating to the arm, and upon breathing in pain would intensify. On the night of May 5th pain started to increase and decided to report to the hospital. On May 6th I was admitted to the hospital to further identify what was causing the shoulder pain, deferent test were performed with normal result but upon performing CT Scan, it was identify that I had blood clots on the left lung (pulmonary embolism). Upon several questions asked by the health care team, the doctors at the Hospital stated that the main cause of the blood cloths was the 2nd dose of the Pfizer COVID-19 vaccine due to my healthy status and being the only thing that I had completed different in the days prior to the hospitalization. Due to this I was prescribed a 3 month anti coagulant treatment for the embolism.

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

about 2 hours afterwards i had slight problem breathing. Chest pains have been on and off ever since. Sometime i feel like my heart is thumping.

fainted, seizure (grand mal) for 30 seconds, dyspnea, sweating. came to feeling weak, drank water and started feeling better

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

Heart Rate in 130's, short of breath, pulse ox 92-93%, low grade fever (99.9-100.5), chills, generalized body aches & cramping, frontal migraine. Fever seemed to occur in early morning (about 01:00 am). By 04:30 am, all of the other listed symptoms were present. Treatment was related to symptom management; 1L of water, Tylenol Cold & Sinus Severe (acetaminophen, phenylephrine, guaifenesin), and sleep.

c/o shaking and was pale, per assessment. VSS. RRT assessed. Narrative: pt. noted to be shaking and had labored breathing when brought to Observation area after vaccination. RRT called and recommended additional 30 min. monitoring. 121/76, P 72, R 20, O2 sat. 98% Discharged in stable condition at 4:15PM.

Fever 100.8, shortness of breath, chills, myalgias, weakness, shortness of breath worse with exertion, chest tightness

1. Pulsing pain at dose administration site at 11 pm. -No treatment, went to sleep. 2. (12 hrs after administration). Woke up at 1:00 am with severe chills. Lasted 2 hours. -Threw on sweats and another blanket, went back to sleep. 3. Woke up at 6:30 am with intense body and head pain. "was a cant get comfortable in any position type of pulsing pain" Something im accustomed to when i get the Flu. I rolled around in pain for 4 hours while trying to go back to sleep; it even hurt to breathe deeply. - took Tylenol at 11am and the symptoms never came back. *Note. I think i suffered so much pain in the 4 hours that it lasted with me until even now as i write this. Hard to describe, but my entire body has had this tiny ache that has not gone away. Not a big deal to me, but just wanted it documented. I am selecting recovered even with that tiny ache still apparent because physical pain usually takes time to heal. Assuming that's all it is.

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

13 hours after injection: Typical chills, body aches, cold sweats lasting 24 hours. Relief with Acetaminophen and Ibuprofen. On 1/25/21 around 4:00 PM: Following intercourse, shortness of breath and mild chest pain. Unable to go for walk with son and wife due to fatigue and mild chest pain. Discomfort ameliorated with rest. On 1/26/21 around 6:00 AM: Shortness of breath and chest pain in shower with minimal effort. Pulse around 140 BPM. Drove to ER for workup. Transferred to hospital for admission.

Began feeling body aches and soreness at 9pm. This developed into chills, headache, nausea, body aches, muscle fatigue, shortness of breath overnight. Symptoms slightly subsided by 7am following day.

Same day as injection with fever, chills, headaches. Now with pressure like substernal chest pressure that is non-exertional, constant, worse with laying down. Associated symptoms includes right sided neck swelling with pain on breathing (opposite of injection site).

The patient stated his tongue was tingly within the first 15 minutes after the immunization was given. On-site he was given 100mg of liquid diphenhydramine. He was monitored for 30 minutes with no worsening of symptoms. He stated he was feeling better and left. The pharmacy was alerted on 3/5/2021 of the following sequence of events: The following day the patient stated he was feeling off. He had joint pain and inflammation thru Wednesday March 3rd. On Monday March 1st, he stated he felt short of breath and needed to use his nebulizer. His heart rate was over 100 and he reported having a panic attack due to seeing his elevated heart rate. He was seen for a routine appointment by his PCP on March 3rd and was told to not receive the second dose of vaccine. His parents subsequently informed him that he has a history of heart arrhythmia.

Progress Notes Healthcare Provider Healthcare Facility 3/15/2021 Patient Date: 3/15/2021 Subjecti Patient is a 31 y.o. male who was seen at healthcare facility today for his first dose of the COVID 19 vaccination. He was given the Pfizer vaccination in the right deltoid muscle. During his 15 minute waiting period after the injection, the patient began to experience throat tightness. He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and he was then assessed. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , hypotension, rapid progression of symptoms, respiratory distress and tongue swelling. Past Medical History: Diagnosis Date ? Eczema ? Morbid obesity with BMI of 40.0-44.9, adult (HCC) ? Seasonal allergies ALLERGY REVIEW OF SYSTEMS: Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, cough, chest tightness, shortness of breath, wheezing, rash, hives, eczema, itching of skin, vomiting, abdominal pain, dizziness and headaches Previous Reactions: none to vaccines Objective Vitals Vitals: 03/15/21 1520 03/15/21 1528 BP: (!) 149/98 (!) 140/88 Pulse: 80 72 SpO2: 100% 100% Physical Exam Vitals reviewed. Constitutional: General: He is not in acute distress. Appearance: He is not ill-appearing or diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Comments: Clear oropharynx. Eyes: Conjunctiva/sclera: Conjunctivae normal. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds and air entry. Comments: Speaking full sentences. No throat clearing Skin: General: Skin is warm. Coloration: Skin is not pale. Findings: No rash. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: water Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Pt admits he was anxious prior to coming in today and felt anxious while he was in line for registration. He feels better after being evaluated here. He was observed for approx. 15 minutes. He requests to be here for his #2 pfizer vaccine. Request is reasonable. Registration notified and will flag his chart for next time. Healthcare Provider

Pfizer-BioNTech COVID-19 Vaccine I got the vaccine on Friday, and on Saturday night I developed phantosmia. Until now, basically 55h hours after the first shot, I feel cigarette smell very frequently. Sometimes is weak, sometimes is strong, but there are rare moments that I don't feel it at all - usually noticed when I start to feel it again. In the beginning, I thought that it could be caused by a roommate, but when I talked with them no one was smoking or feeling the smoke smell. When I came to lab, a clean space, I felt it again and noticed that it was really abnormal and that I should report. Additional info: I had a positive test for COVID-19 on January 16th and recovered really well after having only a mild fever for one day and a sore throat for 4 days. I am sure I also had COVID-19 in January of 2020 after a trip, when I had very bad symptoms including heavy lungs, pain in the lungs, yellow mucus, coughing, sore throat, headaches, and fever - and also a negative test for Flu at my health center. At that time, mainly because of the negative test, doctors described it as a strong cold. It lasted for two weeks. We didn't think it could be COVID at that time, though. I realized that later when we learned more about the symptoms.

Roughly two weeks after injection, I started noticing inflammation in my neck and throat as well as a post-nasal drip. I had difficulty swallowing and felt pressure on my windpipe. This has diminished a bit, but has now become shortness of breath and pressure on my chest.

pt received vaccine at approximately 0730 in am. Waited his 15 minutes. He feels since he received the vaccine his heart is racing, and feels like his throat is tightening. He denies wheezing, has no angioedema. No exacerbating or alleviating factors, symptoms constant. Denies fever, chills, chest pain, shortness of breath or palpitations. Former smoker. No rash present. Pulse Ox is normal 96-99. One blood pressure reading was elevated, temp normal. Treated with solumedrol, pepcid, benedryl, iv fluids. Observed for one hour, discharged home with steroids and antihistamine. Advised not to take 2nd covid vaccine by ER provider.

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

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

After receiving his vaccine client stated that he has shortness of breath. Vital signs obtained BP 127/79, HR 64, O2Sat 100%.

On 4/19 he received the first dose of Pfizer vaccine oh 4 PM. Administration of vaccine was uneventful. The next day he noticed sore shoulder at 3 PM on 4/20 he noted he had upper wrist pain that progressed to his right thumb as well as redness with a shiny quality that was consistent with previous gout flares so he took 2 doses of colchicine and 2 doses of Advil which did not relieve his symptoms. A couple hours later he noted hand numbness and tingling as well as feet numbness and tingling bilaterally. The numbness progressed to his extremities with the left arm more affected than the right arm (he received vaccine in his left arm). He had accompanied pain of his extremities and wrists that was described as 10 out of 10. He then felt 2 episodes of chest tightness and difficulty breathing prompting him to present to the strong ED. In the ED his exam was notable for hypertension (240/90), tachycardia, wrist flexion in distress and yelling in pain. His exam also showed bilateral hyperflexion of bilateral wrist with mild swelling and diminished sensation and motor function throughout. He was administered IV hydromorphone, and Benadryl with dramatic improvement in his symptoms. His labs are notable for abnormal electrolytes including magnesium, potassium, phosphorus, calcium and he was repleted with magnesium potassium and phosphorus. He is admitted to ED OBS. overall felt his symptoms were most likely due to gout flare and hyperventilation, not likely related to vaccine.

approx 10min after injection patient reported difficulty breathing and dizziness. b/p elevated @ 140/100. HR 64. sent to ER for evaluation

Fatigue, headache, fever (100+ degrees F), body aches, shortness of breath/ heaviness in chest, elevated heart rate (20+ BPM above normal), anxiety.

Severe vasovagal episode with hyperventilation, shortness of breath, dizziness, nausea, headache, and intense pain, tingling, and tetany in feet and hands. I was seen at the nearby emergency room where I underwent an EKG and monitoring until my vitals stabilized about an hour and a half later. Today, 4/29/2021, I am recovered from the severe symptoms and so far I just have a very sore arm, headache, chills, and fatigue.

About an hour after receiving the vaccine, I felt very tired and winded as if I was working out for hours on no food. I did eat that day. I felt dizzy and saw black dots in my vision and felt the need to sit down. I never made it to sit, rather fell flat on my face and passed out for a few moments before my cousin came and picked me up asking what happened. It was very embarrassing and I believe the fall on my face caused an infection in my jawline on the left side and a sinus infection. I was throwing up and blowing my nose from blood. Very scary sight to see.

respiratory distress; Projectile vomiting; acute bronchitis; high fever; chronic dry cough; decreased oxygen saturation in blood; This is a spontaneous report from a non-contactable consumer (patient). A 31-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration, administered in the right arm on 08Apr2021 at 14:00 (batch/lot number: 8735) as a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient has no known allergies. Facility type vaccine was public health clinic. Facility type vaccine other: (name). No other vaccine in four weeks. No other medications in two weeks. The patient experienced respiratory distress, projectile vomiting, acute bronchitis, high fever, chronic dry cough, decreased oxygen saturation in blood; all on 08Apr2021 at 19:00 with outcome of not recovered. The adverse events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Treatment was received for the adverse events which included steroids, antibiotics, breathing treatment, inhale. The patient has not had Covid prior to vaccination. The patient underwent lab tests and procedures which included COVID-19 virus test: negative on 03Apr2021 (nasal swab). No follow-up attempts are possible. No further information is expected.

Started with numbness and tingling throughout both legs and progressively worsening to severe full body burning/buzzing pain. Also experienced dizziness and slight loss of muscle strength/coordination. Difficulty breathing.

Pt received first dose COVID 19 vaccine 3:07pm on left arm and left to pharmacy after 15 minutes observation. Pt came back to vaccine site after pharmacy c/o weakness and numbness in left arm 3:40pm. BP 127/92 HR 77 O2 98 BS83, last meal at around 1pm. NP was on site to evaluate pt. Pt is A&O but lethargic. Pt was able to move his right arm, right leg, and left leg weakly but not able to move his left arm. Both arm appeared to be pale. Sensation intact for all extremities, no facial droop. Pt then c/o SOB. Called ambulance, wife left with pt to medical center.

URI, bronchitis, allergic rhinitis, atypical pneumonia, community-acquired pneumonia, asthma exacerbation, COPD exacerbation, COVID-19, Other viral illness

In March 2021, I suspect that I contracted COVID-19. There were no COVID tests readily available back then so I have never confirmed but I had increased respiratory rate (as measured by my WHOOP wearable health monitor) and I lost taste and smell completely for about 2 weeks. Since then, my taste and smell have come back but not to the levels they were before then. On 4/19/2021, I received my first does of the Pfizer COVID-19 vaccine. On 4/20/2021, I had notable trouble breathing throughout the day. I was able to exercise but with significant added difficulty. Did not notice anything else obvious. On 4/21/2021, My breathing returned to normal but I noticed that my senses of taste and smell were muted. On 4/22/2021, my senses of taste and smell were completely gone. This became obvious when a coworker complained about a strong smell of burning plastic that I could not smell at all. On 4/23/2021, my sense of taste and smell started to come back. By 4/24/2021, my sense of taste and smell was completely back and better than it had been since March 2020, when I suspect I had COVID-19. I received my second does of Pfizer today, 5/11/2021, and will monitor for symptoms.

PRIOR TO FIRST DOSE I WAS STRONG. I COMPLETED A 240 MILE HIKE IN RECORD TIME. 2 DAYS AFTER FIRST DOSE I EXPERIENCED TROUBLE BREATHING AND FATIGUE. I THOUGHT THIS WAS NORMAL SIDE EFFECT. I COULD NOT WALK AROUND THE BLOCK WITHOUT RUNNING OUT OF BREATH. SYMPTOMS LASTED AN ENTIRE MONTH. AFTER SECOND DOSE, THE VACCINE CLINIC RECOMMENDED I CALL MY DOCTOR. DOCTOR ADVISED I GO TO ER. 2 DAYS LATER, I GO TO ER. I STAY IN ER FOR 3 DAYS WHILE THEY RUN TESTS. I AM DISCHARGED ON 3/9/21. COINCIDENTALLY, THAT WAS WHEN CHEST PAINS STARTED. I HAVE HAD CHEST PAINS EVER SINCE. I HAVE VISITED DOCTORS, AND HAVE TAKEN TESTS, AND HAVE BEEN DIAGNOSED WITH PERICARDITIS. I AM NOW TAKING COLCHICENE WITH IBUPROFIN

Admitted to hospital on 5/3 with difficulty breathing, chest pain, light-headedness/dizziness, tingling in arms, and sloght loss of motor control of hands (clenching into fists uncontrollably). CT scan on 5/5 showed sub-sectional pulmonary emboli in both lungs. Released from hospital on 5/7 with treatment course including blood thinners.

Pt received his vaccine and was being monitored. He mentioned he was feeling short of breath. He had an altered level of consciousness but did not pass out, but ammonia salts were used. He had his BP taken which was normal, Blood glucose was 70, pulse ox was 97% on room air. He appeared to have a seizure x 15 seconds. He has no hx of seizure activity. An onsite physician examined him and was supported by a PharmD and RN.

Started mild cough, progressed to severe fits with regular difficulty breathing; Started mild cough, progressed to severe fits with regular difficulty breathing; "Flu-like" symptoms; This is a spontaneous report from a contactable consumer (patient). A 31-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were unknown) at the age of 31-years-old, via an unspecified route of administration in left arm on 19Apr2021 at 09:00 at 2nd dose, single for COVID-19 immunization. The patient's medical history, concurrent conditions and past drug history were reported as none. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included venlafaxine hydrochloride (VENLAFAXINE) and methylphenidate. He did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: 59267100001) at the age of 31-years-old, via an unspecified route of administration in left arm on 22Mar2021 at 09:00 at 1st dose, single for COVID-19 immunization. The patient received the COVID-19 vaccine in a pharmacy/ drug store. As expected, 2-3 days post-vaccine, on Apr2021, the patient experienced flu-like symptoms. These dissipated but did not resolve completely. Then on 24Apr2021 (also reported as 5-6 days post-vaccine), he started to have mild cough which progressed to severe fits with regular difficulty breathing that has still not stopped 18 days later. The events resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of events and included treatment with expectorant, cough suppressant, and antihistamine. The patient underwent lab test and procedures which included nasal swab: negative (SARS-COV-2 (COVID-19), QUALITATIVE, NAA) on 28Apr2021; nasal swab: negative (Bio-Rad SARS-CoV-2 ddPCR) on 30Apr2021; and nasal swab: negative (Binax NOW Coronavirus AG) on 30Apr2021. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Inflammation; Chills; Sweats; Fever; Shaking; could not sleep very well and was going in and out of sleep; Dizziness; Unable to eat; Weakness; Shortness of breath; Excruciating hemorrhoid pain; Left arm was really stiff; Left arm gets locked up; This is spontaneous report received from a contactable consumer (patient). A 31-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 intramuscular, administered in arm left on 03May2021 (Lot Number: EW0179) as 2nd dose, single at the age of 31-years-old for covid-19 immunization. Medical history was none. Family medical history included: High blood pressure, diabetes, high cholesterol and heart problems. The patient's concomitant medications were not reported. The patient received 1st dose of bnt162b2 on 12Apr2021 with Lot ER8729, expiration is unknown, injected intramuscularly in left arm. No additional vaccines administered on same date of the pfizer suspect. No AE following prior vaccinations. No other prior vaccinations (within 4 weeks). The patient received the 2nd dose of the bnt162b2, and the next day (04May2021 12:00) the patient had excruciating slowly pain like a hemorrhoid pain. The patient bought hemorrhoid cream. The patient experienced shortness of breath on 05May2021, when he woke up yesterday he had it as well. He could not sleep very well and was going in and out of sleep. He could not sleep because of discomfort for hemorrhoid pain. The patient also had dizziness on 06May2021 12:00, inflammation, chills, sweats, and fever. He said that his left arm (injection site) gets locked up on 03May2021 23:00. He also said that he experienced shaking, weakness and was unable to eat on 05May2021 11:00. When he woke up on 04May2021, his left arm was really stiff. Yesterday, he was not able to eat (worsened). His weight was provided as being between 180-190 lbs. There was no prescriber. NO ER or physician's office required. Outcome for hemorrhoids was provided as both persistent and worsened, of the events shortness of breath, dizziness, weakness, left arm gets locked up was not recovered, of other events was unknown. No follow-up attempts are needed. No further information is expected.

Immediate onset of L facial weakness/inability to fully close lips on L side (contract muscles) to seal lips when eating/drinking. Evaluated in ER and stroke ruled out by negative head CT and workup. Misdiagnosed as Bell's palsy, no treatment, told it could take several weeks or months to resolve and to wait it out. Upper lip tight and smile changed. Symptoms persisted and slowly worsened/progressed, overall muscle strength diminished, some bronchospasm issues with heavy exercise. Seen by PCP and allergy doctor and told likely has exercise-induced asthma and still resolving Bell's palsy. Facial symptoms continued to worsen and began involving his palate, unable to close off sinus passage way, slurred and nasal speech in the evenings, unable to chew and swallow well towards evening. Patient feared he had ALS after researching symptoms, I started to worry it was myasthenia gravis. Saw PCP again who refused to order confirmatory lab work for MG or ALS and referred to neurology. Referral turnaround was not emergent despite several calls and attempts to escalate this issue. Unable to verbally communicate in the evenings, resorted to texting to express needs. Had a scary episode of choking due to inability to swallow, 911 called to home. Sent to ER for workup and finally a neuromuscular disorder was on the differential. Transferred to a higher level of care for on-site neurology where he received IVIG x 5 days and started pyridostigmine for likely myasthenia gravis with rapid improvement in symtoms. Plan is for continued monthly IVIG and then adding an immunosuppressant long-term in addition to his pyridostigmine.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

a) Rapid heart beat (up to 140/min.) immediately after vaccination. Heart rate normalized after half hour of rest. b) Acid reflux three days after vaccination. Took Omeprozole & Sucralfate tabs and recovered within 3 weeks. c). Tachycardia & palpitation occurred on 4/12/2021. Hard to fall asleep at night. Visited ER, no treatment (blood test, chest X-ray and EKG all normal). d). Excessive fatigue following just a few steps of walk, or speaking just a brief moment. Began to be sensitive to screen light and sound from loudspeakers. e). Hospitalized on 4/16/2021, b/c of breathing problem, numbness (hands & feet) and muscle cramps. Called 911 for ambulance to hospital. Discharged on 4/18/2021 after testing normal for chest X-ray, EKG, echocardiogram. Prescribed Bisoprolol Fumarate tabs. f). After discharge from hospital, I had to remain on bed b/c of breathing difficulty upon standing up or slight movement. Excessive sweat during sleep or after meals. g). Subsequently I felt a little better and began to do minor exercises (walking in the yard) May 14-19. While lying on the bed on the night of May 19, I felt short of breath and worsening of breathing patterns (i.e. shallow breathing). h) On May 23, I began to feel shortness of breath when I walk or after a meal. i) Staring May 24th, I felt very weak breathing when lying on bed. Since then, I have experienced weaker & weaker tidal volume. j) Staring May 27th, I felt shallow breathing when I was at rest during the day. Since then, I have experienced weaker & weaker tidal volume.

1 day s/p vaccine - fever, chills, body aches, n/v, abdominal pain, SOB, "lung pain" LA=2.1 Admitted 4/17/21, diagnosis=viral enterocolitis d/c 4/19

throat itchy and scratchy; hard to breathe; fever; fatigue; arm pain; This is a spontaneous report from a non-contactable consumer, the patient. A 31-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA vaccine; Lot number: unknown), via an unspecified route of administration in the right arm on 16Mar2021 at 12:00 pm (at the age of 31 years old) as a single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient did not have allergies to medications, food, or other products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 17Mar2021 at 1:15pm the patient developed itchy throat and scratchy, found hard to breathe (difficulty breathing), fever, fatigue and arm pain. The patient did not receive treatment for the events. The clinical outcome of itchy throat, difficulty breathing, fever, fatigue and arm pain was not resolved. Information about lot/batch number cannot be obtained. No further information is expected.

Injection site swollen around my back arm and armpit, small hive left inner elbow, increased heart rate, blood pressure was 183/110. Was hard to breathe, clammy, faint, confused, and panicky. Left arm went numb. I went to hospital twice, and clinic twice due to the symptoms coming and going.

Throat tightness; This is a spontaneous report from a contactable healthcare professional. A 31-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE BIONTECH; lot number: EN6205) via an unspecified route administration and anatomical site on 15Mar2021 (at the age of 31-years-old), as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 15Mar2021 (15 minutes post vaccination), the patient experienced throat tightness during waiting period. The patient denied any symptoms of rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, light headedness, dizziness, facial swelling, lip swelling and tongue swelling. The patient was noted with clear oropharynx and was speaking full sentences with no throat clearing. The patient was treated with water that showed excellent results hence was discharged and stable to go home. The patient was advised to follow-up with primary care physician (PCP). At the time of reporting, the outcome of the event throat tightness was recovering. Amendment: This follow-up report is being submitted to amend previously reported information: Added patient first name, patient age, vaccination facility country, treatment received captured as yes, concomitant therapy updated as blank and removed duplicate suspect product indication. No follow-up attempts are needed. No further information is expected.

After my Second Shot I felt fine that day but the next day around 7am in the morning I feel sharp pain in my heart area and dizzy also shortness of breath and can?t get comfortable to sleep without pain since on that side also been experiencing headaches tomorrow will be third day since second dose of Pfizer

4/7 - First dosage. Following day experienced lack of energy, lethargic - as is typically reported. Initial symptoms resolved after 24 hours or so. 4/16 - started experiencing cold/cough symptoms. Symptoms persisted as minor cough until second dosage on 4/29 4/29 - received second dose 5/3 - started having trouble breathing. Pulse-Ox around 93/94. Went to urgent care. No findings reported from X-ray. Given subscription for coriciden and left. 5/3 - 5/22 - coughing And trouble breathing persist. Manage symptoms at night typically with NyQuil 5/24 - the preceding few days mucus had been getting darker and darker leading me to believe I had an infection. Did a telehealth visit with Dr where she prescribed z-pack. 5/24 - 5/29 - Course cleared up dark mucus but cough remained. 5/29 - 6/30 - cough throughout. Symptoms worsen at night. Overproduction of mucus in airway. Feels constrained. 6/30 - met with Dr Money. Took blood sample and ordered CT scan.

patient complained of shortness of breath ,nausea and pain in chest . benadrly was given and ems called

Directly after vaccination administration, patients states, "Should I feel dizzy and sweaty?" Upon observation, patient was pale and diaphoretic. Nurse asked patient if he needed to lie down. Patient states, "I have multiple panic attacks a day, and i think I will be ok." Patient then stated that he wanted to lie down. Patient was placed in a wheel chair at 12:23 and taken to a private area for observation. Assisted patient to lie down, feet elevated, cool rags applied to forehead and anterior neck. Patient then continued diaphoretic, blood pressure 172/92. HR 78/PO2 / 98%. During this time, patient was accompanied by Uncle. Patient was continued to be observed with frequent vital sign measurements. 12:29 - 155/95, HR 72, PO2 - 99%, diaphoretic, and complaints / shortness of breath. 12:32 - 158/108, HR 76, PO2 98%. 12:35 - 166/111, HR 83, skin-dry, continues SOB. 12:42 - 171/114, HR 105, PO2 -98%. Patient consented to Ambulance for further evaluation in ER. (12:49) Fire-fighters arrived first w/ evaluation of patient w/ manual blood pressure / 162/114, and HR - 99, PO2 - 98%. Ambulance arrived at 12:52, and care was transferred to the hospital.

-shortness of breath and dizziness walking from one room to the next -higher resting heart rate -reduced exercise capacity (low exercise tolerance) -get winded extremely easily and harder to catch breath -orthostatic hypotension -easily fatigued -feel like I have reduced lung and blood flow capacity This all started after my COVID vaccine doses and are progressively getting worse, so now I decided to report them. I thought it would go away but hasn't, only worsened.

Patient had waited the recommended 15 min post shot. Went home and his aunt told us that his eyes became blood shot, his throat started to close. He then proceeded to have 4 seizures. First one being at home, second in the car on the way to the ER, third once they arrived at the ER and fourth on the way inside into the hospital. Patients aunt called us 7/9 to give us the full details of the event. Patient spent the night in the hospital and is in stable condition.

Two days after vaccine I was having trouble breathing, irregular heart beat, congestion, bloating, swelling. Went to hospital and nothing was found in tests. A month and a half later I was having similar symptoms and went to the hospital where they found I was having heart failure. My heart was preforming 10-15%.

5 MIN POST ADMINISTRATION: SOB, DIZZINESS, CHANGE IN VISION - GAVE BENADRYL 25 MG AND 1 VIAL ALBUTEROL VIA NEB 1 HOUR POST ADMINISTRATION: SWOLLEN LIPS, RASH ON CHEST AND ARMS - GAVE 1 DOSE OF EPI PEN AND IM SOLU-MEDROL, CALLED EMS, LEFT TO GO TO ER BP, HR, OXYGEN STABLE THROUGHOUT

12 minutes after vaccine had left sided chest pain and mild shortness of breath. In the evening the same day developed chills and diffuse muscle pain. Following was lightheaded, waves of Tachycardia (resting HR 50s would go as high as 120s at rest). Symptoms came in waves of chest pain, SOB, lightheaded and tachycardia throughout. Patient seen in clinic 1/7/2021 with symptoms slightly improved.

Anaphylaxis Please note previous VAERS report of Bell's Palsy 8 days following the first dose and subsequently treated with prednisone and valacyclovir. This neurologic diagnosis was not reported by the patient during the consent process with the COVID19 vaccination center staff. Confirmed following review of the consent form. Documentation from Emergency Department Provider: Patient is serially reassessed following treatment for anaphylaxis. Patient has significant improvement in diffuse erythema and hives within 20 minutes. He has gradual improvement in his sensation of throat swelling. He is observed while in the emergency department serially over 4 hours with no recurrence of symptoms. He does not require any repeat dose of epinephrine and feels at baseline. Discussed my suspicions that patient may have had a reaction to COVID-19 vaccine as he has had no other new medications or exposures that he is aware of. As he will not be receiving another vaccine there is nothing to necessarily stay away from. Make sure he notifies individuals about this for any new vaccine should he receive them. Patient is observed for sufficient time but discussed possibility for biphasic reaction. Recommend he return should he have recurrence of symptoms. Recommend he take EpiPen as prescribed for any throat swelling or progressive shortness of breath. Recommend follow-up with a primary care provider for this visit..

I was sitting down at work when out of the blue I experienced heart palpitations, lightheadedness, weakness and shortness of breath that lasted for about an hour. I went to the Emergency Room and by the time I was triaged the symptoms went away. My blood pressure was 150/90 at triage with other vitals within normal limits. I did get an EKG which was negative. I was given Valium 5mg and discharged with a diagnosis of Panic Attack.

presents with itching and urticarial rash all over his torso arms and legs. He received a second Covid vaccine 3 days ago. He denies any other exposures to new foods or other medications. He did start having some eyelid swelling as well as some shortness of breath while going upstairs and therefore came to the ER for evaluation. Patient denies any tongue or lip swelling. He has no wheezing. He states that the shortness of breath is improved without any intervention or treatment. Patient does have Covid exposures on a regular basis as he is respiratory therapist and takes care of Covid patients. No symptoms of cough or fevers. No vomiting or diarrhea.

Began - General weakness, body aches, chills 12 hours later - 102 fever, full body/joint aches, chills 24 hours later - above continued 40 hours later - symptoms subsided fever came down below 100 minimal aches, etc 48 hours later - 102 fever, no body ache, chest/throat tightness (trouble deep breath), chills (considered urgent care) 64hours later - temp consistently normal bouts of chest tightness occasionally (believe fully recovered) Began regiment of Tylenol (500mg) every 4-6 hours (as close to 6 as possible) w inbuprphin (200mg) as needed (occasionally instead of Tylenol). Neither medication worked for all symptoms (Tylenol better for fever and chest tightness ibuprophin better for body aches)

32 y/o male with history of allergic rhinitis here for first COVID vaccine (Pfizer). Within 20 minutes or so of being vaccinated (the patient was observed for 15 minutes and then left as per normal procedure, went upstairs to get medications at the pharmacy when started to have symptoms) - throat tightness/fullness/feeling of constriction but no inability to swallow or breathe. Walked back to the vaccination area for evaluation. No prior reactions to medications or vaccines. No rash, itching, dyspnea, lightheadedness. Symptoms coincident to vaccination with COVID-19 Pfizer vaccine - throat tightness, sinus fullness and chest heaviness. No abnormalities on physical exam or vitals other than slight elevation in BP. Due to progression of symptoms, lack of resolution treated with antihistamine and epinephrine 0.3mg IM left thigh. Called 911 to transport patient for observation in the ED.

Headache, fatigue. Reports that throat started feeling "swollen right away" after vaccine but chose not to alert staff, "didn't want to bother anyone". Spoke with pt today over phone, 3.19, states he still has this sensation. Advised to seek care ASAP, declined at this time.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Hypotension-Medium, Systemic: Seizure-Severe, Additional Details: Approx. 15 minutes after getting his COVID vaccine pt. notifed clinic staff that he was feeling unwell and his heartbeat was irregular. Pt. then started to collapse and after being assisted to the ground had a seizure lasting approx. 10 seconds. After waking back up from seizure pt. had trouble breathing. Clinic staff notified me and I immediately administered 0.3 mg of epinephrine via an auto-injector. 911 was called and Pt. was able to sit back up while he waited for EMS.

Pfizer-BioNTech COVID-19 Vaccine EUA 32-year-old male with history of anxiety and hypertension presents with possible reaction to the COVID vaccine. He was in his usual state of health and doing well until he received his first dose of the Pfizer vaccine around 0740 this morning. Around 10 minutes following the vaccine, patient became short of breath, lightheaded and had his vision gray out before losing consciousness for few seconds. Patient was sitting in a chair at that time and did not fall or hit his head. He was then given juice and was able to ambulate and felt better. Patient was directed to the emergency department for evaluation. He states that he now feels back to his baseline with no lightheadedness or difficulty breathing. Patient states that he has passed out following blood draws in the past and usually lies down afterward. Patient's presentation is overall most consistent with vasovagal syncope, especially given his history of similar events following blood draws. Patient was observed in the emergency department for nearly an hour and remained asymptomatic so he was discharged home with return precautions

Pt. had a chief complaint of throat swelling and difficulty swallowing. Pt. states that he was walking to his car after his thirty minutes was up and started to feel the reaction. After Pt. came back in he was instructed to sit down, and it was determined that Pt. throat was swelling. Pt. took 50mg of his own benadryl orally. Pt states the benadryl is not helping and its getting increasingly difficult to swallow. Pt. was brought into the back room where he walked without difficulty. Pt. was given 0.3 of Epi in his left arm. Pt. stated that his throat was starting to improve five minutes after injection. Pt. care was transferred to Ambulance without incident.

Increased heart rate within minutes of receiving the vaccine followed by a tightening of the throat and tingling in the extremities. Symptoms lasted roughly 10 minutes before heart rate dropped to normal, but throat tightness lasted the rest of the evening.

Patient returned from outside at about 40 minutes after injection. Symptoms included rash development on face and trunk, swelling of face and lips and slight shortness of breath. One adult epipen was administered and EMS was called (9:15 am). Fire Dept arrived approximately 10 minutes later and EMS followed. Symptoms were subsiding and pt refused transit with EMS. Patient received ride with parent to ER

Swelling in the neck started a few days after receiving the first dose of the Covid vaccine. Its not known if the swelling is related to the vaccine. Medical exam by primary said my thyroid is a bit full. Some post nasal drip as well. Discomfort from the swelling became gradually more significant over several days. Some tightness when swallowing food. At this time of year I typically get allergy symptoms of hay fever (sneezing, itch/watery eyes, etc.) but neck swelling has never been a symptom for me. Started taking Claritin once a day as I usually do this time of year as well.

On April 6 a.m. developed fewer-like symptoms with muscle pain typical foe fewer with these symptoms steadily worsening by evening. Night shower at appr. 9 p.m. caused a feeling of spinal nerve pinch followed by acute pain during certain movements and breathing. Following day (Wednesday) spent in bed taking Ibuprophene thinking is just a nerve pinch. Called virtual appointment tele doctor who prescribed Katorolac which I took from Wednesday night to Thursday morning per prescription with no effects. On Thursday evening called tele doctor again and got Ibuprophene 800 mg prescription. It helped for 20-30 min only. Same evening coughed some blood. On Friday kept taking Ibuprophene for very temporary relieve. On Saturday April 10 was admitted to hospital and was hospitalized with blood cloth diagnosis for 4 days.

Difficulty Swallowing/throat tightness Tx: Epinephrine, ammonia salts. Given IM epi by RR team with improvement O2 by NC given D/C ER Allergy Review recommended. Scheduled for desensitation ER: added benadryl, Famotadine, peripheral IV placed

My husband had an anaphylactic reaction within 30 minutes of receiving the Pfizer vaccine. EMS was called and he was taken by ambulance to the hospital. He was having trouble breathing, felt pressure in his chest, was light headed, started having severe chills and heart rate was elevated above 100 beats per minute. Benadryl was given on the way to the hospital and once at the hospital they gave him Tylenol, Pepcid, toradol and solu-medrol.

Fainting; Swelling of arms and hands; Feeling hot; Hives on the face and limbs; Shortness of breath; This is a spontaneous report from a contactable consumer (patient). A 32-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) (at 32 years of age), dose 1 via an unspecified route of administration, administered in arm left on 31Mar2021 14:30 (Batch/Lot Number: EW0150) as a single dose for COVID-19 immunisation. Medical history was None. The patient's concomitant medications were not reported. The patient did not receive any other vaccine within 4 weeks prior to the covid vaccine. He was not diagnosed with Covid-19 prior to vaccination. He has not been tested for covid since the vaccination. He had no allergies to medications, food, or other products. The patient experienced swelling of arms and hands, feeling hot, hives on the face and limbs. He also had shortness of breath and fainting. The events started on 31Mar2021 18:45 with outcome of recovered with sequelae. Therapeutic measures were taken as a result of the events as the patient was administered with IV saline, steroids and antihistamine. The events resulted to Emergency room/department or urgent care. Information on the lot/batch number has been requested.

Severe pain in arms, hands, legs and abdomen. Pain is numbness and tingling in nature. Pain is worse in right arm and leg. Very tired and unable to do much. Bedridden state for most of last 19 days. Breathing is deeper and heavier than normal. Occasional dizziness, Headache and nausea.

PATIENT WAITING DURING POST-VACCINATION OBSERVATION. AT 15 MINUTES POST-VACCINATION, PATIENT REPORTED FEELING DIZZY AND SHORT OF BREATH. PATIENT WAS STUTTERING, DISORIENTED, AND STUTTERED SPEECH. PARAMEDICS WERE CALLED WHEN SYMPTOMS WERE INITIALLY REPORTED TO IMMUNIZING PHARMACIST AND IMMUNIZING TECHNICIAN. PHARMACIST AND TECHNICIAN REMAINED WITH PATIENT UNTIL ARRIVAL OF PARAMAEDICS. PARAMEDICS EVALUATED PATIENT AT PHARMACY AND WAS TAKEN VIA AMBULANCE TO NEAREST EMERGENCY ROOM. PATIENT WAS EVALUATED BY EMERGENCY DEPARTMENT STAFF AND REMAINED AT HOSPITAL FOR OVERNIGHT OBSERVATION. EMERGENCY DEPARTMENT PHYSICIAN DIAGNOSED AS REACTION TO PFIZER COVID-19 VACCINE. IMMUNIZING PHARMACIST CONTACTED PATIENT AT HIS HOME FOR FOLLOW-UP. PATIENT REPORTED IMPROVEMENT OF SYMPTOMS AND PHARMACIST COUNSELED PATIENT ON ADVERSE REACTION TO VACCINE. PATIENT WILL NOT BE RECEIVING SECOND DOSE OF PFIZER COVID-19 VACCINE AFTER CONSULTATION WITH IMMUNIZING PHARMACIST.

Chest tightness, chest pressure, left chest side pain, shortness of breath, lump in throat, dry mouth

6 hours after shot: fatigue day 1: fatigue, muscle ache across whole body (back, legs, arms) day 2: fatigue, muscle aches, headache, chills day 3: muscle aches, headache, low grade fever (99.6), chills during day, waking up sweating at night, sore throat day 4: muscle aches, headache, low grade fever (99.6), chills during day, waking up sweating at night, sore throat, intermittent thump on chest like missing a breath day 5: sore throat, headache, chills, intermittent thump on chest like missing a breath day 6: sore throat, headache, intermittent thump on chest like missing a breath day 7: sore throat, headache day 8: mild headache

patient lightheaded, dizzy, winded, fatigue, chest pressure, diaphoresis, sense of fogginess in his thinking.

Patient was waiting in a chair after the vaccine and bent over to pick up a phone off of the ground. He got lightheaded and passed out as he was bending over. The patient hit his head and briefly passed out. We got him to the ground slowly and provided him with an ice pack and bottle of water. He was breathing quickly and shallowly for about 30 seconds but returned to normal shortly after.

slept first day after vaccine began losing appetite slightly no change in bowel by day 3 breathing was a bit labored chalked it up to regular auto immune response and chest inflammation day 5 night sweats and woke up to wet pillow day 6 fought consciousness after coming home from non strenuous day and was taken to hospital at my resquest. sweaty palms mild headache chest pain and slight tenderness in ribs

about 2 days of flu-like symptoms beginning at about 8 hours after receiving the second dose of vaccine. symptoms included fever, chills, body aches, mild headache, tiredness, and light shortness of breath, all of which began tapering off going into day 3. chest pain and intense shortness of breath began at approximately 72 hours after receiving the second dose. went to hospital and was treated for possible heart attack until diagnosed with myocarditis.

PATIENT REPORTED WITHIN 24 HOURS POST VACCINE HE EXPERIENCED FULL BODY RASH, EDEMA, TACHYCARDIA, AND SHORTNESS OF BREATH. HE SAUGHT EVALUATION FROM THE ED AND WAS THEN DISCHARGED WITH RX FOR TYLENOL. PATIENT STATED STILL FEELING OFF ON 6/14/21 AND I ADVISED HIM TO GO BACK TO THE DOCTOR.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Shakiness-Mild, Additional Details: Patient lost conciousness while waiting his 15 minutes after recieving his first Pfizer COVID-19 vaccine. We ran to his aid, and upon arriving at his side we laid him down on the ground. Before we were able to assess his pulse and breathing status he jolted awake and started shaking his arms and kicking his legs. After a few seconds of panic the shaking stopped and he sat upright. EMTs arrived on scene and confirmed his BP and pulse were returning to normal.

Notes from Doctor: Patient is a 32 year old male with no past medical history who presents for evaluation of chest pain The patient has been apparently well without symptoms. He has no past medical history. He received his 2nd does of his covid vaccine (Pfizer) 21 days ago. He then developed sharp chest pain, stabbing, worse with inspiration, and lying down, relief with sitting up.

After 4 days I started having shortness of breath, itchiness when breathing and chest pain. At the one week mark I started having palpitations and high blood pressure.

Myocarditis, trouble breathing; 2 days ago I had headache, I sneezed a lot, short sneezes, and my eyes were crying unitentionally.

Heart Palpitations started 2 hours after the shot. Heart pounding for 48-60 hours. Unable to sleep as a result of pounding. After heart palpitations stopped, fatigue started. Fatigue went on for 6 weeks after shot. Included occasionalll breathlessness and extreme tiredness.

Heart feels like it?s fluttering at random times of the day and night, hard to breathe during those episodes.

Normal fever, chills and towards day 2/3 my chest felt heavy, shortness of breath, anxiety, very uneasy feeling. Could not lay down without feeling a heavy chest.

Soreness in body; Congestion in nose; Congestion in throat; Nausea; Itching in random spots on body; Headache; just overall felt terrible.; Soreness in neck area; Soreness in injection arm; This is a spontaneous report from a contactable consumer, the patient. A 32-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8734) via an unspecified route of administration in the left arm on 01Apr2021 at 10:45 (at the age of 32-years-old) as a single dose for COVID-19 immunisation. Medical history included Localized epidermolyisis bullosa simplex from an unspecified date. Concomitant medications included terbinafine (LAMISIL), ascorbic acid; biotin; calcium pantothenate; cyanocobalamin; ergocalciferol; iron; nicotinamide; pyridoxine hydrochloride; retinol; riboflavin; thiamine hydrochloride; tocopheryl acetate (CENTRUM) all from an unknown date for an unspecified 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 01Apr2021 the patient experienced soreness in injection arm, side and neck area. On 02Apr2021 the patient experienced a headache and nausea and just overall felt terrible. Over the next few days, soreness in body, congestion in nose and throat, and itching in random spots on body. The patient did not receive any treatment for the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Clinical outcome of neck pain, general body pain, nose congestion, throat constriction, nausea, painful arm, itching, headache, feeling miserable was resolving at the time of reporting. No follow-up attempts are needed. No further information is expected.

Pfizer-BioNTech COVID-19 Vaccine EUA. After 10 minutes I started hyperventilating, difficulty breathing, difficulty swallowing, Left arm numbness, lightheaded, and elevated heart rate. After 1 hr symptoms subsided as I was looked after by 3 nurses. Then last night I woke up at 3 am with body aches, chills, difficulty breathing, lightheaded, tremors, sore arm, elevated heart rate, and swollen injection site. By 6:30 I was sitting up but still too weak to stand. By 9 am I am still lightheaded, sore arm, body aches, and fatigue.

Nausea; shortness of breath; tiredness; stiffness at the injection site; stiffness at the injection site; This is a spontaneous report from a contactable consumer. A 33-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Solution for injection (lot numbers and expiry dates were unknown) via an unspecified route of administration on 08Dec2020 for the first dose and on 08Jan2021 for the second dose, both administered in the right arm at a single dose for COVID-19 immunization. The patient had no medical history and no concomitant medications. The patient had no known allergies to medications, food, or other products. The patient did not receive any other vaccines within 4 weeks prior to BNT162B2 and did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 09Jan2021, the patient experienced nausea, shortness of breath, tiredness, and stiffness at the injection site. No therapeutic measures were taken in response to the events. Outcome of the events at the time of last observation was recovered. The report was considered as non-serious; the events did not result in death, were not life threatening, did not caused/prolonged hospitalization, were not disabling/ incapacitating, and did not caused any congenital anomaly/birth defect. Information on the lot/batch number has been requested.

Severe Right sided chest pain, right sided muscle spasms and difficulty breathing two weeks after vaccine was administered Diagnosis of bilateral pulmonary embolism was made on presentation to ER. No personal or family history of clots in arteries or deep veins or any risk factors in patient. Received heparin drip, pain medications, muscle relaxants inpatient. Pain progressively improved over days. Was discharged after 6 days on admission. Was discharged on oral anticoagulant (Rivaroxaban aka xarelto)

33M, patient denies PMH p/w uvula and L tonsil swelling (laying on top of tongue), soreness, and difficulty breathing since waking up the morning of 12/23/2020; sob now resolved; swelling unchanged; patient stated he got COVID vaccine 12/22/2020. No other complaints. Received diphenydramine, famotidine, epinephrine and dexamethasone. Patient admitted to the ED on 01/24/2021 with similar reaction after receiving second COVID-vaccine shot.

Woke up out of a dead sleep at 0401am and was sweating head to toe, was super dizzy, couldn?t not breathe, and very lightheaded. I was pale and have no underlying health issues! Blood pressure was normal, o2 was reading 98% but this lasted for 15 minutes. Called physicans office in the morning and nurse suggested to report symptoms

I woke up in the middle of the night with sever chills. My body was shaking uncontrollably. I took an ibuprofen and then took a 40 minute hot shower. My chest felt tight and I couldn?t catch my breath, so I called 911 for extra precaution. My vitals were good so I was advised to take ibuprofen and stay hydrated. This chills, achy body, headache lasted the whole day. Chills, headache, body aches. It wasn?t until about 48 hours after the shot that I began to feel better.

10 hours after receiving injection, spontaneously began feeling cold, shivering to rigors, rapid heart rate increased respiratory rate, lips and nail bed dusky, T37C. Took to ER, Temp 101 F and experienced a grandmal seizure, lasting approximately 1 minute of vigrous movement. froathing and flaying . Temp up to 103F. tachycardia and SOB, PO2 in 90's blood pressure low 78/45 88/50 after 3 liters of fluid up to 100/50. Chest Xray, EKG, multiple labs blood and one urine text.

Uncontrollable chills, low-grade fever (99.8), difficulty catching breath (needed to use inhaler - albuterol)

February 27 Th. Began feeling nasally and having nasal drip. Congestion started the same day. March 2 I started to feel my chest burning and I had to catch my breathe going up the stairs and taking also took a lot out of me to do. Still on March 2 around 11 pm I lost my smell and taste.

Patient developed tingling in fingers, shortness of breath, pruritic rash to forehead and chest, blanched with applied pressure, associated sweating, feeling hot and shaky within 20 minutes of vaccination.

Patient complained of feeling hot and mild shortness of breath @14:03. Pulse ox 98% on RAD pulse 99-102bpm. Lungs clear to auscultate, he said his breathing got better but started feeling dizzy & swelling. Sent to ER

33yo M reported symptoms of throat tightness and difficulty swallow after recieving his vaccine. He was evaluated and monitored by medical staff and ems. Vitals were WNL with unremarkable PE. He was given po fluids which he was able to swallow. After no improvement in symptoms, pt was given 60mg fexofenadine.

Client received the COVID vaccine (Pfizer, dose #1, lot# EW0150) at 1215. EMT observed the client to be clammy and sweaty, and she and RN responded at 1230. The client was sitting in the chair, face flushed and diaphoretic, reported feeling dizzy. The client stated he has no allergies, and his only medical condition is ankylosing spondylitis. His only medication is cosentyx. The client's vital signs were as follows: blood pressure of 139/83, respiratory rate of 20, heart rate of 106, and pulse oximeter reading of 97%. The client's pupils were equal and reactive to light. The client was offered water. At 1235, repeat vital signs were as follows: blood pressure of 130/90, heart rate of 103, and pulse oximeter reading of 98%. At 1240, the client started to cough and complained of intermittent shortness of breath. The client refused benadryl at that time. Breath sounds on the client were clear, no swelling or edema observed around the mouth or tongue. At 1245, 9-1-1 was called. At 1245, EMS assumed care. Client transported to Hospital.

Morning of April 4, pt experienced a full aching in his right side (front, below shoulder, above ribs). This went away after a few hours. Around 1 am EDT on April 7, the pain returned, slowly subsiding over the course of 12 hours. Between 6-7 pm EDT on April 7, a new more intense pain started in his mid-back, right side accompanied by shortness of breathe. We took him to the ER where he was diagnosed with three pulmonary emboli. He was given blood thinner tablets and send home with prescriptions for more thinners and pain medications. 1.5 days later, his pain has not subsided. He is also protein s deficient and has fact v leiden (homozygous).

Shortness of breath. EMT's call and they checked on patient and patient walked out on own and is fine.

Within 2 minutes of vaccine i became very light headed and needed to lay down and was sweating. This is common with me with any vaccine. Within 24 hours severe shortness of breath and severe chest pains. Went to 2 urgent cares. Was prescribed Prednisone and a Inhaler. Both did nothing. Symptoms got worse. went to my primary doctor who ordered a chest X ray which came back good. and a EKG which came back with a slight issue and referred me to a cardiologist next month. Was sent home to recover. Pain and shortness of breath got worse. Within a week after that i got severe headaches and the left side of my head arm and leg began to get numb and tingle sensation which lasted about 48 hours. About 2 weeks after vaccine i began to improve. Chest pain started to go away and my shortness of breath as well. As of today 4-18-2021 no chest pain, and shortness of breath still comes and goes but nothing compared to weeks before.

Syncopal event. Witnessed loss of consciousness while standing and fell forward. Did not strike head. Pt breathing rapidly & upper extremities shaking. VSS except RR 26 A&Ox4. 911 Called given LOC for further evaluation. Transported to ED.

Increased heart rate and throat felt swollen or constricted, heart rate went up and down for about an hour, throat felt swollen or constricted for a few hours.

While sitting in observing unit, he feels his breathing got heavier and feels room get hot. Denies chest pain or other signs/symptoms. History of Asthma. Encouraged to use his inhaler and take some deep breath. Improvement.

Patient presented reporting back pain and shortness of breath within 24 hours of receiving COVID vaccine. Patient admitted for workup.

33 y/o Hispanic male approach staff member and c/o dizziness and short of breath more than five minutes after receiving 2nd dose of Pfizer vaccine. Staff member notified EMS and NP of the incident PT was evaluated by on-site by EMS and NP. It was found via PT's that he had not eaten or drank anything prior to coming in for vaccine. Patient has a medical Hx of Hypertension. No NKDA reported. EMS placed patient on oxygen per Np orders. Patient was reevaluated by NP and stated he was feeling better and wanted to leave. NP advised patient that since his vitals were still elevated and dizziness was still present that he needed to sign AMA. Patient agreed to sign AMA and was picked up from the facility (Regency Mall) by family member.

Blood clot in right lung; This is a spontaneous report from a contactable consumer (patient). A 33-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EN6204; Expiration date was not reported) on the right arm on 26Mar2021 (18:45) as a single dose, with route of administration unspecified, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on an unspecified date for COVID-19 immunization. On 31Mar2021, the patient had blood clot in the right lung. The event resulted into doctor or other healthcare professional office/clinical visit and emergency room/department or urgent care, and the patient was hospitalized on an unspecified date in 2021 for two days due to the event. The patient did not receive any treatment for the event. The outcome of the event, 'blood clot in the right lung', was recovered on an unspecified date in 2021 with lasting effects. The patient was not diagnosed with COVID-19 prior to vaccination, and had tested negative for COVID-19 nasal swab test on 01Apr2021.

Around 5:00 pm the day after the shot, I began experiencing some sharp aches/pains in my upper chest and lower abdomen, both on my left-side. Breathing was a little more difficult due to these pains. The symptoms have persisted since that time, although they have been more subdued. Experienced a peak again around noon on 4/30/2021, but is milder again as I submit this.

At around 2 AM the night after the vaccine (5/1), I woke up feeling extremely cold and aching all over. This lasted until around 3 AM on 5/2. I also had occasional slight headaches during the day on 5/1. After the fever symptoms went away, the were immediately replaced by: runny nose, sneezing, some coughing, a slight wheeze (only lasted from 3 AM to 4 AM), slight chest tightness, itchy mouth/tongue, and throat tightness. All of those lasted until around 11 AM on 5/2. Only a slight throat tightness remains now (noon on 5/2).

Major pain in arm and restriction in range of motion. 14+ days major diarrhea and flu like symptoms, tired, body ache, major headache. Has shortness of breath after second dose and went to hospital for such.

Patient post-vaccination (Pfizer/0.3ml/1st dose administered @10:23a) appeared to be seizing in his chair during observation @ 10:26a. I rushed to him, requesting aid from his colleagues to help lay him on the ground and elevate his feet. He was unresponsive and disoriented, with shallow breathing and weak pulse, so I activated EMS @ 10:26a. He appeared to seize again so I instructed two men to help roll him onto his side, at which time, an RN managing the vaccines, took over monitoring while I talked to 911. EMS was on scene @ 10:29a. RN reports he'd had a vagal response, most likely due to witnessed severe anxiety during IM injection (name /right deltoid @ 10:23a). RN gave him Gatorade and he quickly became AOx3. When EMS arrived, he was able to stand up, with assist, and be placed on the gurney. EMS monitored him for ~ 20min onsite, at which time he became hypotensive, resulting in transport to the nearest ER with O2 and IV management. Per HR representative for a business patient was discharged @ ~2p the same day, with diagnosis of severe dehydration and hypokalemia, his reaction most likely a vagal event. Unknown if medications were given outpatient.

At approximately 5:20pm on 5/10/21 I started having jumbled speech. I would be speaking clearly and then random words would take the place of the words I was trying to say. I was unable to use the correct words my brain was telling myself to say. Then I started experiencing tingling sensation throughout my right arm. Believing that I could be having a stroke my wife rushed me to the emergency room at hospital. En route to the ER, my left arm began to have tingling sensation in it as well. Once at the ER I began hyperventilating. I was in the ER for approximately 4-5 hours, for 3 of those hours I had difficulty communicating and could not speak clearly. I was told I may have been having a complex migraine and was discharged and referred to a neurologist. I met with the neurologist and given that I have no history of headaches or migraines, they concluded that it most likely was not a complex migraine and discussed the possibility of an immune response. It has now been a week since my ER visit, since then I have been getting extremely fatigued every afternoon and my head feels spacey.

I feel that I am extremely on edge, and that my heart is working harder than normal. I have a history of high blood pressure in my family, and have also been diagnosed, but had been keeping it in check. But I can always feel when it isn?t right. First felt really anxious and was having heart palpitations. I?ve had mild chest pressure the whole time, but no shortness of breath. Zapped of all energy and slower cognitive processing. Took Losatran and baby aspirin the morning of (5/22/2021). Treated at urgent care and provided provided three chewable baby aspirin and amLODIPime.

Chest pain, SOB, left arm pain, nausea, body aches , sweating, inability to lie down. Started 4/26 10 pm. To Medical Center ER at approx 5:30 am. 4/27/21. Admitted to cardiac unit. Myocarditis

Seizure with loss of consciousness, but without passing out, lasting shorter than 2 minutes with no prior history of seizures. Other present symptoms included: aura including heightened fear, visual and auditory abnormalities, loss of awareness, loss of muscle control in face and neck, staring episode, breathing difficulties/gurgling, and loss of bladder control. All symptoms subsided upon regaining consciousness/awareness.

I had no side effects immediately after receiving either my first or second Pfizer shot. However, in both cases, a little over three weeks after I received the shot, I experienced a one day illness that started with nausea in the morning with no vomiting, followed by roughly 3/4 of the rest of the day experiencing extreme fatigue, some coughing and inability to take a full breath without coughing in the morning (this cleared by the afternoon). A lack of appetite was also observed. I don?t know if this is a side effect, or just an evenly spaced illness coincidence. However, the fact that two identical illnesses that essentially cleared in a day and mirrored some COVID symptoms affected me after receiving the vaccines makes me wonder. I?ve never had an illness like this that comes on so strong, but then clears so quickly.

dizziness noted when pt presented for annual physical exam also reported dyspnea. EKG done in office-revealed-pericarditis

Mild allergic reaction with swelling of airway with shortness of breath, but not to point of closure for one hour. Chills and body aches for 6 hours. If difficulty breathing had lasted longer than one hour or progressed further, I would have sought treatment, however the wait and see approach was effective and there was no need for intervention. Have had slight shortness of breath off and on since vaccination but not sure if it is related.

There where times where I felt I was going to pass out; I became very dizzy and fatigued/ light headedness; I became very dizzy and fatigued; Had extreme brain fog and light headedness; Had shortness of breath. Tightness in throat and dry mouth; Tightness in throat and dry mouth; Tightness in throat and dry mouth; I also developed a very strong metal taste in my mouth that lasted for a few weeks; Sometimes I would also get strange sensations or weakness in my muscles with sweats or hot flashes; Sometimes I would also get strange sensations or weakness in my muscles with sweats or hot flashes; Sometimes I would also get strange sensations or weakness in my muscles with sweats or hot flashes; Some days I would wake up feeling like I was intoxicated like a drunk feeling; The feelings also came with extreme anexity and panic although the symptoms themselves could have caused that; The feelings also came with extreme anexity and panic although the symptoms themselves could have caused that; Sometimes I would also get strange sensations or weakness in my muscles with sweats or hot flashes; This is a spontaneous report from a contactable consumer (patient). A 33-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 11May2021 10:15 (at 33-year-old) (Lot Number: EW0182) as 2nd dose, single in arm right for COVID-19 immunisation. Medical history included anxiety, depression, and panic. No known allergies. 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 19Apr2021 15:30 (at 33-year-old) (Lot Number: EW0171) as 1st dose, single in arm right for COVID-19 immunisation. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient wasn't diagnosed with COVID-19. After about 7-10 days after 2nd dose vaccination he became very dizzy and fatigued, and had extreme brain fog and light headedness. There where times where he felt he was going to pass out. He also had shortness of breath, tightness in throat and dry mouth. He also developed a very strong metal taste in his mouth that lasted for a few weeks. Sometimes he would also get strange sensations or weakness in his muscles with sweats or hot flashes. Some days he would wake up feeling like he was intoxicated like a drunk feeling. The feelings also came with extreme anexity and panic although the symptoms themselves could have caused that. The onset date of events was reported as 14May2021 02:30 am. No treatment received for events. Since the vaccination, the patient hasn't been tested for COVID-19. The outcome of the events was resolving.

Pain in upper part and side by his ribs, into the back; Pain in upper part and side by his ribs, into the back; blood clots in the lungs; Breathing was not normal; It felt like in his back, like the muscles were too tight; This is a spontaneous report from a contactable consumer (patient's mother). A 33-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration, administered in arm on 17May2021 (late morning or early afternoon) at age of 33-year-old at single dose for COVID-19 immunization. There was no additional vaccines administered on same date of the Pfizer suspect. Medical history included the patient was diagnosed with COVID-19 in May2021, 15 days before the patient received the vaccine, he was doing very well, it was a light case. There were no concomitant medications. There was no prior vaccinations within 4 weeks. After vaccination, the patient was feeling much better afterwards and felt fine. The patient did not think too much of it. As the day went on, it got worse. The patient had a very serious reaction. The patient had a blood clot in the lungs on 18May2021 and was in the hospital. It was very scary. It was referring to the Pfizer COVID 19 vaccine. The patient received it in (withheld). 15 days before the patient received the vaccine, he did have COVID. The patient's doctor recommended it was ok to go back to work and to have the vaccine. The patient had the vaccine on 17May2021 and by 20May2021, he was in the hospital with blood clots in the lungs. The lung doctor was saying that the blood clot came from the vaccine. The patient had to take blood thinners for 3 months and they are concerned about the long term. The patient was in the hospital for 2 days, in (withheld) from 18May2021 to 20May2021. On 20May2021, the reporter brought the patient home. The patient was in so much pain, reporter took him back in the morning of 21May2021. For event blood clot, it had been 2 weeks. The patient went to work and came home on 18May2021 that day early from work, around 5:00 pm, having pain. The patient called the doctor who said to take paracetamol (TYLENOL) and go to bed. By that evening around 10:00 pm, they ended up taking him to the hospital, where they said he had blood clots. His pain was in the upper part and on the side by his ribs, into the back. The reporter thought at first, it was more to the left but patient was in so much pain, she really could not tell. They said the patient had 2 blood clots, one was on each lung, but they were so small. The pain was so severe. They took the patient to the hospital and he was there 2 days. On 20May2021, they released the patient. When they went to get him on 20May2021, reporter noticed that something was wrong. They gave the patient medication, a prescription pain pill. By the morning of 21May2021, around 06:00, they took him back to the hospital. They did blood work and another CT scan, and said there was no change. When they finally got the patient back into the room, they gave him some type of injection to release the pain. The reporter literally had to call another hospital, who told her to call the nurse supervisor. The reporter was outside calling the nurse supervisor for the emergency room. Then, they said that someone would come out. It had to go that far. After that, when they gave the patient the shot, the pain did subside. When it started to ware off, they gave the patient pain medication. On 22May2021, the doctor called to check on the patient. The reporter was concerned they gave the patient the shot too soon. The doctor said that it would take a while for the medication to take effect. It felt like in his back, like the muscles were too tight and the pain was so bad. The reporter had asked about a muscle relaxer and was initially told to wait until 24May2021 but then ordered a muscle relaxer and it did seem to help some what. On 22May2021, the patient started to feel like there was not any pain and his breathing felt normal. Before that (May2021), the patient's breathing was not normal. It all started happening and could not even explain when. The event blood clots in the lungs required a visit to emergency room for twice, the first time, the patient was admitted to hospital. Treatment included pain medication or muscle relaxers, apixaban (ELIQUIS) after the blood clots. The outcome of blood clots in the lungs and muscles were too tight was unknown, the outcome of rest events was resolved on 22May2021. Information about lot/batch number has been requested.

My reactions to the second shot started with a sore arm, night sweating for the first day of injection (5/9). In the morning of the two days after the shot, there are also some minor nose bleedings. The primary reason I'm reporting is because of the symptoms below: On 5/10, I suffered from fatigue that I had to sleep every other couple of hours. In the night the adverse event that resembled myocarditis occurred when I went to bed (around 10 PM). The symptoms included respiratory difficulties/shortness of breath and severe chest pain especially when lying on my back, and pains in the upper body mostly in both arms. As a result, I wasn't able to sleep until 4 AM when these symptoms started to reduce. However the fatigue and periodic shortness of breath persisted for a couple of more days. I recognized these symptoms are much like the ones I experienced once in 2018, although I was able to get a diagnosis of myocarditis after being tested with ECG and blood tests. During that event the trajectory of serverless and recovery was similar.

Sudden onset of tightness/pressure/pain in chest, shortness of breath, fluttering sensation associated with heartbeat. Duration: Tightness in chest - 8 hours Shortness of breath - 8 hours Fluttering sensation - 7-14 days

fever; felt weak when standing or walking; chills; shortness of breath; This is a spontaneous report from a contactable Consumer (Patient). A 33-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 01Feb2021 at 14:45 (33 year age at the time of vaccination) as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration in Left arm on 13Jan2021 at 14:45 (33 year age at the time of vaccination) for COVID-19 immunisation. Patient had no known allergies. Patient did not receive other vaccine in four weeks. Prior to vaccination, the patient not diagnosed with COVID-19. Since the vaccination, the patient not been tested for COVID-19. On 02Feb2021 at 08:30 AM, the patient experienced fever, felt weak when standing or walking, chills, shortness of breath. The AE resulted in Doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment for events. The outcome of event was recovered on an unspecified date in Feb2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

nerve pain in face arms, legs, fingers, and toes; rapid high blood pressure; superficial thrombosis; weakness in limbs/legs give out on me; constant nausea; pain behind eyes; right eye randomly goes blurry; pain and pressure in back of neck and legs; pain and pressure in back of neck and legs; pain and pressure in back of neck and legs; lightheaded/severe light headedness; almost blackout; rapid heart rate; hard to breath; throat swelling; severe pain and burning down full left side of body; severe pain and burning down full left side of body; severe headache; This is a spontaneous report from a contactable consumer (patient). A 33-year-old male patient received bnt162b2 (brand: PFIZER), dose 1 via an unspecified route of administration, administered in arm left on 03May2021 08:15 (Batch/Lot number was not reported, Unable to locate or read the details) as dose 1, single at the age of 33-year-old for covid-19 immunisation. Medical history included known allergies: Penicillin. Other medical history was none. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No any other medications the patient received within 2 weeks of vaccination. Facility where the most recent COVID-19 vaccine was administered: Other. Reported event: within 30 minutes was lightheaded/almost blackout, rapid heart rate, hard to breath, throat swelling, severe pain and burning down full left side of body, severe headache on 03May2021 08:45. 7 weeks later (Jun2021) still having headaches, nerve pain in face arms, legs, fingers, and toes, rapid high blood pressure, superficial thrombosis, weakness in limbs, legs give out on me, severe light headedness, constant nausea, pain behind eyes, right eye randomly goes blurry, pain and pressure in back of neck and legs. The adverse event result in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. The patient was hospitalization for 1 day. Events seriousness reported as hospitalization and life threatening. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. The patient underwent lab tests and procedures which included Nasal Swab (Rapid): negative on 05May2021. The treatment received for the adverse event included pain medication. The event outcome was not recovered. Information on the lot/batch number has been requested.

Other diseases of bronchus, not elsewhereclassified Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 Acute respiratory failure with hypoxia Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 Hypertensive heart disease with heart failure Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 Heart failure, unspecified Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 ABG (arterial blood gas) abnormal Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 Acute kidney failure, unspecified Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 Polycythemia Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 Hyperglycemia, unspecified Onset: 20-Apr-20213:06 Comments: Onset Date: 20210417 ARDS (adult respiratory distress syndrome) Onset: 18-Apr-202116:37 Comments: Onset Date: 20210417 Shock Onset: 18-Apr-202116:37 Comments: Onset Date: 20210417 Acute respiratory failure Onset: 18-Apr-202116:37 Comments: Onset Date: 20210417 Aspiration pneumonitis Onset: 18-Apr-202116:37 Comments: Onset Date: 20210417 Abnormal CXR Onset: 18-Apr-202116:37 Comments: Onset Date: 20210417 Cardiogenic shock Onset: 17-Apr-202114:26 Comments: Onset Date: 20210417 Cardiac arrest Onset: 17-Apr-202114:26 Comments: Onset Date: 20210417 Pulmonary infiltrate Onset: 17-Apr-202112:23 Comments: Onset Date: 20210417 Acute respiratory failure with hypoxia Onset: 17-Apr-202112:23 Comments: Onset Date: 20210417 Aspiration into airway Onset: 17-Apr-202112:23 Abnormal EEG Onset: 25-May-202112:11 Comments: Onset Date: 20210419 Encephalopathy Onset: 25-May-202112:11 Comments: Onset Date: 20210419 Acute thrombosis of right cephalic vein Onset: 19-May-202111:49 Comments: Onset Date: 20210425 Cardiomegaly Onset: 30-Apr-20216:24 Comments: Onset Date: 20210426 Ventricular fibrillation Onset: 29-Apr-20212:21 Comments: Onset Date: 20210427 Coma Onset: 27-Apr-202114:09 Comments: Onset Date: 20210422 Postoperative hemorrhage involving circulatorysystem following circulatory system procedure Onset: 26-Apr-202112:27 Comments: Onset Date: 20210421 Personal history of ECMO Onset: 26-Apr-202112:23 Comments: Onset Date: 20210419 Presence of ventricular assist device Onset: 26-Apr-202112:23 Comments: Onset Date: 20210419 Frequent PVCs Onset: 24-Apr-202112:49 Comments: Onset Date: 20210424 Presence of other vascular implants and grafts Onset: 24-Apr-20215:43 Comments: Onset Date: 20210418 Obesity, unspecified Onset: 24-Apr-20214:58 Comments: Onset Date: 20210417 Body mass index [BMI] 45.0-49.9, adult Onset: 24-Apr-20214:58 Comments: Onset Date: 20210417 Hyperthermia Onset: 23-Apr-202121:40 Comments: Onset Date: 20210419 Ventricular tachyarrhythmia Onset: 23-Apr-202112:14 Comments: Onset Date: 20210423 This code is used to indicate to the billing staff thatservices have been rendered and the chargeneeds to be coded. Onset: 22-Apr-202113:08 Comments: Onset Date: 20210421 Cardiomyopathy Onset: 22-Apr-202111:48 Comments: Onset Date: 20210422

My adverse event began on 2/5/2021, I started feeling bloated and nauseous and later on in the evening, I found it was difficult to lie flat. This difficulty increased along with some sharp chest pain until I went to the ER 2/7/2021. CT scan was done of the abdomen was clear and chest was full of clots. CPA showed mild clot burden. Ultra sound in both legs showed negative and ECG was clear. Physician stated it looked like something that would have been something they see with COVID infections.

Systemic: Hypertension-Severe, Systemic: Hyperventilation-Medium, Additional Details: Patient complained of "not being able to breath" and a "weird taste in mouth"... Patient's BP was 188/119 and 180/101 respectively (taken 5 min apart). Patient was able to walk and communicate clearly. We called an ambulance and he was transferred to the hospital for further evaluation.

Tuesday (7/20, AM, after waking up) - Tight chest, slight shortness of breath while standing, lasting for about an hour. In the afternoon/early evening, short episode of feeling overheated and had to sit down during work. Wednesday (7/21, AM, after waking up) - Same as the day before, Tight chest, slight shortness of breath while standing, lasting for about an hour. In the afternoon/early evening, short episode of feeling overheated and had to sit down during work. Thursday (7/22, AM, after waking up) - Chest pain on the left side, specifically heart throbbing accompanied by hot flashes, persisted for about 45 min while standing.

Throat swelling; Tongue tingling; Numbness in back, mouth, hands, lips.; This is a spontaneous report from a contactable consumer, the patient. A 33-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0153), via an unspecified route of administration in the left arm on 05Apr2021 at 09:30 (at the age of 33-years-old), as a single dose for COVID-19 immunisation. Medical history included chronic moderate asthma, allergies, shellfish allergy, peanut allergy and allergy to nuts. Concomitant medications included mometasone furoate (FLONASE), vitamin D nos (MANUFACTURER UNKNOWN), BREO 100 and fish oil supplements; all from an unknown date for unknown indications. 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 05Apr2021 at 11:00, the patient experienced throat swelling, tongue tingling, numbness in back, mouth, hands and lips. No therapeutic measures were taken as a result of the reported events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events throat swelling, tongue tingling, numbness in back, mouth, hands and lips were resolving at the time of reporting. No follow-up attempts are needed. No further information is expected.

Certain food and drink have tasted extremely metallic; poop or fart, it smells like burnt hair/smoke/rubber; Very nauseating and concerning; had a really rough time breathing.Easily out of breath; This is a spontaneous report from a contactable consumer, the patient. A 33-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 arm left on 30Apr2021 at 12:00 (at the age of 33-year-old) as a single dose for COVID-19 immunisation. Medical history included asthma and COVID-19. Concomitant medications included levocetirizine dihydrochloride (XYZAL) and fluticasone propionate (FLONASE); from unknown date for unknown indication. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; lot Number: UNKNOWN) via an unspecified route of administration in the arm left on 08Apr2021 at 14:30 (at the age of 33-year-old) as a single dose 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 did not receive any other vaccines within four weeks prior to the vaccination. On 30Apr2021 at 22:00 the patient experienced certain food and drink have tasted extremely metallic, poop or fart/it smells like burnt hair/smoke/rubber, very nauseating and concerning, and also had a really rough time breathing and easily out of breath. The clinical outcome of the events tastes metallic, poop or fart/it smells like burnt hair/smoke/rubber, nausea, and a really rough time breathing and easily out of breath was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Tachycardia; Difficulty breathing while Lying down; This is a spontaneous report from a contactable consumer Other HCP nurse (patient). A 33-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: Ewo0183), via an unspecified route of administration in Arm Left on 17May2021 16:00 (age at the time of vaccination 33-years-old), single dose for COVID-19 immunization. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: Ew0162), via an unspecified route of administration on 18Apr2021 03:00 PM (age at the time of vaccination 33-years-old), single dose for COVID-19 immunization. The patient's medical history and concomitant medication were not reported. The patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive within 2 weeks of vaccination. On 18May2021 22:00 the patient experienced Tachycardia, and Difficulty breathing while Lying down. On 25Jan2021, the patient underwent lab tests and procedures which included Nasal Swab, SARS-CoV-2 test: Pending. Patient received Tylenol treatment for the adverse event. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovered on an unspecified date 2021. Follow-Up (15Jul2021): Follow-up attempts are completed. No further information is expected. Follow-up (23Jul2021): Follow-up attempts are completed. No further information is expected.

Patient describes chest pain, shallow breathing, sharp chest pain, patient has previous cardiac problems and could recognize. He also reports feeling fatigued and flushed (hot flashes), body aches, headache mildness, injection site pain

Approximately 12 hours post 2nd injection systemic rigors, uncontrollable tremors, tachycardia, severe tachypnea, nausea, fever >103F, severe diaphoresis. Most acute reaction lasted 8-12 hours. Sub-acute reaction of mild fever, generalized ache, and malaise 48 hours post. I am a health care provider, Certified Registered Nurse Anesthetist (CRNA).

Approximately two hours after receiving the second dose of the COVID-19 vaccine, the patient complained of shortness of breath, feeling flushed, throat burning, tongue swelling and numbness, elevated heart rate, diaphoresis, dry mouth, weakness, and reddened skin. Patient was still in the facility where he received the vaccine and was immediately taken to the Emergency Department. The patient received Pepcid 20 mg by mouth, Benadryl 25 mg by mouth, and Predisone 40 mg by mouth.

On 1/9/2021 started to have Postural Orthostatic Tachycardia Syndrome and PVCs associated with SOB and chest tightness and not recovered yet.

PVCs with compensatory pauses, postural orthostatic hypotension associated with chest tightness, shortness of breath, dizziness and blurry vision

Premature ventricular contractions; Postural Orthostatic tachycardia syndrome; Dizziness; shortness of breath; chest pain; This is a spontaneous report from a contactable physician (patient). A 34-years-old male patient received the first dose of BNT162B2 Pfizer-BioNTech COVID-19 mRNA Vaccine, Lot number EL0140, in Hospital, via an unspecified route of administration in left arm, on 22Dec2020 (at 34 years of age) at single dose for COVID-19 immunization. Medical history included prediabetes (glucose tolerance impaired) from an unknown date. The patient didn't have COVID-19 prior to vaccination. Concomitant medication included metformin and multivitamins. On 09Jan2021 the patient experienced premature ventricular contractions, postural orthostatic tachycardia syndrome, dizziness, shortness of breath and chest pain. The events resulted in Emergency room/department or urgent care access and hospitalization as life threatening events. The patient was treated with diltiazem, fludrocortisone, aspirin and atorvastatin. He remained in hospital 2 days and then he was discharged. The patient underwent COVID-19 test (nasal swab) on 12Jan2021 and 13Jan2021 and both gave negative results. The patient had not recovered yet from the reported events at the time of the report.; Sender's Comments: The causal relationship between BNT162B2 and the events ventricular extrasystoles, postural orthostatic tachycardia syndrome, dizziness, dyspnea and chest pain cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. The patient is a young adult with known prediabetes, but no other comorbidities reported. Information on tests done during admission, clinical course and working diagnosis would be helpful in further assessment of this case. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Patient received second dose of Pfizer vaccine at 5pm on 2/18/21 and experienced expected symptoms of fatigue, injection site pain and minor body aches. Patient began to experience difficulty breathing on the morning 2/20, at that time the patient attributed it to asthma. Patient reports that he has not had an acute asthmatic episode in 25 years and has not experienced any respiratory condion like this before. Shortness of breath, chest pain and dizziness increased in the day to follow. On Monday 2/22 at 8:30am patient was seen at family medical facility by Doctor presenting with a 02 SAT of 93%. Covid test was preformed and was negative. Dr prescribed a preventative inhaler and some prednisone and sent patient home. Patient continued to decompensate and at 6pm was seen by previously treating physician, presenting with 02 sat of 91% given a nebulizer and sent home. Patients condition worsened overnight and he was seen in the faility Urgent care at 9am on 2/23. Patient was given a repeat covid test, that was negative , flu test that was negative, and chest xrays that were clear.

patient discovered with slow respirations, poorly arousable, diaphoretic and pale with blue lips. Pt. transferred to stretcher, vs at 2:20 pm - 159/100 with HR of 50. VS at 2:30 pm 130/82 with HR of 79 and 2:40 p 126/91 with HR of 73 and O2 sat 100% on RA. Patient given po ginger ale, water, and granoal bar. Patient released to mom and dad's care. Patient ambulatedand stable, alert and oriented x4.

pt reports shortly after sitting in the observation he felt dizzy and felt " like the vaccine was traveling through my body". Pt reports that he began to feel cold and had a brief episode of shortness of breath. RN nurse observer came over an stabalized pt and called for assistance. Pt was pale , diaphoretic and had bluish tinge to face upper extremities cap refill > 3 seconds. negative for facial swelling, skin redness, rash, chest pain, SOB, or NV. VSS EMS activated. after approximately 15 min. pt reported that he was feeling much better. EMS escorted pt out to ambulance for further evaluation.

8 days after the 2nd dose of the pfizer, I started having heart rate increases where my heart rate increased from my normal rate all the way up to 160bpm+. This has continued now for almost 2 weeks and also the start of additional symptoms where I feel flush, my body tingles, chest tightness, heaviness in my legs, shortness of breaths.

Anaphylactic reaction (throat swelling), sweaty, cold skin, elevated blood pressure (211/137 mmHg) gradual onset within 15 minutes of vaccine administration.

Progress Notes: APRN (Nurse Practitioner) Cosign Needed COVID VACCINE CLINIC 3/18/2021 Patient: Date: 3/18/2021 Subjective Pt is a 34 y.o. male who was seen at COVID Vaccine Clinic today for his first dose of the COVID 19 vaccination. He was given the Pfizer vaccination in the left deltoid muscle. During his 15 minute waiting period after the injection, the patient began to experience difficulty breathing and throat tightness. He denied rash, hives, welts, difficulty swallowing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and he was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. Pt was given a water to drink and he reported the SOB was very mild and the water helped. He does have a history of childhood asthma but does not use an inhaler for years. ALLERGY REVIEW OF SYSTEMS: Patient complains of frequent throat clearing and shortness of breath CONT negative Eyes negative Skin negative GI negative Musculo negative Neuro negative Previous Reactions: None Objective Vitals Vitals: 03/18/21 1052 03/18/21 1107 03/18/21 1114 BP: 133/86 119/80 129/82 Pulse: 50 53 (!) 49 SpO2: 100% 99% 99% Pt is a runner and states he runs a lower pulse Physical Exam Constitutional: Appearance: He is well-developed. HENT: Head: Normocephalic and atraumatic. Right Ear: External ear normal. Left Ear: External ear normal. Nose: Nose normal. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Musculoskeletal: General: Normal range of motion. Cervical back: Normal range of motion and neck supple. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: Mental Status: He is alert and oriented to person, place, and time. Assessment/Plan Treatment included: water Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Pt was dismissed at 11:15 to return to work. No symptoms at time of discharge. He was told to take an antihistamine before his next appointment. APRN Electronically Signed 3/18/2021 11:18 AM

Almost immediately after I received my dose, I felt very dizzy and began sweating profusely. My vision became very blurry, and I had trouble breathing. No one came to check and see if I was ok. They just waved me out of the building, being terrified of what was going on and what wanting to leave the facility I drove out into the parking lot for the additional assessment. In the parking lot, I continued panting and sweating, feeling as though I was going to vomit. Again, no one checked on me, and I was too incapacitated to "honk my horn 3 times." After the additional 15 minutes, they waved everyone through to leave, so I left. There was no professional around to speak with at this point anyways. Covered in sweat and dizzy. I drove home to go to bed. When I got home about 10 minutes later, my arm where I received the vaccine was already very sore. I laid in bed and fell asleep and continued sleeping off and on for the rest of the day and night. My shoulder was still sore the following morning when I woke up. As the day progressed my fatigue increased (Sunday was not too bad.) Monday (3.22.21) I felt terrible, (headache, brain-fog, bad back pain, bad knee pain, bad hip pain.) My symptoms have persisted all week. I am unsure as to what to do. I do not have a doctor that I regular see. I am afraid to receive another dose and have even worse reactions/side-effects

Subjective Patient is a 34 y.o. male who was seen at Vaccine Clinic today for his first dose of the COVID 19 vaccination. He was given the Pfizer vaccination in the left deltoid muscle. During his 15 minute waiting period after the injection, the patient began to experience difficulty breathing and throat tightness. He denied rash, hives, welts, difficulty swallowing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and he was then assessed in the emergency area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. Pt was given a water to drink and he reported the SOB was very mild and the water helped. He does have a history of childhood asthma but does not use an inhaler for years. ALLERGY REVIEW OF SYSTEMS: Patient complains of frequent throat clearing and shortness of breath CONT negative Eyes negative Skin negative GI negative Musculo negative Neuro negative Previous Reactions: None Objective Vitals Vitals: 03/18/21 1052 03/18/21 1107 03/18/21 1114 BP: 133/86 119/80 129/82 Pulse: 50 53 (!) 49 SpO2: 100% 99% 99% Pt is a runner and states he runs a lower pulse Physical Exam Constitutional: Appearance: He is well-developed. HENT: Head: Normocephalic and atraumatic. Right Ear: External ear normal. Left Ear: External ear normal. Nose: Nose normal. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Musculoskeletal: General: Normal range of motion. Cervical back: Normal range of motion and neck supple. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: Mental Status: He is alert and oriented to person, place, and time. Assessment/Plan Treatment included: water Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Pt was dismissed at 11:15 to return to work. No symptoms at time of discharge. He was told to take an antihistamine before his next appointment.

34 Y male who presents with a chief complaint of allergic reaction. Pt says that about an hour pta, he had the covid vaccine. Felt like his throat has become "tight." No wheezing or sob. No chest pain. No other complaints. Pt with allergic reaction/globus sensation following covid vaccine. Treated with benadryl, solumedrol, pepcid and SQ epi. After 2 hour obs, pt wanting to leave, reporting complete resolution of symptoms. Written for epipen. Agrees to return for any further concerning symptoms. Discussed f/u with pmd for further eval/discouraged 2nd vaccine.

Feeling unwell, dizziness/weakness, muscle pain, and difficulty breathing. Onset of symptoms under 1 hour from time of vaccination. EMS on site monitored patient and later released. No need for additional care or treatment.

Post vaccine pt experienced heart palpitations, sob and lightheadedness. Pt arrived to med obs at 1004 via wc. Upon arrival pt reports heart palpitations, extremities tingling. lips tingling and mild throat tightness. Vitals obtained and monitored. Pt denies pruritus, no wheezing noted upon auscultation. Symptoms resolved on their own. Per on site physician pt ok to be released. Pt released by self at 1020. Vitals as follows: 1005 BP 153/102 HR 88 RR 14 SPO2 97% 1010 BP 144/95 HR 86 RR 16 SPO2 98% 1015 BP 138/89 HR 79 RR 16 SPO2 98% 1018 BP 142/95 HR 87 RR 16 SPO2 96%

Difficulty breathing - several intermittent bouts (approx. 5 to 10 min. each) every 15 minutes for approx. 1 to 1.5 hours after injection Fast heartbeat - several intermittent bouts (approx. 5 to 10 min. each) every 15 minutes for approx. 1 to 1.5 hours after injection Dizziness - several intermittent bouts (approx. 5 to 10 min. each) every 15 minutes for approx. 1 to 1.5 hours after injection Chills - approx. 5 to 10 min. total approx. 30 min. after injection Some bowel discomfort and bowel movements intermittently for approx. 2 hours, starting approx. 1.5 hours after injection All symptoms and feelings of being unwell resolved within 3 to 4 hours without medical intervention from a healthcare professional

SOB ;DIZZINESS ; BRADICARDIA; ; HYPOTENSION; SEMI COLLAPSE; Diaphoretic; 911 called Patient recovered transport not needed .

nausea; diarrhea; excessive sweating; chills; hot flashes; shortness of breath; chest tightness; elevated liver enzymes; blood pressure and heart rate were high. BP was approx 180/120; heart rate were high; This is a spontaneous report from a contactable consumer (patient). A 34-year-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration in the left arm on 19Mar2021 08:15 (Batch/Lot Number: ER2613) as a single dose for covid-19 immunisation. Medical history included asthma, IBS (irritable bowel syndrome), and allergies to shellfish, fish and seafood. The patient was not diagnosed with Covid-19 prior to vaccination. Concomitant medications included glucosamine and cetirizine, all indication, start and stop date were not reported. The patient did not receive other vaccine in four weeks. The COVID 19 vaccine was received in a hospital. Approximately 12:15 AM on 21Mar2021, the patient began to experience chest tightness, shortness of breath, nausea, diarrhea, excessive sweating, chills and hot flashes. The patient took himself to the emergency room (ER) on 21Mar2021. The patient also mentioned that his temperature was normal, but his blood pressure (BP) and heart rate were high. BP was approximately 180/120 (unit unspecified). The ER ran Chest X-Ray, EKG, CBC, CMP, Protime-INR, Magnesium, Troponin, Partial Thromboplastin Time and TSH. The results were normal ranges besides high heart rate and elevated liver enzymes. The adverse events required doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The events received treatment for the adverse events which included albuterol-ipratropium, aspirin and IV fluids. The patient has not been covid tested post vaccination. The outcome of the events was recovering.

08:55 PATIENT COMPLAINS THROAT SORENESS AND TIGHTNESS. PATIENT DENIES ANY INCREASE IN WORK OF BREATHING. VITALS ARE 115/78 BP, HR 76, RESP RATE 18, O2SAT 98%. LUNGS CLEAR AND WILL MONITOR ANOTHER 15 MINS. 0:920 AGTER ADDITIONSL 15 MINS OF OBSERVATION PATIENT HAS NO WORENING OF SYMPTOMS NOTED AND STATES NO SHORTNESS OF BREATH OR CHEST TIGHTNESS. PATIENT RELEASED TO GO AND INSTRUCTED TO FOLLOW-UP WITH EMERGENCY DEPARTMENT IF SYMPTOMS RE-OCCUR OR GET WORSE.

Cold like synptoms-post nasal drip; enlarged lymph nodes; sore throat; sore arm; general malaise; runny nose; wheezing; This is a spontaneous report received from a contactable other health care professional (patient him-self). A 34-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection and lot number: EL9269) via an unspecified route of administration to Left arm on 19Feb2021 12:15 at single dose for COVID-19 immunization. Patient medical history included ADHD, Anxiety, Depression, Psychosis, Ashthma and seasonal allergies. Patient concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL). On 19Feb2021 15:00 patient experienced with Cold like symptoms- post nasal drip, sore throat, sore arm, enlarged lymph nodes, general malaise, runny nose and wheezing. Patient did not receive any treatment for the events. Outcome of events was not recovered.

pass out; I started feeling dizzy little bit; really feel very fatigue; I start breathing hard/barely can breathe; start seeing everything turned yellow; soaking sweating; But couldn't move; sharp pain in my stomach; This is a spontaneous report from a contactable consumer (patient). A 34-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot/batch number and expiration date not reported), via an unspecified route of administration, administered in Left arm on 15Apr2021 at 16:30 (at the age of 34-year-old) at single dose for COVID-19 immunisation. Medical history reported as no other medical history, no known allergies. Prior to vaccination, patient was not diagnosed with COVID-19. Concomitant medications reported as none. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. After 5 min from taking the shot on 15Apr2021 at 16:35, patient started feeling dizzy little bit. He thought walking around the aisle. But he still really felt very fatigue. He wanted back and a suit and started breathing hard. He started seeing everything turned yellow and barely could breathe. Then he passed out. The stuff came and help put an alcohol by his nose. He was soaking sweating. But couldn't move. The ambulance came to check his heart, blood sugar and blood oxygen on 15Apr2021, all with unknown results. Then patient started having sharp pain in his stomach. He had lunch on 15Apr2021 at one but he had spinach broccoli and beans. Patient was healthy. He worked out four times a week. After 30 minutes of receiving care. Patient felt better but he was worry for tonight on 15Apr2021. Events resulted in Doctor or other healthcare professional office/clinic visit. Since the vaccination, patient had not been tested for COVID-19. Therapeutic measures were taken as result of event passed out included put an alcohol by his nose, treatment for the other events was unknown. The outcome of the events was unknown. Information on the lot/batch number has been requested.

At 10:46, patient reported anxiousness, trouble breathing and diaphoresis. Patient sat down next to EMTs. Patient given water. Patient vitals were blood pressure 144/84 mmHg, heart rate 78 beats/minute, and SpO2 98%. Patient asked to remove mask and take deep breaths. EMTs conversed with patient to lower anxiety. At approximately 10:55, patient had unlabored respirations, decreased anxiety, and decreased diaphoresis. Patient reported history of high cholesterol, gastritis, and unspecified back injury. Patient reassessed at 11:04. Patient vitals were blood pressure 136/90 mmHg, heart rate 96 beats/minute, and SpO2 98%. EMT advised patient to seek emergency care if symptoms return and continue to progress. At 11:10, patient left facility to sister with unlabored respirations and steady gait.

Originally I had bodyaches, chills, headaches, and shortness of breath. Some of those cleared up rather quickly, but then either I developed new symptoms: loss of smell and taste, difficulty swallowing, difficulty breathing especially while laying down, sharp pain when sneezing or hiccuping in my midsection, tightness in chest.

extreme tiredness; nauseated; night sweats; felt weak; light-headed; brief rapid breathing; This is a spontaneous report from a contactable consumer reported for himself. A 34-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in Arm Left on 31Mar2021 16:30, at the age of 34 years, as single dose for covid-19 immunisation. Medical history included drug hypersensitivity to penicillin. The patient's concomitant medications were not reported. The vaccine was administered at the hospital. On 31Mar2021 17:00 the patient experienced extreme tiredness, nauseated, night sweats, felt weak, light-headed, brief rapid breathing all with outcome of recovering. The patient didn't receive any treatment for the events. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. Information on lot/batch number has been requested.

Pfizer-BioNTech COVID-19 Vaccine EUA I experienced soreness in the left side of my neck within a few minutes of getting the vaccine shot in my left arm. Approximately 5 minutes after the shot I experienced swelling in my throat. The swelling did not restrict my breathing but it was uncomfortable and unlike anything I have experience before. I have never had a previous allergic reaction to any shot, medication, or food in my medical history. Approximately 10 minutes after the symptoms began, the swelling of my throat went away.

After I gave the patient his covid19 shot. the patient told me that he doesn't feel good. he had injection site reaction and his arm bled. I prepared for him the epipen shot but he refused it. he became pale and was exhaling loudly. he preferred to sit down on the floor. his blood pressure was also high. the 911 arrived the location but the patient refused to go to hospital. and left the pharmacy with one of his family members telling us that he is fine. he also was conscious and talking to me all the time.

Intermittent throat swelling, lasting 5-10 seconds, resolving spontaneously. Associated chest tightness/pressure/pain. BP 140/85, HR 55, O2 99%. Orange juice/crackers given. Stable and released.

Same day, low grade fever. Next few days he had fever, myalgia, fatigue, headache. Those symptoms mostly resolved after 3 days, then he had mild shortness of breath with exertion.

34M no PMH present with sudden onset chest pain since midnight found to have myopericarditis post vaccine 34M no PMH present with sudden onset chest pain since midnight. The pain started on the middle of the chest, substantially worse when lying down and better when sitting up or leaning forward, 9/10 intensity woke him up at night. +Pleurisy. +nausea and chills without fever. He has no exertional pain. No palpitations. No leg swelling, no sob. He lives weight and exerts himself daily yesterday morning he was able to lift weights without any pain. No family history of early cardiac disease. He has no shortness of breath, no fever chills, no nausea vomiting diarrhea, no recent sick contacts. His second dose of Covid shot was 4d ago and he is just recovering from generalized body pains. At time of interview his pain is much better after toradol/colchicine

Woken up by continuous chest pain at 5:30 AM, 2 days after vaccination. Breathing was also painful. Other symptoms: lightheadedness and fatigue continuing from 1 day after vaccination. Chest pain continued; going to a clinic was advised by multiple sources. At 9:00 AM, went to a clinic and got a CKG. The CKG was normal. I concluded that the problem was chest wall inflammation, and took ibuprofen. With ibuprofen, the chest pain was mostly gone by 8:00 PM.

I was getting ready for bed (around 2am, early night for me) and suddenly felt dizzy, nauseous, and incredibly hot. I was very stressed about it and it had been six days since the shot, so I just assumed I was either having a heart attack or a really bad panic attack. I did a meditation and chewed a couple aspirin just in case. There was extreme tightness in my chest. Breathing was difficult. The dizziness, nausea, and inability to control my body temperature went away within a couple hours and I managed to sleep. But the chest tightness and difficulty breathing persisted for about 3 or 4 days. I also noticed it hurt more whenever I was sitting upright or forward, and it hurt almost zero when I leaned back or laid down.

Ongoing shortness of breath, cough, left-sided chest pain eventually diagnosed as Pericarditis by cardiologist.

Experienced shortness of breath and sharp pain around heart area the night after receiving dose. Was bedridden the following day. I had to travel back on Saturday so I was trying to rest and get better. Pain subsided a little, but the pain started back up again the weekend before Memorial Day holiday. This time the pain was the worst. The pain was a sharp pain around my heart area. My left SCN muscle was also inflamed. I was bedridden the entire weekend. In bed, when I turned left or right when lying down I would feel pain. I was not able to lift my head up to adjust my pillow without feeling sharp pain. I took Ibuprofen at 800 mg every 6 hours based on doctor recommendation. This pain lasted about 3 weeks with it gradually subsiding and now I am feeling better. However, I still feel a little something going on in the region around my heart.

When exercising at a moderate pace, I experienced chest pain and intense shortness of breath. The chest pain lasted several hours after the event. This occured 3 days after my second dose and again, when I tried to exercise again, 7 days later. On day 8, I went to the Emergency Department at my local hospital.

Frequent heart palpitations, particularly noticeable during exercise when laying down. Heaviness and pressure in chest and heart. Uncharacteristically out of breath and distressed during exercise and exertion. Exacerbated existing EIVT (Exercise Induced Ventricular Tachycardia). Symptoms persisted for the following four weeks. I did not seek a diagnosis but I believe I experienced a mild form of myocarditis.

Hearing loss (right ear) Non stop Loud Ringing in ear (right ear) Migraine due to ear pain. Pain in left chest when breathing.

2 days after 2nd COVID vaccine (Pfizer), started to notice random onset heart palpitations and tachycardia, as well as random minor chest pains, and occasionally moderate chest pains. chest pains could be described as a sharp pain or tightness that only lasts a second or two then typically goes away. It is now 6 months later and I am still experiencing heart issues: palpitations, elevated heart rate, fatigue, feeling "winded" when climbing stairs. Elevated heart rate is sometimes as high as 160bpm, even when sitting on the couch relaxing. Marijuana use will occasionally raise heart rate, but not consistently enough to be the cause of tachycardia. When heart rate is elevated, I will sometimes experience anxiety, which can lead to slight "difficulties" breathing (this seems to be caused by the anxiety, and when I notice my heart rate is high, I get nervous and think too much about it and probably focus too much on breathing normally) These symptoms and issues were not present prior to receiving my 2 COVID vaccines

After the administration of the vaccine, while waiting for the observation time, I lost consciousness for more than two minutes, I completely fainted and all my muscles contracted until they were rigid. From the symptoms the doctor said it was a tonic-clonic seizure, and that it was a side effect of the vaccine. They told me I turned purple, stopped breathing, and exhaled the remaining air until I stopped breathing for about 30 seconds until then I came back to my senses. The firefighters examined me and all my vital signs were fine so they recommended that I go home and rest.

seizure; unconscious; passed out; stopped breathing; received Pfizer vaccine, first dose 3 days ago, technically I got pneumonia vaccine, PPsV23; lost my sense of taste; I can't smell; I am feeling like a tingling sensation in my hands, like numbness; I am feeling like a tingling sensation in my hands, like numbness; metallic taste; fatigue; coughing up phlegm; hard time getting to sleep; Left arm hurt a lot and hand is swollen; Left arm hurt a lot and hand is swollen; Tightness of Chest; I can breath but it's like I can't get any oxygen; it's like very hard for me to get air; This is a spontaneous report from a contactable consumer (patient). A 34-years-old male patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number: EW0177) via an unspecified route of administration in Arm Left on 25Jun2021 15:30 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included covid-19 from 2019 to an unknown date doctors believe I had Covid-19 in 2019, neoplasm malignant from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The first dose of the Pfizer vaccine was on 25Jun2021, I have got this kind, out of order. So, he said from what he remembers that he was fine following the vaccination, and everything was good but he took a few steps and collapsed. He started having a seizure and he said, my mom said, you stopped breathing, I was unconscious, tightness of chest I can breathe but it's like I cannot get any oxygen it's like very hard for me to get air. He says, the doctors there, the doctors, he says don't get me started on the (sentence incomplete) and he went to the hospital and was there for like 5 hours and they gave him 5 mg of Valium treatment and he said that was it. They could not find his vein, they did an ultrasound, I guess to find his vein and apparently, he had a couple of seizures. He says, I don't recall, all I remember is waking up in a hospital and I received the Pfizer vaccine first dose and then he said, 3 days ago, technically, I got Pneumonia vaccine which he said he received the PPSV23 vaccine prior the same day of his Pfizer vaccine. Also, he says, I hate needles, so I got tortured. I had the pneumonia vaccine (PPSV23 vaccine) first, he was with his mom, they went out for a while and then went back to where he got the Pfizer vaccine following that (PPSV23 Vaccine). He said, he was there after the Pfizer vaccine for about 30 minutes, got up and had a seizure and he says, that also his mom said that he cannot remember anything because he was unconscious, and they took him to the hospital. Also, he said, he lost his sense of taste, I cannot smell, he said, he was feeling like tingling sensation in his hands like numbness and left arm hurt a lot and hand was swollen. In 2019, he says, he got sick with respiratory issues. He was not sure if he had Covid because they did not know about Covid at that time when he was in the hospital then (consumer had respiratory issues before getting the vaccine, hence not captured as event). He said, it was freaking him out and he was scared to take the second shot. He said, he does not know if this was the combination of getting two vaccination and he says, he used to have cancer (not clarified further, hence not captured as event) and then he says, that they did blood work, it was been followed by the place and they did not tell me anything about the blood work. He says, should I be considered or concerned about getting the second dose of the vaccine because I am experiencing various symptoms and what can I do about my side effects because he is still experiencing metallic taste, loss of smell, fatigue, coughing of Phlegm, having a hard time getting to sleep. Then he says, I forgot to mention, I could feel my heartbeat and I have a cough, I have had a cough from very long time when doctors believe I had Covid-19 in 2019 (further clarification unknown). He wanted to know how safe the vaccine was. Therapeutic measures were taken as a result of seizure, unconscious, passed out. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

5 mins after receiving vaccine I felt a strong sense of heat within the muscles in my back. Soon after felt anxiety and scared so I ran to the front of pharmacy to get the pharmacist?s attention for them to call 911. I began feeling weak and started hyperventilating, feeling like I was going to die. Almost felt difficult to gasp for a full breath of air. As I got on the floor due to feeling weak, I began sweating profusely in my face, while at the same time, seeing my sweat drip on the ground like I just ran a full sprint mile. I was begging the pharmacist for some water but she refused to give me water because she thought I would choke. I was able to breathe but hyperventilating made it difficult. A couple mins passed, and I began to try my best to control my breathing by taking deeper breaths. I say about 5 mins, the paramedics arrived, but by then, all the side effects went away. Lastly, I felt the chills and very cold by the time the medics came. I got up on my own accord, went outside in the sun and felt normal again.

24 hours after vaccination - compressed breathing, extreme shortness of breath, swollen chest and difficulty speaking or catching air. Extreme headache, fatigue and continuous projectile vomiting. Also experienced irregular heartbeat and increased heart rate. Hands and feet were swollen, red, itchy, hot to touch and joints were stiffened to the point where I couldn't walk or grip. After 48 hours the fever and vomiting were omitted from the symptoms. For the last 2 weeks the chest pain, heart irregularities, swelling of hands and feet and chronic inflammation, fatigue, etc. have continued.

Seizure; I just like sit down and I pass out; they also give a Pneumonia shot and on top of that they gave me the Pfizer shot on the same day; Metallic in my mouth, lost sense of smell and sense of taste; Head is twitching; My visions going blurry; My vision is going in and out; Abdominal pain; Hard to concentrate and it's been kind of really bad for me; I stopped breathing; Difficult breathing which I happened having difficulty breathing; I just fell; Weak; My arms are really weak; I am losing my hair now, like my facial hair is coming off like I barely even pull it and it just comes off; Tired like a super tired; Dizziness; Have lost like 30 pounds; Metallic in my mouth, lost sense of smell and sense of taste; Metallic in my mouth, lost sense of smell and sense of taste; I got a rash; scaling of hand and feet; his arms were really weak; like a lot of saliva bulid up; This is a spontaneous report from a contactable consumer (patient, self-reported). A 34-years-old-male patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EW0177 and expiry date: 31Aug2021), via an unspecified route of administration, in Arm Left, on 25Jun2021 (age at vaccination: 34 years), as a single dose for COVID-19 immunization, pneumococcal polysaccharide vaccine, 23-valent via an unspecified route of administration from an unspecified date on right arm (Batch/Lot number not reported) to an unspecified date, at unspecified dose for immunization, and levetiracetam (Keppra), route of administration, start and stop date, batch/lot number and dose were not reported for seizure and he had an allergic reaction to it, he got a rash and so his doctor decided to take him off of it. The patient's medical history included alcohol withdrawal syndrome and cancer was back in 2010. Concomitant medication included chlordiazepoxide (LIBRIUM) taken for alcohol withdrawal syndrome. The patient did not take any other vaccine 4 weeks prior to COVID 19 Vaccine. The patient underwent investigation Assessment. On an unknown date the, the patient reported that he got the Pfizer shot about two days ago, his first one and the reason why he decided to get the Pfizer shot was because he believe that it was the one with the least side effects but when he got it, he got it at the clinic that he went through and they not only give hi, the Pfizer shot they also give a Pneumonia shot and on top of that they gave him the Pfizer shot on the same day and then when he got the Pfizer shot at the clinic that he was at, it was his doctor's appointment actually, he end up having a seizure and they send him to the hospital (further clarification unknown hence seriousness criteria not checked in event). But now he was having like was the weird side effects almost like he didn't know, it's just metallic in his mouth, lost sense of smell and sense of taste and 'scaling' of the hands and feet' (not clear, hence not captured as event) and there was like his head was twitching, his visions going blurry, and he was experiencing abdominal pain but weird part was that he could eat. The patient stated that he was just really like out of it, he had recently got the shot, he has been very kind of like he didn't know, like hard to concentrate and it's been kind of really bad for me. The patient stated, that he had recently lost like 30 pounds so, he was 152-156 and now he was down 130 (further clarification unknown) and then his height was 5 feet 8 inches, on good day was 5 feet 8 inches or 5 feet 7.5 inches almost, but had, because he had sclerosis (intent of history), so it could not match up his height some times and his weight was 130 (pounds). Regarding the lot number of Pneumococcal Polysaccharide PPSV23, consumer stated that he does not think they even gave him that, he does not know, he was reading, he just found a piece of paper that said an allergic reactions could occur after the vaccination 'peruses' up leave the clinic if you see signs of severe allergic reaction, hives, swelling, difficult breathing which he happened having difficulty breathing, it says heart beat which he did, dizziness, whole weakness, and at the clinic he ended up having a seizure and then they sent him to a hospital. The patient stated that he got lab test done when he was on his doctor's appointment and he also got his lab test done in hospital when he woke up there, all he knew was his mom was with him and she said he stopped breathing after he got the Pfizer, because they did the Pfizer vaccine and he waited for 15 minutes and then they had him wait for another 15 minutes and so it was like 30 minutes, and then he was like he was okay everything was good, and he just took five step, he got up and walked just five steps, that's all remember at moment he just fell. The patient stated that he went to this, he walked to the store and he came back, so he thought he was okay with having energy, but he felt weak and tired like a super tired. He didn't know, he was losing his hair now, like his facial hair was coming off like he barely even pull it and it just came off. The patient also stated that when he was at the hospital, they gave him Valium but that was only 5mg. The patient stated that he was going to die because he heard a lot of bad thing about the vaccine, it's like stroke, heart attack aneurysms, and long-term conditions. He was just really worried because usually vaccines were not approved, he was mean this vaccination was approved way to quick and being informed of like medicine and his mom was in pharmaceutical industries. The patient's arms were really weak, he have also been experiencing months ago of the Pfizer shot, I have been having like a lot of lower back like where my spinal cord was (sentence incomplete), like a lot of saliva built up and metallic taste, his vision was going in and out and he just like sit down and he pass out and he didn't know what that mean. The patient further stated he was just wanted to make sure that he was not having like a really bad reaction to it because his body was kind of not having (incomplete sentence). So, he didn't know it's like cancer that came back in his throat but all he knew that they gave him the number and asked should he go to the hospital. He wanted to go to the hospital. The patient was suggested to contact Pfizer Medical Information department for the concern. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Shortness of breath and mild chest pain; Shortness of breath and mild chest pain; other vaccine same date details; This is a spontaneous report from a contactable consumer (patient). A 34-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) dose 1 via an unspecified route of administration, administered in Arm Left on 17Apr2021 12:30 (Batch/Lot Number: ER8735) (at the age of 34 years old) and dose 2 via an unspecified route of administration, administered in Arm Left on 17Apr2021 (Batch/Lot Number: EW0170) (at the age of 34 years old) as single for COVID-19 immunization. The patient's medical history included high blood pressure, myocarditis. The patient had no known allergies. The patient did not have COVID-19 prior vaccination. The patient did not test for COVID-19 post vaccination. The patient's concomitant medication included amlodipine besilate (AMLODIPINE BESILATE), valsartan (VALSARTAN), hydrochlorothiazide (HYDROCHLOROTHIAZIDE) all taken for an unspecified indication, start and stop date were not reported. On 13May2021 at 07:00, the patient experienced shortness of breath and mild chest pain. The AE resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The patient received unspecified steroids as treatment medication for the lungs. On 18May2021, the patient underwent nasal swab test which shown negative result. The patient was not recovered from the events. No follow up attempts are possible. No further information is expected.

Difficulty breathing; Throat tightness; frequent throat clearing; shortness of breath; This is a spontaneous report from a non-contactable healthcare professional. A 34-year-old male patient received the first dose of BNT162b2(PFIZER- BIONTECH COVID-19 mRNA Vaccine; Lot number: EN6207) via an unspecified route of administration on 18Mar2021(at the age of 34-year-old) as a single dose for COVID-19 immunization. The medical history and concomitant medications were not reported. On 18Mar2021, during the patients 15-minute waiting period after the injection, the patient began to experience difficulty breathing and throat tightness. He denied rash, hives, welts, difficulty swallowing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. The patient complained of frequent throat clearing and shortness of breath. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The therapeutic measures included treatment with water and the follow up response to treatment was excellent. The patient was discharged and was stable to go home and was advised to follow up with PCP (primary care physician). The outcome of the events dyspnoea, throat tightness and throat clearing was recovered on an unspecified date in 2021. No follow-up attempts are needed. No further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: shortness of breath added, for all events, stop date added 2021, and final sentence should be updated to No follow-up attempts are possible. No further information is expected.

heavy head; muscle aches; Numbness aroundcheeks, face, bottom jawline; Numbness in throat; Tired; swallowing was little tight; Throat area felt tight; Throat area tender; Felt dizziness; This is a spontaneous report from a contactable consumer, the patient. A 34-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN) via an unspecified route of administration in the arm left on 01Apr2021 at 16:00 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications of the patient were not reported. The patient had allergies to pollen (otherwise do not know). 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 01Apr2021 at 16:15 (15 min after the shot), the patient experienced dizziness; at 16:30 (30 min after the shot), the patient felt heavy head, muscle aches, numbness around cheeks, face, bottom jawline, throat, felt tired, swallowing was little tight, throat area felt tight and tender (no difficulty in breathing). The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for reported events. The clinical outcome of the events felt dizziness, heavy head and muscle aches were recovering at the time of this report; whereas for events numbness around cheeks, face, bottom jawline, numbness in throat, tired, swallowing little tight, throat area felt tight and tender were resolved on 01Apr2021 (5 to 10 and 15 minutes later after the event started). No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Some times feel hard to breathe, heart beating irregular, some times heart pains couple times in a day

History of Present Illness 34-year-old male with history of end-stage renal disease secondary to lupus nephritis (dx 2018) on MWF dialysis, morbid obesity, CHF with EF 45%, htn, SLE, who presents to the ED for shortness of breath and hemoptysis. Patient states that he has been missing dialysis for around 12 days. He does still make urine around 1/2L daily. He was brought into the ED by his uncle who he lived with. His uncle just got back to town and noticed that Javone had difficult time breathing, thus, brought him to the ED. Patient reports that he also has been having diarrhea, hemoptysis, fever, and shortness of breath for the past 2-3 days. He had Covid vaccination on 5/01 and 5/22. In the ED, he was found to be at 75% oxygen on 10L in the ED, improved to 84% on 15L non-rebreather. He was quickly started on BiPAP. VBG was significant for metabolic acidosis with respiratory compensation pH 7.304, pCO2 27.2, and HCO3 13.1. Labs were notable for Hgb 10.9, K 5.5, Cr 22.3, trop 60, and BNP 7281. Patient was admitted for acute hypoxic respiratory failure suspect secondary to fluid overload 2/2 missed dialysis vs Covid pneumonia.

throat clearing; shortness ofbreath; Difficulty breathing; Throat tightness; This is a spontaneous report received from a non-contactable Healthcare Professional. A 34-years old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot number: EN6207), via an unspecified route of administration on 18Mar2021 (at the age of 34-year old) as dose 1, single for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 18Mar2021, during his 15-minute waiting period after the injection, the patient began to experience difficulty breathing and throat tightness. Patient denied rash, hives, welts, difficulty swallowing, throat tightness, hoarseness, stridor, itching, light-headedness, dizziness, facial swelling, lip swelling and tongue swelling. Patient complains of frequent throat clearing and shortness of breath. Treatment included water. It was reported that the patient discharged, stable to go home and follow up with PCP. The clinical outcome of the events difficulty breathing and throat tightness, frequent throat clearing and shortness of breath was unknown at the time of reporting. No follow-up attempts are possible. No further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: 1. Patient Country added. 2. The denied events were deleted from event tab. 3. Lead sentence updated as This is a spontaneous report received from a non-contactable Healthcare Professional. 4. Final sentence updated as No follow-up attempts are possible. No further information is expected. 5. Narrative removed sentence 'The events did not resulted in Doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care.' since not reported on source.

After administration, patient experienced difficulty breathing, headache, anxiety, and elevated blood pressure (160/102 - 180/110 for 30 minutes). Patient was transported to Hospital as precaution.

12/30/2021 Started having covid symptoms; headache, body pain, no taste, shortness of breath, fever cough.

tachycardia with mild exertion; Baseline HR elevated; dyspnea; palpitation; chest tightness; This is a spontaneous report from a contactable physician (patient). A 35-years-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot: EJ1685) via an unspecified route of administration in left arm on 29Dec2020 15:30 at single dose for COVID-19 immunization. There was no medical history, no known allergies, no allergies to medications, food, or other products. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine, no any other medications the patient received within 2 weeks of vaccination. On 29Dec2020, 3 minutes following vaccine injection - dyspnea, palpitation and chest tightness; lasted 3-4 minutes. 24 hours later (30Dec2020) - dyspnea and tachycardia with mild exertion (1 flight of stairs). Baseline HR elevated. No treatment was received for the adverse events. Events outcome was recovering.

had a positive COVID test; had a positive COVID test; O2 Saturation of 80% / Hypoxia; shortness of breath; He has a CT scan which showed extensive infiltration in the lungs; muscle pain; chills; body aches; low grade fever; cough; This is a spontaneous report from a contactable physician (pulmonary medicine). This physician reported similar events for 2 patients. This is 1st of 2 reports. A 35-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 18Dec2020 at single dose for covid-19 immunization. There were no medical history and concomitant medications. Caller stated that his close friend who was ER physician (front line worker) and within 24 hours after receiving the COVID vaccine, developed COVID or symptoms of COVID. Patient received the COVID vaccine on 18Dec2020 and the same night patient started with a low grade fever, body aches, chills, muscle pain, shortness of breath, cough, O2 saturation of 80% (hypoxia) and was in the intensive care unit now. Patient swore this was related to the vaccine. This patient tested positive for COVID. He had a CT (computerised tomogram) scan which showed extensive infiltration in the lungs in Dec2020. Patient was admitted to the hospital on 24Dec2020 and then was moved to the ICU 2 days later, on 26Dec2020. Caller thought patient had a positive COVID test at another hospital. Caller did know that tested positive at the current hospital on 26Dec2020 which was done to confirm the previous positive test. Caller thought patient had his first positive COVID test either the same day or the next day after receiving the vaccine. Event of O2 Saturation of 80% / hypoxia was reported as hospitalization from 24Dec2020 and life threatening; infiltration in the lungs and shortness of breath caused hospitalization from 24Dec2020, muscle pain, chills and positive COVID test was reported as medically significant; and other events were reported as non-serious. Outcome of O2 saturation of 80% / hypoxia and shortness of breath was not recovered, outcome of cough was recovering; and outcome of other events were unknown. Information about lot/batch number has been requested. ; Sender's Comments: Based on the information currently available, a lack of efficacy with suspected vaccine BNT162B2 in this patient cannot be completely excluded.,Linked Report(s) : US-PFIZER INC-2020519020 same reporter/drug , different patient/AE.

PT sts within a few hours of second vaccine, he experienced sore arm, tiredness, body aches, and chills, no reactions outside of those anticipated from the vaccine literature. Next morning, Wednesday 13JAN21 woke up with new onset of sharp, right-sided chest pain. Worsens on breathing and coughing. PN is otherwise persistent, does not radiate, but changes when breathing.

Patient vaccinated at 1501, beginning 1531 started with itching, wheezing and shortness of breath. Treated in the ED with Epi 1 mg SQ, , Solumedrol 125 mg IVP and Benadryl 25 mg IVP and Albuterol 2.5 with atrovent .5 mg.

Within 1 hour of receiving vaccine patient complained of metal taste in his mouth, palpitations, fatigue, skin pruritus and rash. He went to the emergency room and was treated with Benadryl and steroids. The following morning he continued to have skin pruritus and developed a few skin lesions. He was also fatigued and had some shortness of breath with exertion. He had Allegra in the home so he was encouraged to take it and also had been prescribed Benadryl which he could take as needed.

For Dose 1, no adverse events other than mild light-headedness and mild joint ache, which began approximately 2 hours after injection and resolved within 24 hours; soreness at the injection site began approximately 6 to 12 hours after injection and persisted for 48 to 72 hours. For Dose 2 (1:15pm), soreness at the injection site began approximately 2 hours after injection (3pm) and was more pronounced than Dose 1. I felt onset of mild fatigue beginning approximately 3 hours post-injection (4pm). Approximately 10 hours post-injection (11pm), onset of fever, chills, muscle ache, and joint ache, was dramatic. I was unable to record my temperature, but felt the fever diminish in intensity approximately 13 hours post-injection (2am). It persisted from this time as muscle aches, joint aches, and sweating intensified throughout the night, and the onset of heart arrhythmia and mild tightness in the chest, as well as a light cough and trouble breathing became a concern. I was unable to sleep and took Tylenol approximately 15 hours post-injection (4am). I took more Tylenol in the morning at approximately 9am, by which time the fever still felt present but low-grade, the muscle and joint aches were still fairly intense, and I noticed that my axillary lymph nodes had swollen to the size of golf balls, with the larger on the same side as the injection. I then took ibuprofen around 1pm. Very mild fever, moderate sweating, cough, muscle aches, joint aches, and heart arrhythmia persisted throughout the day and into the night. All symptoms had not resolved until Friday, Day 3 post-injection.

pain on swallowing in the throat; throat started feeling itchy; pins and needles feeling; throat was swollen; This is a spontaneous report from a contactable other healthcare professional (patient). A 35-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Solution for injection (lot number: EL0140, expiry date unknown), via an unspecified route of administration on the left arm on 12Jan2021, 9:00AM at a single dose for COVID-19 immunization. The patient's medical history included asthma and allergies to Amoxicillin, Quinolones, and Sulfa drugs, all from an unknown date and unknown if ongoing. Concomitant medications included colecalciferol (VITAMIN D) and cyanocobalamin (VITAMIN B 12); patient received these medications with two weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient had not been tested for COVID-19. On 12Jan2021, 19:00, just after evening, patient's throat started feeling itchy and had pins and needles feeling. Gradually the symptoms increased in intensity and in the night of 12Jan2021 (time unspecified), he felt like his throat was swollen. It was also reported that patient woke up today, 13Jan2021 with the same feeling and there is pain on swallowing in the throat. No therapeutic measures were taken in response to the events. Outcome of the events was reported as recovering.; Sender's Comments: Based on a chronological association, causality between events odynophagia, pharyngeal swelling and throat irritation and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) 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 Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

35 yo M w/PMH of asthma, allergies, w/acute onset of lower chest/epigastric pain, nausea, cough, and feeling flushed within 30 minutes of Pfizer dose #1. T: 98.3 F, BP: 139/105, HR : 89, Ox 98% RA. CO is well appearing, not diaphoretic, w/clear lungs and normal heart sounds. No rash. PO Benadryl given at 13:07 PM d/t cough and CO observed until 13:24 w/resolution of chest discomfort and throat irritation. Tolerating sips of water. ER precautions discussed.

Chills and swollen throat starting 01/21 @ 2030, went to doctor on 01/27 with no answers. Difficulty swallowing, labored breathing, heart racing, neck pain and right ear plugged up on 01/27 around 2200. Went to ER at 0500 on 01/28. Received steroid shot, ibuprofen, lidocaine gargle. CT scan inconclusive, blood test normal, vitals normal. Prescription for amoxicillin and adavant. Lymph nodes in neck remain swollen to date.

Pfizer-BioNTech COVID-19 Vaccine EUA Patient woke up with sudden onset shortness of breath. Felt flushed and heart racing. Went to Emergency Department. He received oxygen, aspirin, atorvastatin, fluids, and midazolam. Resp rate 25 BPM. BP 137/89 mmHg Heart rate 105 BPM Has family history of heart disease

Started to feel aches and fatigue that evening of the vaccine (2/18) and then woke up in pain around midnight (2/19). Had horribly body aches, was extremely flushed, tachycardic and short of breath. The respiratory distress kept increasing which is why I ended up going to the ER.

In monitoring parking lot, client waved down staff reporting he may have lost consciousness for around 10 minutes. Client had pale clammy skin that improved with mild activity. Client reported noticing red spots on his nose, not witnessed by monitoring staff. Client also reported have trouble drawing in deep breaths. EMS was activated and client was transported to ER for further evaluation.

Patient reports feeling SOB of breath, accompanied by tightness in neck and chest. PT given Electrolit for rehydration and reports taking 50 mg before the vaccine administration and 50 mg after the vaccination. BP/02/RR/HR VS taken all WNL (129/89/98%/88/20) Pt observed for additional 30 minutes and discharged @ 1815.

after 30 minutes of receiving his Dose 2 of Pfizer COVID 19 vaccine. Patient c/o palpitations and tightness of his throat. Denies any SOB/Chest pain/Pruritus/syncope. Able to tolerate clear liquids with c/o of dysphagia unresolving " my throat is feeling like it is tightening up. "

Difficulty breathing, pain and weakness all over. Felt as if my lungs were bruised, dizzy and unable to keep food down. I was given steroids and fluids along with a shot of ketorolac

5-10 minutes after patient received vaccine became dizzy and was complaining that he was having a hard time breathing. 911 was called immediately and the Pharmacist on duty attended to the patient. The RPh administered 1 dose of epi. She then followed up by taking tha patients blood pressure which was 117/94 and his pulse which was 89.

Pt. has history of having reactions when given shots. Pt. walked to a chair outside about 20 feet outside of the injection room after receiving his shot. He sat down in the chair and within 1-2 minutes the patient fell face down on the floor. A customer yelled for help and pharmacy staff and the nurse practitioner responded to help. Pt. was passed out but breathing heavily. We rolled patient to his back and he came to and tried to get up. We told him to stay flat and assured him he was being taken care of. The nurse practitioner stated it was a vagal nerve response. The patient sat up and talked with us and stated this has happened before. The ambulance response was called and checked patient out and he was released about 30 minutes later. His blood pressure was normal and patient stated he felt fine.

Shortness of breath, runny nose, racing heart, headache, shivering, ringing ears, tingling hands and fingers, paranoia, nightmares, hallucinations, panic attacks

Throat tightened up. Felt a ?frog n my throat? sensation. And heavy anxiety about 10 minutes after injection. This was followed by profuse swearing in underarm area both sides. Tightness in throat and ?frog? feeling subsided after about 45 min anxiety took about 25 min to subside. It is presently an hour later and I can still feel a little tightness in my throat.

About 5 minutes after vaccination patient reported "not feeling well." Upon questioning he said his chest felt tight and he was having trouble breathing and requested his inhaler. Jail nurse brought his inhaler and listened to his lungs with a stethoscope. She reported that his lungs sounded clear bilaterally. Pt reported that using his inhaler helped his breathing and made his chest feel better. He also complained that his legs and head were "burning." When asked to elaborate, he said it felt hot and like he was experiencing pressure but not pain. His legs and face were expected skin color, dry, and without any raised or itchy patches. Pt was able to speak coherently and without difficulty throughout, and muscle tone was strong during entire reaction. Nurses remained with pt for approximately 35 minutes post vaccination. Epi was prepared but not administered. About 30 minutes after vaccination patient reported feeling better and was breathing smoothly.

Patient felt dizzy almost immediately after getting the vaccine. He sat down at the nearest chair and was hyperventilating. Patient reported that he felt dizzy and his vision was blurry, and that everything was very bright. Patient did not appear to be in any anaphylactic reaction, and did not appear to be in respiratory distress either. Patient's mom did say he was "all worked up" the previous night, worrying about the COVID vaccine. Mom also reported that patient usually had trouble with blood draw and shots. EMS was called, and they cleared the patient to go home.

asthma acting up; fatigued; sore throat; congestion with green/brown mucus; congestion with green/brown mucus; chills; strong fever; started wheezing having slight asthma; couldn't breathe; This is a spontaneous report from a contactable consumer (patient). A 35-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in arm left on 09Apr2021 09:15 (Batch/Lot Number: EW0158) as single dose for covid-19 immunisation. Medical history included asthma and known allergies: peanuts. Concomitant medication included alprazolam, taken for an unspecified indication, start and stop date were not reported. On the First day of dose Friday 09Apr2021 9:00 am, patient felt fatigued only and it carried though until Monday night falling into Tuesday with a sore throat that kept getting worst so patient went for a COVID test and came back negative. Tuesday night patient self-medicated but was still feeling fatigued and woke up Wednesday fatigued as well as the extremely sore throat, congestion with green/brown mucus. Patient went to an urgent care got checked out and said this was a side effect. Later that night patient started getting the chills and came with a strong fever and started wheezing having slight asthma. Patient used rescue inhaler. Woke up Thursday morning, could not breathe due to asthma acting up and had not in 12 years. Patient used inhaler and it helped. Patient took a shower and had to cut it short because he could not breathe. He went and did a second COVID test and was negative. He also saw a doctor and took chest X-rays, said it was normal. Doctor said it was his asthma acting up most likely from the vaccine. Lab tests included Nasal Swab on 13Apr2021 and 15Apr2021 both were negative; X-rays on unknown date and was normal. It was reported that the events onset on 09Apr2021 at 12:00 pm. The events resulted in doctor or other healthcare professional office/clinic visit, Life threatening illness (immediate risk of death from the event). Treatment was received for the events included asthma medication and steroid medication. Outcome of the events was resolving.

4 days after vaccination, patient presented with dyspnea and chest pain, was found to have bilateral pulmonary emboli. Was admitted the following day after re-presenting with worsening symptoms and hypoxemic respiratory failure. He was hospitalized one day and then discharged.

Started feeling extremely fatigued and breathless just 10 min after the shot, it lasted just one minute and felt better after that 1 min. Later in the day felt chills and very light feverish and fatigue.

fainted; weak; tired; dizziness, light headed; nausea; soreness and aches in upper legs; ear pain; swollen throat; joint pain; fever 101; chills; shortness of breath; elevated heart rate; sinus drainage; entire body pain; This is a spontaneous report from a contactable consumer (patient). A 35-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in the right arm on 05Apr2021 at 09:00 (Batch/Lot Number: ER8734) at 35-years-old as a single dose for COVID-19 immunisation. The patient did not receive any other vaccine within four weeks of the suspect vaccine. The patient medical history was not reported. It was unknown if the patient had COVID prior to the vaccination. There were no concomitant medications. On 09Apr2021 (as reported), the patient experienced: fainted (medically significant; also reported as 4 days after vaccine), weak (non-serious; also reported as 1-2 days after vaccine), tired (non-serious; also reported as 1-2 days after vaccine), dizziness, light headed (non-serious; also reported as 4 days after vaccine/ 7 days after vaccine), nausea (non-serious; also reported as 4 days after vaccine), soreness and aches in upper legs (non-serious; also reported as 4-7 days after vaccine), sinus drainage (non-serious; also reported as 4-7 days after vaccine), ear pain (non-serious; also reported as 4-7 days after vaccine), swollen throat (non-serious; also reported as 4-7 days after vaccine), joint pain (non-serious; also reported as 4-7 days after vaccine), fever 101 (non-serious; also reported as 7 days after vaccine), chills (non-serious; also reported as 7 days after vaccine), entire body pain (non-serious; also reported as 7 days after vaccine) shortness of breath (non-serious; also reported as 7 days after vaccine), and elevated heart rate (non-serious; also reported as 7 days after vaccine). The patient underwent lab tests and procedures which included body temperature: 101 on 09Apr2021, heart rate: 118-125 beats per minute (bpm) on 09Apr2021. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events was not recovered. The patient was not tested for COVID post vaccination.

Started feeling really anxious and shy of breath about 5 minutes after receiving second shot but I only thought I was nervous from receiving it so I thought nothing of it. Common side effects such as chills, headache and severe drowsiness lasted 2 maybe 3 days but the anxious feeling in my chest is still there. Heart palpitations is what I am having and it?s constant. There have been times at work that I can feel my heart beat in my pant legs, temples, wrists and forehead from ordinary stress that I?ve have no issues handling in the past 4 years. Every 30-60 seconds I have to take a deep breath to catch my breath regardless of what I am doing. Suddenly severe drowsiness. I?m sure there?s more that I?m forgetting.

After 2nd dose of COVID19 vaccine (taken 3 weeks after first dose) I had a feeling of a mild fever/chills and low energy and body aches about 12 hours after the injection. However I also begin getting a lot of pain and tightness around my right rib cage intercostal muscle area and lower back (QL area to Lats). This made it harder to breath and hurt while I laid down to sleep. It also hurt to take a deep breath/cough/laugh etc. This lasted until Thursday night (4/29/21) when the same kind of pain moved over to my left side. The past 2 days it has become quite intense though making it impossible to sleep on my back last night (I had to sit upright to avoid intense pain) and painful to even walk. It still hurts in my left rib cage at rest (feels more like a dull ache and stiff), but intensifies if I try to expand my lungs with breathing or lie down or move in any way. Mainly intercostal area around the rib cage and the back around my lung. Thought I might have to go to the emergency room last night it was so bad.

Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Medium, Systemic: Urinated in the event of fainting-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe

Started with fatigue, difficulty breathing. Has continued for days. Also suffering from nausea, vomiting, diarrhea achy body, feeling hot, shortness of breath treated with inhaler.

Patient received his 2nd dose of the COVID vaccine (pfizer) on 4/29/21. The next day he developed a fever of 103 F which lasted about 36 hours. He felt achy and generalize malaise and felt sweaty in the evening on 5/1. Presented to ED on 5/2 with chest pain and shortness of breath. Patient given nitro x3, asa, and heparin gtt and transferred for ongoing management of NSTEMI. Family history of CAD; grandfather and all 6 of his brothers died from heart attack

15 min post vaccination today, he felt "something in his " Adam's Apple. Feeling a little tight". Feels "heart is beating fast". HR 63 -- > 103 -- > 56. Given Benadryl 25 mg IM x1. Patient reports feeling much better, stable, released from vaccination site.

Metallic taste in mouth immediately following the injection. About an hour later I had throat swelling, coughing, trouble breathing. It felt like something stuck in my throat.

Brief episode of SOB which resolved after removing mask. Resolved by the time of evaluation. Denied other symptoms.

Pressure at vaccination site with pain, dizziness, sweating, felt like can't breathe. Everything went blank

According to my wife, 10 minutes post shot I had what appeared to be a mild seizure and lost consciousness for 1-2 minutes. Prior to that happening, I told her I felt light headed. She notified personnel while we were in the 15 min wait holding area and when I regained consciousness two EMTs were checking me out. They took my vitals, asked me questions and had me get out of the car and walk around. I was monitored for several minutes. It was recommended I visit a hospital or urgent care if I continued to feel unwell. My wife & I left the vaccine site and decided on the way home to go to the hospital just to ensure everything was all right. We went back home for about 30-60 minutes. During this time my heart rate continued to remain elevated and it felt like I had adrenaline coursing through my system. I attributed the feeling to recovering from passing out, but it did not dissipate. Upon arrival to the ER I began having trouble trying to breathe and chest pain. During the triage EKG it was discovered I was experiencing atrial fibrillation. I was given treatment, fluids and monitored for several hours before being released. Estimated time from receiving shot to being diagnosed with afib was approximately 2.5-3 hours.

at 1600 patient c/o scratchy throat; administered at 1620 Benadryl 25mg/10 ml p.o.; patient states he did fine with for covid19 shot, and that since then he had his 3rd dose of Nucala for asthma. Patient looks good and bp a little elevated (1620-148/108, pulse 90; at discharge bp- 148/82). At 1640 patient stated feeling better and stated he was going straight home.

A few days after my first shot it felt as if I had trouble breathing. Like a weight on my chest and heart beating was fast.

Received his second Pfizer COVID vaccine Tuesday 5/18/2021. On Wednesday started developing systemic symptoms such as chills, headache, myalgia. Also developed constant sub-sternal chest pain. Worse with movement or deep inspiration. No clear positional component. CP persisted until he came to the ED today. Initial ECG showed concave ST elevations lateral leads. Given his history this was felt to be most consistent with pericarditis. He received toradol, morphine and SL NTG with near complete relief of the pain. Repeat ECG showed resolution ST elevations. Troponin was elevated, peak 9.08 ng/ml.

Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to urgent care three days after receiving vaccine hypoxic (room air saturation 86% (96% after administered albuterol during visit) with headache, chills, nausea, fever, cough, sweats, fatigue, malaise, and mild wheezing and shortness of breath. Diagnosed with bronchitis, prescribed albuterol and antimicrobials, and discharged to home. On follow-up visits with primary care provider bronchitis resolved.

Epstein Mono virus positive; freezing cold and could not get warm; Heat intolerance; Tongue discoloration; Sore throat; Lost 20 pounds; Swollen lymph nodes; Anxiety causing him to not sleep; constant pressure on his neck; he could barely hear; Trouble swallowing; Breathing was becoming a concern; Anxiety-like symptoms; Pain on right side of neck; Tightness in throat; Right ear plugged; Pretty severe chills; Swollen neck; General fatigue and malaise; General fatigue and malaise; This is a spontaneous report from a contactable consumer (patient). A 35-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 21Jan2021 12:00 (at 35 years old) (Batch/Lot Number: EL9263) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included ongoing food allergy. The patient's concomitant medications were not reported. After receiving the Covid Vaccine on 21Jan2021, the caller has experienced a lot of adverse side effects that he's dealing with now almost 3 and a half months later. He has seen numerous doctors as well as specialists. He has a long list of symptoms that occurred at onset. What he is dealing with now is a swollen neck (onset date 21Jan2021), a sore throat (onset date 21Jan2021), tongue discoloration, and just general fatigue (onset date 21Jan2021) and malaise (onset date 21Jan2021). Prior to the shot he was physically healthy. He was running about 20 miles a week. Then he got the shot and his health declined significantly and he is still recovering. When this occurred, caller weighed 165 pounds, and now he weighs 145 pounds. He lost 20 pounds. These events happened after the first dose of the vaccine. He got his vaccine at around noon on 21Jan2021, and by that evening at around 2000 he had a tightness in his throat, felt like his right ear was plugged up, then had pain on the right side of his neck. It all coincided with the same side as the vaccine, which he had in his right arm. He also experienced some pretty severe chills. His throat still feels swollen, probably because of his swollen lymph nodes. Some days it is better and some days it is worse. It is causing constant pressure on his neck. He is not sure if he noticed the swollen lymph nodes the same day as the shot or shortly after.Patient does not currently have neck pain. He should probably mention it started probably a few weeks after the onset of his symptoms. He does not know when it went away. He was getting swollen lymph nodes on his left side as well, and his throat became sore on the left side as well. It went away maybe a few weeks ago. He is not sure when the swollen lymph nodes or the sore throat started. His right ear was plugged and then it affected his left ear and it got plugged up as well. It was to the point where he could barely hear. It was almost like an ear infection when it is completely plugged and there is pressure behind the ear drum. 2 weeks after his right side it started on the left side. It has subsided by this time, but it has not completely gone away, but it is not as bad. Patietnt had the chills for 3 weeks, but they weren't as severe as the first night. He was just freezing cold and could not get warm. After that night he was still having issues feeling warm and had to keep his bedroom at like 80 degrees constantly. It probably continued for about a month. He doesn't have chills now, however it evolved into more of a heat intolerance. Whenever he feels to warm he feels more tired and not well overall. It is really odd. It is more heat intolerance he feels is going on. After the first few months it started then he had the opposite. He had a problem getting warm, then after the first month he didn't tolerate heat too well. He is not sure when the tongue discoloration first started, but he noticed it about a month and a half ago. The general fatigue and malaise started at the beginning with everything else. He did not have the second dose of the vaccine. Caller believes the doctors ran a CBC. He had a complete panel done a few times and nothing concerning presented or stood out to the doctors. They did an ultrasound on the left side of his abdomen to make sure he had no spleen enlargement, and that came back normal. They ran thyroid panels and those came back normal. One thing that came back abnormal that explains more of this but the timing is odd with the vaccine is he came back positive for Mono. He started seeing an ENT specialist, and he believes that getting the vaccine could have caused his immune system to freak out considering his history with allergies. It could have caused the Epstein Mono virus already present to become reactivated. That was kind of his theory on why this could have occurred. All the events caused a visit to Emergency Room. He went to the ER about a week, exactly a week after he had the vaccine that day. He was having trouble swallowing (onset date 28Jan2021) as well as his breathing was becoming a concern (onset date 28Jan2021) for him. He also was just having what felt like anxiety-like symptoms (onset date 28Jan2021), and he has no history of anxiety. If he got the vaccine on 21Jan2021 then this happened around 28Jan2021. He did have another ER visit about a week after that one as well. He started to have severe symptoms similar to the first time he went. He is still having a little bit of an issue swallowing. He attributes that to the swelling in his lymph nodes and neck possibly affecting that. His breathing he does not have problems with so much now. He has more of a constant discomfort in his neck, though it is not affecting his breathing at this point. As far as general anxiety he still has that and it does cause issues. It is causing him to not sleep as a result. His swallowing is better. His breathing was the most severe of the symptoms. Maybe after the first month it began to become less of an issue. He couldn't say exactly when it went away. It probably went away as a result of the swelling subsiding. To be honest he is not sure. Doctors put the caller on numerous medications as well as a medicine that he continued with. He doesn't know if his anxiety is better as a result of the medicine helping or if it would be the same if he went off of it. He is not sure. He has had trouble sleeping since this all began. It has been a little better. It could be a result of the medicine that helped. He is really unsure if he was not on the medicine how it would be. Patient visited a Physician Office for all events.No other vaccinations within four weeks prior to the first administration date of the suspect vaccine. No AE(s) following prior vaccinations. The outcome of the events Throat tightness,Sensation of block in ear,Swallowing difficult,Anxiety, Sleep difficult,Hearing reduced was recovering; chills,Swollen lymph nodes,Neck pain,Sore throat was recovered; Tongue discoloration, heat intolerance,Fatigue,Malaise was not recovered; other events was unknown.

Very mild headache; shortness of breath; This is a spontaneous report from a non-contactable consumer or other non hcp. A 35-years-old male patient received bnt162b2, (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL3247), via an unspecified route of administration on 18Feb2021 as 1st dose, single for COVID-19 immunization (at the age of 35 years). The patient medical history and concomitant medications were not reported. Patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. On 19Feb2021, the patient experienced very mild headache and shortness of breath for about 1-2 hours. Patient did not receive any treatment for adverse events. The outcome of event was recovered on an unspecified date. No follow up attempts are possible. No further information is expected.

Went to the ER experiencing chest pain 2 weeks after my second shot. Was told my heart is enlarged and was diagnosed with pericarditis. I am experiencing shortness of breath and exhaustion.

Severe Premature Ventricular Contraction (PVCs) four days after second vaccine. Resolved with IV administration of magnesium. Recurred and continued at a lesser frequency for the following week. Magnesium taken daily (orally 400mg). Some shortness of breath and lightheadesness. EKG normal on 6/02/21. Echo scheduled on 7/14/21.

he experienced "chest and lung pain" from the vaccine among additional side effects/severe chest pain on the left side; more like a choking; he experienced "chest and lung pain" from the vaccine among additional side effects/moderate lung pain on both sides; throat sickness; hard to swallow; hands were really cold; face numbness; swollen inside the throat; Burning in lung on both sides; hard to breathe; itching in lung on both sides; allergic reaction; More like a pressure in the chest; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 35-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection; Lot Number: ER8734), via an unspecified route of administration, administered in Arm Left on 26May2021 at 04:10 as 1st dose, single dose for COVID-19 immunization. Medical history included ongoing high cholesterol from Dec2020, high low-density lipoprotein (LDL) from Dec2020 (not related to lifestyle or diet), and ongoing heartburn from Nov2020 (received omeprazole for couple of months, two weeks before vaccination for heartburn or acid reflux, for his ulcer, for GI), H-pylori (patient got two courses of antibiotics for 10 days and diagnosed with H-pylori in January), patient thought maybe the antibiotics harmed his body and allergy to grass (undiagnosed allergy to grass and it was more severe in spring in early summer). No prior vaccinations and no family history. The patient's concomitant medications were not reported. The patient previously took omeprazole on Jan2021 for heartburn (one pill one day during two-week period before vaccine administration. He took for two month and later had a break from it. He was not taking it lately). On 26May2021, the patient experienced chest and lung pain from the vaccine among additional side effects, severe chest pain on the left side, moderate lung pain on both sides, throat sickness, hard to swallow, hands were really cold, face numbness. swollen inside the throat and burning in lung on both sides, itching in lung on both sides, more like a choking, allergic reaction, more like a pressure in the chest. The patient experienced moderate lung pain on both sides. This was 40 minutes after vaccination. It was moderate. He felt a burning and itching in lungs on both sides. The patient experienced severe chest pain on the left side. Severe chest pain was 15 minutes after lung pain began. It was on the left side, mostly to the ribs, where heart is located. Pain was moderate to maybe severe. Sometimes it was a little bit hard to breathe. It was more like he was afraid to breathe because of the pain. Confirmed there was not issue with his airway. More like a pressure in the chest. As the lung pain was going away then chest pain came in. Dime size pressure. He stated he got sickness in his throat a little bit after. It was hard to swallow. He was not worried about it. He stated he was able to breath and was able to drink water. It was more like a choking. It happened after he left the vaccination site. It was maybe like 20 minutes after he had the vaccination. His hands were really cold as well after. The patient severe chest pain was improved a little bit. The chest pain on left side lasted 25-30 minutes. After that it was kind of resolved. In a couple hours it came back. The reporter stated right now it was coming back, but more lighter. It was not a severe pain (mild to moderate). It was sort of like a sore muscle in the chest. The patient had sickness in throat, when trying to swallow. The face numbness felt right after chest pain. He also felt this one hour ago, maybe on left side. He felt it for a few minutes, but not sure if it was connected. The patient also got two courses of antibiotics for 10 days. His doctor diagnosed with him with H-pylori in January. He thinks maybe the antibiotics harmed his body. He read articles about heart inflammation that lead to myocarditis or something like that. The patient thought that what he was experiencing is maybe an allergic reaction. He read articles about heart inflammation that lead to myocarditis or something like that, kids and young adults experienced chest pain after getting the Pfizer-BioNTech COVID-19 vaccine. He then explained he also read about 68 cases, among which there were 20 individuals and 2 individuals who died: a 22-year-old female and 35-year-old male. Patient thinks maybe he was experiencing an allergic reaction. No Investigation Assessment. No relevant tests. Outcome of the event Lung pain and hands were really cold was recovered on 26May2021, for chest pain, throat sickness, hard to swallow, more like a choking, hands were really cold, face numbness and more like a pressure in the chest was not recovering while unknown for rest of the events. Information on Lot/Batch number was available. Additional information has been requested.

Pt admitted w/ respiratory distress, altered mental status due to basilar artery thrombosis causing brainstem and bilateral thalamic stroke.

The morning following the first dose on May 8, 2021 a patch of hairs about an inch in diameter was lost in beard and has not grown back. Several hours after the second dose on June 5, 2021 pain in chest began. Shortness in breath, tightness in chest and pain around the heart has continued.

I feel throat tightness, dry throat since vaccinated. i hope this is not serious. Sorry if i should not report this.

Three - four hours after my second dose I began to feel dizzy, fluttering in my chest, and short of breath. I sat down to try to catch my breath and decided to put my heart rate monitor on (I use it when I run). My heart rate would dip into the 40s when I normally have a resting heart rate in the mid 60s. After 30 minutes of sitting and the symptoms getting progressively worse, I decided to go to the emergency room. On the way over I started feeling weak and increasingly short of breath. These symptoms lasted for approximately 8 hours. Since the episode I have noticed periodic episodes of shortness of breath and chest fluttering.

My first COVID19 Pfizer vaccine shot was on 4/05/21. My second was 3 weeks later on 4/26/21. About 30 hours after my second vaccine on 4/27/21 I started to notice tightness around my lungs/rib cage in the intercostal muscle area. For the next few days the pain increased and I had shortness of breath as well. After a few nights I couldn't lie down to sleep because of this pain so I had to sit upright to sleep. On 5/3/21 I went to the doctor at hospital where I was examined and had a lung X-ray as well as a COVID PCR test (it was negative). The PA diagnosed me with "Pneumonia" and I was given antibiotics (cefuroxime and azithromycin) to take for 6-7 days. I started feeling a little better by 5/6/21 and actually reported here on VAERS with my diagnosis of suspected Pneumonia. On 5/17/21 I had another lung x-ray at hospital and was told my lungs were looking more clear. However, for the next 2 weeks I felt more tired and my poor breathing, a cough with bloody mucus, and more chest/rib cage area pain developed. Despite being a professional runner it became hard to walk up a flight of stairs without breathing really hard and feeling light-headed. On 5/30/21 I woke up with fairly intense chest pain just under my heart. I was taken to the ER at second Hospital and got a CT scan with contrast that showed a bilateral Pulmonary Embolism with infract. An ultra sound of my heart (normal) and blood panels were performed as well as multiple EKGs. I was given a stomach injection of Lovenox also. That afternoon I was transferred to third Hospital. for overnight monitoring with more EKGs and Lovenox injections. Prescribed blood thinner Pradaxa for 3 months with no known cause of clots that caused this Pulmonary Embolism. Kidney test and Heart appeared normal. Still waiting on genetic testing. Lung infract has caused lasting chest pain and my breathing has yet to return back to normal.

About one minute following vaccine administration, the patient said he was going to pass out. He lost consciousness but was making snorting/snoring noises and was having muscle contractions that left him rolling around in his chair. This lasted about 2 minutes. He then turned very red and it appeared that he wasn't breathing. I removed his facemask and yelled his name/patted his chest and he began to regain consciousness. He sat for several minutes and said he felt fine.

Left arm issues pinching sensation, palpatation and left side of head tension. Hard to breathe and chest pain.

Pounding heart and shortness of breath; particularly at night. I?ve been woken from sleep with the sensation of a pounding heart.

blood clots forming in my lungs; Fatigue; Coughing; Pulmonary Embolism; Lower back pain; Experienced intense chest/ribcage and Lower back pain and tightness around lungs about 30 hours after 2nd dose of COVID19 vaccine. Trouble breathing too. Initially diagnosed with Pneumonia a week late; Experienced intense chest/ribcage and Lower back pain and tightness around lungs about 30 hours after 2nd dose of COVID19 vaccine. Trouble breathing too. Initially diagnosed with Pneumonia a week late; Experienced intense chest/ribcage and Lower back pain and tightness around lungs about 30 hours after 2nd dose of COVID19 vaccine. Trouble breathing too. Initially diagnosed with Pneumonia a week late; This is a spontaneous report from a contactable consumer (patient). A 35-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 26Apr2021 11:15 (Lot Number: ER8729, at age of 35 years old) as single dose for COVID-19 immunisation. Medical history included mild asthma, mild allergy to latex. Concomitant medications included albuterol [salbutamol] taken for asthma; cyanocobalamin (VITAMIN B12); vitamin d. The patient previously received first dose of BNT162B2 on 05Apr2021 for COVID-19 immunisation (Brand=Pfizer ER8736; time: 11:15 AM; location: Left arm; Facility type: Hospital). The patient experienced intense chest/ribcage and Lower back pain and tightness around lungs about 30 hours after 2nd dose of COVID19 vaccine in Apr2021. Trouble breathing too. Initially diagnosed with Pneumonia a week later on 03May2021 by chest X-ray. Symptoms did not resolve after antibiotics and fatigue and breathing troubles got worse in May2021. Coughing also became a symptom in May2021. Also, lung pain intensified several weeks later along with chest pain. On 30May2021 was rushed to ER and diagnosed with bilateral Pulmonary Embolism via CT contrast scan. It appeared patient never had Pneumonia, but instead blot clots forming in his lungs on unknown date. It was also reported adverse event start date: 06Apr2021; Adverse event start time: 04:45 PM. Adverse events resulted: in [Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event), Disability or permanent damage] Hospitalization: 1 day. The patient underwent additional lab tests and procedures: COVID test post vaccination: Nasal Swab PCR on 03May2021 result: Negative; Blood test IGG IGM on 01Jun2021 result: Positive. The patient received treatment as Lovenox injections and blood thinner prescription. The outcome of events was recovering.

feeling chest pains ever since 2nd dose, specifically on left side. anxiety. hard time to breath at times

Pt developed fever, cough, chills, body aches, shortness of breath and loss of smell 2 days post 2nd COVID vaccine. Symptoms > 1 week in length. Does not follow typical expected post vaccine inflammatory reaction.

I started feeling chest pain couldn?t breath. Next day chest pain and head felt dizzy and not good at night I felt anxiety like I was going stop breathing. Chest pain continued with some hard breathing. Now on this day I?m feeling better with minor chest pain.

Rapid heart beat (180 bpm) & shortness of breath. Walked 240 feet in 6 minute walk test due to desaturation

I started having cramps in my belly after the 1st dosage that carried over to the 2nd dosage. I started having panic attacks and shakiness in my arms along with lose of weight (no appetite whatsoever). It has been like that every since and then the insomnia following the 2nd dosage and I had a feeling of bloating after I ate anything, became restless, sweating a lot, vision was blurry, and noticeable changes in my stool (became yellowish). I been gasping for air after any physical activity or eating. I also noticed that the mucus is yellowish in my throat and tongue. I also experience muscle cramps when attempting to fall asleep which causes me to wake up instantly (also happens when I eat...legs and arms start twitching). If I try to swallow, the yellowish mucus wakes me up while I am trying to sleep. The symptoms started gradually and I didn't have anything of them prior to taking either dosage of the vaccine. The emergency medical team did some tests upon arriving at my home to see if I needed to be transported to the hospital (was not necessary since my heart was working fine).

24 hours after vaccine I started feeling icky and bad. I was working and thought I was going to pass out so I went home, and I tried calling the hospital, but they said they couldn't recommend if I should go in or not. A week after that every joint in my body was killing me. I had a little bit of breathing issues probably about a week after. Chest tightness, not being able to get a full breath. 48-72 hours after that my knuckles and joints were hurting. 48 hours after that the tightness in chest started and the trouble breathing. I did not go to an urgent care. My brain just feels like it shut off a little bit and I don't know if that's just something in my head or not.

Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Hyperventilation-Mild, Systemic: Nausea-Mild

My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still "didn't know" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.

started with mouth, major headache, body aches ,shortness of breath, fever and chills. 2 weeks later positive for strep. diarrhea with every meal.

Site: Swelling at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Mild, Additional Details: called 911, taken to hospital,

Shortness of breath; Petechiae on top of both hands, more prominently on Left hand; Tiredness; This is a spontaneous report from a contactable nurse. A 35-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE BIONTECH, Lot number: EN6200) via an unspecified route of administration in the right arm on 11Mar2021 at 12:15 (at the age of 35-years-old), as a single dose for COVID-19 immunisation. Medical history included hypertension (HTN) since an unknown date. The patient did not have any allergies to medications, food or other products. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included finasteride (MANUFACTURER UNKNOWN) and isotretinoin (MANUFACTURER UNKNOWN), both for unknown indications received on unknown dates. On 11Mar2021 at 13:30, the patient experienced petechiae on top of both hands, more prominently on left hand, tiredness and shortness of breath. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the adverse events. The clinical outcome of petechiae, tiredness and shortness of breath were resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

DX: Myocarditis Onset of S/S 06/02/2021 S/S:Dyspnea on exertion, Fever/chills,Tachypnea Found to have acute basilar ischemic stroke, taken for emergent thrombectomy, but experienced progressive edema and ultimately tonsillar herniation. 35 year old man with medical history notable for likely untreated hypertension and tobacco use disorder who presented with reported fever, confusion, shortness of breath, and facial swelling, initially treated for allergic reaction/angioedema without effect, progressed to respiratory failure, found to have acute basilar ischemic stroke, taken for emergent thrombectomy, but experienced progressive edema and ultimately tonsillar herniation resulting in death. Regarding cardiac picture, patient with abnormal ECG, mildly reduced EF on echo (though could be due to untreated hypertension or to respiratory failure/critical illness), borderline troponin (need to check reference range). ED note initially mentions concern for myocarditis due to vaccine causing heart failure and subsequent respiratory failure, but appears this piece was written prior to MRI showing basilar stroke. Death note has myocarditis listed as a cause of death (among many), though a bit unclear if this was intentionally listed or just reflects a list of all hospital problems. Also had a CT of his head which showed scattered foci of gas within intraorbital soft tissues along with mild proptosis; unclear etiology for this (perhaps a fall with facial injuries prior to arriving at hospital?) Awaiting additional physician notes/imaging reports.

Harder to breathe; Heaviness on Chest; Hot Feeling in back of throat behind nose and down throat; Hot Feeling in back of throat behind nose and down throat; This is a spontaneous report from a contactable health professional, the patient. A 36-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration in the left arm on 23Dec2020 at 15:00 (at the age of 36-years-old) as a single dose for COVID-19 immunization. The patient's medical history was reported as none. The patient did not have any allergies to medications, food, or other products. The patient's concomitant medications were not reported; however, there were no other medications the patient received within 2 weeks of the vaccination. The patient did not receive any other vaccines within 4 weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 23Dec2020 at 15:00, the patient experienced a hot feeling in the back of the throat behind the nose and down the throat and then heaviness on the chest and it was harder to breathe. The patient was treated for the hot feeling in the back of the throat behind the nose and down the throat and then heaviness on the chest and it was harder to breathe with 50 mg of oral diphenhydramine (BENADRYL). Since the vaccination, the patient had not been tested for COVID-19. The clinical outcomes of the hot feeling in the back of the throat behind the nose and down the throat and then heaviness on the chest and it was harder to breathe were resolved on Dec2020. Information on the lot/batch number has been requested.

Extreme body ache, chills, headache, vomiting, chest pain, difficulty breathing, sore throat. Tylenol & ibuprofen eased body ache, chills, headache but did nothing for chest pain, difficulty breathing, sore throat. So far, symptoms continue approximately 72 hours after receiving vaccine.

It started with a headache felt like migraine. On 12/26 exp difficult breathing, felling fatigue with fever of 102, joint pain in fingers/toes moving to wrist and ankles. Then on 12/27 the joint pain was traveling to knees and 12/28. The symptoms got severe on12/29 followed with a cough. By the 12/30 cough was still there and joint pain. On 12/31 still exp cough until 1/4 and less joint pain. I missed 2 1/2 days of work.

Disorientation, tunnel vision, blurred vision, difficulty breathing, chest tightness, severe palpitations, tachycardia, cold and clammy, tingling to extremeties, unable to verbalize thoughts and organize words. And feeling that I was going to lose consciousness.

Had severe reaction to the vaccine not necessarily adverse events but still wanted to report it. I am a physician who likely had contracted COVID in 04/2020 and has been suffering long COVID sx since. No significant reaction to dose 1 of the Pfizer vaccine other than sore arm. 2nd dose within 12 hours had severe rigors, severe chills, then fever to 39.6 the first night (took 1 dose of tylenol and 1 of advil after), temp of 38-39 the next 12 hours, and then the 2nd night had a fever high of 41.4 degrees (took another tylenol). Had sweats the entire night after and defervesced after. Day 3-5 mostly involve myalgia, nausea, anorexia, malaise, chills, HA, and mild SOB. Took about 1 week to "recover" to my long COVID baseline after the 2nd dose of vaccine. Still having a bit worse SOB now compared to prior to 2nd dose but unsure if it has to do with the vaccine at this point. Had tested for positive anti-spike protein ab (likely from the 1st dose) the morning of my 2nd dose of vaccine.

I was having episodes of dyspnea and non productive cough starting from 1/1/2021. On 1/13/2021 I experienced severe dyspnea and had loss of consciousness for 5 seconds and was found down. I was rushed to the hospital and diagnosed with multiple pulmonary embolus (about 9) which was treated with direct TPA via catheterization. I then recovered in the ICU and transitioned to oral anticoagulation and discharged home on 1/15/2021.

At 7pm I started to get very tired. I had been running some errands at the local stores. When I got home, I felt very tired. I had a smoke and my lungs started hurting. This is unusual. I laid down for about an hour and when I got back up to get a glass of water, I was short of breath. My lungs feel about a 3 on the pain scale. Planning to just lie down for the night and reassess in the morning how I feel.

Resting heart rate from 60-120bpm, chest pain, trouble breathing. Lasts 30-60 seconds then heart rate returns to 60?s. Happened 3x on 2/1 and 4x on 2/2.

3-4 minutes after getting the vaccine. Suddenly my throat felt like my throat was swelling up. Shortness of breath, and palpitations. Lasted about one minute and then I was fine.

Vague onset of malaise, fever, exertional dyspnea, chest pain that progressed approximately 1-2 weeks after the 2nd dose of the Pfizer vaccine. Led to development of pericardial effusion with cardiac tamponade physiology, atrial flutter, and subsegmental pulmonary embolism. Workup of other causes of pericardial effusion (e.g., infection, malignancy, autoimmune), and hypercoagulability were otherwise negative. 2nd dose of vaccine was on 1/4/2021 and pericardial effusion was diagnosed and evacuated on 2/14/2021. Patient hospitalized from 2/14/2021-2/17/2021. Patient is also healthcare provider.

Adverse events: cramping at injection site (deltoid), cramping in injection arm, general body cramping, muscle spasms, numbness, body temperature dropping, high fever (101F), chills, severe headache, excessive sweating, severe earache, lethargy, loss of appetite, loss of balance, dizziness, vertigo, joint pain (knees), altered sense of smell (acidic smoke), altered sense of taste (metallic), altered color vision (tinted yellow), altered mouthfeel (plastic film feeling), gum sensitivity, blotchy rashes (legs), tightness in chest, difficulty breathing. All occurred within first 48 hours following injection and began to subside without intervention prior to 72 hours following injection.

Patient became anxious and had shortness of breath. Vital signs were with in normal limits and after 15 min time of observation patient was calm and went home.

Tingling burning in all extremities, trunk and face; Tingling burning in all extremities, trunk and face; weakness in all extremities; Shortness of breath with after completing one flight of stair.; This is a spontaneous report from a contactable Other healthcare professional (HCP) reporting for himself. A 36-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 21Jan2021 at single dose for covid-19 immunization. The COVID-19 vaccine was administered at Workplace clinic. Medical history included high blood pressure (BP), ocular migraine. Concomitant medication included amitriptyline, amlodipine. The patient received first dose of BNT162B2 on 02Jan2021 4:00PM for Covid-19 immunization and expedited tingling in right 15 days first dosage. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced Tingling burning in all extremities, trunk and face after second dosage. Tingling and burning was followed by weakness in all extremities including Shortness of breath with after completing one flight of stair. Visited primary care physician and blood work results were not significant for any abnormalities. Visited emergency room (ER) and was seen by neurologist who did think symptoms were severe. Awaiting EMG scheduled for 24Mar2021. No treatment received for the events. 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 outcome of the events was not recovered. Information on the lot/batch number has been requested.; Sender's Comments: Based on the information currently available and due to a plausible temporal relationship, a possible contribution of the suspect drug administration to the reported events 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.

Vaccine was administered at 10am with no signs or symptoms. Patient went to bed at 930pm with no signs or symptoms. Patient awoke at 0100am on 2/17/21 with 102.7 fever, chills, nausea, severe full body muscle aches, headache, diaphoresis, and shortness of breath. Patient was unable to work on 2/17/21. Patient had residual side effects on 2/18/21 of minor headache and minor body aches. Patient did attend work. All residual side effects disappeared by 2/19/21.

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: pale face

Pt. Found unresponsive in observation chair. Attempted sternal rub. Pt. Unconscious ~ 30 seconds, disoriented when finally awoke. Within 1-2 minutes, pt. was able to be re-oriented. EMS called. Pt. Became diaphoretic, stating that he was having a hard time getting air. Pt. Placed on 6L non-rebreather. Pt. Transferred to stretcher without issue. Pt. Able to have normal conversation. Per pt, he often faints when having blood drawn. Pt. Only ate a banana prior to getting his vaccine, pt. Normally has a more robust breakfast. After EMS arrival, VS remained stable. Per EMS BG normal. EMS attempted to get patient to sit up, pt again became increasingly diaphoretic and less responsive/drowsy. Pt. Stated he felt dizzy and was seeing white spots. Pt. Transferred to EMS stretcher and taken to ED. 1009: HR 56, RR 18, BP 129/83, SpO2 93% 1015: HR 59, RR 20, BP 115/80, SpO2 98%

3:00PM - patient reported throat felt tingly, somewhat constrictive and his right eye was twitching 3:07PM - 25mg of benadryl given 3:13-3:20 - throat symptoms improving but still feeling somewhat constrictive, eye still twitching 3:23PM - blood pressure 137/97 3:34PM - blood pressure 135/87 3:37PM - patient feeling well enough and comfortable to leave with wife as a driver due to benadryl Called the patient at 7:00PM to check in. Symptoms had resolved completely and the patient required no further interventions

PT COMPLAINED OF THROAT SWELLING. NO ACUTE DISTRESS AT TIME OF COMPLAINT. WAS ESCORTED BY NURSE TO ER FOR EVALUATION AND OBSERVATION.

TIGHTNESS IN THROAT Narrative: Patient C/O some tightness in throat a few minutes after 1st Pfizer covid vaccine. No problems breathing or swallowing. No hx of anaphylaxis. NAD, calm, conversing with east. BP 133/91, P92, RR 18, PO2 99% Patient released after completing 30 minutes of observation in stable condition with instructions to seek medical care if symptoms worsen.

Dizziness, shortness of breath, chest pain, tachycardia x w/in a minute of vaccine administration. VS 136/82, HR 98, O2 sat 98%, Temp 98 degrees, Accucheck 86. Patient transported to Hospital for further evaluation. 1st responder arrived on site @ 3:38 pm left at 3:52 pm.

Shortness of breath and racing heartbeat starting about 30-45 minutes after injection. Went to ER for observation. Symptoms passed by 2.5 hours after injection

Pt received his vaccine and then went to the observation area. While he was there he started feeling lightheaded and unwell. 5 minutes after vaccination, pt was hot, diaphoretic, and went very pale. His eyes started rolling into the back of his head and he was exhibiting shallow breaths. His pupils dilated and he started foaming at the mouth. Pt was lowered to the ground and a full dose of adult epi pen (Lot#0FM406 Exp FEB 2022) was given to the left lateral thigh at 1725. 911 was also called. Pt came to almost immediately. His pupils and breathing returned to baseline. He stayed lying down but was A & O x4. He confirmed that he does not have any allergies, however he has passed out after a vaccine before. Paramedics arrived on scene and took over the encounter. Pt felt much better, however still went with the Paramedics to the ER. Also advised pt to follow up with his PCP in regards to receiving the second vaccine.

Patient reports parosmia starting shortly after COVID vaccination in 1/2021. Of note, patient had history of COVID-19 infection in 10/2020. He was symptomatic with shortness of breath, malaise, myalgia, anosmia, and ageusia. However, all of the symptoms improved (including the anosmia and ageusia) by late 10/2020.

patient felt as if he was having an asthma attack following vaccination. he denied chest pain. no cough.

EE attended a vaccine event at plant T1 and obtained his first dose of Pfizer COVID-19 vaccine at 3:35 pm. EE was instructed to wait for 30 minutes in the post vaccine observation area due to previous anaphylaxis response, to a medication as a child. EE was eating a snack when at 3:45 pm, he became light headed and stated "I feel like I am going to pass out." EE became pale and Diaphoretic with an altered level of consciousness. EE was lower to a supine position on the floor and an ice pack was applied to head/ chest. EE states it is a little more difficult to breath, but I do not feel like my airway is closing up. No hives or reaction noted at injection site. At 3:45 pm airway was clear with no adventitious sounds noted. PERRLA with Oxygen level of 98% RA. Pulse 47. 3:50 pm EE unable to take Benadryl due to altered level of consciousness. BP: 80/60, Pulse: 69 and O2: 86% RA. EPI pen( Amneal 0.3 Mg, IM to the left thigh) administered per protocol and EMS was contacted. 3:52 pm BP: 95/70, pulse 82 and O2: 94% RA. Benadryl 25 mg administered orally per protocol. 3:54 pm BP: 100/85, O2:99% RA. Skin pink. EE states " I am feeling much better and do not need to go via EMS. EMS arrived at 4:00 pm and informed of care provided. EE was instructed that he needs continued monitoring due to EPI administration. EE was educated that he would not be able to obtain the second dose of Pfizer due to his reaction.

Patient received first dose at the Vaccine Drive-Through. Patient appeared curious and asked multiple questions regarding the vaccine. However, the decision was made by the patient to proceed to receive the first dose of Pfizer vaccine. Patient received vaccine at approximately 02:00 pm. Shortly after administration of the vaccine and while in the reaction waiting area, he experienced ?dizziness and difficulty breathing? and requested assistance. Onsite medics state patient leaned his head back and his eyes rolled back in his head. No sign of swelling, itchy, or rash. Vital signs were within normal limit. Paramedic was immediately called at 02:08 pm. EMS arrived at 02:15 pm and departed at 02:20 pm. Paramedics transported non-emergent patient to ED. ED DX: vasovagal syncope; no signs of anaphylaxis or severe vaccine reaction. Patient released from emergency department at 03:15 pm with without activity restrictions.

patient was given the vaccine,he was fine until he started walking around the store then he felt faint and returned to the pharmacy. we sat him in a chair,he was sweaty.white and started to slowly faint to the floor. His face got very red and his breathing sounded labored ,we placed him on the floor and he passed out briefly but came back to in about 3 minutes,very quickly he came back and his color returned and he knew where he was and answered all of our questions.We called 911 for an ambulance and when the ambulance crew arrived he was talking and feeling better.He had a gatoraid and sat up and answered all the questions everyone asked and his color was restored and he stood up and was feeling well enough to leave

Experienced chest pain, neck pain, general muscle pain, joint pain, some abdominal pain, headaches, fatigue, some shortness of breath, lightheadedness, some vision change in left eye, severe heartburn flare up, nausea, digestive issues (urgent, but small stools), increased heartrate, irregular tachycardia responses and heart palpitations. The pain and heartburn were treated with over the counter medications - ibuprophen, Tylenol, Pepcid and Prilosec at advice of my primary care doctor. Most all of the symptoms resolved after about two weeks past vaccine except my heartrate/palpitations and heartburn. My primary care doctor prescribed Protonix to help with the heartburn. Three and half weeks past vaccine I visited the ER thinking I was having a heart attack.

This patient was vaccinated with the vaccine at approx 1530, in the left arm. He was sitting in the observation area for his allotted 15 minutes. At approx 1540 this nurse was called over by a staff member and was told that this patient was feeling dizzy, hot and nauseous. This patient presented as diaphoretic and pale. RN's, came over to the patient and began asking basic demographic info questions, and started to measure his vital signs. This patient denied any heart issues or past medical history. His father was present and was seated next to the patient. We had the patient move onto a cot and we had the patient lay down and we elevated his feet. The patients initial vital signs were: 110/70, HR 56 and O2 99% at 1543. He stated that he felt some shortness of breath but was able to speak to us without difficulty. No wheezing or rhonchi present. We kept the patients legs elevated and provided a cold pack to his head and neck. After approx 10 minutes the patient stated he felt better, but he felt cold and his legs and upper body were shaking. Once we sat him up into a sitting position he stated he wasn't feeling dizzy. We kept him there for another 10 minutes until he felt better. His vital signs were measured again and his bp was 140/90, HR 91 and O2 level was 99%. The patient denied any difficulty breathing. This nurse advised for the patient and his father to go to the Emergency Room if another episode of this occurs. The patient understood and he walked with his father to their car without any difficulty.

Approximately 45 minutes after returned to site w tachypnea, low grade temp 100 degrees, normal 98% O2 sat, and recurrent moderate rigors that waxed and waned. Hemodynamically stable w tachycardia, cool extreme and diaphoretic. No rash, rigor, airway compromise. Transferred to ER by ambulance.

Fever of 100-101 degrees F for 60 hours, treated with acetaminophen. During this same period I experienced chills and excessive sweating. I also experienced shortness of breath, pain while yawning or coughing, and an inability to take full breaths.

Tingling all over his body; body tingles; May have lost weight; Wheezing sound whenever he breathes; Feeling numb; Feeling weak; no energy; Hands are shaking; Electrolytes were out of whack; electrolytes were too low; Phosphorus level was too low; Throwing up; vomiting; Vertigo; head was spinning; looked like the building was going up and down; vision was spinning; Fell three times; Face pale yellowish; Feel like going to pass out; Nausea; Felt there is pinching on left side of his chest; Heavy sweating (sweating all over his body); Head felt heavier; head was heavy in the front side of his head, not in the back; Feeling hot; 99.9 degrees body temperature; pre fever; Head felt a lttle dizzy; no control to his body like he was going to faint; Arm soreness; sore arm; Headache; it is only a little bit of pain; frontal headache; head is hurting; This is a spontaneous report from a contactable consumer (patient). A 36-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number was unclear and reported as either ER8727 or ED8727), via an unspecified route of administration, on 23Mar2021, at a single dose, for COVID-19 immunization. The patient's medical history included asthma. The patient's concomitant medication included an unspecified inhaler. The patient was healthy. He has asthma, but other than that he has no health issues. He has never been hospitalized. The patient was calling to share his side effects after receiving the vaccine. He took the vaccine because it has been recommended. Most importantly, he took it for his elderly parents. He does not want to hurt them. He wants to help the community. The pharmacist told him he needed to call and report, so he googled Pfizer's phone number. On Tuesday (23Mar2021), the patient received his first dose of the COVID-19 vaccine. At first, he felt nothing. The patient's head felt a little dizzy (clarifies that it is a heavy feeling) and had a little bit of arm soreness at night (resolved about a day and a half later), but he could not complain. When the patient had the first dose, he experienced headache and sore arm the night on 23Mar2021. After the first dose, his head felt nothing like the day he went to the emergency room. He would say it was maybe 10% of the day he went to the emergency room. The next day (24Mar2021) in the morning, the patient experienced heavy sweating (sweating all over his body), feeling hot, headache, 99.9 degrees (also reported as 9.8) body temperature, and more pain on the arm. On the morning of 24Mar2021, the patient's head felt heavier. He heard people get chills, he did not get chills. He checked his temperature and it was 99.9 degrees. The patient considers that a pre fever, anything over 100 degrees is a fever to him. Sweating all over his body has gotten better. But it comes back from time to time, along with tingling all over his body (unspecified date). His body tingles, he sweats a little bit and then it goes away. His body tingling and sweating go back to back. Time passed by two days and nothing. On the sixth day (29Mar2021), the patient's mother had a doctor's appointment. After the patient got home from taking his mother to the doctor, he started sweating all over his body (started sweating again). His head was heavy (head is a bit heavy again), but not painful. It is heavy in the front side of his head, not in the back. It (head) is only a little bit of pain. He feels like his brain is going to come out of the front of his head. He started throwing up as soon as he got home. He got vertigo. He was running through the house, trying to make it to the bathroom and he fell three times (before he went to the emergency room). His head was spinning, and he could not open his eyes. The patient clarified that he could open up his eyes, but he did not want too. It looked like the building was going up and down. On 29Mar2021, the patient's face was pale yellowish, feel like going to pass out, time to time nausea and vomiting, vertigo, vision was spinning, tingling sensation, no control to his body like he was going to faint, vomited a total of 3 times, felt there is pinching on left side of his chest (the left side of his chest was pinching in the emergency room), and frontal headache. He felt like everything around him was spinning. The patient took meclizine for vertigo and medication for vomiting. The patient's father has vertigo, so his father gave him some meclizine for his vertigo. The patient also took ondansetron (ZOFRAN). The patient's family called the hotline and took him to the emergency room (ER). He has not fell again. He vomited three times, and then another in the ambulance, for a total of four times. When he got to the hospital, they started treating him. When he went to the emergency room, he did not open his eyes, and was talking with his eyes closed. All of his symptoms happened at the same time, when he came home from his mother's doctor appointment. The doctor at the emergency room told him that his electrolytes were out of whack, and that his phosphorus level was too low. They gave him some sodium sulfate right away. The doctor recommended that he stay overnight. The patient did not want to stay overnight because his parents are elderly, and he takes care of them. The doctor told him since he was not willing to stay, to go home and drink a lot of water. Per laboratory works done on 29Mar2021, the patient's phosphorous and electrolytes were too low, so they gave him saline and sodium phosphate for management. Also, the patient had abdominal and heart X-ray and computerized tomography (CT) scan done and everything came normal. Also, both X-rays came back clear. The patient had no diarrhea. Heaviness of head started feeling better after his emergency room visit on 29Mar2021. Around 02Apr2021 or 03Apr2021 is whenever it started feeling better. It comes back, and he gets scared. On 30Mar2021, the patient was almost improving and was advised to drink lots of fluids. Every now and then patient was feeling weak and head is hurting, hands are shaking on 30Mar2021. Every single day, he feels dizzy, weak and tingles all over his body. When the patient went to the emergency room, the doctor could not tell him what caused his symptoms. The doctor told him that it could possibly be because of the vaccine. He has never felt like this in his life. He has never fell in his life. He felt hopeless and was crying. He was worried about his elderly parents, and who would take care of them. The patient's second dose of the COVID-19 vaccine is due 13Apr2021. He is debating on whether to take it or not. He cannot afford to take it if it is going to make him feel worse. He has read that the second dose of the COVID-19 vaccine makes people feel worse. He is scared. He is asking if he should get the second dose of the COVID-19 vaccine. Within one week (unspecified date), he may have lost weight. The patient has to use his inhaler more now as he has a wheezing sound whenever he breathes. He has been using his inhaler more often, whenever he starts wheezing. He always feels like his whole body is tingling. He has no energy. He has only visited this doctor once. His long-term primary care physician is not practicing anymore, he thinks that he may have lost his license. It is hard for him to get an appointment with his primary care doctor since the pandemic. The patient is going to try to see his doctor through tele health. The emergency room doctor recommended that he follow up with a neurologist. The patient was advised to go to a neurologist. The patient reported these symptoms as side effects and asked how long the symptoms last. At the time of reporting, the patient currently still has that nausea and vomiting feeling, but it is better; and he feels heavy (pertaining to vertigo). If he starts to get vertigo again, he knows he will throw up. He can feel whenever the vertigo is coming, he begins to feel like the floor is moving. He can be standing still quietly, and the floor will start moving. The pharmacist told him to call Pfizer and share what happened to him. Since he took the first dose of the Pfizer COVID-19 vaccine, he spoke to the pharmacist. He was thinking of taking another company's vaccine of one shot. But they did not offer it in his area. The patient read that the first dose of the Pfizer COVID-19 vaccine gives him about 50-60% immunity. The patient was asking if he can take the other company's vaccine. The patient should have taken the other company's vaccine because it would have been one shot and done. He is nervous about taking the second dose of the Pfizer COVID-19 vaccine. He wishes he would have taken the other company's one shot because then he would not have to worry about having symptoms again. The patient's father received his second vaccine today. He asked the pharmacist there the same questions. He is still confused about if he is going to take the second dose of the COVID-19 vaccine. He cannot explain his symptoms. He can handle pain, but he cannot handle, vertigo, throwing up, and feeling numb (as reported; unspecified date). He feels like he had symptoms that people 90 and older should have. He kept falling. The patient further asked if he could take another company's COVID-19 vaccine as his second dose. Also, if it was okay if he was scheduled to get the second dose 4 weeks after the first dose. Lastly, if the company thinks that he is eligible for the second dose of the Pfizer COVID-19 vaccine despite these symptoms. The patient recovered from "Arm soreness; sore arm" on 25Mar2021; and from "Fell three times" on 29Mar2021. The patient was recovering from "Heavy sweating (sweating all over his body)", "Head felt heavier; head was heavy in the front side of his head, not in the back", "Throwing up; vomiting", and "Nausea". The outcome of the remaining events was unknown. Information about lot number and expiration date for the suspect product will be requested in follow-up attempts.

Chest discomfort, shortness of breath; head buzzing; extreme fatigue; body aches; unable to sleep more than 6 hours per night

chest pain; neck pain; general muscle pain; joint pain; headaches; fatigue/malaise; fatigue/malaise; shortness of breath; lightheadedness; nausea; severe heartburn flare up; abdominal pain; digestive issues (urgent, but small stools); heart racing/palpitations; elevated heartrate; vision changes in the left eye; This is a spontaneous report from a contactable consumer (patient). A 36-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EN6201), dose 1 via an unspecified route of administration, administered in Arm Left on 11Mar2021 13:45 (at the age of 36years) as single dose for Covid-19 immunization. Medical history included heartburn and known allergies: Penicillin, alcohol; all from an unknown date and unknown if ongoing. The patient previously took Cipro (ciprofloxacin) and experienced drug allergy. Concomitant medication included Ritual Multivitamin. The patient was not diagnosed with COVID-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 12Mar2021 (06:00 am), the patient experienced chest pain, neck pain, general muscle pain, joint pain, headaches, fatigue/malaise, some shortness of breath, lightheadedness, nausea, severe heartburn flare up, abdominal pain, digestive issues (urgent, but small stools), heart racing/palpitations, elevated heartrate, and vision changes in the left eye. The adverse events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, and Hospitalization. The patient was hospitalized from an unspecified date for 1 day. Treatment was received for the adverse events. There were many tests done/are being done. The patient has not been tested for COVID-19 since the vaccination. The outcome of events was unknown.

I went to bed around 10pm feeling very cold an shivering. I was able to fall asleep, but then I woke up at 2am feeling very thirsty and experiencing intense nausea. I got out of bed to get some water. When I exited the room the nausea intensified so I knelt on the floor to wait until it passed. It didn't really pass so I stood up to try and get back to the bed. After a few steps I blacked out and fell to the floor. I was only unconscious for a few seconds, as confirmed by my wife who heard me fall. When I came to, I was lying face down and still experiencing intense nausea. I was also very hot and sweating, and very thirsty. I laid with my eyes closed an breathing very heavily to suppress the urge to vomit for a minute or two. When the urge to vomit began to subside I took a few sips of water while still lying on the ground. After another minute or two I was able to get up and get back into bed. The extreme nausea subsided after a few more minutes and I was able to drink more water. I went back to sleep after that. I woke up in the morning around 7am. I felt a little "off" for most of the day: slightly weak, a mild headache, with some difficulty focusing. But since then I have felt normal. I didn't seek medical attention or take any medication. I have experienced Vasovagel Syncope as a child so I expect that I am more susceptible to fainting like in this case.

4 days after the first shot I was feeling very very dizzy. My ears felt full enough that I thought maybe they were just full of wax. I bought an over the counter ear cleaning kit. That didn't relieve any symptoms. I never get headaches, but a couple days later the front top of my head was throbbing. The area just above my forehead. It was not sinus pressure, my face didn't feel any pressure or pain. My throat also felt like I was being slightly choked. Not my airway, but just my jugulars. It began in the evenings. It would feel like I had been hanging upside down for a while. My head felt full of blood, like it was going to pop, like my eyes were bugging out. By a week to 10 days later, my upper arms felt weak, my toes were tingling, and my heart would flutter for just a few seconds occasionally. I was still dizzy, still felt like I was choking, except I was feeling this way all the time now. The symptoms only seemed to be staying the same or getting worse. I have NEVER gone to the doctor on my own in my life to get something checked, but this had me disconcerted enough to check in and see if I should get my second shot at all. My appointment was to see my doctor was the morning of the same day I was scheduled to get my second Pfizer shot. My doctor had not heard of these symptoms being associated with the Pfizer shot and chalked my symptoms up to stress. I am not a stressful person and very much err on the side of "waiting to see what happens" if I feel sick. I never feel sick. But I accepted the explanation and took the second shot that day anyway. It should be noted that the second shot made my left armpit swell up quite a bit. I did feel dizzy again, but not nearly as much. The other symptoms seemed to not be as bad either.

Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation.

INITIALLY presented to ER 5/2 with generalized fatigues,body aches,and subjective fevers after receiving his 2nd dose of Pfizer Vaccine against CoVID-19 on 4/28/21. Patient reports dizzy spells over the past few days with shortness of breath and then last evening developed a diffuse rash over his chest and extremities associated with itching and burning sensation on 5/1 evening. He denies any nausea,vomiting,abdominal pain,diarrhea.No chest pain or cough.Denies headaches.Denies h/o of prior allergic reaction/concerns to the first dose of the vaccine or any other vaccine.Denies any new exposure other than as stated the 2nd dose of the covid vaccine. Treated with IV steroids, IV Pepcid, and IV Benadryl with improvement. Upon discharge, directed to continue Prednsione 40mg daily for three more days for a total of five days of steroids, and follow-up with PCP. SUBSEQUENTLY, returned to ER acute onset of decreased visual acuity, diffuse arthralgias, joint pain, myalgias, lightheadedness, palpitations, vertigo, muscle spasms, and difficulty moving both upper extremities. This was accompanied by sharp, 10 out of 10, nonradiating, diffuse anterior chest pressure. Nothing made this better or worse. The patient was driving at that time, and was unable to control his arms, which resulted in his vehicle leaving the roadway. He was able to bring the vehicle to a stop before crashing. Since then, his symptoms have gradually improved, although they have not completely resolved. The characteristics are identical to the events that led to his previous admission.

Shortness of breath, dizziness, acute headache, dull to acute chest pains, and rapid heart rate onset while sedentary on the evening of 5/2. Episode repeated prompting visit to ER. Episode recurred during drive to ER. Released with instructions to get heart monitor fitting within 5 days. Symptoms recurred the following evening prompting return visit to ER. Symptoms recurred twice during drive to ER. Released with instructions to get heart monitor fitting within 24 hours. Shortness of breath and lightheadedness have continued at times.

Throat tightness/scratchiness. No SOB, lip swelling, rash, N/V. Able to eat/drink comfortably. Stable and released.

Around 2 weeks after receiving the first vaccine dose, I woke in the middle of the night gasping for air. My heart was racing and I was so weak that I could barely sit up. The following day I could not get out of bed. I also had an intense headache, which is unusual for me since I never get headaches. On the 3rd day I developed dizziness/vertigo. Since those events occurred, I've been dizzy 24/7 and had about 25-50% of my normal energy. I cannot drive, I cannot work, I cannot many of my normal daily activities. This has been devastating. It has been over 3 weeks now with these symptoms, and I will probably lose my job this week. I don't know where to turn. There should have been a safety net for these things.

Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Severe, Systemic: Shakiness-Medium, Systemic: Weakness-Medium

Pt is 36 yo male with PMH of renal transplant 2/2 IgA nephropathy, CKD IIIa, OSA, GERD, morbid obesity who presented with cough and shortness of breath on 4/25/2021. He was found to have COVID-19 pneumonia and AKI. He is s/p Pfizer dose #1 vaccination on 2/23/2021 and dose #2 vaccination on 3/16/2021. He is immunosuppressed on mycophenolate, prednisone and balatacept monthly which may have affected immunogenicity to vaccine. Pt admitted and completed 10 day course of remdesivir. Also received dexamethasone. Improved VTE score of 1 so did not meet criteria for prophylactic Eliquis. Difficulty in weaning patient off of O2. Was discharged on 5/5/2021 on 4L oxygen and will follow up with Pulmonary as outpatient.

Pt presented with SOB and CP with EKG findings consistent with pericarditis. Symptoms began 1 day after vaccine and worsened.

He reports getting the first Pfizer shot on 4/30/21. Starting on 5/1/21, he reports feeling fatigue, SOB and cough. These symptoms worsened over the subsequent two days until today when he felt that the cough was so frequent and severe that he couldn't breathe. No fevers/chills/vomitting. He has felt nauseous and has dry heaved multiple times, mostly in the context of coughing fits. Pt was advised to go to ED for evaluation.

Mild "shock" feeling in heart. Sometimes shortness of breath. These were very mild until recently, and I was blaming it on diet until a friend told me of a similar issues discovered to be a side-effect or Miocarditis.

Was fine before the COVID19 vaccine shot. After 15 minutes of observation, I experienced a runny nose which I was told was fine. About an hour later, I experienced slight swelling under my left eye and cheek. A few minutes after, my throat began to have a scratchy feeling and a slight wheezing which was concerning. As soon as I experienced this feeling, I took one Benadryl immediately. After about a half an hour, the swelling under my eye and cheek gradually went down, my runny nose stopped after a few minutes , and my throat itching stopped after about 15 to 20 minutes. I felt fine afterwards.

24 hours: Acute Myopericarditis, Difficulty breathing, Heavy chest Within hours: Fever, Severe Chills, extreme fatigue

Pain is substernal, pressure-like, 3/10, radiates to the jaw and associated with a jaw pain that is 6/10. Pain lasted from around 9.30 pm until he fell asleep around midnight. Patient woke up pain free. However, after his breakfast at 11 am, the same pain came back. . His pain is worse with deep breathing.

At approximately 6pm I experienced chest tightening and pain above my heart. When taking deep breaths the pain became more sharp. The pain lasted about 3 days, gradually decreasing each day. At the time I attributed it to stress, as the day and recently I have experienced stress at work. I did not seek medical attention as it improved over time, and has not returned. I decided to report when hearing about the heart inflammation reports, and this was about 1.5 weeks after my 2nd dose. Symptoms do overlap with stress (what I originally attributed to) and what I have read are symptoms of hear inflammation. My adverse events that followed my 2nd vaccine (minor fever, aches, headaches, swollen lymph nodes, etc) only onset about 20 hours post vaccine, and lingered longer than most people that I know.

Burning pain in chest that lasted for the weeks in between the two doses. Did not recognize the connection to the vaccine at the time and got the second dose. Symptoms worsened and on 4/12/21 felt extreme chest pressure like lead bar in center of chest. Pain and pressure have lessened in intensity since that time but has not gone away. Chest pain and/or pressure has been present ever day for over 3 months now. During this time, I have also been experiencing consistent rapid and shallow breathing but without the experience of shortness of breath.

All symptoms aligned with the reported Heart Inflammation reactions. Primary symptom showed as shortness of breath and noticeable heart "flutter"/pounding and heart rate spikes. that began a week or so after the 1st vaccination. The Emergency room was visited soon after these symptoms began but tests came back inconclusive. Symptoms gradually improved over 1-2 weeks but returned more significantly after the 2nd vaccination shot. These symptoms lasted for about a month.

Pt is a 36 y/o Caucasian Male who came for Covid-19 vaccine At 0845am_ I called him in to the room and during the questions about allergies and reactions to medications: So, he expressed to me that he suffered from Anxiety and panic attacks sometimes and that he had not gotten vaccines since childhood. He also verbalized apprehension about the severe side effects of this vaccines. I talked to him for a while, reassured him that the vaccination process was painless. At around 0900am I gave him the Vaccine and Kept him sitting in my room after to closely observe him. I reviewed the possible severe and mild side effects before and after Vaccine. He verbalized understanding. At 0910_ I asked him how he was feeling, and he stated that? he didn?t feel well, that he felt weird and shaky.? I called for help and nurse came in talk to Pt for a couple minutes then I asked her to call RN. They both came in the room where Pt was sitting and after talking to him for a few minutes and trying to calm him down the RN notified the Provider NP @0915_NP came in the room to assess the Pt and told us to call 911. @0920_ nurse called 911 and gave reports of Pt condition, while we transferred Pt on to exam bed and plugged Vital-Sign machine. Pt continue to hyperventilate and check his own pulse in his Carotid area. B/P 138/85; Pulse 88; RR 22; PO2 100%. @925_ the Paramedics arrived and after giving them report they assessed Pt and tried to coach Pt to slow down his breathing pattern and offered reassurance that his vital signs and Po2 was normal @ 100 % in Room air; And they also offered to take him to the hospital, but Pt declined He stated ?I?ll be Ok? this happens before. @940 Vital Signs at this time were- B/P 120/82; PR 80; PO2 100%; RR20. @950 Paramedics prepared to leave and help Pt to sit in waiting room chair. Pt sat in waiting area for 15 more minutes until he felt better and left to his home in stable condition.

Symptomps of myocarditis - chest pain, fatigue, abnormal heart rhythms and shortness of breath. Symptoms lasted more than two weeks and improved after I started taking 600mg ibuprofen to reduce chest pain. All symptomps have gone after 3 weeks of the vaccine shot.

Fever, joint paid, headache, cold sweats, nausea, fast breathing, no energy. I have been trying to stay hydrated. I've taken Tylenol. 1200 mg. Fever and other side effects still persist.

Feels like not getting enough air when breathing normally. This has been going on since the second dose in May 2021, so approximately 2 months now.

States 15 minutes after vaccine, he felt a lump deep in throat at the level of sternum. Also felt light headed and short of breath. He felt like his tongue was a little swollen. Was taken to ER for further evaluation & treatment Felt better later same day.

At 1712 on January 8th, three hours after the vaccination, patient presented to the Urgent Care with c/o dizziness, tachycardia and shortness of breath. Other symptoms included fatigue, foggy headed and poor appetite. As of today, January 10th, continues to complain of exhaustion, mild shortness of breath and body aches, but states that the tachycardia has resolved.

"PMH htn who c/o n/v/d and flu like symptoms. Patient received first dose of pfizer vaccine 12/23/20 at 3pm. A few hours later started having epigastric pain to his back with numerous episodes of n/v nbnb. +chills and myalgias. Denies having any prior adverse reactions to vaccines. Denies any nsaid or etoh use. Denies any abd surgeries. Took 12mg zofran, about 4mg which were IV w/o relief. Denies any itching or rash or hx pancreatitis or anaphylaxis. +mild sob. "

chills; nausea; had mild allergic reaction; shortness of breath; rhinitis; This is a spontaneous report from a contactable pharmacist reported for self. This 37-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on Left arm on 07Jan2021 13:30 PM on left arm at single dose for COVID-19 immunisation. Medical history included asthma, seasonal allergies. hypothyroid, IBS and known allergies: corn, yeast. Concomitant medications included ascorbic acid (VITAMIN C), vitamin d3, magnesium, probiotic. No other vaccine in four weeks. He had mild allergic reaction on 07Jan2021 13:45 PM, after receiving first dose on 07Jan2021 13:45 PM, shortness of breath for about 1 1/2 hours, rhinitis on 07Jan2021 13:45 PM; also had chills/nausea for about 3 hours starting right after receiving vaccine on 07Jan2021 16:30. No Covid prior vaccination. No Covid tested post vaccination. No treatments were received. Outcome of the event shortness of breath recovered on 07Jan2021 15:15. Outcome of other events were recovered on 07Jan2021. Information on the lot/batch number has been requested.

Patient experienced headache, shortness of breath, left side arm and leg numbness and mild diarrhea after one hour receiving the Covid 19 vaccine. This is the second dose.

I experienced sweating, fever, extreme confusion, difficulty breathing, tightness in chest. I consulted with my sister, a nurse, and she indicated that I was having an anxiety attack. I have never experienced these symptoms before. There are no unusual our novel stressors in my life or environment at this time. In fact, I was on a date with my wife when the event began

2 days after my 1st vaccine (Thursday, 3/4), I started to feel a slight shortness of breath...it was not severe but felt pretty constant regardless if I was still or moving...not a full catching of breath but the sensation was there I went to Urgent Care on Friday 3/5 to get tested for COVID, and that came back negative on Rapid (3/5) and PCR (3/7) The symptom continued into Monday 3/8, and I went back to Urgent Care to get a Chest X-Ray and Blood work. The Chest X Ray came back normal, but the D Dimer showed an elevated level and they recommended I go get a CT Scan to check for Blood Clots I went to NY Presbyterian ER to get a CT Scan with Contrast, which came back clean. They also did a ECG 12 Lead and Troponin I Test, all came back clean I was discharged on 3/8, with Hospital potentially diagnosing the issue as Pluerisy. This could be from a common cold, but also concerned that the vax caused some internal inflammation Still feeling the sensation on 3/9, have a follow up appointment with GP on Friday 3/12 to go over all tests

patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead.

Patient received first dose of Pfizer vaccine without incident. Patient waited 15 minutes and left. He reported getting in his car, driving a few blocks and started to feel dizzy and lightheaded. Patient returned to clinic pale and hyperventilating. Patient laid down. Vitals were stable. He drank water and juice and reported feeling better. Patient sat for 15 more minutes then requested an ambulance be called as he was still not feeling well and wanted to go to the hospital to be evaluated. Ambulance was called and patient walked out of clinic and climbed into the ambulance himself.

Patient reported "throat tightening" and "tingling lips" approximately 15 minutes after receiving the vaccine. Vitals WNL, patient awake, alert, and oriented duration of monitoring. EMTs arrived 8 minutes after they were called, and patient was brought to local hospital for monitoring.

11:38 AM - Hot flash over chest, arms, neck, and face. Elevated heart rate and anxiety that some thing bad was going to happen. Throat irritation and having the feeling to continuously clear throat. Labored breathing. 11: 55 AM - Hot flash over chest, arms, neck, and face. Elevated heart rate and anxiety that some thing bad was going to happen. Throat irritation and having the feeling to continuously clear throat. Labored breathing. 12:01 PM - Throat irritation. 12:24 PM - Took benadryl. 1:09 PM - No symptoms.

struggling to catch my breath; swinging from 120+ BPM to 50 BPM in an instant; pass out; racing heart; big rush of the room spinning; I could feel the medicine in my body, almost to my toes; This is a spontaneous report from a contactable consumer. A 37-year-old male patient received the first dose of BNT162B2 (Pfizer-BIONTECH COVID-19 Vaccine; lot number: EL9267) on 26Feb2021 and the second dose of BNT162B2 (Pfizer-BIONTECH COVID-19 Vaccine; lot number: EN6202) on 12Mar2021, via an unspecified route of administration on Left Arm at single dose for COVID-19 immunisation. The administration of first dose of BNT162B2 resulted in Palpitations, dizziness, hyperhidrosis and Syncope the same day of administration. Relevant medical history included allergy to penicillin. Relevant concomitant medications included testosterone cipionate (TESTOSTERONE CYPIONATE). During second dose of vaccine the patient stated that he feels the medicine in his body, almost to his toes. The patient was fine for a minute or two but then he reported a big rush of the room spinning, struggling to catch my breath, racing heart. EMS personnel was called over and they monitored my heart rate. It was swinging from 120+ BPM to 50 BPM in an instant and during the low BPM was when he passed out. The patient was treated with Epinephrine due a potential reaction and transported to hospital. The reported events were feeling abnormal, vertigo, dyspnoea, palpitations, heart rate irregular and loss of consciousness. All events were serious as hospitalization and Life-threatening illness (immediate risk of death from the event).

Received injection at approx. 10:30am. Waited at vaccination site for approx. 30 minutes with no reaction. At approx. 11:10am (40 minutes after injection) I started to feel tightness in my chest and developed moderate wheezing. I immediately took two puffs of my albuterol sulfate HFA inhaler. The wheezing stopped after I used the inhaler. I did not need to use my epi injector but it was definitely anaphylaxis based on prior experience. I did not report this to the vaccination site as I had already left. It is now 12:45pm and I feel fine.

Pt had reaction with first vaccine. currently sees a cardiologist and neurologist. c/o sob. 50 mg po bendaryl suspension given in divided dose. VVS. wife picked up pt. monitored pt for 60 minutes.

A few days after the shot, my lower back really started to hurt. So much, that I ended up in the ER thinking it could be kidney stones. ER staff were unable to determine the cause of the pain. Exactly one week after the shot (Tuesday), I start sweating profusely and nearly passing out at work. A day later (Wednesday), my heart rate went through the roof and I was dizzy, out of breath. By Friday night I was in an urgent care clinic with a resting heart rate of 145BPM. (My normal is in the 50s). I was diagnosed with Arterial Fibrillation. I have no history, or family history of heart issues. I run 3-5 days a week....3-10 miles at a time. In the military...very healthy.

10:00 pt complain of minor swelling in the throat and pain after second dose of covid vaccine. Pt state no allergic reaction with the first dose of Covid vaccine before. This healthcare provider assess pt and no SOB, no swelling of the face, and no sign of distress. VS 98% on room air HR 71. Lung sounds are clear bilaterally and no stridor in the throat. Pt airway patent and clear. Healthcare provider radioed another healthcare provider to asssit. Continue to monitor at this time and have the pt stay an extra 15min. 10:20 Pt state throat swelling has worsen. Healthcare provider assess pt and no SOB, no swelling of the face, and no sign of distress. VS 99% on room air HR 69. Lung sounds are clear bilaterally and no stridor in the throat. Pt airway patent and clear. Discus with pt to be transfer to onsite urgent care for further evaluation and treatment. Pt agreed to urgent care. 10:21 pt transfer to urgent care with no sign of distress and was accompanied by healthcare provider.

Beyond the common side-effects, which I experienced for one week, I also had shortness of breath for about two weeks. My chest/lungs just felt tight. It wasn't a heart attack. It was just as if I couldn't get a full breath as I normally would and I felt winded. Please note that I am NOT a smoker and I don't have any underlying health issues. I exercise frequently and eat healthy.

My tongue went numb almost immediately after receiving the injection - about 5-10 minutes after. At about 33-35 minutes after injection, my throat started to tickle and I could not stop coughing - even after being given 2 bottles of water and a mint. at about 38 - 40 minutes after injection it started to feel like a lump or a rock was in my throat At around 12:30 - 1:00 am on the morning of 04/22/2021, I notice there were blisters on my gums - one on my upper left gums, one on my upper right gums and one on my lower right gums

hard to get a breath; anxious; my heart began to race; felt the urge to use the bathroom; This is a spontaneous report from a contactable consumer. A 37-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration, administered in arm right on 25feb2021 at 16:15 as single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. No Known allergies. No other vaccine in four weeks. No other medications in two weeks. No covid prior vaccination. No covid tested post vaccination. On 25Feb2021 16:15 after about 1 minute she began to fill anxious, her heart began to race, and she noticed it was hard to get a breath. She also immediately felt the urge to use the bathroom. She raised her mask up slightly and was able to take deep breaths and she tried to calmly read the vaccine pamphlet as she thought maybe she was just nervous as she have never had a reaction before. No treatment received. The events outcome was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Recipient had a prior history of the feeling of a lump in his throat, narrowing of his throat and dry throat with his first dose of Pfizer COVID-19 vaccine. This resolved with oral Benadryl at home. Prior medical history included COVID disease in January, 2021. Due to his history, he was vaccinated next to our ambulance with physician and EMS team in attendance. Approximately 5 minutes after vaccination, recipient began complaining of dryness of the throat and feeling a lump in his throat without any compromise in breathing. Approximately 9 minutes post vaccination, he complained of a progression of his swallowing symptoms, swelling and pressure feeling (periorbital and in the malar area) of the face. He did not complain of dyspnea. Due to his symptoms, he was administered 0.3 mL of epinephrine IM at 10:39, followed by diphenhydramine 50 mg IM approximately 1-2 minutes later. Symptoms seemed to remain static, with treatment, with the exception of post-epinephrine shakiness and complaints of tingling of his feet. Initial vital signs were: Pulse 90, Respirations 20, BP 148/84 and SaO2 of 99. Vital signs and SaO2 remained stable. A transport ambulance was notified and recipient was transferred to the care of EMS for further treatment and observation.

left-sided enlarged axillary lymph nodes, had a subjective fever which was not measured, chills, body aches, fatigue, left arm soreness, headaches, and some sharp chest pain x1 episode, started 20APR2021 warranting ED visit, mostly resolved other than fatigue and dyspnea on exertion by clinic visit 21APR2021

Felt abnormal heart rhythms and shortness of breath with fatigue. Symptoms would come and go through the day.

Within 10 minutes developed headache, near syncope, blurred vision, Later that day chest pain, shortness of breath improved over 3 days 2.5-3 weeks later peppery/burning sensation left side of body, left neck pain and headache Swelling left upper palate

Had difficulties thinking clearly; Flu like symptoms; Feel lots of anxiety and frustration; Feel lots of anxiety and frustration; Feel aggressive; Irritability; Had issues breathing with my lungs; Felt like my heart beat was a little bit off; This is a spontaneous report from a contactable consumer (patient). A 37-year-old male patient received the 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration administered on arm right on 13Apr2021 17:00 (Batch/Lot Number: EW0151) as SINGLE DOSE for COVID-19 immunization. The patient had history of depression and allergies with prednisone and penicillin. Concomitant medications included sertraline (SERTRALINE) taken for an unspecified indication and therapy dates and serum allergy shots. The patient had no other vaccine in four weeks. On 13Apr2021 21:00, the patient had flu like symptoms. He also started to feel lots of anxiety and frustration. He felt aggressive and had difficulties thinking clearly. He became confrontational with his partner and ended up jumping out of the moving vehicle, at a slow speed. He did have a long day, but he felt like irritability was a big factor. He also had issues breathing with his lungs and felt like his heartbeat was a little bit off. He did not have COVID-19 prior to vaccination and not tested post vaccination. The patient did not receive any treatment for the events and recovered in 2021. No follow-up attempts are needed. No further information is expected.

Day 1: left arm hurting, headache, dizzy, eyes hurting, tired Day 2: left arm hurting, tired, legs were weak, feeling not well in general Day 3 - day 7: left arm hurting, got a lump under my armpit (it hurts and bothers), I have a tingling sensation (left arm to my finges, my left chest, my left back), I feel like when you apply Bengay (hot and cold), it feels like this freeze sensation where heart goes, I feel like a pinch on my back. I get trouble breathing (like anxiety, but it's not). I feel my arm tingles like when you're on top of it and it's "asleep". I'm super scared because these are "known" effects, but it's been 7 days now. Also, I'm super scared because I've heard second dose is when you actually feel sick... if this is the first one, will it get worse on the second one? is it recommended to get second one?

1st shot in left arm-I had a red bump that was 3x3 inches and raised. It eventually went away after two weeks leaving behind a bruise. 2nd shot- right arm,by day two I was feeling flu like symptoms. By day three I was short of breath,dehydrated,experiencing rapid heart rate,fever,chills,shortness of breath,sweating,dizziness,migraines which last a week. The bad headaches continued for a month and my blood pressure went from normal to high. I had to go on blood pressure medication after having my vaccine. I still don't feel the same since being vaccinated. I feel fatigued all the time,I have edema, and suffer with chronic headaches.

After injection I had muscle twitching in my left arm. I had some wheezing about 2 hours after injection. I still have pain in shoulder on 5/11/21 (injection performed 4/21/21)

Pt, while sitting after receiving vaccine, started to react negatively after 28 mins. Complains of difficulty breathing and had noticeable hives. Pt was given benadryl to reduce allergic reaction. After a few minutes, pt breathing became better, hives went away. Pt was released to himself at 5:20pm

High fevers, mouth sores (HSV), cough, shortness of breath, headache, fatigue---still ongoing cough and now heart failure--EF is at 40% and grade 1 diastolic dysfunction- 2 chest xrays, CT of chest, 3 covid tests all tests negative--echocardiogram done- 3 different kinds of antibiotics and 2 rounds of steroids, inhaler also, fluids for dehydration-- still out of work

developed more than 6 canker sores in the back and roof of his mouth; developed more than 6 canker sores in the back and roof of his mouth; this has made it extremely painful to breathe, much less try to eat or drink anything; developed more than 6 canker sores in the back and roof of his mouth; this has made it extremely painful to breathe, much less try to eat or drink anything; This is a spontaneous report from a contactable consumer (patient). A 37-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EW0176), via an unspecified route of administration, administered in the left arm on 05Apr2021 as 2nd dose, single for covid-19 immunization. Medical history included vestibular schwannoma, vestibular migraine, chronic sinusitis, hypothyroidism, and hyperlipidemia. Concomitant medications included atorvastatin; clarithromycin (BIAXIN); budesonide and; levothyroxine - all taken for unspecified indications, start and stop dates were not reported. The patient was previously vaccinated with the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number ER8732) administered in the left arm on an unspecified date for covid-19 immunization. The patient previously took levocetirizine (XYZAL) and experienced allergic. 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 vaccination. The vaccine was administered in the doctor's office/urgent care. On 27Apr2021 08:00 "within 24 hours" (as reported) of receiving the second dose of the Pfizer covid-19 vaccine, the patient developed more than 6 canker sores in the back and roof of his mouth; this has made it extremely painful to breathe, much less try to eat or drink anything. The only way he can eat anything was to take several OTC pain killers to dull the pain (of canker sores). No treatment was received for the other remaining adverse event. To the patient's understanding, this was an extremely rare side effect of the Pfizer covid-19 vaccine. The adverse events resulted in emergency room department or urgent care. The patient had not recovered from the adverse events at the time of the report. The adverse events were assessed with seriousness criterion of medically significant. The patient had a negative qualitative NAAT nasal swab on 19Apr2021.

Foaming of mouth, difficulty breathing, syncope, 5 minutes, Eyes rolled back, possibly exaggerated vasovagal,

(1) Wed, May 12th - I woke up around 7:30am with pain in my right side near the rib cage/beneath my chest. The pain was also in my upper right shoulder and trap/neck area. (2) Sat, May 15th - in the evening time around 7:30pm I was riding passener seat in a car and started having shortness of breath (constricted breathing) and immense pain in my right side near my rib cage/beneath my chest. The pain felt like the worst muscle spasm I've ever encountered. The pain was gripping and persistent. It was hard to breathe and even harder to utter out a word or two. This intense pain last for 45 minutes until I got home. I admitted myself into the ER around 8:30pm. Around 7 hours later and after a series of multiple tests I was told I have PE-blood clot in my lungs. (3) Sun, May 16th - I was admitted in the hospital around 5:30am. (4) Tue, May 17th - I was discharged around 4:30pm

Extreme Debilitating Dizziness for 4 days so far as well as fatigue. Muscle pain that comes and goes in left arm, neck , upper back and both legs. Wheezing on days 1-3.

Timeline just provided to neurologist. 5/1 - 2nd COVID vaccine (Pfizer) 5/3 - Went to Urgent Care for primarily chest pains 5/5 - GP sent to ER after continued severe chest pains and getting very winded after only a few steps. Weekend of 5/8 - vomiting, likely fever (felt like true vaccine side effects) - no vomiting/fever since Since then, lots of tests/dr visits. Current symptoms: tingliness/numbness - left leg - midshin to foot/toes. Left arm - elbow to hand/fingers. Face started to tingle ~2 weeks post vaccine - left side. Extremely fatigued. Some brain fog/forgetfullness. Lack of motivation. Irritability some days. Headaches - some days really bad, other days none. Chest pains come/go throughout day. Was getting winded walking up 3 stairs but that has been slightly better. Some days - extensive muscle pain. Especially in lower back & left hip area. Some days - whole body aches. Chills - feels like body temp is off. Things come in waves - numbness/tingliness is pretty much all the time though. Also, insomnia. Did start to take 1.25mg of melatonin as needed but still very fatigued. 5/19 - Stared acupuncture (plan is 2x a week) Around 5/21 - developed rash. Face (R&L side), neck/jaw area (L), inner thigh (L). Doesn't itch all the time but when it does, it really itches. Has continued 5/22 & 5/23 - headaches worsened 5/22 & 5/23 - developed diarrhea 5/23 - more tingliness developed midshin to right foot and more in right arm. 5/25 - joints began to hurt more - especially in elbow area Lung dr. Rx'ed albuterol (?) on Friday, 5/21 just in case something was going on in lungs. Has not helped. The lung dr. noted weakness in right leg during physical exam. Lung dr. and cardiologist discussed possibility of Guillain Barre Syndrome. Another blood test was ordered to check for some receptors. Awaiting results. Neurologist appt scheduled for 5/ 28

chest pains; shortness of breath, will walk up 3 stairs and gets winded; This is a spontaneous report from a contactable consumer(patient's wife). A 37-year-old male patient received second dose of bnt162b2(BNT162b2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0172), via an unspecified route of administration in right upper arm on 01May2021 at around like 11:00 or so as a single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: UNKNOWN), Reporter stated the lot number for the first dose of the vaccine is either ER8734 or EK8734, she can't read the person's handwriting on the vaccine record card) via an unspecified route of administration in right upper arm on 10Apr2021 as a single dose for covid-19 immunisation. Reporter stated after the first dose of COVID 19 vaccine, her husband was pretty much out of it, like completely out of it. She was concerned and was like "are you going to wake up today?". The fatigue was very real and then his neck was super swollen on one side. and said that was the only side effects from the first one, it was nothing horrible. She confirms the fatigue was either 2 or 3 days after her husband received the first dose of the vaccine and it lasted a good 3 to 4 days where he was beyond fatigued. His neck being super swollen started pretty soon after the first dose, either the next day or 2 days later and lasted for a week or so was really sore when he touched it. The reporter stated Family Medical History Relevant to AE includes her husband mother had a heart attack in her 50s and his paternal grandpa died of hardening of arteries when he was 32 years old. On 02May2021 it was reported that patient started having chest pain really bad which it has not improved whatsoever. He was told to go to the urgent care on 03May2021 night and also reported the shortness of breath; will walk up 3 stairs and gets winded or walks across the room and his whole chest is in so much pain. The AE resulted in the visit of emergency room. The reporter reports concern and asks if she was supposed to report this to Pfizer or if any other patients have had really bad, painful chest issues. The patient underwent lab tests and procedures that included: cardiac enzymes and CT scan: normal, blood clot test: looked good and COVID-19: test results were lost on an unspecified dates. Therapeutic methods included: it was told him to just take Tylenol, 1000mg every 6 hours for a day. She clarifies her husband took Acetaminophen 1000mg, every 6 hours. The outcome of the events was not recovered. She confirms her husband's chest pain is about the same. No further details were provided or obtained. Description of Product Complaint: Caller received his second dose of the COVID-19 Vaccine. He started having chest pain really bad which it has not improved whatsoever. He was told to go to the urgent care Monday night. At the urgent care, they ran all the tests, like typical heart attack type tests, and everything is fine. However, the pain is still the same today. Follow-up attempts are completed. No further information is expected.

He got his vaccine, and was okay. The next day was tired, drowsiness and missed a day of work, and was able to work after that. He was supposed to get his 2nd vaccine on 5/21/21 and had to go out of town and was going to get it when he got back. The next day 5/23/21 at 12:00 AM his throat began to swell up and gradually it moved from his throat to his chest area. He went to the ER on 5/23/21 in Hospital and they looked at his throat, gave him a steroid shot and some antibiotics and sent him home. The next morning he drove back to home and continued taking the antibiotics that they prescribed and his throat kept swelling more and more. On Tuesday 5/25 at 1:00 PM he went to the ER and sat there 8 hours without being seen and decided to leave. The next morning 5/26/21 he went to an UC and they sent him to an ER at Hospital and from there he was sent to another ER by ambulance to have emergency throat surgery. He had surgery on 5/27/21 at the Hospital where he had an abscess on the inside of his throat that caused his throat to swell. He had swollen lymph nodes and to release the pressure and fluid in his throat as his neck and chest were swelled up. He was discharged on 5/31/21. He is now recovering from the surgery and getting better. He lost 30# as he was not able to eat and did not have an appetite until he came home and eating a little bit better now. He goes back to his doctor on 6/15/21 to get the stitches removed from his neck.

a week after the vaccine i started noticing shortness of breath fever headaches and dizziness. i wen to the doctor and they told me i had a upper respiratory infection. before they could see me in the office i had to get a covid test as i had all the symptoms. the test came back negative they gave me antibiotic for 5 days they told me i had a ear infection and a trough infection. the symptoms did not go away and i had return to work. sense i had the covid symptoms they told me to leave work and go to the doctor there i found that i had developed a bronchitis was given another set of antibiotic and another covid test that was also negative a week after that my symptoms did not go away i was told to get a chest xray and go to a pulmonary specialist where i was told i had developed asthma and was subscribed a inhaler. my symptoms still did not go down and was told i had a upper respiratory infection accute sinuss infection and bilateral impacted serum incontrollable hipper tension. after 1 month and 2 weeks my symptoms have been less. but i am left with cough asthma and high blood pressure.

flush feeling; chest pain to L lower chest; Vaccine-Related Anxiety (include misc mental health); SOB; NVD; Visual/Neuro concerns; Visual/Neuro concerns; This is a spontaneous report received from a non-contactable Other HCP. A 37-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6205 and Expiration date was not reported) via an unspecified route of administration, on an unknown date (at the age of 37 years), as a single dose for COVID-19 immunisation. The patient medical history and concomitant medications was not reported.On an unknown date, during his 15 minutes waiting period after the injection, the patient began to experience flush feeling with chest pain to L lower chest. He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, light headedness, dizziness, facial swelling, lip swelling and tongue swelling. Differential Diagnosis was reported as Vaccine-Related Anxiety (include misc mental health) and Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns) Monitored for approx. 15 minutes. Pt greatly improved. CP resolved within 1 minute of being in the bay after drinking. VS stable/improved. Pt ambulated out of the medical bay w/o assistance. Recommended protein based food and hydration 30 minutes prior to next vaccination. Follow up with pcp as needed. Pt voiced understanding and is appreciative of today's evaluation. Treatment included: water and snacks. Outcome of the events was reported as unknown. No follow up attempts are possible. No further information is expected.

pt called in about getting second dose saying he had shortness of breath for a week, facial swelling and was concerned about second dose. we had not had this reported to us at an earlier date and pt did not report

Noticed occasional increased/irregular heart rate, shortness of breath, discomfort in chest beginning around June 2. Symptoms have continued occur multiple times a day since then. Taking NSAIDs (naproxen, aspirin) has helped, but symptoms do continue to come back.

Strong side effects, including heart arrhythmia and shortness of breath (possible myocarditis?). Day 0 (Thursday): Received 2nd dose of Pfizer on Thursday evening. Day 1 (Friday): Slept most of the day because of fatigue, alternating chills/fever, aches all over body. Day 2: Still slept most of the day because of same symptoms, though lighter than day 1. Day 3-10: Many times throughout each day I felt my heart skip a beat and felt a sudden, brief shortness of breath. This happened probably 30 times on day 3, then fewer times each day over the next week. After about a week felt back to normal.

Constant heart ach/discomfort for 5 days, fatigue, shortness of breath at night.; Constant heart ach/discomfort for 5 days, fatigue, shortness of breath at night.; Constant heart ach/discomfort for 5 days, fatigue, shortness of breath at night.; Constant heart ach/discomfort for 5 days, fatigue, shortness of breath at night; This is a spontaneous report from a contactable consumer. A 37-year-old male consumer (patient) reported for himself that a 37-years-old male patient received bnt162b2 (Pfizer-Biontech COVID-19 Vaccine, Batch/Lot Number: unspecified), (at the age of 37-years-old) via an unspecified route of administration on 22May2021 at 11 am on left arm as unknown, single dose for COVID-19 immunisation. The patient' medical history included high cholesterol. She had no known allergies. The concomitant medications were not reported. No other vaccine and medications were received in respectively four weeks and two weeks. No vaccination prior to covid vaccination. Post vaccination covid tested not performed. The patient experienced heart ache or discomfort for 5 days, fatigue and shortness of breath at night on 03Jun2021. Events resulted in Emergency room visit. The outcome of the events was recovering. Information on the lot/batch number has been requested.

Fatigue, fever, shortness of breath, left sided chest pain. Major pulmonary embolism and right femora vein DVT. Required emergency admission morning of 6/21/2021, EKOS treatment with TPA, 3 night hospital stay so far.

1_fever on and off for almost 3 days; 2_Heart inflammation or Myocarditis/Pericarditis 3_More specifically, chest pain, abnormal heart rhythms, mild diarrhea, fatigue, shortness of breath, chest pain, and lightheadedness.

Heart inflammation or Myocarditis/Pericarditis; Heart inflammation or Myocarditis/Pericarditis; Chest pain; Abnormal heart rhythms; Fever on and off for almost 3 days; Mild diarrhea; Fatigue; Shortness of breath; Lightheadedness; This is a spontaneous report from a contactable consumer (patient). A 37-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection; lot number was reported as EWOM), via an unspecified route of administration on the left arm on 09Jun2021 14:45 (at the age of 37-years-old) as dose 2, single for COVID-19 immunisation. Medical history included gallbladder polyp. Concomitant medication included an unspecified vitamin (other medications the patient received within 2 weeks of vaccination). The patient previously received to first dose of BNT162B2 (Lot number: EW0178,) via an unspecified route of administration on the left arm on 19May2021 03:15 AM (at the age of 37-years-old) as dose 1, single for COVID-19 immunisation. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hadn't been tested for COVID-19. On 09Jun2021 at 22:00, the patient experienced fever on and off for almost 3 days, heart inflammation of myocarditis/pericarditis; more specifically, chest pain, abnormal heart rhythms, mild diarrhea, fatigue, shortness of breath, and lightheadedness. No treatment was received by the patient. The outcome of the event fever was recovered in Jun2021; while for the other events was recovering. Information about batch/lot number has been requested.

June 14th I had surgery to set broken tibia/fibia. Friday July 16th I began to suffer severe chest pain, shortness of breath, difficulty breathing and tachycardia. Went to a local ER but symptoms decreased as I waited and eventually they sent me home. Mild chest pain, shortness of breath, difficulty breathing, tachycardia and fever lasted until Thursday the 22nd when I saw Dr. He ordered a chest CT and as a result I was diagnosed with pulmonary embolism. I was prescribed Eliquis to help the clots clear.

Likely Giillain-Barre syndrome. Trouble swallowing, shortness of breath, pins and needles starting in extremities the moving to torso then to face over weeks, vision issues (blurring/double vision), confusion and some motor movement challenges, lack of energy/weakness.

Patient complained of increased shortness of breath, generalized weakness and fatigue with mild cough worsening today and was admitted on 12/25/20. Patient is an employee of the hospital in the ICU and received the covid-19 vaccine on 12/25/20. Patient believes symptoms started after the vaccination. On admission, patient was in sinus tachycardia with O2 saturation 91% on room air. Tested SARs CoV 2 RNA, RT PCR positive on 12/24/20. Transferred to ICU for closer monitoring after transitioning to high flow nasal cannula on 12/26. Patient recovered and discharged on 12/31/20.

Pt received vaccine and was sitting in observation for 10 minutes when he started to complain of feeling really warm, skin was flush and he was sliding out of his chair. Pt was assisted to stand and move to another room to lay down and have vital signs taken. During this move he passed out and was assisted to the ground. Pt did not hit his head and was laid flat. At this time emergency protocol was activated and Epi Pen was given to left thigh at 10:42. BP 127/64 P. 64 SPO2 100%. respiration shallow at 18. Pt opened eyes immediately after Epi pen administration. He had no recall of syncopal episode. Pt was transported to ER via ambulance for further evaluation.

Approximately 3 minutes post injection the patient began hyperventilating 2/2 SOB. RR notified . Patient placed on 4L o2. Pt fully recovered.

Pt received vaccine around 1:50pm. While sitting in observation post vaccine, pt felt dizzy and lowered his head. Nurse standing by told pt was having trouble breathing. Pt couldn't swallow, did not faint. Nurse gave epi pen 0.3mg at 1:54pm. At 1:58pm, BP was142/87 and pulse 90. EMS arrived at 2pm. Pt was responsive, a little dizzy but walked to stretcher.

I am a physician myself and would like to report the following adverse event: - 2nd dose of Pfizer COVID 19 vaccine received on 1/8/21 - 1/9/21 Had body aches, chills, no fever, fatigue - relieved with Tylenol and ibuprofen and all resolved by 1/10. - On the night of 1/12/21, after an intense gym workout, I was unable to lay flat in bed. I had sudden onset SOB, chest tightness, audible upper airway wheezing. Symptoms persisted and worsened through the night prompting me to drive to the Emergency Dept.

Approximately 3 minutes post injection the patient began hyperventilating 2/2 SOB; Approximately 3 minutes post injection the patient began hyperventilating 2/2 SOB; This is a spontaneous report from a contactable pharmacist. A 38-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot: EL3302), intramuscular on the left arm on 13Jan2021 10:15 at a single dose for COVID-19 immunization. The patient had the vaccine in a hospital. The patient had no other vaccine in four weeks. The patient's medical history and concomitant medications were not reported. The patient was not tested for COVID post vaccination. The patient took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot: EL1284, expiry: unknown) on 23Dec2020 at 10:15, intramuscularly on the left arm for COVID-19 immunization. Approximately 3 minutes post injection (13Jan2021 "10:15"), the patient began hyperventilating "2/2" SOB. RR notified. Patient was placed on 4L O2. The event hyperventilation was not treated. The patient fully recovered on Jan2021.

Approximately 45 minutes after receiving vaccine patient reported nausea, lightheadedness, and throat tightness. Seen in the Emergency Department and received Prednisone and Benadryl. Was monitored and discharged to home with home care advice.

Tachycardia at 110; chills; muscle pain; fever of 100.4; cough; fatigue; joint pain; wheeze; This is a spontaneous report from a contactable other HCP reported for self. This 38-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number unknown) via intramuscular at 12Jan2021 11:00 AM at single dose in left arm for COVID-19 immunization. The patient medical history included COVID-19 prior vaccination. The patient concomitant medication was reported as no. The patient had no known allergies. The patient experienced tachycardia at 110, chills, muscle pain, fever of 100.4, cough, fatigue, joint pain, wheeze at 12Jan2021 23:00 PM. The patient received treatment paracetamol (TYLENOL), ibuprofen (MOTRIN), diphenhydramine hydrochloride (BENADRYL). The patient was not diagnosed with COVID since the vaccination. The patient was recovering from the events. Information about lot/batch number has been requested.

He states he received the vaccine and within 2-3 minutes he experienced dizziness, chest tightness affecting breathing, tunnel vision, disorientation. He asked for help and first they walked him to a chair and then laid him down. He recalls the MD taking his pulse and reporting it as 140. He states his awareness was blurred, but he remembers receiving the epi pen and then feeling better. He recalls sweating but not sure if it was before or after epinephrine. EMS arrived, started an IV and transported him to ER. He denies recalling pruritis, urticaria, oral face throat or tongue swelling, watery eyes, chest pain, cough, wheeze, nausea or emesis. ER observed him several hours. His discharge diagnosis was syncope. He denies recent use of antihistamines or H2 blockers. Per chart review, provider at the event recorded patient c/o hot dizzy, tachycardia, erythema bilat arms, chest with extension to the neck, diaphoresis, difficulty responding (single word only); treated with epinephrine with improved response.

Shortness of breath, racing heart, light headedness, clammy hands and feet. Feeling of faintness. (Racing heart only lasted for 15-20 seconds) Treatment was only sitting still, breathing exercises, drinking water. Roughly an hour later breathing is normal, lightheadedness is gone, hands are still clammy and sweaty.

Over 3-4 days had the expected flu-like symptoms (headache, fever, body ache, chills, etc.). On the second day had intense pain in base of lungs that would intensify in waves alongside elevated heart rate (just under 100bpm, measured oxygen level was still 98%). The pain lasted about 4-6 hours and then subsided.

Blood clot on lung after experiencing chest pain; This is a spontaneous report from a contactable consumer reported for himself. A 38-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 23Jan2021 14:00 on Arm left at single dose (Lot # EK9231) for covid-19 immunisation. Prior to vaccination, was the patient did not diagnose with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient with confirmed blood clot on lung after experiencing chest pain/chest tightness/left sided, thought that he was having a heart attack, shortness of breath on 03Feb2021, reported as non serious. Emergency room/department or urgent care. Blood thinner received for the events. Outcome of the events was unknown.

10 minutes post injection, patient complained of throat fullness and cough, became flush. Patient was examined by a Nurse who referred him to the Emergency department for further evaluation. Patient was hydrated with NS and medicated with diphenhydramine IV for throat swelling and Dexamethasone IV for cough. Patient was monitored for about one hour until resolution of symptoms.

Pfizer-BioNTech COVID- 19 Vaccine EUA: During the post-vaccination observation period, the vaccine recipient reported throat tightness and lip numbness. They were attended to by EMS. Vaccine recipient took their own diphenhydramine.

38-year-old male with past medical history of anxiety, sleep apnea presents to the emergency department with throat tightness. Patient received his first dose of vaccine at 130 on 3/16/21. He waited for approximately 20 minute without any symptoms. On the way to his car approximately 30 minutes after the vaccine he started having his throat tightness. When he got home he drank some water to see if it was a sore throat however he had no pain anywhere. He feels like he was having difficulty swallowing his saliva however he was able to do it. He also was able to drink fluids. He called the nursing hotline who told him to take Benadryl (50mg) and come into the emergency department. His symptoms are still present but have improved. He denies any headache, vision changes, neck stiffness or difficulty moving his neck, chest pain, shortness of breath, difficulty breathing, nausea, vomiting, diarrhea, abdominal pain, rash. Physical exam significant for mildly edematous uvula. He was given 10 mg of dexamethasone in the ED Patient was monitored in the ED for 5 hours after exposure. Symptoms resolving after Benadryl and dexamethasone. Mildly edematous uvula without other signs of edema or allergic reaction on reassessment. Patient without stridor or respiratory distress. He no longer has throat closing sensation. He was discharged with an EpiPen, prescription for 3 days of cetirizine, instructions to follow-up with his primary care provider for further workup and for discussing options for receiving his second COVID vaccine dose, and given ED return precautions

Day 4 so far. With severe nausea. Severe tiredness. Lightheaded. Runny nose. Headaches. Body aches. Chest pain. Hard to breath. Like I have the flu. I was tested for flu. Negative.

At approximately 3:00 pm I was called to the observation area after reports from staff that a patient needed the epi pen due to a reaction from his injection. I proceeded to the area with an epi pen and requested for staff to activate EMS by calling 911. I discovered the patient laying on the ground in supine position, alert and oriented x3, multiple abrasions on forehead and knees. Assessed patient for SOB or any other symptoms to which he replied, ?I feel light headed and my knees hurt.? Measured vital signs ? Blood Pressure 108/47, O2SAT 97, Pulse 61. Per observation nurse, LVN, patient was sitting in an observation chair chatting with his girlfriend when he fell over face forward to the concrete ground. LVN then called for help and that is when I and vaccine nurse came to assist. Per Nurse , who administered the first dose of Pfizer to pt at 2:55 pm, he proceeded to the observation area a few minutes after his injection. Time of incident reported by LVN was 3:00 pm. I continued to monitor the patient until EMS arrived. EMS transported patient to Hospital for further evaluation. - MB, RN

After taking my 2nd Shot for Booster on the morning of Friday the 5th of 2021. I ate and hydrated for the day. At home I was resting when standing up I was overwhelmed with dizziness, nausea, sweats, and then the chills and heat hit. My inner core felt frozen. I couldn't move after standing up and the chills locked every bone in my body I couldn't breathe. Terrified doesn't cover how afraid I was at that moment. Teeth chattering, fingers rigid, and my back was solid. After moments in this state, I put on layers of sweaters to warm myself. The outside temperature was 65-70*C. So not that bad. I was in shock and not long after putting on my sweaters. My skin felt like it was sun burned and all the weight of the clothing was painful. I could not lay down, or even roll on my side for rest. Even standing up made my spin hurt. The muscles in my lower back seized up and the pain was right in the middle of my spin. (The ER Doctors checked and I do not have kidney stones.) I was fighting 99.3+ temp and rising. (This temp is accurate. I have phot evidence.) There was no sleep that Friday night. Saturday morning I called the first available chiropractor and went to that appointment at 2pm. As a new client they don't want to go all out in the first session, but I was in pain with every breathe. Hyperventilating and over breathing was causing issues with my head and stomach. The session was amazing, electro therapy mixed with heavy cracks worked on by a professional did help, but only for a brief period of time. Walking away from the building I was still in more pain than ever. My dad arrived to take me to the ER at roughly 6pm. Doctors gave me fluid and anti inflammatory drip. Potassium and Tylenol. It worked. The pain was unreal and I welcomed anything to end the suffering.

Within 30 seconds of receiving shot my throat and lungs started closing up and restricting my breathing. Heart rate and blood pressure elevated quickly. Rash on chest and neck. Within two-three minutes of shot I received Epi Shot and Benadryl shot. Sent to ER and received IV, steroid and Pepcid.

He presented to hospital ED with new onset chest pain. He reports that he woke up this morning nauseous and he vomited after which he has started developing retrosternal chest pressure and some shortness of breath for which he came to the emergency room for assessment. In the emergency room he was given both a GI cocktail and nitropaste with wheeze the symptoms improved. He was transferred to a medical center for higher level of care. At present he is essentially symptoms free. The EKG showed right bundle branch block and all septal myocardial infarction. The right bundle branch block is new compared to his last EKG. The initial troponin was mildly increased at 0.18 and BNP was 118. The renal function is normal with a creatinine of 0.8 and the chest x-ray shows bilateral interstitial opacities which might represent pulmonary edema. He remains admitted

Patient felt groggy, little visual disturbances, shortness of breath--when placed in supine position and elevate feet felt better. Feet became numb but vitals were normal--pulse and 02 stats withing range.

After the first dose, I experienced only mild fatigue and a mild headache within a couple hours of the injection. Later within 10 hours, I developed strong injection site direness that affected my sleep but abated within 12 hours. Therefore, I was expecting more or less similar symptoms with the second dose. Instead, I felt absolutely nothing for nearly twelve hours until I fondly felt mild injection site soreness. I went to bed around 1 am. At around 2 am I awoke with such strong chills that they were almost like convulsions. I was sweating and had a headache. More concerning though was the tachypnea and wheezing. I was wheezing as if I had asthma to the point that my lunch?s were whistling and I found it difficult to take sufficient breaths. This lasted 30 minutes to one hour before a sting enough that I fell asleep again, still with mild left arm soreness, sweating, mild fever, headache and wheezing. When I awoke a few hours later at around 8 am, I was so fatigued that I could not move. I had a mild headache still but the breathing was better without wheezing and now only hampered by frequent belching (passing off the CO2 buildup from the tachypnea most likely). However, I was so exhausted that I lay in bed for another four hours. When I forced myself up to shower and move, I had a sudden severe depressive attack of uncontrollable crying in the shower. I also had body aches throughout the morning. These symptoms are the same or similar to those felt when I had COVID, so I knew them and that they should pass, yet I did not expect them to be so strong and the tachypnea with wheezing was initially very disconcerting until it began to ease. By approximately 11 hours later, all symptoms had passed.

Pt received second dose of the Pfizer vaccine 26MAR21. The night of 28MAR21 pt started to get left sided chest and neck pain. Sx included point tenderness just below left pectoral and difficulty breathing during inhalation due to pain as lungs expanded. Pt states pain felt like inflammation around upper lung or heart lining that was agitated with movement that lasted for 05 days and went away. 29MAR21 pt was treated at Clinic at 0800 by Physician Assistant LT to rule out cardiac related issues with an EKG that showed normal results. Prescribed Motrin 200mg and Famotidine 20mg that reduced discomfort. Pt was cleared to return to work with no current sx.

Headache, Body aches, fatigue, felt like I was developing a fever though I didn't have a high temp. Felt some discomfort in taking a deep breath.

Hey guys, just a heads up if you know anyone with a CPAP machine who just received a second dose of the vaccine. I received the shot on Friday. No reaction all day. No reaction all day Saturday. Saturday/Sunday night I started vomiting into my CPAP mask/machine while still asleep. I wouldn?t have woken up unless my wife was there to hear me choking. She cleaned out my mask and had me lay on my side all night while monitoring me. Scary stuff. Just thought you should make your friends with apnea aware. I still don?t remember the incident at all. I have a mild fever right now, 99.8. I used to tell my wife she saved my life, but now I don't mean it figuratively. UPDATE: I forgot to mention that I passed out Saturday night. I was standing in the kitchen and the next thing I knew I was on the ground.

tested positive for covid19; tested positive for covid19; his heart, if he walks faster or does stairs he feels his breathing is more short and it takes more time than it usually does to recover from walking the stairs.; roof of mouth is itchy; caller is more tired; had pain in his shoulder; First dose: 15 Feb 2021/Second dose: 04MAR2021; throat becomes a little swollen; Palpitations; congested; burning sensation when he breathed/nose is burning when he breathes; cough; lost smell yesterday morning/laundry to smell something strong and there was no smell; he was "feeling like shit"; he had pressure behind his eyes, 3 out of 10; could not work or do anything; not sleeping well/cannot sleep for the last couple of days; This is a spontaneous report from a contactable consumer (Patient). This 38-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number: EN6205), via an unspecified route of administration arm (Left shoulder) at single dose on 04Mar2021 and first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number: EL9267), via an unspecified route of administration Arm (left shoulder ) at single dose on 15Feb2021 for Covid-19 immunisation. The patient medical history included allergies depends on what kind of grass he is around. The concomitant medication included multivitamin daily and lists the brand. The event was described as follows: On an unspecified date patient tested positive for Covid19, roof of his mouth is itchy, foggy, tired, at night he was kind of tired, pain in his shoulder, throat becomes a little swollen it does not hurt at all but it is a little bit tight. On 31Mar2021 patient tested positive for covid, palpitations, congested, had a burning sensation when he breathed, he had a little cough, lost smell, "feeling like shit", cannot sleep for the last couple of days", pressure behind his eyes, 3 out of 10, and could not work or do anything had an apple cider vinegar gummy and it had no taste so he went to the laundry to smell something strong and there was no smell, nose is burning when he breathes, if he walks faster or does stairs he feels his breathing is more short, it takes more time than it usually does to recover from walking the stairs, could not work or do anything COVID 19 test 05Apr2021 positive, On Saturday he was not sleeping well which is a big issue, he slept 4 hours and heart now is ok but when he goes downstairs and up he is jogging a little, run the stairs and it is harder to recover and breathe and that started at the beginning. Patient had no meat or fish for 2 weeks to detox his body and he is starting to eat meat slowly. States he tested positive for COVID-19 5 weeks after his 2nd dose. Treatment received for adverse event 500 mg Tylenol, Mucinex, Tylenol, and vitamins B and C, Mucinex a nose wash with salty spray. The patient underwent lab tests and procedures which included S1-RBDIGG antibody (positive) on 02Apr2021, Blood Test (IgM and IgG together), COVID-19 test (tested negative 30Mar2021 and tested positive 31Mar2021), covid19 PCR test (one was negative and one was positive), SPO2 is 98. The outcome of the event was Unknown. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Based on the temporal relationship, A possible contributory role of the suspect product to the development of Dyspnoea, Oral Pruritus, Pharyngeal Edema, Palpitations, Nasal congestion, Burning sensation, Cough, increased intraocular pressure and sleep difficulty cannot be excluded.

38 year old White male with limited past medical history who was in his usual state of health until approximately Thursday evening. Patient had received the Covid vaccine, second dose on Thursday evening and on Friday had started to experience centralized pressure in his upper chest that radiated to his throat. Patient rates the intensity at approximately a 5 out of 10.

Sleep Disturbance, Dizzy, head ache, High Bp-145/90, Fast heart rate- 04/18 5:10 AM Urgent care, evaluated as Vertigo- 04/18 2:30 PM Sleep disturbance, High Bp-160/100, Dizzy, difficult breathing- 04/19 11:30 AM ER-12:30 PM, evaluated as vaccine side effects, given Meclizine, Ibuprofin for 7 days

First vaccine dose 3/26/21 First health event 4/7/21: pre-syncope and palpitations Second vaccine dose 4/16/21 4/18/21: strange heart feelings on any exertion, pre-syncope, weakness, malaise, winded by even walking the dog, hands turn purple, weird thump/click in chest, visual changes (seeing colors or spots, greying of vision, migraine-like hallucinations), shortness of breath Episodes like the one described on 4/18 daily, especially in the morning and on exertion until now, 5/1/21 Seen in the ER on 4/19/21 and 5/1/21. EKGs normal, CBC and metabolic panel largely normal. Holter monitor 4/21/21-4/26/21 placed by healthcare Center; hasn't been read yet.

Labored deep breathing. Kinda hurts to take deep breaths. It causes me to cough a little too. Not sure if it?s a lung problem or a muscle ache problem.

The patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible fever and began to cough up blood. He took Tylenol and a Chinese herbal medication called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began, as he did not share that information with his wife until 5/5/21.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Additional Details: APPROX. 45 MINUTES AFTER VACCINATION PATIENT NOTIED DIFF SWALLOW AT WORK. TOOK 1 BEN AT 10:40 AND ONE AT 11:15. DID NOT GET WORSE, RECOMMENDED ER, ER SAID AIRWAY WAS OKAY TO ONLY LET THEM KNOW IF IT GOT WORSE.

Intermittent shortness of breath during light movements; lightheadedness after exercise; elevated troponin levels

Ten minutes after receiving my 1st dose I passed out and hit my head on the floor! Causing multiple bruises on my face and head! I was unconscious for 30 seconds, and while unconscious my eyes started to role to the back of my head. When I became alert I was on the floor and I couldn?t breathe! While on the floor gasping for air I vomited twice! 911 was called and an EKG was done on site! It showed that my heart rate was low, and I was transported to hospital ER department. Multiple test were done on me and everything came back perfect! No high blood pressure, not a diabetic, and no Permanent head damage.

Myocarditis; Pleuritic Chest Pain; Difficulty breathing; Myalgia; Headache; Flu-like symptoms; This is a spontaneous report from a contactable physician. A 38-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on 01May2021 as second dose, single for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2, on an unknown date, for COVID-19 immunization. The patient experienced myocarditis on 05May2021, and in May2021 (reported as started 2 and a half days after receiving the second dose) experienced pleuritic chest pain, difficulty breathing, myalgia, headache, and flu-like symptoms. The patient was hospitalized for the events from 05May2021 to an unknown date. The reporter assessed the events as life-threatening. The adverse events required a visit to Emergency Room. The reporter assessed that the patient's events were caused by the vaccine. The outcome of the events was unknown. No follow-up attempts are possible. Information about batch/lot number cannot be obtained. No further information is expected.; Sender's Comments: Based on the limited information currently available, a possible association of the suspect drug administration with the reported events cannot be excluded, due to a plausible temporal relationship. This case will be reassessed when additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Fever or Chills Cough Shortness of Breath Fatigue Muscle or body aches Headache Sore throat Nausea or vomiting

I nearly fainted. Had about 3 different moments of heart flutters (not sure how else to describe it) My vision was half blackened. I was light headed and had a little bit of breathing weirdness. It probably only lasted about 2 minutes. I laid down and all symptoms went away in about a minute. The only other time I fainted in my life it was from seeing blood shoot out of my body but it wasn't accompanied by heart flutters.

right now what is swollen more and more is at the base of his neck, that lump, on his low throat. Caller states its hurting; right now what is swollen more and more is at the base of his neck, that lump, on his low throat. Caller states its hurting; little lump on the base of his neck where his chest starts; arm was swollen/feels like a swollen tendon; unable to raise his arm because of the pain; pain on the injection site on the arm; dizziness; mild diarrhea; This is a spontaneous report received from contactable consumer (patient). A 38-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number and Expiration Date not reported), via unspecified route on left arm on 22May2021 at 11:00 as for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On 22May2021, two to three hours after receiving the covid vaccine, the patient had some of the side effects marked on product information such as dizziness mild diarrhea. On 23May2021, the patient had pain on the injection site on the arm, arm was swollen/ felt like a swollen tendon and was unable to raise his arm because of the pain. It was stated it just hurts a little in the area where they put the vaccine, but not like yesterday. On 24May2021, when he woke up, the patient had little lump on the base of his neck where his chest started. It was stated right now what was swollen more and more was at the base of his neck, that lump, on his low throat and stated it was hurting, it was not going away, it just started today. It was also stated that the lump was just persisting, it just hurted when he bended down or presses it, it just hurted. Now he reported that he had a lump in his left bone that goes down from his shoulder to his throat and that felt like a swollen tendon, he also mentioned that he can't lift his arm due to discomfort, he had an appointment with his chiropractor today. The outcome of the events arm was swollen, unable to raise his arm because of the pain, little lump on the base of his neck where his chest starts, pain on the injection site, unable to raise his arm because of the pain on the arm, right now what is swollen more and more is at the base of his neck, that lump, on his low throat and it was hurting was not resolved. The outcome of the events mild diarrhea and dizziness was resolved on 22May2021. Information on the lot/batch number has been requested.

chest pain, dyspnea, tachycardia, and acute pericarditis symptom onset 6/3/21, continuous, worsening x 5 days leading to admission to hospital after developing acute pericarditis admitted to hospital on 6/6/21

Chest pain, SOB, DOE Pt presented to hospital - transferred to university hospital - underwent LHC which was clean - Troponin rose to 2.23 - ESR, CRP elevated - active chest pain, EKG w/ diffuse ST elevation - myopericarditis - Cardiac MRI - colchicine/ibuprophen - developed NSVT, required beta blockade

Identified PE; Pain moved to right chest; Lower Right Backpain; Breathing difficulty; Off Balance; Dizzy; This is a spontaneous report from a contactable consumer (patient). A 38-year-old male patient received the first dose of BNT162B2 (lot number: EW0153), via an unspecified route of administration in arm right on 16Apr2021 12:15 at single dose for COVID-19 immunisation. Medical history was none. Concomitant medications included vitamin b12 nos (VITAMIN B12) and colecalciferol (D3). On 18Apr2021, the patient went urgent care for breathing difficulty; On 19Apr2021, patient went ER for off balance, dizzy, and breathing difficulty and was prescribed with ibuprofin, meclazine and rest for 8 days; On 07May2021, lower right backpain started (not taken 2nd dose scheduled), on 08May2021, pain moved to right chest; On 09May2021, patient went urgent care-identified PE and admitted to hospital; On 11May2021 discharged; Under blood thinner medication (heprion). Adverse events start date of off balance, dizzy, and breathing difficulty was 18Apr2021 04:00. AEs resulted in: Doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization, life threatening illness (immediate risk of death from the event). Patient was hospitalized for 3 days. Covid test post vaccination: Nasal Swab on 09May2021: Negative; Nasal Swab on 09May2021: Negative; Nasal Swab on 19Apr2021: Negative. Outcome of the events was resolving.

Patient developed post nasal drip, chest congestion, headache, fatigue and cough. He states he had been exposed to the cold and rain prior to his symptoms and thought he had cold symptoms. He has a history of bronchitis 2 years ago. He was advised to contact his physician and he did. he was diagnosed with Bronchitis at this time and given an antibiotic - azythromycin (z-pack) to take. He had a prior history of Covid 19 virus in October/2020 for 3 weeks. After taking the antibiotic he felt better. He is a tennis coach, got rest in the interim and now is doing well.

Extreme shortness of breath at rest and with exertion and mild chest discomfort that started within a week or two after vaccination and has lasted for 4 months with no prior history of difficulty breathing. I received a chest X-ray and CT scan that were negative for clotting. Oral and inhaled steroids that were newly prescribed to me helped a little bit to be able to breathe. I have no history or family history of asthma. I still have difficulty breathing but it has slowly improved over time. It is now June and my difficulty breathing has slowly improved but is not back to normal yet. The symptoms have slowly improved and I haven't used the prednisone or inhaler for a few weeks. I still have difficulty breathing but it is slowly getting better. I will follow up with my doctor in 2 weeks (it is now 6/12/21)

4/18/21 pfizer shot in left arm. 8 hours later nausea, heart race, dizzy. go to sleep. wake normal. no more symptoms for 10 days. Day 10, arm pain returns at the injection site. Day 20 arm pain has spread in size and pain, i cancel the second shot. elbow and wrist become inflamed, tight, pain restricted. become sick for 5 days, headaches exhausted. prescribed 40mg prednisone for 5 days. first day it took the swelling down, then swelling came right back 2nd day. pinky and ring finder go numb, paresthesia/paresis. nerve pain in forearm to hand. ulnar nerve at first then all fingers. arm injection pain throbbing. rash shows up on stomach (now at 3.5 to 4 weeks since shot) cannot grasp a cup, weakness and numbness in hand. At this time its confined to the injection arm. Over the next week nerve pain and numbness spread to left side of face, both arms, hands, fingers, legs, feet, toes. physical therapist confirms elbow lymph node on injection arm swelling, hands turning red extreme pain and swelling, loss of feeling. nerve pain in the entire body, nerve and muscle spasms in all parts of body. Fingers and does burning at the tips feel like a string is cutting off circulation. Visibly red. Around the 4 week mark, fully unable to lift legs or arms, left half of face numb, zap/jots seizure like hitting my body. go to ER seemingly becoming paralyzed, within hours strength of legs returns but with numb feet/toes. no diagnosis other than peripheral neuropathy. neck begins to swell, hurts to swallow, throat closing. trying to sleep, throat closed, wake up, completely unable to open throat cant breath. throat episodes lasted about 5 days and resolved. complete insomnia and 24/7tinitus. any attempt to sleep or become tired results in heavy body zaps like hooked to a tenz unit. can't use hands or type, arm to hand seized nerves, feel like shrunken or contracted nerves. PCP prescribes benzos to sleep. this allows some sleep with waking every hour. over the following weeks symptoms seem to improve slowly but still debilitating. today at week 8+ since one shot only, I am able to type again, but with nerve pain and numbness in all fingers. loud tinnitus, numbness in all limbs, episodes of extreme debilitating muscle fatigue come in waves, almost unable to stand agonizing muscle fatigue and nerve zapping. These full body muscle episodes only seem to come in waves of 24 hours, then seem to feel recovering, only to relapse again. injection site pain seems to have wrapped around to the bicep 24/7 pain. unsure if this is nerve or muscle. 3 ER visits, PCP visits, blood tests, no help. I cannot work, constant nerve firing muscle spasms and nerve pain and episodes of weakness so bad you cannot sit without agonizing pain. I am disabled from this and still searching for help

Patient is a very pleasant 38-year-old male with no significant past medical history other than a BMI of 37 and a past history of COVID-19 infection in February 2021 which was asymptomatic with no sequela after he was required to test after his wife tested positive .he is on no medications prior to arrival, he smokes an occasional cigar and drinks alcohol only occasionally who presented to the emergency room on 6/6/21 With a chief complaint of difficulty breathing, fever, malaise and significant left-sided chest pain that have been ongoing since May 23 slowly worsening. He denied any recent travel any recent illness any recent sick contacts. He denied any illicit drug use over-the-counter supplement use .patient reported he received his first Pfizer Covid vaccine on 5/17/2021 and a few days after began to feel congestion with mild coughing which progressed. He initially thought he may be having allergies and took some Claritin without relief. As the week went on he developed increasing shortness of breath and cough and also developed a fever. He went to the well now urgent care on June 3 and was told he may have pulled a muscle and was sent home. He returned back to our emergency room in the early morning of 6/4 complaining of again of left-sided chest pain radiating into his ribs with associated shortness of breath worse with inspiration associated with coughing but no hemoptysis. At that time he had no complaints of fever or chills. He works at a hardware store and thought perhaps he may have strained himself lifting heavy boxes of flooring. During that ER visit he was hypotensive and tachycardic with respirations of 30. CTA of the chest did not show any pulmonary emboli but showed inflammatory changes in the left side in the lingula consistent with possible acute community-acquired pneumonia. He was given Toradol and morphine and was discharged home on oral antibiotics. His EKG at that time showed sinus tachycardia the ST segments were normal. He was afebrile. He returned back to the emergency room the morning of 6/5 with complaints of worsening left-sided chest pain worsening shortness of breath and worsening fatigue. He reported any movement he develops a cough and he cannot lie flat as he develops significant chest pain which is relieved with sitting up. He had been taking some ibuprofen with minimal improvement. He also reported some nausea and fatigue. He had a fever at home of 102 °F just before coming to the hospital but arrived afebrile. Patient admitted to having COVID-19 infection in February when his wife tested positive. He was asymptomatic other than a headache for 1 day and recovered without any incident. In the ER he was again tachycardic but was afebrile. His blood pressure was 137/81 his O2 sat was 97% on room air. He however was quite tachypneic with respirations of 35 at times at rest. Lab work revealed a white blood cell count of 13.2 with significant elevations of his erythrocyte sedimentation rate and CRP at 75 and 20.8 respectively. Covid testing was negative. Repeat chest imaging reveals a large left pleural effusion and atelectasis with no pulmonary edema. CT scan of the chest revealed no pulmonary emboli but now reveals right middle lobe and bibasilar infiltrates suspicious for an infectious or inflammatory process. EKG revealed sinus tachycardia but no ST changes were apparent. Was clinically dehydrated with an elevated specific gravity positive nitrites but 0-9 white blood cells on urinalysis. Troponin at 0-hour was low -3 1 hour was -3 with no change in his delta. BNP was normal at 14 lactic acid was normal at 1.1. Procalcitonin was normal at 0.60 and lipase was normal at 21 with a normal CMP. He was subsequently admitted to the hospitalist service. In the emergency room he was given Rocephin and azithromycin. The following day his condition worsened with continued fever and increasing shortness of breath. . ESR was worsened from 75 to 82 and cardiac crp now >200. A stat echo was ordered and his case was reviewed with the cardiologist. there was concern for possible myo/pericarditis so pt was started on colchicine and ibuprofen tid and the decision was made to transfer the patient to a larger tertiary care facility. stat echo showed normal ef and no sign pericardial effusion. He was transferred to another hospital where he was followed by cardiology and pulmonology. He ultimately underwent thorocentesis but the fluid reaccumulated so a chest tube/drain was placed. He was treated for a peripneumonic effusion. cultures and cytology were ultimately negative. acid fast bacilli was negative, blood cultures were negative. covid 19 pcr testing was negative x 2. He was discharged home on 6/11/2021 with instructions to continue augmentin bid for 4 more weeks with close follow up with pulmonary and repeat chest x ray in 1 month,

Patient received second dose of Pfizer COVID19 vaccine and within 1-2 minutes after administering the vaccine the patient informed me that they could not breathe and felt that their chest was tight. I asked the patient to please take a seat and I would come out to evaluate them and they said they could not sit and did not want to. I took an EPIPEN out of the emergency kit to have on hand when I was with him incase he progressed. I asked the technician to call paramedics because he was not getting better within a couple minutes of standing with him and when I did the patient left the pharmacy and left the grocery store. I did follow the patient to their car as they would not stop walking away. They said they would drive themselves to the emergency room and would not come back inside of the store. At this point the patient was talking with no signs of throat closure or progressive difficulty breathing. I observed the patient's face and neck and there were no visible rash/hives. At this point the patient left on their own and would not come back inside of the store and I informed him of their risks by leaving. The paramedics showed up after the patient had left. No intervention was given and no therapy was given to the patient.

The heart rate was 245; A blood clot in the caller's neck; It was thought he might have lymphoma; Felt like he had a golf ball in his left arm/that little golf ball in his arm started traveling to his whole body- his back, his chest, legs, calves; Sweating; Didn't feel too great; Breathing was off/trouble breathing; Throat was hurting/sore throat; Neck was swollen; This is a spontaneous report from a contactable consumer. This consumer (patient) reported for himself that: A 38-year-old male patient received first dose of BNT162B2 (Solution for injection; Lot number: ER8131 or ER8231 and Expiration date were not reported) via an unspecified route of administration, administered in left arm on 18Apr2021 (at the age of 38-year-old) as first dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 18Apr2021, he went to get the Covid shot through name withheld which Pfizer sponsors and it was done at name withheld. He went there and took the shot. He was told to wait 15 minutes and then left. When he got to car, immediately he felt like he had a golf ball in his left arm. The next couple of days, that little golf ball in his arm started traveling to his whole body. He felt it in his back, his chest, he felt it in his legs. Literally, in the next 3 days, he felt it literally travel through his whole body. He felt it in his calves, it was crazy also mentioned they felt sore or like ball in the arm. He started sweating and didn't feel too great. He thought it was standard side effects and didn't think much of it. A couple of days past by and then Thursday morning, he woke up and his breathing was very off. He clarifies his throat was hurting. He thought it was a sore throat and took some cough medicine and cough drops. Then the next day, it wasn't going away and was still hurting, wasn't getting any better. His breathing was very rough. If he was just standing still like laying down, then felt okay. But if went to move or do something it was very difficult. Again, expecting these symptoms, some people have said these symptoms and he didn't' think much of it. The next morning patient woke up and breathing felt fine. His neck was swollen. He thought maybe he had a sore throat or something. He was taking cough drops to soothe his throat the following day, the throat was still hurting, and it was the same. The patient called the doctor and did a telehealth. The patient told the doctor when he received the first dose Pfizer Covid Vaccine and all his symptoms. The doctor said it is a little unpredictable, nothing the doctor hasn't heard. He went to the doctor office the next day and was hooking to a nebulizer for breathing and prescribed an asthma pump. The doctor thought patient had Lymphoma in the neck. The doctor wanted to go the following day for an ultrasound. He went to the ultrasound and they checked the neck and immediately there were red flags. His heart rate was checked, and the heart rate was 245. The patient was hospitalized from 27Apr2021 to 08May2021. The minute they saw heart rate and started putting intravenous and received treatment to low down heart rate. The heart rate went down to 170 or 165. He had x-rays and a CAT scan done. He had fluids in his heart and fluid in the lung and a blood clot in neck. He had a hole cut open on left side to lungs and the lungs were drained. He went back to the ICU, they ran another CAT scan and X-ray and gave the medication. He does not know if this medication was antibiotics or what the medication was. The CDC received this information because the patient case was so rare. When the CAT scan and X-rays were run again, the fluid is right back up in the lungs. Then he was taken to surgery for the heart. An incision was cut from where itches is to back on the side, a very big incision. The heart was gone into to cut a little piece around the heart. Something was cut out so the heart could drain, and fluid could get out of the heart. While all of this is happening, he wasn't getting any better, was getting worse. The patient health deteriorated, breathing was about 10 percent and was hooked up to a breathing machine. He was sedated at that time and not awake anymore. The machine was keeping him alive. Now, every day for basically five days he was asleep and not knowing what was going on and was tested for Leukemia, cancer, and A to Z every disease you can think of to try to find common ground. Everything came back negative; nothing was wrong with the caller. He was given this or that medication every day and was sedated for about 5 days. Every day of the sedation was getting worse. He was dying and time was ticking. On the 5th day, everything was getting worse. The woman kicked everyone out of the room and went into his mouthpiece on the ventilator that was keeping the alive doing the breathing for the patient. The woman pulled something out of his lung. The woman started pumping him with steroids. What the woman took out of his lung stopped the fluid from going in. The fluid wouldn't fill back up in the lung. Once the woman started giving the steroids, the steroids killed the Pfizer Covid Vaccine. The steroids reversed the Pfizer Covid Vaccine. He was started breathing on his own again. After a couple of hours, the patient finally woke up. The patient is now recovered and has been home the past few weeks on a whole bunch of medication. He is on blood thinners, steroids, and stomach stuff. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

1st covid shot: 10 minutes after I felt light headed and numbness\tingles throughout my entire body for up to a minute. (didn't eat prior) 2nd covid shot: felt similar symptoms but only lasted a few seconds. (ate that day) ------------------------------------------------ Issues\Symptoms Week 1 May 2-8 Right eye started slowly watering on Sunday and kept going for a week Dizzy moment on a trip. Eye stopped watering mostly by Saturday ----------------------------------- Week 2 Dizzy moment again at a friend's house(hadn't eaten that day). Numbness through arms/weakness. May 10th: Panic attack. I was driving home and felt the numbness go through my arms so I pulled off and called friends to come and get me and take me home. Ended up calling another firend who is a nurse and she had me squeeze someone's hand and check my face for sign of a stroke etc. She thought I was having a panic attack and said to get some food, take some melatonin and try to calm down and goto sleep which I did. May 11th: Saw General doc who ordered blood work and heart monitor. No recommendations for immediate issue. EKG looked fine. Through the week Numbness and tingles in arms and head Ringing in ears, lots of head/sinus pressure, unable to focus, brain fog. ----------------------------- Week 3 May 19th: Had blood drawn for testing: Night before getting heart monitor I couldn't sleep because it felt like not breathing fast enough made me light headed to the point I could pass out and was getting worried. May 20th: Fitted with a heart monitor for 48 hours. I was freaking out when we got to the hospital and almost went to the ER but we went to cardiology and saw the nurse who helped calm me down and did another EKG which looked good. Blood pressure was high that day possibly from the anxiety. Stayed at my dad's the next few days with the monitor, had tingles a couple times, some pressure, but slept well. ------------------------------ Week 4 May 24th: Followup with General doc said blood tests looked good, not diebetic, blood pressure fine, no signs of heart problems. Gave me 6 days of prednisone and Nasonex for possible inflammation of Eustachian tube. (didn't feel like they helped any) through the week: Felt okish for a day and a half, drove to work and then towards the end of the day started feeling off, right side feels like it's floating up and down, sensation down through leg which lasted about a week. Pushed in between nose and cheek on right side and felt numbness/pain shoot through my head on that side Periods of ringing again though not as much but also periods of head pressure and pain if resting head on hands etc. --------------------------- Week 5 Muscle spasms in both arms lasting a couple minutes, finger twitching on left hand. Also had muscle spasms in legs since. ENT visit June 2nd: Audiologist tested hearing and saw no issues. ENT gave me an exam and did not find any issues with the Eustachian tube or any other problems. Suggested to do see if the symptoms continue to lessen and if they dont then do a VNG test and if that doesn't provide anything that he would have to refer me to a Neurologist next to see if they can find anything. After the visit I came upon a web site and found that there are 300 pages of other people posting having the same symptoms as I have been experiencing for varying lengths of time, some upwards of 10 weeks. https://vestibular.org/forum/dizziness/covid-19-vaccine-side-effects/ At this point I am absolutely convinced my issues have been as a result of some sort of reaction from the covid vaccine. There are way too many people having the same issues in a similar timeframe for not to be true. In the few weeks since I still have symptoms that come and go but don't last nearly as long when they do. However it can still be quite disruptive depending on the circumstance.

Sudden cough, wheezing and shortness of breath daily one time during 24 hours for 20-40mins. Red acne on arm stayed for 10 days.

Chest tightness, muscle weakness, overall fatigue, dizziness, joint pain, chills, shortness of breath, tingling feeling in hands and feet. Symptoms kept getting worse for about 3 weeks. Was hospitalized to make sure nothing wrong with heart. Heart checked out OK. Blood tests came back clean for any other diseases. Symptoms lasted for 4 more weeks getting gradually better with time.

Heart pain worse lying down and on exertion- stayed propped up; Can't think well; Brain fog; Chest pains and discomfort; Chest pains and discomfort/ felt like a elephant on chest; Reduced ability to ambulate due to chest pain; Tachycardia; Had fever (102 f); My arm was more swollen than the time before; The pain was more delayed than the time before/pain over hours spread across my upper back into my right arm and chest and back; Chest back pain worse with movement; Could not stand for two days due to pulse getting even higher standing.; Could not stand for two days due to pulse getting even higher standing.; Entire upper torso hurt.; Felt short of breath/ it hurt to breathe in; it hurt to breathe in; had to use urinals from bed because pulse; This is a spontaneous report from a contactable consumer (patient). A 38-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 10Jun2021 15:30 (at age of 38 years old, Lot Number: EW0180) as a single dose for covid-19 immunization. The patient medical history was not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included lorazepam, diazepam, paroxetine, bisoprolol. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in right arm on 20May2021 12:15 PM (at age of 38 years old, Lot Number: EW0167) as a single dose for covid-19 immunization. The patient experienced brain fog and chest pains and discomfort, reduced ability to ambulate due to chest pain, tachycardia, had fever (102 f). After receiving the vaccine on 10Jun2021 22:00, the patient arm was more swollen than the time before and the pain was more delayed than the time before. This time the injection pain over hours spread across my upper back into he right arm and chest and back. He had tachycardia and had to increased beta blocker (bisoprolol). Could not stand for two days due to pulse getting even higher standing. Temp of 102. Entire upper torso hurt. Heart pain worse lying down and on exertion-stayed propped up. Chest back pain worse with movement. Felt short of breath. Thought had caught COVID while getting vaccine tested three times, was negative each time. Chest pain and tachycardia slowly improving, but brain fog has been impossible. Can't think well. Having moment of clarity now which was why writing now. It hurt to breathe in, felt like elephant on chest, had to use urinals from bed because pulse. The events result in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Treatment received included Increased bisoprolol dosage for tachycardia. Since the vaccination, the patient had been tested for COVID-19. Nasal Swab, Pixel by on 15Jun2021 was Negative. The outcome of the events " Chest pain and tachycardia" was recovering, for event " Can't think well, Brain fog" was not recovered. The outcome of other events was unknown.

After the second shot, started feeling dizziness and sob with exertion. Also I am having to take deep breaths frequently throughout the day without exertion. Seen at my PCP office yesterday, told abnormal EKG, but echo can?t be completed until the end of next week.

On June 4, 2021 I developed fever, myalgias, Shortness of breath and cough. A few days later I lost my sense of smell and taste. I got a COVID PCR test which resulted in a positive result. Thereupon I quarantined for 2 weeks in accordance with the CDC and my employer. I also received banvanivimab. Within 7 days my symptoms were mostly resolved. I did not require hospitalization or other interventions.

Synopsis of event from ED and attending physician documentation, and pt. interview by this nurse: ...not feeling well for two days with dyspnea on exertion, fatigue, palpitations and mild body aching. Denies any chest pain, shortness of breath at rest or pleuritic pain, noticed lump over anterior right lower leg. Denies hx of leg swelling, calf or thigh pain, no recent travel by air or car. Received first COVID-19 vaccine 7/15/2021. States Friday, 7/16/2021 had 'pins and needles' sensation anterior lower leg then developed lump in that area, painful to touch, slightly reddened. Hx of torn fascia in area per pt. Denies fever, no nausea, vomiting or diarrhea.

Dizziness and shortness of breath with exertion; Dizziness and shortness of breath with exertion; This is a spontaneous report from a contactable other healthcare professional. A 38-years-old male patient received second dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0170 and Expiry date was not reported) via an unspecified route of administration, administered in arm left on 25Jun2021 (at the age of 38-years-old) as dose 2, single for COVID-19 immunization at the hospital. Medical history included arthritis. Concomitant medications included tocopherol (VITAMIN E), magnesium sulfate, melatonine, paracetamol (TYLENOL) and ibuprofen (IBUPROFEN). Start and stop dates and dosing regimen details were not reported. The patient previously received first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0175 and Expiry date was not reported) via an unspecified route of administration, administered in arm left on 04Jun2021 for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19 and since vaccination, the patient has not been tested for COVID-19. On 28Jun2021 16:45, the patient experienced dizziness and shortness of breath with exertion. The clinical outcome of the events was not recovered.

shortness of breath, extreme fatique, nausea, malaise, loss of appetite, dizzyness/lightheadedness, weight loss, absominal pain in two places. Symptoms are still persisting, but if I stay away from alcohol, caffeine, heat, and high intensity exercise, the symptoms stay at bay.

Diagnosis of COVID-19 with head and chest congestion, shortness of breath, loss of taste and smell, sneezing, coughing, sore throat, lethargy, body aches, occasional headache

Hives, rash, shortness of breath and chest tightness one hour after receiving vaccine. Took zantac, zyrtec, benadryl, albuterol and prednisone at home. 24 hours later all symptoms but chest tightness have resolved. Patient is declining medical care.

Difficulty breathing (cyclical) and dizziness for the first hour or two after injection. Took vitals: my Oxygen Saturation was 95% and heartrate in 90's. It resolved after a couple of hours.

at 3:13 client removed his facial mask and was pale and pasty looking. He was grabbing his upper Left chest. EMS called to assist. He was taken to triage where they applied oxygen, and monitored his vital signs. 3:18 he reported increased heart beat and difficulty breathing. 3:25 client says he feels better, less trouble breathing and heart rate not as fast. 3:33 client reports improvement in above symptoms. Declined EMSA and left ambulatory. His phone number is not in service. I have called him several times and wrote a letter on 1/19 for him to call me with no response.

At approx. 13 minutes after receiving the vaccine client was pasty, pale in color, and grabbing at left upper chest.. Pt taken to triage area, vital signs monitored, Reports his heart was beating faster than normal as well as difficulty breathing. O2 administered.3:25pm he reports feeling better, less trouble breathing and heartrate not as fast. 3:33pm client reports improvement in symptoms. He refused EMSA, left ambulatory. I have attempted multiple phone calls, phone is not in service and I sent a letter on 1/19?21 with no response.

Triggered mild asthma attack; wheezing; Continued pain at injection site; Triggered a fibromyalgia episode; body pains; headache; fatigue; dizziness; This is a spontaneous report from a contactable consumer (patient himself). A 39-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3247, expiry date not reported), via an unspecified route of administration in the left arm on 19Jan2021 08:45 at single dose for COVID-19 immunisation. Medical history included fibromyalgia and asthma. On 19Jan2021 16:00, the patient experienced triggered mild asthma attack, wheezing, continued pain at injection site, triggered a fibromyalgia episode, body pains, headache, fatigue, and dizziness. No therapeutic measure was taken as a result of the events. Clinical outcome of injection site pain was not recovered while for the other events was recovered on Jan2021.

Throat tightening. He took 10mg Zyrtec himself in his vehicle. No airway swelling on exam. Clear lungs. No skin symptoms. HR 68, O2 99%

Site: Redness at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Fainting / Unresponsive-Severe

Patient reported SOB, diaphoretic and heart racing. Reports the same affect from 1st vaccine. MD evaluated and Zyrtec given. HR 105-120. 4 minutes later patient reports feeling better. Also states baseline anxiety.

pt. reports feeling a tightness in her throat. medics presents. hx of asthma & CHF. pt. states this happens frequently & denies difficulty swolling / breathing &/or any other s/s. pt. able to take sips of water without difficult. advised pt. to call 911 if symptoms change / worsen. pt. voiced understanding. Pt. decided to leave rather than staying to have her symptoms monitored.

Pfizer COVID-19 Vaccine EUA reported internally on 2/25/2021, event occurred 1/12/2021 Patient here to received #1 Covid vaccine (Pfizer lot# EL3249 Expiring 05/01/2021, left deltoid ~1140). Post administration c/o feeling like throat was closing and rash stated on his hand. No SOA, He was moved to the observation room and given Benadryl 25mg, Xyzal, and Famotidine 20 mg po. Then increased feeling that throat closing and SOA. Lung sounds decreased compared to earlier and Epi 1:100 0.3 cc IM administered at 1210 and immediately felt relief. Lung sounds back to earlier normal. Stayed in observation X1 hour and took po fluids. at 1245 rash was gone and throat felt better. Lung sounds decreased again. Epi 0.3cc IM repeated as well as Benadryl 50 mg IM. Throat remained opened without swelling. 1310 Lung sounds good and not throat swelling. Instructed to purchase Epi pen, Benadryl, Pepcid po on the way home and to see allergist before receiving booster dose of Covid vaccine.

Felt like had the flu, second day after shot had extreme chills where full body tensed up and thought i was going to have a seizure, i am now left with trouble with breathing hard to take full breath, a swollen lungs, on the 5th day since shot still really fatigue

Same as the first shot, however, the adverse effects started shortly after the 2nd shot (within 2 hours after 2nd shot, vs 12 hours after the 1st shot). The symptoms are as follows: Severe headache, severe fatigue and muscle ache, shortness of breath and mild dizziness. Muscle pain is more noticeable at joints (knees, shoulder cuffs, ankles). I probably couldn't walk more than 2 blocks before having to sit down and catch my breath. I probably can't stand for more than 5 minutes, and most definitely not in a shape to be able to work (office /engineering). It is hard to pin point, but I would probably say my mind is foggy and not as sharp. However I can quantify this. The above symptoms lasted 5 days after the first shot, however, it took up to 14 days before I recovered from general fatigue. As for second dose, I am filling this form 5 hours post injection. Considering the severity and early onset of symptoms (compared to 1st dose) I can predict uneasy days to follow. Note, I am 178cm, and 76Kgs and do not have health issues. My pain tolerance is much higher than an average person.

PATIENT WAS LETHARGIC AND SLUMPED IN HIS CHAIR. HE WAS SWEATING PROFUSELY AND COMPLAINING OF NAUSEA AND DIZZINESS. PATIENT'S BREATHING WAS LABORED. PHARMACIST SPOKE WITH PATIENT AND DETERMINED THAT HE HAD SYMPTOMS OF SYNCOPE. BLOOD PRESSURE WAS ASSESSED TO BE 110/69 MMHG. WE APPLIED COLD COMPRESSES TO THE PATIENT'S HEAD, NECK AND WRISTS. EMS RESPONDED AND CONFIRMED DIAGNOSIS. PATIENT REMAINED SITTING AND BEGAN TO RECOVER FROM SYMPTOMS AFTER 20 MINUTES OR SO.

20 minutes after immunization patient had what appeared to be a vasovagal response. Patient has LOC, diaphoretic, low BP, difficulty breathing. EMS was called. BP was 70/50. Patient was able to state name and speak with staff. No medications were administered. EMS evaluated patient and patient refused further treatment.

Patient is a 39 y.o. male with no significant past medical history who came to the ED with a sudden onset of chest pain that radiated initially to his right shoulder then to his left shoulder, left arm and back with intensity of 7/10 starting Tuesday 4/13/21 associated with sob that is worse when laying flat or taking a deep breath States he received his second Pfizer vaccine on Sunday, 4/11/2021 at 11 AM and started experiencing fever, chills, headaches, body aches and uncomfortable around 11 PM. He finally decided to take Tylenol x2 on Monday between 2 PM and 11 PM with some relief. He felt a little better on Tuesday morning and did some work from home but later around 7 PM, he notes a temp of 100.2, experienced body aches which he attributes to Vaccine side effects because his wife was also not feeling well post Vaccine. He went to bed and woke up later with cold sweats, felt pain in his chest and back. He described his chest pain as constant pain/heaviness that "felt like someone is sitting on his chest", he later felt pain in his left arm and back prompting ED evaluation. He denies similar episodes in the past, denies abdominal complaints, denies lightheadedness or dizziness, palpitations, shortness of breath at rest, orthopnea, PND, syncope, denies urinary complaints, denies smoking, drinks alcohol socially. States his father has CAD and MI x2 with stent in his 50s, his mother is doing okay with no cardiac history. In the emergency room, his EKG is consistent with pericarditis, initial troponin noted as 4.24 with repeat noted at 8.91, his LFTs are elevated at 107/123. He received full dose aspirin, Lopressor 25 mg with improvement in pain. IMG cardiology is on board with plan for cardiac cath today by doctor. Echocardiogram showed EF of 35-40% with wall motion abnormalities with initial reading.

Patient c/o right throat swelling approx. 10 min after receiving COVID vaccination. Denied shortness of breath, no difficulty swallowing, no rash or itching, no nausea. Denied feeling light headed or dizzy. Able to speak clearly. Injection site to right arm was fine. BP 151/104 pulse 104 o2 sat 97% Given 60 mg of fexofenadine at 11:35 AM. Continued to c/o throat swelling, some throat discomfort rated 2/10 on pain scale C/O some numbness to lips at 11:50 AM B/P 151/101 pulse 104 O2 sat 98% Escorted patient via wheelchair to hospital ER dept further evaluation

itchy skin, runny eyes & nose / sneezing / shortness of breath / swollen lips - symptoms resolved after 5 hours

Shortly after vaccination patient developed throat pain, dysphagia, dizziness, felt throat was swollen. Evaluated by EMS BP 125.91; HR 68, RR 16; Oxygen saturation 99%. Received IM benadryl and IM Epi and transported to hospital

Hard chest pain and shortness of breath 4 days after after vaccine and still currently have symptoms.

Shortly after receiving vaccine, participant c/o dizziness and SOB; Oxygen saturation : 88% - 97% B/P 166/82; appeared to 'pass out', when aroused, opened eyes and had a 'dazed' look; called EMS; complained of feeling 'light-headed' ; EMS arrived and assessed participant and transported to hospital.

Patient received second dose of Pfizer vaccine on 4/29/2021 at 8:50 AM. Patient reported feeling dehydrated and weak at work at 16:00 on 4/29/21. Patient reports symptoms worsening and includes: shortness of breath, passing out twice resulting in hitting his head on the bathroom wall, erythema on lower abdominal and shaking chills. EMS was called to patient's residence and found patient's O2 at 80% on room air and heart rate at 180s beats per minute. Of note, patient reported shortness of breath reaction after his first dose of Pfizer COVID-19 vaccine on 4/8/21 but did not feel the need to visit hospital. Patient came to the ED at 03:30 AM 4/30/21 and was admitted to hospital.

heart rate jumped from a normal 70 bpm to 90 then 110; face, tounge, lips and arm went extremely tingly; face, tounge, lips and arm went extremely tingly; face, tounge, lips and arm went extremely tingly; It was hard to swallow; taking a breath felt empty; This is a spontaneous report from a contactable consumer (patient). A 39-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number and expiration date unknown) via an unspecified route of administration at left arm on 19Apr2021 12:30 (39-year-old at time of vaccination), at single dose, for COVID-19 immunization. The patient's medical history included psoriasis and asthma as a kid. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received ustekinumab (STELARA) 90mg on 24Jan2021; previously received sulfamethoxazole/trimethoprim (BACTRIM) and experienced allergies. At the 13 minute mark of the safety wait time, his face, tongue, lips and arm went extremely tingly. It was hard to swallow, taking a breath felt empty and his heart rate jumped from a normal 70 bpm to 90 then 110 while sitting within a few seconds of the tingling starting. He sat for 10 more minutes then left the pharmacy. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. No therapeutic measures were taken as a result of the events. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Had 2 episodes of syncope; Shortness of breath; weakness; Fatigue; 80% O2 saturation on RA; Heart rate up to 180; Rash on his abdomen appeared; This is a spontaneous report received from a non-contactable pharmacist. A 39-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2, intramuscularly administered in left arm on 29Apr2021 08:45 (Batch/Lot Number: EW0172) (age at vaccination: 39 years old) as single dose for COVID-19 immunisation. Medical history included asthma from an unknown date and unknown if ongoing. On an unspecified date, prior to vaccination, the patient was diagnosed with COVID-19, unknown if ongoing. Since the vaccination, the patient had not been tested for COVID-19. He had previously received the first dose of BNT162b2 on 08Apr2021 08:00 (Batch/lot number: EWP0158) (age at vaccination: 39 years old) as single dose for COVID-19 immunisation. Concomitant medication(s) included albuterol (ALBUTEROL) inhaler, naproxen (NAPROXEN) and calcium carbonate (CALCIUM CARBONATE), taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 29Apr2021, the patient developed shortness of breath, weakness, fatigue hours after administration of the vaccine. He had 2 episodes of syncope, 80% O2 saturation on room air (RA), heart rate up to 180. Rash on his abdomen appeared. The adverse events resulted in emergency room/department or urgent care. The patient was admitted to the hospital on an unspecified date in Apr2021. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.; Sender's Comments: Considering a plausible temporal relationship, a causal association between the reported events and suspect drug bnt162b2 cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

left upper and lower lip swelling. no rashes, intraoral swelling, difficulty breathing or swallowing

12 Hours after my Husband's second Pfizer shot, he laid down and became incredibly lethargic, confused, delirious, achy, nauseous, and feverish, with shaking and chills. He collapsed when walking to the bathroom in the middle of the night, saying he couldn't breath. He was okay once he laid back down. He stayed in bed for 36 hours. 5 days later he is still fatigued, achy, and has headaches and eye strain, with intense pain in his arm, and a rash covering his body.

Pt had pain in the left calf 10 days after his first vaccine. Pt then went to state on April 2. Pt came back home, the pain was gone. He had his second vaccine on 4/23 of pzifer. After 15 days of getting the second vaccine he felt very short of breath when riding his bicycle. He went to his primary care doctor and he was advised to go into the ER. He was diagnosed with a PE and left leg DVT

Chest pain lasting 5 days after the first shot, then weaning. Chetry pain returned after the second dose, still exist on day 4 after vaccination. Shortness of breath occured with both shots. Lightheaded the day following both shots, when doing anything physical. Lasted about 4 days. Second shot caused sporadic muscle spasms throughout the body, shooting pains in random places.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Weakness-Mild

Two days after round 2 of vaccine: Severe chest pain and shortness of breath, followed by low energy and drowsiness. Felt just like Pericarditis that I had back in February. This was confirmed with EKG. Chest X-Ray unremarkable. Pericarditis earlier diagnosed on February 16th, assumed by medical professional that likely had COVID at that time based on recurrence after vaccine. No previous occurrence of Pericarditis prior to Feb 2021

Tightness/soreness in chest around heart. Unable to exert a lot of force. At times shortness of breath.

Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Additional Details: Patient reported throat closure about 9 hours after Pfizer COVID injection. He did not seek medical treatment and it resolved. He called it an anaphylactic reaction. I did not administer the second dose of Pfizer vaccine as a precaution. I told him to seek advice from his doctor and if he chooses to get the second dose, he should get it at a medical facility or doctor's office.

Tightness in chest and shortness of breath. Increase heart rate. Most notice more the day after second shot. Colchicine and 600mg of Ibuprofen

Heart fluttering, pounding feeling, irregular heartbeat on 5/5. Occasional shortness of breath when working out through 6/10, more than expected from normal exercise. On 6/10 evening and 6/11 felt "heartburn." Treated with Alka-Seltzer. 6/12 pain had still not subsided. Went to ER.

Adverse Event: Pericardial effusion (15 mm). Signs/symptoms were growing chest pain and shortness of breath for 8 days until a CT angiogram revealed the condition. Cardiologist was not able to identify the condition despite, EKG, echocardiogram, and nuclear stress test. ER administered IV steriod, and new cardiologist prescribed Indomethacin and Cochicine. The condition lasted approximately 3 weeks the first time. I am now experiencing a recurrence of the pericarditis/effusion which has been going on for 2 weeks.

Day 1: Within 1 hour of shot, feelings of delirium and low-grade fever (99 F), posterior neck pain and stiffness. 4 hours after shot, arm pain (significantly less than with first dose). Chills. Joint pain (fingers, knees, hips). Mild headache. After 8 hours, chills and fever subsided, but hot; sweaty. General fatigue. At 12 hours, worsening but intermittent finger, hand and knee tenderness. Clamminess, sweats, intolerance to both heat and cold. Eye sensitivity. Day 2: Severe body aches. Mild asthma exacerbation (effectively alleviated with albuterol sulfate inhalation). Severe fatigue. Description was, "like having just gotten out of a pool, but whole body instead of just swimsuit being wet." Light sensitivity/aversion with dull headache. Difficulty concentrating. Elbow joint paint. Fever. Day 3: Significantly reduced headache, fever and body "heaviness." Pain in legs and elbows improved or eliminated. Gastric and esophageal inflammation. Diarrhea; stomach bloating; nausea; gas; gastritis. Mild. Esophageal and splenic discomfort (upper-left quadrant tenderness). "Brain fog" persists. Better than previous day. Forgetfulness. Insomnia. Day 4: Significantly reduced symptoms. Pain virtually gone. Gastric symptoms persist, but reduced. Somnolence. Day 5 - 7: Complete improvement, however notable axial (underarm) lymph swelling and tenderness. Day 7 - 14: Resolution of all symptoms, mild lymph swelling persists. Day 17: Lymph swelling resolved.

Within a few days after vaccine had large rash across chest along with small hives and very itchy skin. This resolved after a few days after taking antihistamines (Diphenhydramine). About 2 weeks after vaccine I experienced significant chest pain, shallow breathing, very tense neck muscles, heart pounding at times, could not sleep or find position that would give any relief. Thought it was possible onset of a heart attack but was not experiencing any pain down left arm at all. Took both asprin and antacids which did not seem to grant much relief. By morning the symptoms became more manageable so I did not seek medical care. It took about 5-6 days for symptoms to fully resolve. Have not experienced any of the same symptoms since.

received the first dose of the Pfizer Covid-19 vaccine on 19Jun2021 and by 21Jun2021 he was in the heart hospital; he is trying to go back to how he was feeling before and has regrets about taking it now; when he walks from the truck to the office he gets short of breath.; He does not know if it is the rhythm of his heart or palpitations; Caller states the people he got the shot from didn't follow procedure, they don't need to be giving anybody a shot.; He reports he laid down and woke up and his chest was going something funny; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 39-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, in left arm on 19Jun2021 11:00 as dose 1, single for covid-19 immunization. Medical history included anxiety. Caller has never been diagnosed with anxiety. He does not have anxiety. Sometimes he gets nervous, he will take it to keep the jitters away and patient had family history of cardiac arrest as his father did pass away at 48 of cardiac arrest and his brother has lung cancer at 37 and is sick, from an unknown date and unknown if ongoing. Caller states his brother who is 37 has lung cancer and he is very sick. He had heard you can be asymptomatic with COVID. He goes to visit his brother, and he did not want to visit him and get make him sicker than he was right now, even though he wears his mask. Concomitant medication included propranolol (PROPRANOLOL) taken for anxiety, start and stop date were not reported. Started taking medication about 5 years ago He does not take it daily. He takes it if he has a major meeting. Caller states he received the first dose of the Pfizer Covid-19 vaccine on 19Jun2021 and by 21Jun2021 he was in the heart hospital (24-hour clock). Caller is wondering if there was anything he can do to reverse the vaccine in his body. Caller states he was trying to go back to how he was feeling before and has regrets about taking it now. Caller states, he want to let you know not really a question but a statement, you all doing very important work he know you all employed by Pfizer, but you all doing important work by taking these reports because if he had not seen some of this stuff, he would have asked the question before hand all he heard was it was safe and effective he did not know all of the other things that happen, thank you. On 21Jun2021 patient went to the heart hospital and on unspecified date rhythm of his heart or palpitations, on 21Jun2021 patient it made his chest do something funny, on 22Jun2021 patient experienced for walks from truck to office and has shortness of breath. Caller states he was calling about the vaccine, COVID-19. He states they said it was safe. He was reporting an adverse event. He would like this to be reported. He states he took the 19Jun2021 at 11am, by 21Jun2021 he was in the heart hospital. He states he was 39 years old and about as healthy as he can get. he works out 4 days a week. He was in exceptional shape. He is trying to get this off of the market. He does not want anyone else to experience this. He wants this reported all over the world. Caller states he has been getting a little better. He does not know if he can work out. He was going to the doctor to see. Caller clarifies that he went to ER and was not admitted to the hospital. He will also see the cardiologist. He does not know if it was the rhythm of his heart or palpitations, it made his chest do something funny. He reports he laid down and woke up and his chest was going something funny. He states he works out, and now when he walks from the truck to the office, he gets short of breath. He states it was not persisting, he feels a lot better. He states the shortness of breath started on 22Jun2021, when he went to work. He reports it was new so he will see how he was going to do. Patient had not received any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Caller states he has not received a vaccination since his mama took him in elementary school. Patient had attended emergency Room and physician Office after experiencing events. Outcome of event received the first dose of the Pfizer Covid-19 vaccine on 19Jun2021 and by 21Jun2021 he was in the heart hospital, when he walks from the truck to the office he gets short of breath, He does not know if it is the rhythm of his heart or palpitations was recovering, he is trying to go back to how he was feeling before and has regrets about taking it now, Caller states the people he got the shot from didn't follow procedure, they don't need to be giving anybody a shot, He reports he laid down and woke up and his chest was going something funny was unknown. No follow-up attempts are possible. No further information is expected.

Feels weak; No appetite; Short of breath/Winded going up and down stairs; This is a spontaneous report from a non-contactable consumer. A 39-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: unknown) via an unspecified route of administration on 24Mar2021 as a single dose (at the age of vaccination 39-years-old) for COVID-19 immunisation. Medical history was not reported. Concomitant medications were not reported. Prior to vaccination, it is unknown if the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 26Mar2021, the patient experienced short of breath (2 days after shot, felt short of breath, after moving equipment, had to sit for 10 mins and just catch breath) and on 28Mar2021, the patient was feeling weak, winded going up and down stairs and did not have appetite. Considered going to hospital for IV fluids. It was unknown if the patient had received any treatment for the reported events. Adverse events 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 short of breath/winded going up and down stairs, feels weak and no appetite was unknown at the time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Pt reported delayed onset of adverse reaction: 39 y/o hispanic male pt with NKA to food and drugs received first dose of Pfizer EW0377 on 06/17/21 reported difficulty breathing and ?I felt like my face was swollen.? Symptoms started 24hr post vaccination and lasts x2 days. Second dose was held upon visit on 07/15/21. Pt denies neck swelling, pt did not go to the hospital and ?I just got better after 2 days.