Pfizer

Patient felt light hearted approximately 3 minutes after vaccination, and regained consciousness within 15 seconds. Patient has a history of passing out with all vaccinations. Patient was treated by laying down, providing water and juice, and graham crackers.

Patient received the vaccine, and 5 minutes later when walking out of the consultation room she fainted and hit her head on the higi machine.

Patient Vomitted and Fainted for couple secs. No signs of distress or SOB observed. Patient stated "that she is ok". Patient discharged home.

The patient was given the pfizer vaccine and then was standing watch her brother gets his. She all the sudden fainted and dropped to the floor. We rushed over and put her feet in the air on a chair and checked her BP and pulse ( 115/70, 71). She didn't look pale or sweaty or any other symptoms per patients response. We gave her an ice pack for head and had her lay down for 15mins. I repeated the BP/pulse and still WNL.

PT REPORTS FEELING LIGHTHEADED,DIZZY,NAUSEA AND SWEATY. NOTED TO BE DIAPHOREETIC AND PALE. DENIES SOB, DYSPNEA OR ITCHING. PATIENT IS ON THYROID MEDICATION AND TOOK A DOSE IN THE MORNING VS; O2 SAT 97% HR 83 PT ENCOURAGED TO LAY FLAT W FEET RAISE. ENCOURAGED TO DRINK WATER AND EAT BEFOR COMING TO THE NEXT APPT. PT HAD NOT EATING BEFORE COMING THIS MORNING. PATIENT FELT BETTER AFTER A CULE OF MINUTE. PT INSTRUCTED TO NOTIFY OBSERVATION TEAM IF SYMPTOMS WORSEN

About two minutes after she received her shot she told us she was seeing black spots. Then she told me she couldn?t see and she passed out. She started to regain consciousness and a little bit of blurred vision and then she began dry heaving. She was clammy and sweaty at that point but continued to improve after she drank some water.

Patient received in RN triage area, post-COVID vaccination administration. Patient being observed for 15 minutes as recommended per CDC guidelines and facility policy on post-vaccination RN monitoring. Patient sitting in chair and reported feeling dizzy/lightheaded, blurred vision, ringing in the ears, patient noted pale, clammy, and diaphoretic, patient reporting feeling short of breath. Rapid response called. 14:05 Vitals: 75/34, HR: 54, 97% Patient placed on gurney, in the supine position. Patient and mother denies adverse reactions to vaccinations in past. Denies any medical history besides asthma. 14:10 Vitals: Bp: 105/53, Hr 83, 100% on 2L. Patient now denies any dizziness/lightheadeness, blurred vision, ringing in ears, and shortness of breath. 14;15 BP109/65, HR: 72, O2: 100%. COVID vaccination fact sheet and discharge information provided to patient on D/c from clinic, patient advised to review. Verbalized understanding. Appointment for 2nd COVID vaccination provided to patient. All questions and concerns addressed. Advised to follow up as needed. Patient departed with mother at 1435 symptom free.

Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted (slumped over in chair) aprox 1 min after receiving the vaccine. she recovered within 60 seconds

1808-Child waiting in observation post vaccine and experienced vasovagal with syncope. Lowered to floor and feet elevated. Regained consciousness after 10 seconds. EMS on site arrived and assumed care. Child talking and able to answer questions accurately. 1812-BP 113/69 P 104 SPo2-96% 1818-113/59 P 105 S 1822-100/57 P 99 1827-103/55 P 95 1832-109/59 P 105 1838-104/58 P 102 Standing-1842-110/52 P 96 SPO2-98 Standing-1844-108/56 P 108 SPO2-97 Mother reports child played basketball outdoors for 1.5 hours prior to arriving at clinic. Ate a popsicle since lunchtime. Child departed EMS observation and care at 1848.

Macular erythematous, blanchable rash on bilateral palms. Non pruritic and non painful. Patient first noticed the rash ~50 hours post vaccine administration. Anticipatory guidance and supportive care provided. No further interventions required.

after vaccine, patient felt very dizzy, and pale. she was sitting in chair. she was responsive and talking but patient's mother wanted us to call 911/. Paramedics took her vital signs and she was good.

approximately 30 seconds after patient received this vaccine she fainted and fell to the floor. She regained consciousness but then began to vomit. Symptoms were short lived and 9 hours later she seems to be fine.

Pale diaphoretic, syncope witnessed loc Possible seizure Transported by ambulance with mother at11:45am BP 67/30 P 46 14 99% at 12:00am BP 84/62 P 58 12 100%

patient fainted 5 minutes after receiving pfizer vaccine. became alert after 30 seconds. school nurse attended to patient and checked vitals - bp was low and final bp returned to levels within range after 30 minutes. mother took patient homE

Patient with vasovagal syncope. Rapidly improved with position change, hydration, and monitoring. Returned home with mother as the driver.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Vomiting-Mild, Additional Details: Patient passed out within 30 seconds of receiving the Pfizer COVID vaccine. She was out for about 15-20 seconds, during which time she had a couple spasms. After that, she woke up, was aware that she had passed out, then threw up once. She waited with her mom for 30 minutes after that, but felt fine during that period.

The patient was vaccinated and then got up to walk to observation area. While waiting for her COVID vaccination card, she started leaning on mom and fainted. Mom caught her and placed her flat on the floor. A medical professional volunteering at the clinic responded to the incident and checked her O2 levels and blood pressure. Patient cam to shortly after fainting. Vitals were good and the doctor recommended she stay in observation for an additional 10 minutes. Patient left clinic with mom after waiting and without further incident.

Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Patient fainted and immediately regained consciousness. Father broke her fall but she may have hit her head on a shelf so we called paramedics to check her out. She declined to go to the hospital and paramedics cleared her to go home. She was instructed to go to hospital if any signs of severe reaction or concussion.

Pt feeling dizzy & faint post vaccination (BP 101/64; HR 88; RR 16). Assisted to observation. VS stable (BP 103/65; HR 88; RR 15). No respiratory distress. Resting in bed quietly w/parents at bedside. Assessed at bedside by NP. Pt states she is ok & wants to go home. No discomfort & discharged pt home in stable condition.

On 5/15, at 4:00pm while in the shower, patient had a pre-syncopal episode with dizziness, and heaviness in her arms and legs. Before she fell I was able to assist her to a sitting position. Her skin was pale and clammy, pulse thready 90bpm, bp 80/50. Symptoms improved after 15 minutes. On 5/21, at 10:00am was outside at a school sports activity. She began to feel slightly dizzy. She ran a short race and the dizziness was worse. She was pale, hr 120, bp 100/60. She drank fluids and rested but still felt unwell and a headache started so she came home. The headache evolved into a severe migraine with several episodes of vomiting. She also felt heart palpitations, which is unusual with her migraines. Hr was 100 and regular. Bp 100/60. Discussed with pediatrician, who patient had seen 5/20. Appointment scheduled with cardiology 5/26

(Vasovagal Response) Felt faint and wanted to lay down when walking to court yard. Pt laid down and elevated leg. No additional treatment needed. (Initial BP 86/48 ? 5 mins 86/68, ? 10 mins 90/60)

Patient told her mom she was not feeling well right after the vaccine. Mom told her she would go buy her an icepack to bring home to help her. The patient got up to follow her mom and fainted in the aisle. Her sister came and got the pharmacist and by the time I got to her she was already coming to. We did call an ambulance but by the time they paramedics arrived the patient was ok to leave on her own with her mom.

Reported feeling like she was about to pass out, emesis.. Seen by Medics. Left in stable condition at 10:27. Recorded by RN.

Systemic: Fainting / Unresponsive-Severe, Additional Details: upon exiting vaccination room pt fell forward. it is unknown if she fainted or tripped, mom was standing behind her and was unsure as well. pt bumped head and had a welt on her upper right eyebrow, also her nose began to bleed. ice pack was given/applied to head/eye, paper towel given to stop nose bleed. also water/starburst given. 911 was called. dispatchers came and quetsioned if she felt dizzy when she left room to which pt responded no, ambulance took pt.

Patient fainted after receiving 1st dose of the Pfizer vaccine. Once vaccine was administered in the pharmacy area, patient moved to the waiting area near one of the aisles. She was in the aisle with her father when she fainted, and father brought her to one of the nearby chairs where she sat down. Patient was conscious and stated she was feeling dizzy, no other symptoms, and did not want us to call 911. She drank some water and remained seated for 30 minutes. Pharmacist checked on her every 10 minutes to make sure she was still feeling okay. Patient stated that she was "really nervous" to get the vaccine. She denied feeling any other symptoms, and after sitting down said she was feeling better.

Patient was given vaccine and felt fine right after. After awhile a customer came back and alerted the pharmacy that she had fainted and was in one of the aisles with her mom. she did not injure herself in the fall. We had her lay on the floor and took her blood pressure which was slightly low. We had her stay laying down until she felt better and her blood pressure increased. After about 25 more minutes she felt well enough to leave the store with her mom.

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

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient briefly fainted for 15 seconds and recovered. Patient was monitored for 30 minutes and was given fluids and granola bar. After 30 minutes passed for observation, patient was confirmed to be completely okay.

Approximately 15 seconds after patient received covid-19 vaccine pt had syncopal episode which lasted a few seconds, she was able to regain some consciousness for a few seconds but had syncopal episode again. Pt was unconscious for less than a minute. When pt awoke, she was pale, confused, and clammy. An ice pack was placed in the back on her back, ice water was given for patient to drink, legs were elevated, vital signs taken at 1203. Initially vital signs were 66/38, HR62, 99% O2 on room air. At 1210 second set of vitals were taken and recorded as the following, 87/40, HR88, 100% O2 on room air. Pt was placed on the gurney when patient was feeling better, pt was able to walk to gurney with no issues. Pt taken to treatment room for further observation at 1215. Report was given to RN who took patient down on gurney with Covid-19 RN, alongside pt's father. Both pt and father state pt has never had a syncopal episode in the past with vaccines or blood drawn.

Patient turned pale after vaccination; fainted without injury. Completely recovered within minutes with hydration and support.

Patient received covid vaccination. Became lethargic, diaphoretic and pale in observation. Patient taken to ER for further evaluation. Pt left the ED after only being seen by triage RN; pt did not stay to see a provider.

AE: Syncope( at 11am) Treatment: no medication was given. patient was under observation. Water improved symptoms Outcome: symptoms resolved and patient was sent to POV/Home.

Episode of syncope after receiving the covid vaccine. Secondary injury to back of head after falling out of chair. 3:05 PM Vital Signs: BP 118/62 HR 92 Resp 18 O2Sat 98 Skin Signs: Warm and dry Initial Treatment: Initial impression: altered mental status, shallow breathing, pupils Perla. Patient regained consciousness and was able to respond to questions. Patient was placed in a wheel chair and taken to triage area. Vitals taken. 3:20 PM Vitals: BP 116/82 HR 82 Resp 16 O2Sat 98 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Denies nausea. AOx1 No longer feeling 'shaky'. Very sight swelling at the site of head injury. Ice pack in place. 3:35 PM Vitals: BP 116/66 HR 78 Resp 16 O2Sat 99 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Home with mother with CHI instructions.

Patient stated was having blurred vision and couldn't see. Skin appeared pale, denied trouble breathing, no sign of swelling, rash, shortness of breath, cough. Patient layed down on the floor, with feet elevated. EMTs arrived, evaluated patient, patient began to feel better and was walking around okay.

My daughter is experiencing periodically nose bleeds, brain fog and bit distracted and losing herself in her thoughts after her first dose Pfizer vaccine. This is new from the initial report. Her mother also states she feels fatigue and not active for a few days now. At this time I have not been able to get an appointment to see her doctor and I am very concerned about her symptoms. I would like more research or documentation to be released about this type of group to figure out why this happened to her. Also, I would like to see if they are going to be monitored after her vaccine. I do not know what other side effects will be coming after her vaccine and I am concerned.

Patient reported feeling dizzy and was not verbally responsive for 10 seconds after receiving vaccine, and then vomited. Patient's pulse was faint, but became palpable once patient started talking again. Patient was breathing spontaneously. Patient reports last meal at 10am (7-8 hours prior vaccine administration), and anxiety to needles. Mother reports that patient faints with vaccine administration. Patient was taken to a cot to lay for 15 minutes and instructed to slowly drink sips of water in case of vomiting. Patient's symptoms resolved 15 minutes after laying supine. Instructed patient to go to ED if symptoms worsen.

fainted; Nausea; lips white; Really pale; 12 year old daughter; This is a spontaneous report from a contactable consumer (patient's mother). A 12-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 14May2021 got it closer to 12:00 (Batch/Lot number was reported: First letter was R, W or B, followed by A6256) at the age of 12-years-old as SINGLE DOSE for covid-19 immunization. The COVID-19 vaccine was administered at Pharmacy/Drug Store. Medical history reported as none. No family medical history relevant to adverse event, reporter who was the patients mother, is a fainter, who fainted a lot when she saw blood. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. As they were driving away, her daughter started feeling really nauseous, then fainted, was super pale, lips were white and she was really pale. It all occurred at the same time all started 10 minutes after vaccine on 14May2021. Then the ambulance came. Her daughter looked really bad and it freaked reporter out. Her daughter sat for a little while and was feeling better now. Her daughter was no longer pale, it went away. They checked her and everything was normal. No Emergency Room and no Physician Office visit required. Ambulance was called, they checked her and she was fine. Told her to keep any eye on her at home. The outcome of the events pale, lips were white was recovered on 14May2021, the outcome of the events nauseous, and fainted was recovering. Information about Lot/Batch number has been requested.

clear fluid was accompanied with some blood thereafter; some of the vaccine leaked out of her arm; some of the vaccine leaked out of her arm; held the needle too long at the arm; This is a spontaneous report from a contactable consumer. This consumer (mother) reported for a 12-year-old female patient (daughter) that. A 12-years-old female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Batch/Lot Number: EW0185),via an unspecified route of administration, administered in Arm Right on 18May2021 17:00 as 1st dose, single for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 18May2021 the patient experienced clear fluid was accompanied with some blood thereafter, some of the vaccine leaked out of her arm, some of the vaccine leaked out of her arm and held the needle too long at the arm. Caller called for her 12 year old daughter who received her 1st dose of the Pfizer COVID Vaccine yesterday at 5:00pm MST at a Pharmacy. She mentioned that 5 out of 6 of them in the family were over 16 years old and had no problem with their vaccination as they received it at a different Pharmacy branch. She mentioned that the branch she went to yesterday for her daughter was very unorganized. The vaccination was held at a drive-thru in which she noticed that the Pharmacy Technician held the syringe too long on her daughters arm and when he pulled out, some clear fluid flowed out and ran down her arm and she started bleeding. She already went up to the Pharmacist and they mentioned that they will call Pfizer within the week. She is called for herself just to make sure and seeked recommendations for events such as these because she is doubtful that her daughter even got enough of the 1st shot. She is wondered if she should restart the dose, how long should she wait if she restarts, or just proceed with the 2nd dose. Consumer called about Pfizer COVID-19 vaccine who reports her 12 year old daughter supposedly received her first dose yesterday at a pharmacy at 05:00PM MST. Agent reports that caller also mentioned that 5 people in their family above the age of 16 received doses at another pharmacy and had no problems, but her daughter who took her first dose yesterday at a drive thru of a pharmacy had a problem. Agent reported caller said that yesterday the tech who administered the first dose held the needle too long at the arm and when they pulled it out some of the vaccine went out, some clear fluid leaked out of her daughter's arm, and was accompanied with some blood thereafter. Agent reported that caller was advised to consult their physician and let them know Pfizer Medical Information's number so they can contact and discuss options. Caller said she would say that she was not very far from her daughter's arm when it happened since she was sitting next to her. She said she saw a fat drop of clear liquid run down her daughter's arm, and then after that came down, after it came a drop of blood that leaked down into it, so that it was clear at first then became pinkish. She said the person who gave the injection to her daughter had to grab something to wipe it because it was traveling down her arm. Caller said that there was no treatment done to her daughter's arm other than when he wiped it off and slapped a band aid on it, and then he didn't make eye contact with her and didn't want to talk about it. She understood that things like this can and do happen sometimes. She said she should have taken her daughter to a doctor but she didn't. Said her daughter did not have any other vaccinations yesterday or any other vaccinations in the last four weeks. The clinical outcome of the events was unknown. Follow up attempts are needed. Further information has been requested.

Patient was administered first dose of Pfizer vaccine, and went to waiting area to wait with her father. About 2 minutes after receiving the shot she lost consciousness and pharmacy staff called 911 for EMTs. She regained consciousness approximately 1 minute later; stated she was a little short of breath. Pharmacist asked her to state her name (was coherent and aware) and asked her to take a breath normally; she was able to do so and could breathe normally with no difficulty. Her father laid her on the floor because she was still light-headed, but could breathe normally. EMT arrived very shortly after and began taking her pulse, checking her pulse-ox, and blood pressure. Pulse was on lower end, blood pressure was around 80/50, pulse ox normal. She was taken to ER per her father's request for further examination.

5 mins after being on the observation area patient experienced a feeling of dizziness while being with her mother, she fainted but didnt fall as she supported her body, mother expresses that something similar happened recently when she went to obtain blood work for her ab test. Also fx hx of vasovagal sx as per discussion. Denies any chest pain, no sob, no HA, no palpitations. Pt was transfered via wheelchair to the medical stretcher area and was observed and lie down in supine position with elevation of her legs for 30 mins. Patient left home without further episodes and stable, VS at time were 100/64 HR 67 Dr and EMS were at the site. Medical Advised provided

patient has experienced three episodes of bloody nose and one of prolonged bleeding gum (after tooth loss) in the week since receiving the vaccine (not previously experienced these issues before)

After receiving vaccination, syncopal episode while sitting in the chair. Mom held child from falling to the ground and slowly placed her on the floor. LOC for less than 2 minutes. Alert and talking, ice pack to forehead and fluids offered. Placed in wheelchair and sent to med evaluation for further evaluation. Mom present at all times. VS taken 104/80 HR 72 Resp 16, diaphoretic with c/o's of lightheaded and foggy feeling. Lying on cot with Gatorade/water offered. Pt has never passed out with a vaccination in the past, had carrots for breakfast and little fluid intake. Very anxious with getting the shot. Discussion with mom & pt. importance of hydration eating when the next dose given, it will be in the med evaluation area lying down. Pt alert an ambulatory with 1/2 Gatorade and 1/2 eater prior to discharge with mom. Discussed s/s of reaction and call pediatrician with any further concerns. Verbalized understanding, discharged ambulatory with mom.

Systemic: Fainting / Unresponsive-Severe, Additional Details: PATIENT WAS GIVEN A PFIZER COVID 19 VACCINE INSTRAMUSCULARLY. IMMEDIATELY AFTER BAND AID WAS PLACED, PATIENT APPEARED TO BE FROZEN FOR SEVERAL SECONDS AND WOULD NOT RESPOND TO MY QUESTION. MOM ASKED QUESTION AND HELD PATIENT, AT WHICH TIME THE PATIENT COLLAPSED AND HER EYES ROLLED BACK. SO SHE PUT IN A SUPINE POSTION AS I RAN AND CALLED 911. PARAMEDICS ARRIVED TO THE SCENE AND MONITORED HER VITALS FOR NEARLY 30 MINUTES. THEY OFFERED TO TAKE HER TO THE HOSPITAL BUT PATIENT'S MOM DECLINED.

Pt presented to UC for unrelated knee injury and was incidentally noted have an elevated HR at 134 a 12 lead was performed and 1st degree AV block and sinus tachycardia at 136 was noted. Pt was sent to hospital for children.

light headed, headache, dizzy, vomiting ,sore throat, ,hard to swallow, weak, felt like someone sitting on her chest lost sense of smell and taste. Taken by medics to local hospital, , Placed on IV , GI cocktail, chest x rays 2 views, EKG,

Got lightheaded,nauseated and pale after standing after vaccination. Remained alert and oriented after falling. Her father caught her before she hit the floor. Vomited a small amount after sitting up. Remained a&O x4. b/p 110/62 pso2 99% heart rate 70. Monitored then released with her father@1320. Informed to seek medical attention for any further problems.

Patient fainted after immunization. She waited 15 minutes after and was walking to car and fainted. EMS was called and came to evaluate her. No treatment was needed.

Fever of 101.5, chills, -body aches, stomachache, headache, high blood sugars 400-500 for 24 hours, sore throat, tired, and sore muscles.

Patient awoke the morning after her 1st COVID vaccination. Reported she slept well. Her arm was sore from COVID shot. She was up for approximately 20 min and had brushed her teeth and did her hair. She was going to get dressed for the day and states she got a sudden pounding headache and felt nauseous. She was on her way out to the kitchen to tell us she didn't feel good when she blacked out. She face planted, hitting her forehead on the hardwood floor witnessed by both parents. She was out for approximately 30 seconds. Her blood pressure was 90/60, HR 120, O2 on rm air was 98%. She has no previous history of syncope. After spell heart rate ran in the 100-110s for about 30 min and then normalized around 88-95. Was tired and sleepy for 2 hours after. (No post ictal sx to suggest seizure) Patient also received Tdap and meningococcal vaccine in other arm at the time of 1st Covid vaccination. The night of her COVID shot patient had normal appetite and activity level.

Upon getting up, patient experienced brief spike in fever (felt very hot to touch), unsteadiness and fainted. Temperature after fainting was 100 and patient was sweaty, fatigued and had 'wobbly' legs. About 5 minutes later, fever subsided and patient has generally recovered.

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

did well acted right, felt right up until 5 AM this morning (6/4/21), she woke up throwing up over and over again, she couldn?t keep even a dissolvable Zofran down. > I immediately contacted her Hematologist and he told me to take her to the E.R. > blood disorder, ?Hereditary Spherocytosis? came to life, flared up. >got extremely sick, where she could not walk or stand by 8:00 am this morning, when we arrived at the E.R. she had to be placed in a wheelchair because she was so weak. > Fluids, Pain medicine, Motrin, and nausea medication were given, plus rotating cool rags on her head to get her body temperature down. > CBC, was off the charts, she has developed Anemia and was diagnosed this morning. > blood pressure dropped to 91/42. > I spoke with two hematologist on top of speaking with the 2 E.R. Doctors. >reached over 110% immunity if not more. > Both Hematologist I spoke with plus the E.R. doctors determined she was at 100% immunity with just the first dose. > Due to her reaction her Oncologist/Hematologist are communicating with other hematologist in the U.S. about a reaction of a ?12 year old pediatric patient with Hereditary Spherocytosis?, further research will begin according to the Director of Onoccologist/Hematologist in the next few weeks to help other pediatric patients with Heriditary Spherocytosis in the U.S., the main point of this research is determining that one dose of Covid vaccine reaches 100% immunity vs 2 doses which would be equivalent to ?2 doses plus 2 booster shots of Covid vaccine? to someone with hereditary spherocytosis. > > After 8 hours of going through this, she was able to walk and stand. She was back to her old self. > If you can please reach out to CDC and let them know about a 12 year olds patient with Hereditary Spherocytosis reaction to second dose of Phizer Vaccine.

Ten minutes after shot she began complaining of tightness in throat and chest. Monitored for 45 min and then began throwing up at 7 pm. Vomited rest of evening and all the next day. Went to ER and given an injection of epinephrine. Sent home. Continued to vomit and went back into ER and admitted to hospital.

first headache then nausea then 3 days after had chest pain and elevated troponins. Is being admitted for ECHO and serial troponins

About 5 minutes after getting the second Pfizer vaccine she collapsed in produce section in front of the Pharmacy. When I saw the patient she lying on the floor and was responsive but filling dizzy. I got her some water and we had her lying for few minutes before we slowly started getting her up on the chair. When she set down she started feeling syncope again and almost collapsed again. we got her again lying down on the floor until paramedics came in about 5 to 10 minutes

Nausea and vomiting started just after midnight, every 30 minutes, then increased to constant every 5 minutes by 0500. 0630 intractable and heart rate in 130s. Taken to ER where 2 boluses of fluids and Zofran given. 1200 she still could not get an ice chip down without vomiting and heart rate remained between 110-140. Admitted to pediatric floor for observation and fluids. About 1600 she was able to hold down spoonful of fluids. By 1900 she was totally back to feeling good and was able to hold down mac-n-cheese, ice cream, crackers with no nausea.

Pt felt dizzy. Had a syncopal event. Recovered after 15seconds. VSS 118/79, HR 76, RR 16. Pt provided water and snack. Pt had not eaten. Pt stayed an extra 15mins/ Pt stable and discharged from vaccination site with mother.

Noticed on apple watch HR was going up to 120s/HR still elevated. Goes up to 120 when standing. Went to take a shower and HR was 150; diarrhea; Developed rhinorrhea; Developed a pruritic rash on right side of back; chest heaviness; allergic reaction; SOB; chills; This is a spontaneous report from a contactable nurse. A 12-years-old female patient (non-pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EW0168, expiry date not reported), intramuscular, administered in left arm on 15May2021 as first dose, single dose for covid-19 immunisation. Medical history included allergic rhinitis/conjunctivitis from an unknown date and unknown if ongoing. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications included medications the patient received within 2 weeks of vaccination as cetirizine 5mg, and clotrimazole 1% topical cream. The patient previously took amoxicillin and experienced allergies. The most recent COVID-19 vaccine was administered in a hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient been tested for COVID-19 which included Covid 19-PCR (nasal swab) on 16May2021 as negative. On 15May2021, the patient received vaccine (Pfizer) and got chills a couple hours later. On 16May2021, patient developed a pruritic rash on right side of back and mom gave an allergy medicine (cetirizine), developed chest heaviness, and SOB (shortness of breath), no tongue/lip or throat swelling. Patient came to ED and received albuterol and decadron due to concern for an allergic reaction. On 17May2021, patient developed rhinorrhea; and chest and SOB improved, but continued to use albuterol. On 18May2021, patient had rhinorrhea and diarrhea; continued to use albuterol. On 19May2021, patient had diarrhea and noticed on apple watch HR (heart rate) was going up to 120s; last use of albuterol. On 20May2021, patient's diarrhea resolved, HR still elevated, went up to 120 when standing; and went to take a shower and HR was 150. The events were reported as serious medically significant, resulting in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Therapeutic measures in response to the events included diphenhydramine, decadron, and albuterol. The patient recovered from the event diarrhea on 20May2021. The outcome of the other events reported was not recovered.; Sender's Comments: Based on temporal association and profile of the product, the events are considered related to BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EW0168, expiry date not reported).

Complaining of chest tightness in the morning, then it progressed to pain, subjective fever, chest, rashes on arm and face, shivering. Feels throat is tightening.

Situation: , had an appointment for 1st dose Pfizer (Lot#: EW0187) today. Shortly after receiving the vaccine, the patient experienced 30-40 second syncopal episode and became dizzy. Father was able to assist patient. Pt did not eat this morning. Already had a box of juice prior to syncopal episode. Pt placed on a gurney and moved to room 6. Pt was pale and dizzy. Background: patient has NKDA and demies PMH Assessment: @0740 ? VS 114/75 (87) 72 97.0F 100%RA @0743 ? Denies dizziness. Drank a box of juice and ate crackers. Pt stated that she is feeling normal. @0748 ? sitting VS 109/60 (84) 71 16 100%RA Standing VS 100/60 (77) 78 16 100%RA @0750 ? Pt able to ambulate around the room. No SOB noted. NO s/sx of distress noted. Pt feels back to baseline and wants to go home. Father is confident in taking patient home. Recommendation: Encourage increased fluid intake and plenty of rest today. Encourage to follow up with PMD if symptoms persist and to let vaccinators know about syncopal episode during next dose appt. Pt and father verbalized understanding. Pt ambulated with family towards private vehicle.

The night of the vaccine, towards the middle of the night she had a fever 103.2; little bit of a headache. Her fever went down through the night. In a.m., she was at 100 degrees. She started shaking and fainted when getting ready to go downstairs; Pulsometer - 147 for heart rate. She shook just a little. I thought she was going to have a seizure and I yelled for my husband and she regained consciousness. She hasn't had a fever since but we can't keep her heart rate down -it shoots up from 130- to low 150's. Still like that today. we took her to Dr. - he said it was reaction to vaccine. He referred her to cardiologist with an urgent designation. She's never had nay problems like this before. She will see cardiologist tomorrow. Rest and hydration is the current treatment. It hasn't gone away in the two or three days that they thought it would.

A few minutes after her vaccine the patient became dizzy, clammy, and nauseous. She said she felt she might pass out so we got out a yoga mat and cushion for her head so she could lie down. We took her blood pressure which was 102/71 with a pulse of 65. We elevated her legs and gave her a cold pack for her neck and wrists. After watching her for about 30 minutes she felt better and left with her mother.

After administration, spoke with parent for approximately 10 minutes in the administration(counseling) room. While speaking with parent, my back was turned to the patient. Patient fainted, hit the wall then started to slide down the wall of the counseling room.I was able to guide her to the ground without injury. She awakened almost immediately and stated "did I go to sleep?" Patient did not appear upset. Remained in the floor for approximately 5 minutes. Provided a cold Sprite beverage. Patient drank and was soon able to arise with assistance. Observed for approximately 10 more minutes. Parent and child left soon afterwards with no ill effect observed.

6/8/21 -Presented with respiratory failure requiring intubation about 12 hours after 2nd dose of COVID-19 vaccine. Desaturated to the low 80's despite oxygen. Febrile to 38.8 after admission and had several breakthru seizures requiring loading doses of Keppra. 5/17/21-Had event of tachycardia into the 140s, and slight fever of 100.6, and 8 minute seizure after 1st dose.

Chest pain and pressure; fever of 101 degrees F; shallow rapid breathing; rapid heart rate (120); fatigue and tiredness; feeling of being hot and unable to catch breath.

My daughter presented with a fever of 101.9 and complaints of chest tightness about 24 hours after her 2nd Pfizer vaccine. She also was coughing a very shallow, tight cough that was triggered by trying to take a deep breath. She rated the chest tightness a 7/10. By bedtime, fever down to 100.1 without any medication. Gave one ibuprofen for chest tightness. The next morning she was feeling much better and said she could barely feel chest tightness. As day progressed and over next several days, the symptom would come back, but was mild. Pediatrician saw her on 6/4 - no abnormal findings. Due to lingering , though mild symptoms over weekend, pediatrician made referral for cardiologist. Cardiologist performed EKG on 6/9 and results normal.

Woke from sleep with chest pain and shortness of breath. The pain was worse lying down rather than sitting up. Monitored her (pulse ox finger monitor showed oxygen levels mostly above 96% and HR in the mid-80's) chose not to go to the ER. She did not return to sleep. Symptoms began to lessen around 10:30am, and were gone around 2:30pm.

Nausea, vomiting, elevated heart rate, low grade fever, chills started next day. Weakness and mild nausea day two.

Patient had her #2 Pfizer vaccine 6/7/21. 6/8/21 pt describes waking up with mild headache and fatigue. Standing at bathroom sink brushing her teeth felt nauseous, then fainted. Woke seconds later when MOC (who heard "thud" of pt hitting ground) roused her. Pt woke with mild TTP at back of head assuming she hit her head on a door knob. During drive to The Hospital ER, pt reports drinking some juice started feeling a little better. Upon arrival, they advised Urgent Care instead of ER and again provided a juice box. The Hospital Urgent Care drew blood for BMP, performed EKG, and PE noting only abnls to be hyperglycemia at 166 and TTP at L occiput. Pt was dischg'd to home in good condition. 6/9/21 she woke with a slight headache that is since resolved despite walking to lunch in 90+ degree heat and working at library. MOC reports her complexion has returned to normal today (was pale yesterday). Pt reports she has been hydrating very well since visit. Currently pt reports feeling 100%.

Pt lost consciousness in chair initially. She was in and out of consciousness. She was moved to cot from the chair. Supine position and lower extremities elevated. Pt was provided juice and snack after she was stable. Observed for 30 mins. Pt stable and released from the vaccination site.

pt reports feeling light headed with mild nausea, after 1st pfizer vaccine dose. Similar occurrences with previous injection according to dad. Skin mildly pale, spit up a small amount, denies any recent injury, denies pain, dad denies loss of consciousness, skin warm & dry on discharge. BP 112/67 HR 94 O2 sat 100%. Left ambulating with her dad.

Patient fainted in her chair in the observation room after her first Pfizer Covid Vaccine injection. Patient was taken by wheelchair and transferred to stretcher to lay down. BP 114/76, HR 90, R 16, O2 sat 100%. Patient was awake and given some water to sip on. BP 105/72, HR 84, R 16, O2 sat 100%. She stated that she was feeling better and discharged home.

PATIENT INSTRUCTED BY PHARMACIST TO STAY AND SIT DOWN FOR 15 MINUTES FOR OBSERVATION. SHE STOOD UP AND WALKED AROUND THE PHARMACY, THEN FAINTED BETWEEN 5 AND 10 MINUTES AFTER GETTING THE VACCINE.

The morning after the 1st COVID vaccine, patient experienced a sudden onset of feeling clammy, pale and narrowing vision. Near syncopal episode. Resolved after lying down and resting for about 10 minutes.

Patient felt "not right" and momentarily passed out after receiving vaccine, when she regained consciousness she vomited but was then ok, possibly due to sight of needle and blood, since she bled. Paramedics called and arrived, took over.

After the second dose she had immediate pain at the injection site and over the next 24 hours she developed: A fever of 101.4 severe abdominal pain and chest pain that made her feel like her heart was being pulled out painful electric shocks down her neck and spine that made her walk hunched over numbness and swelling in the arm she got the shot pain in her fingers and toes that turned white and were ice cold to the touch Over the next 2.5 months her abdominal, muscle and nerve pain became unbearable plus she developed new symptoms: Fatigue gastroparesis, nausea and vomiting Eventually she couldn?t even swallow food or liquids without immediately spitting it up. An itchy rash on her arms peeling skin on her feet Her menstrual cycle lasted a month with large clumps of blood She had unexplained painful cysts vision problems headaches erratic blood pressure and heart rate memory loss, mixing up words and brain fog Dizziness, fainting and then nonepileptic seizures that we suspect were from lyrica verbal and motor tics loss of feeling from the waist down, muscle weakness, abnormal gait and eventually she wasn?t able to walk at all urinary retention From the day she got her 2nd dose to today we took her to the ER nine (9) times and she was admitted to the hospital a total of 3 times totalling 2 months. The last time she was admitted to the hospital she could not walk, was unable to feel or move below her waist, threw up anything she tried to eat or drink, had tachycardia and her blood sugar was at 47. Once she got an NG tube and was stable they transferred her to Inpatient Rehabilitation and she was just discharged on June 1st. Today she is able to walk with a walker and take care of herself but she still has little to no feeling below her waist. She still has an NG tube for nutrition and continues to have GI and urinary retention problems.

On 6/8/2021 patient c/o fever to 102.5 then at 1:15 PM woke up from a nap with upper left chest pain described as burning. Parent treated with Tums and ibuprofen and pain lasted about 8 hrs. Also c/o nausea but no vomiting. Had dizziness earlier in the day but not when she had chest pain. No shortness of breath or palpitations. All symptoms resolved by the morning on 6/9/2021. Parents did not seek medical attention until 6/15/2021 when they learned about possible myocarditis as a vaccine side effect. Patient is currently asymptomatic but is not able to seek medical attention today. Recommended to go to nearest UC or ER to check a troponin and ECG.

Patient fainted 15 minutes after vaccination. EMS evaluated, determined she had low blood pressure, and gave her water. Patient's mother drove her home. 6/1/21: 11:56am - TC to parent. Spoke to mom. Child doing well - no fever. Requesting if child can lay down for second shot - Mom made aware to let staff know for the next scheduled vaccine. No other concerns expressed.

Client stated," I had a pain in my chest for less than a minute, about 15 minutes after I was vaccinated." The client denied experiencing shortness of breath, difficulty breathing or swallowing, changes in vision, lightheadedness, radiating or tingling sensation.

Patient fainted briefly after covid vaccine administered by pharmacy technician. Patient was sitting down. EMT arrived, vitals were normal, patient refused transport to hospital. Patient referred to PCP for evaluation. No anaphylaxis or other symptoms.

Patient was siting at the waiting area after about 10 minutes receiving first Covid19 Pfizer shot. Mom reported to pharmacist staff that patient turned pale and felt dizzy. Pharmacist suggested patient to drink water and continued to rest while pharmacist monitored patient. Pharmacist tried to take patient's blood pressure but pharmacy didn't have the right cuff so she was unable to obtain patient's blood pressure. Patient then was sweating and mom continued to give her water while pharmacist checked patient's temperature (recorded 94.6'F). Few minutes later, patient vomited. Mom gave patient water after she was done vomiting. Patient reported she felt better afterwards. Patient was monitored for about 15 minutes and she was able to walk herself and left the pharmacy waiting area with mother. Pharmacist suggested mother to call doctor for follow up advice.

Presented with chest discomfort, palpitations and tachycardia. Symptoms occurred at about 7:30 pm and lasted throughout the night.

10:20 - client feels dizzy, sees spots, layed client down on the floor with elevated feet on the chair. NP called, EMS called. 10:21- EMS and NP arrived. 10:22- b/p- 106/69, hr- 98, o2- 100%, Awake, alert, and oriented, pallor present. Laying down with lower extremities elevated on chair, continued to monitor. NP assesses pt symptoms and capillary refill. Pt stated she felt fine at the time. !0:27- Vitals taken laying down. BP- 101/66, P- 89, O2- 100%, continued to monitor. 10:30- pt is moved to sitting position on the floor. BP- 98/57, HR- 104, O2- 100% encouraged fluid intake. Pt verbalized feeling better. Team continued to monitor. 10:35- Pt assisted to chair, BP-102/67, HR- 101, O2- 98%. NP continues to assess. Pt verbalizes feeling fine. 10:38- pt denies dizziness and seeing spots. HR-97. Continued to monitor. 10:39- assisted pt to standing position. BP- 94/54, HR 80, O2-97%, pt states she feels dizzy, pallor on upper extremities. Pt is immediately assisted back to the floor in a lying position with lower extremities elevated. Team continued to monitor, pt remains AOx4. 10:45- Assisted pt back to chair after expressing she wants to sit and feels fine. Encouraged fluid intake. Verbalized feeling better BP- 99/59, HR 94, O2- 98%. 10:50, temp- 96.6 F remains on chair sitting up drinking water and gatorade, team continues to monitor. 10:54- assisted pt to standiong position, pt verbalizes feeling "good," denies dizziness and seeing spots. BP- 99/54, HR- 107, O2- 100% 10:57- Client continues to drink water and gatorade. HR- 96, O2- 100% 1100- Hr- 82, O20 97% verbalizes feeling much better. 1104- continued to monitor and pt verbalizes feeling better without dizziness. 1105- Vitals checked in a standing position, BP100/65, HR-101, O2- 100% 1107- NP and EMS clear pt for discharge. Pt is clear of complications, and ambulated to car with staff and family with steady gait. 10:45

Patient was nervous about getting the vaccine. Patient felt dizzy as she stood up and started to faint. Her mother and I caught her to lower her to the ground and she came back out of it before we even got her to the ground. She became pale and sweaty.

1625: Received vaccine. 1626: Pt slumped over in chair and was laid down by myself left lateral. Pt denies loss on consciousness. Moved pt to back area for observation with EMT. 1628: Pt states that she felt lightheaded and nervous but is breathing unlabored without distress. Pt denied previous reaction to the first dose when he received it in the car. Pt's dad stated that she has no prior medical hx. Pt initial VS: BP 108/64, HR 84, SpO2 99%, RR 14. Pt repeat VS was 80/46 pt stated that she was feeling light headed again and that she had some chest tightness. Pt appeared anxious. SpO2 98% HR 64. Pt stated that she was feeling the same way as before she got dizzy the 1st time. Pt was laid on the floor and pt stated that she felt better. pt repeat BP 98/58, HR 78, and SpO2 was still 99%. Pt laid on the floor for approximately 5 minutes and given water and snack. Pt sat up slowly and stated that her chest felt better and ate snack. Pt was kept for approximately 10 more minutes under monitoring. Pt in total was monitored for 34 minutes. Pt was released with father. pt stated that she felt like she was back to normal again. Pt last set of vitals were: BP 116/58 HR 78 SpO2 99. Pt was released to her father.

Seen in office 6/16/21 - Complaints of Shortness of breath, cough, nasal congestion X5 days. Received COVID #2 on 6/11/21. Got fever + chills w/in 24 hours of vaccine. Treated w/ Duoneb + prednisone, QVAR + albuterol at home. Seen in ED 6/16/21 -abnormal EKG; Murmur; Labs ordered; Albuterol + Atrovent nebs, chest xray; Home w/ Albuterol, prednisone

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient waited at pharmacy for 15 minutes after vaccination, then left to go get coffee with her mother. At coffee shop, patient complained of feeling hot then passed out and her head hit the floor. She immediately regained consciousness. We elevated her feet and stayed with her and monitored her until paramedics came. Paramedics assessed and stated that all vitals were good. After sitting for a bit, patient left to go home with her mother. Per patient's mother she had not eaten today.

chest pain developed 1 day after inoculation with intermittent episodes until today. Patient evaluated in pediatric office with EKG showing sinus rhythm/non-specific ST changes (early pericarditis changes potentially). ESR elevated with troponin high-sensitivity 5386 pg/ml. Normal echo study done. Normal cxr.

Fever on 6/9 night and body aches the next morning. Morning of 6/11 at 6-6:30am complained of chest pain. Fever of 99-100.5 F on 6/11 that resolved that morning without medication. Decreased appetite.

Patient loss consciousness for a few seconds, vomited, hot to the touch at first then cool to the touch. 911 was called and vitals were checked by the paramedics. Patient did not go to the hospital and vitals were within range.

Patient received vaccine and was seated for 5 minutes in vaccination room and was moving to the waiting area and fainted once she got up. Patient was given oral glucose gel and felt better. Paramedics were called and checked vitals and she was fine and mother refused going to the hospital

Patient is a 12 yr/o child with a history of mobility, pots, factor VII deficiency, scoliosis who presents with chest pain and headache after receiving the second Covid vaccine. Mom reports patient got the second Pfizer Covid vaccine yesterday. After the vaccine the patient had some nausea and dizziness which he occasionally has at baseline. This morning when the patient woke up he was having chest pain with deep breathing and complaining of burning in the chest. Mom reports the patient had a temperature to 100.7 at home. Mom endorses decreased activity level and mom noted the patient to have a heart rate to the 130s at home. Patient endorses chills and nausea without vomiting, no diarrhea. Patient also endorses a poor appetite today. the patient has difficulty describing the exact location of the chest pain, mom reports that the patient has always had difficulty with pinpointing the exact location of pain.

vomited small amt 6 minutes after the vaccination. She also c/o lightheadedness and stomach cramping. is menstruating at present. Assisted lay on Yoga mat with legs elevated. Her VS were taken. Her BP was 100/58, P 65;R18 and O2 sat 99%. stated she felt better after lay on yoga mat. Assisted sit up on Yoga Mat at 1:55PM ; VS taken sitting: BP 90/56; P90: Resp 18 and O2 sat 98%. admit she did not drink much water before she came and her menstrual period is heavy. instructed to drink water and electrical flds provided to her while sitting on mat which she did. Her heart rate went back to 70 and her BP went up to 100/60 sitting. At that time states she feels good and she went back to her chair. Observed for another 10 minutes and she left the site with her mother at 2:10pm completely recovered.

immediately after receiving vaccine patient slumped forward in the chair and lost consciousness. Her mother and I both tried to lean here back in the chair she was sitting in. she jolted a few times and her eyes rolled backwards. I asked her mother if she has ever had seizures, she responded no. Her mother stabilized her and I ran to get the NP next door, by the time we returned she had regained consciousness, but was a little confused and very pale. The NP checked her out and found out she did not eat breakfast. We gave her some apple juice. After 15-20 minutes her color had come back, she felt fine, and she was able to leave. Her mother told me later that both patient and her mother have had syncope events in the past.

Patient stated, "It feels like I have bricks on my chest". Expiratory wheezing noted on auscultation. Patient uses an albuterol inhaler as needed due to being in the process for evaluation of asthma. Patient stated that she was not short of breath prior to the vaccine. Onset of shortness of breath and wheezing noted within 5 mins of receiving the vaccine. EMS called and patient transported to the ER for further evaluation.

Patient received her vaccine stood to wait for her sibling to receive the vaccine (per nurse administering vaccine). She then passed out and hit her head on the ground from a standing position. (per nurse administering the vaccine, I did not witness this but responded.) Additionally the timeframes listed on this report are close approximations. The patient came to consciousness immediately. However, she had complaints of pain radiating from the back of her head to the front and down her spine. C-spine held. 911 called. C-collar placed on the patient. Patient transferred to the ER. No other symptoms or s/s of anaphylaxis noted.

Pt was nervous about getting the COVID-19 IMZ. After the shot she was sitting next to her mom and told her she was feeling thirsty. Her mom then put her arm around the patient who then fainted. The mom held her up and gently laid her on the floor and raised her legs up on the chair. I got the patient a bottle of water and the color came back into her face. She laid on the floor for about 15 minutes and then waited another 15 minutes after that and was feeling fine after that and she went home with her mom.

During the 15 minute observation period, patient experienced syncope or near syncope. Case reports having a headache. Paramedics were called. Vitals were WNL. Patient was visiting from another country and was Spanish-speaking only. Little is known about her health history.

Diagnosed with acute promyelocytic leukemia within 48 hours of vaccine administration. Developed fevers immediately after vaccine, thought to be appendicitis, but diagnosed with leukemia. Currently undergoing induction chemotherapy.

A few minutes after the shot, patient told her mom she didn't feel well and fainted into her mother's arms. She was put on the floor and she was conscious at that time. We put a blanket under her head. I took her BP and it was 111/67. After 5 minutes she wanted to sit up and she sat in a chair and passed out again. 911 was called at that point. We had her on the floor after that until the paramedics arrived. They retook her bp and it was 111/63. They checked her vitals and decided to take her to the ambulance just to give more privacy and have their equipment more readily available.

As soon as getting the vaccine the Patient Fainted for a few seconds , a few minutes after regaining consciousness few was doing better but a little weak. The ambulance was called and she walked to the ambulance outside the pharmacy and the EMS professionals checked her vitals and they said they are normal. She was in pharmacy waiting area for another 30 minutes for observation and went home. In the evening we called and talked to her father and we were informed that she is doing good.

6 days post 2nd COVID-19 Pfizer dose, developed a high fever, chills, very rapid heart rate at rest accompanied by chest pain. She was taken to the ER for evaluation. Initial EKG showed SVT. She was treated with IV fluids and Acetaminophen. All tests, including blood work-up, chest X-ray, COVID-19 test, strep , Flu and RSV done came back normal or negative. A repeat EKG was normal. She was discharged and has since recovered.

Chest pain beginning before bed, around 10:00 PM. Severe chest pain waking her up in the early morning hours, around 4:00 AM. Went to ER at 6:30 AM after consulting with pediatric on-call RN.

Patient reports she developed severe headache, chest pain and shortness of breath 3 days after receiving the vaccination. Her symptoms lasted for 2 days. She did not need to seek medical care.

Patient was a 12 year old female with a weight of 94 lbs who came into the clinic with her father for her second dose of the Pfizer vaccine. During the interview, she stated that she did not have any adverse effects with her first dose. At 2:45 pm, after administering her second dose of 0.3 ml of Pfizer vaccine, I witnessed her having trouble standing up and assisted her back down into the seat. She vomited, was pale and diaphoretic. We elevated her legs up onto a bench and began fluid resuscitation. Her first BP was 71/55 and respiratory rate was unlabored. At 3:00 pm her second vitals were BP: 82/69, RR: unlabored, SPO2: 98, HR: 80. At 3:07 pm her third vitals were BP:83/64, RR: unlabored, SPO2: 99, HR:74. We changed her position from legs elevated to 90 degree angle. Fluids and crackers were still being administered. At 3:16 pm her fourth vitals were BP: 94/76, RR; unlabored, SPO2: 85, HR 67. At 3:30 pm her final vital signs were BP: 96/74, RR: 14, SPO2: 99, HR: 70. The patient was given a total of 60 oz of fluid and 1 pack of crackers. I reassessed that the patient's hemodynamic status improved and her skin was warm and dry. The patient was alert and oriented throughout the process. Her father stated that she no longer looked pale. She was brought to the observation room for another 15 minutes and her father was informed about the progression of her condition. He was informed to refer to her pediatrician if there were any other adverse effects related to the vaccine or changes in her condition.

6/12 - patient developed fever and cervical lymphadenopathy. Worsened gradually with difficulty swallowing. 6/16 - presented to ED. Patient also reported rash in right lower extremity that is pruritic, 2 episodes of non-bloody non-bilious emesis daily since Saturday, intermittent chest pain and dyspnea, myalgias, diarrhea, generalized abdominal pain, and neck pain. Concern for infectious mononucleosis with lymphadenitis. Prescribed Augmentin and discharged home. 6/17 - returned to ED due to worsening rash (no longer pruritic) and diarrhea. Continued fever and neck pain. Hypotensive requiring 3L bolus and norepi. Large volume diarrhea. Mild AKI that resolved with fluid resuscitation. Treated broadly with antibiotics for toxic shock syndrome but rash was not consistent and cultures were negative, so eventually narrowed to ampicillin-sulbactam. Neck pain and swelling improved, but fever persisted through 6/19. Transferred to the floor on 6/20 and gradually improved without further intervention. Antibiotics were continued to target possible tonsillitis/lymphadenitis, but course did not seem to be truly responding to these antibiotics. CRP continued to increase despite antibiotics. Patient's presentation seemed most consistent with MIS-C; she also met criteria for incomplete KD with fever, rash, cervical lymphadenopathy and lab abnormalities, but this was felt less likely and she was not treated with IVIG or any other anti-inflammatories. Patient eventually improved and was discharged home 6/24.

Patient reported shortness of breath and tightness in chest that started around 4pm on June 26, 2021 during volleyball game that led to patient not being able to continue activity. On June 28, 2021 at 11am to 1pm, pt reported the same shortness of breath that led to patient not being able to continue strength and conditioning activity. Patient has been advised to contact primary care doctor for further guidance and evaluation.

Patient presented with positional chest pain that developed 1 day after the vaccine was administered. Was found to have mild elevations in inflammatory markers and with T wave flattening on EKG. Admitted for observation for presumptive pericarditis. Did have URI symptoms w/ runny nose on admission and siblings with cough/runny nose at home

With the first dose: Headache (came and went frequently) dizzy(2-3 days) nausea (2-3 days) sore arm (3-4 days) gave ibuprofen for about 2 days and most symptoms went away. She continued to complain about a headache every once in awhile. About a week later I noticed her eyes seemed a little yellow but it didn't seem to get worse and thought maybe she just need to drink more water and get some sleep. After second dose: Bad headache (3-4 days) dizzy and nauseous (3 days) gave ibuprofen for 2 days. Two days after the vaccine she was fully jaundice. Hadn't notice because she was feeling bad from the vaccine so I just let her sleep mostly. Next day we got into see her primary care dr who ordered stat bloodwork and stat ultrasound. That same day she got some blood work back and told us to go to the er because her platelets were really low. At the er they diagnosed her with autoimmune hemolytic anemia, which explained the jaundice. She was admitted and put on steroids. Her hemoglobin got as low as 5 and they cross matched her incase they needed to do a blood transfusion. They were concerned that there was a possibility that her immune system would attack the donor blood since it seemed to be attacking her platelets as well. Luckily the steroids started working and he levels creeped up a little. She also recieved 3 vitamin k transfusions and pain meds. When she was switched to oral steroids and her numbers were still rise they released her. She is still taking steroids and has weekly follow ups with Dr. . We are also in the process of getting a rheumatology referral to see if there is an underlying condition we didnt know about.

Within minutes after receiving 1st dose of Pfizer-BioN Tech covid Vaccine 0.3 ml IM, patient complained of dizziness and fell to the ground. Patient was very pale and cold to touch, not being responsive well. Patient was losing consciousness and having difficulty keeping her head up. Patient was moved to lie down on the floor with legs up. Cold water was offered and patient took a few sip. EMS was called. Patients eyes rolled back into her head and lost consciousness/possible anaphylactic shock and not being responsive. Epipen 0.3 MG IM administered. Patient regained consciousness. Nurse practitioner was called and vitals including BP and oxygen level was performed and found to be stable. EMS arrived in few minutes and vitals were checked again by EMS personnel and patient was transferred out to nearby ER. After 3 and 1/2 hours at the ER for observation, patient was discharged.

Systemic: Allergic: Anaphylaxis-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Vomiting-Mild, Systemic: Weakness-Mild

Patient experienced chills, fatigue, headache on 6/10/21. On 6/11/21 she experienced shortness of breath, chest pain, and "feeling like she was going to die". Symptoms resolved by the following day. Suspect myocarditis.

Shortly after vaccination client became pale and diaphoretic and fell from chair possible short LOC, weak, HR 68, BP 79/50

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium

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

Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: PATIENT REPORTED ARM PAIN AND PASSED OUT BRIEFLY (ABOUT 15-20 SECONDS) - GAVE WATER AND MONITORED FOR 30 MINS. TOOK BP 105/78 WHICH MOM REPORTS AS NORMAL FOR PT. FULL RECOVERY EXPECTED

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patient reported severe dizziness and nausea about 5 minutes after receiving the Pfizer vaccine. She ended up vomiting few times. Patient was given water and crackers. She did not end up feeling better even after resting for 15 minutes. The family called 911 and Emergency services took her to the hospital

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Additional Details: Mom stated pt felt lightheaded, her eyes rolled back, and fainted for a few seconds. When we observed her, pt was ok but a little shaky. The paramedics came and checked on her, but mother declined going to ER

Myocarditis. 1d after vaccine with fever, tachycardia, chest pain. Abnormal ekg, elevated troponin. Admitted

throwing up; white as a ghost; wasn't feeling good; This is a spontaneous report from a contactable consumer (Mother of patient). A 12-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EW0196 and expiration date: not reported), via an unspecified route of administration, on Right Arm, on 12Jun2021 in the afternoon (at the age of 12-year-old), as DOSE 1, SINGLE for covid-19 immunization at . The patient had no medical history and there were no concomitant medications. There were no other previous immunizations. No other vaccines administered on same date. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. There were no adverse events following prior vaccinations. Reporter stated that, the patient has an elderly grandmother and patient wanted to go see her and every time they go see her, they have to get tested for COVID. On 22Jun2021 patient experienced, throwing up. The patient went and got the milk and came back and wasn't feeling good, she was as a ghost on 22Jun2021. The reporter stated that patient is okay now, at the time of reporting, and wanted to know if it was normal after taking the shot, if it was a side effect from the shot or not. No test was taken. The outcome of the events was recovered on 22Jun2021.

headache; threw up; shallow quick breathing; fever; Injection site sore arm 4 hours after vaccine given; very tire 10 hours after; chills; shallow quick breathing; heart racing; very uncomfortable; dry throat; arm extremely sore; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 12-year-old female patient (non-pregnant) received second dose of bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EW0187), via an unspecified route of administration, administered in Left arm on 06Jun2021 at 09:00 AM (at the age of 12-year-old), as single dose for covid-19 immunization. The patient's medical history was none. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection; Expiry Date: unknown, Lot number: EW0180), via an unspecified route of administration on 25May2021, 09:00 AM administered in left arm as single dose for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19 and since the vaccination the patient was not tested for COVID 19. On 15Jun2021 at 13:00, the patient experienced injection site sore arm four hours after vaccination/ arm extremely sore; she was very tire 10 hours after chills; had fever; experienced shallow quick breathing, heart racing, dry throat; and she was very uncomfortable. On the same day, she fell asleep about 11:30pm and threw up at 3:00 AM. On 16Jun2021 (on next day), she had headache and still on day 3. Therapeutic measures were taken with Tylenol, cool compress, hydration as a result of reported events. The outcome of event was resolving. Follow-up attempts are needed. Further information is expected.

Multiple episodes of syncope post vaccine. Ultimately recovers. Vital signs obtained and stable. EMS evaluation declined.

Pericarditis. Patient was admitted on Monday night 6/28/21 with chest pain for 2 days- constant, pleuritic chest pain that was worse when supine, better when sitting up. EKG with T-wave abnormality. She was admitted for suspected pericarditis by EKG and history of chest pain. Her troponin was negative x2, no evidence of myocarditis by ultrasound. No pericardial effusion. Started on colchicine and ibuprofen. She improved and discharged the next morning 6/29/21. Of note, she also developed congestion, runny nose and mild cough since Sunday night 6/27/21. No fever. Her 2 younger siblings who are in daycare were sick first with colds. Patient RV panel was +enterovirus/rhinovirus on 6/29/21. Therefore the differential diagnosis of her acute pericarditis was upper respiratory viral infection associated pericarditis Vs. COVID-19 Vaccine associated pericarditis given the timing of onset.

Pt had a syncopal event 2mins after vaccination. BP 104/70, HR 99, RR 17 -- > 98/55, 73, 18. Pt recovered. Pt stable and released from the vaccination site.

Mild chest pain starting day after shot (w fever, swollen lymph nodes, muscle pains). Went to ER, told she was ok, then phone call next day telling us her ekg had abnormalities (borderline high qtc and other non-specific findings). Told to follow up w cardiologist. Went to cardiologist on 6/30, qtc had normalized but other non-specific ekg findings remained. Echo normal except for occasional extra heart beat. Told to avoid exercise, was given 24 hr heart monitor (we are still waiting on results), and come back for new ekg on 7/7/2021.

Immediate excessive pain in right arm/ infection site, fever 12 hours after dose 2. Around 24 hours post vaccination, Nieve fainted and hit her head. She did not have prior dizzy or fainting spells. The emergency room physician diagnosed her with vasovagal syncope- fainting: vagal reaction, possibly caused by the pain in her arm. As of 7/3/21, Nieve has not gained again but still feels lightheaded, dizzy, and headache.

About 2 minutes after vaccianation, pt fainted, father caught her. Her eyes were open but appeared to be ' out of it', had some body movements associated with it. After about a few seconds when I got to her, her vision focused on us and she came back to, started crying out of fear/scared/didn't realize what happened.

Meningitis pain; she woke up and said her face felt funny; pressure on her chest; pressure behind her eyes; muscle pain; she had not slept,; fever; headache; the chills; sore throat; nauseous; Caller states she was assuming hives; inflammation stayed around awhile; body aches / pain through her head and back down her neck; trying to push her eyeballs out and it is really painful; she was slumpy; swelling from the digging and scratching; her hands began to swell yesterday; she was just not feeling right; couldn't walk by herself; lip swelling and numbness; lip swelling and numbness; itching on face, hands and feet / Caller states then her daughters hands and feet began to itch; This is a spontaneous report from a contactable consumer or other non health care professional. A 12-years-old female patient received bnt162b2 (PFIZER-BIONTECH mRNA COVID-19 VACCINE, solution for injection, Lot Number: EW0178; Expiration Date: 31Aug2021), dose 2 via an unspecified route of administration, administered in Arm Right on 08Jun2021 16:00 (age at vaccination: 12 years) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included, meningitis from an unknown date and unknown if ongoing at 7 years old. The patient's concomitant medications were not reported. The historical vaccine include COVID-19 Vaccine on 18May2021 for COVID-19 Immunization (1st dose Expiry Date of Covid 19 vaccine: 31Aug2021, lot EW0168 ,anatomical location: Right arm) and had she had itching on the hands. And other vaccine includes flu shots (she does the flu shot every year) for immunization. The patient experienced Meningitis pain on unspecified date, lip swelling and numbness, itching on face, hands and feet / caller states then her daughters hands and feet began to itch in Jun2021. She has pressure on her chest on 09Jun2021. She had pressure behind her eyes, muscle pain,she had not slept, fever, headache, the chills , sore throat, nauseous, caller states she was assuming hives, inflammation stayed around awhile , body aches / pain through her head and back down her neck, trying to push her eyeballs out and it is really painful , she was slumpy, swelling from the digging and scratching, her hands began to swell yesterday in Jun2021. she woke up and said her face felt funny on 09Jun202. she was just not feeling right and couldn't walk by herself on Jun2021, Caller relays her daughter will be (withheld) . HCP: Caller states she called the pediatrician office and 1 was by phone and she was seen by this provider yesterday and she encouraged her to reach out to us as well. Mom states she was aware of the possible symptoms to occur and her daughter came home Tuesday perfectly fine and went to bed and woke up with the typical symptoms, she had not slept, fever, headache, the chills, sore throat, nauseous and had all the symptoms pretty much. States she didn't have anything weird going on during the observation time the day of the vaccine. Caller relays her daughter didn't have anything weird after her 1st dose. Caller states she took a nap Wednesday about 24 hours after her 2nd dose and she woke up and her lips had begun to swell and she woke up and said her face felt funny and it was itchy. Caller states she was assuming hives. Caller states that there was nothing concerning as it wasn't in that initial 15minutes to 4 hour and that this occurs 24 hours after and that was a concern. Caller states then her daughters hands and feet began to itch and that was kind of along the same lines and said hives and she would itch itch itch and there was swelling from the digging and scratching. Caller states she has numbness in her lip with the swelling. Caller states the other symptoms that are bizarre is more yesterday and it started some on Wednesday she had a pressure in her chest and this was a child, her daughter was very strong, she got up yesterday and tried to do school and had a fever of 102 and Wednesday evening was so sick with symptoms and she still tried. Caller states the pressure in her chest is concerning and told them yesterday and she needed to be seen. States her daughter described it to the doctor that it felt like someone was sitting on her chest sort of pressure and on a scale of 1-10 she was a 7. Caller provides that not at any time did she experience trouble breathing and she never saw her lose or get weird coloring. Caller states she called her doctor Wednesday afternoon and talked to another doctor, that she called the help line after hours as they close 4:30 or 5pm. States she was told it was good news that she did not have trouble breathing but to have it at this point was weird and no one knows what to expect and everyone is different. States she was told to do Benadryl and continue with pain medication for fever and discomfort. Caller states her daughter was miserable the rest of the evening. Caller relays that the swelling subsided and the inflammation stayed around awhile and yesterday she woke up better with no nausea and the common symptoms are better and she still had the fever. Caller relays that at about 9:00 she began to have a problem where she said that behind her eyes she had significant pressure and that scared the caller what with the brain and swelling. Caller states her hands began to swell yesterday, like her lip and her fingers are itchy and swelling and it's constant itching and the pressure on her chest yesterday, that those 3 things freaked the caller out and she called the pediatrician and they said to have her checked out to make sure as nobody wanted to rush her to the ER as she was not struggling to breathe she was just not feeling right. Caller states the pediatrician did her research about heart inflammation and listened to her heart a couple of times and said her best observation for rubbing sounds was she did not hear any. Caller states when her daughter was younger she had meningitis and went through a whole lot with that and caller states she does not immediately rush to the hospital as that brings back emotions with that. Caller states the doctor said she didn't see any immediate distress and would do an EKG or they could wait and see, that she thought the pressure might be like body aches and her daughter had laid in bed all day the day before and had a time with it. Caller states she couldn't walk by herself and she was out of it. Caller states she could do the EKG or wait until today and they chose to wait. States that today she seems better and the only thing today is the continuing pressure behind her eyes that her daughter described as it felt like someone had 2 spoons and was trying to push her eyeballs out and it is really painful. Caller relays her daughter has been through meningitis pain and has pain through her head and back down her neck and the concern is swelling. Caller states it could be a weird reaction and the doctor thinks it is a weird headache she is having and is still doing ibuprofen. Caller relays that her chest is not nearly as heavy today and she has taken Benadryl again for itching and swelling. States the doctor says they don't know what did it because the risk was there and the benefit and don't want to get reactions. Caller states she had no problem with getting the shot, that weird things happen and the pediatrician is saying it can happen but doesn't know. States it is kind of scary. Caller states they checked her out and they checked her oxygen and blood pressure and that made the caller feel better. States that 9:30-10 last night after she got home she was slumpy and her head was hurting and she had chest pressure. Caller states with the hand swelling, that the caller herself went through reaction and hives and the doctor had asked if her daughter had anything new introduced and no nothing was and her daughter didn't seem concerned to share this but after her 1st dose her hands itched and she didn't pay it any mind. States she had no face swelling. Caller states she is wondering if those little hand itches after the 1st dose she didn't tell about till now was that a little bit of a sign that something else was there. States she didn't mention it after the 1st dose and was good to go. States after the 2nd dose she said mommy my hands itched after the 1st dose, her lip didn't swell and she told the doctor it's not conditions on the list of symptoms and she didn't have breathing issues. Caller states it's a non severe reaction and is assuming to dose and said yesterday if she gets a booster what does Pfizer advise. Caller states they have all intention of getting what she needs in the future. Caller states she wants to make sure she doesn't have worse and the lip swelling was freaky. Caller states she thought her daughter was out of the woods after the 20 minutes waiting and was home and then turned. Caller states it was pretty straight forward and knew what the expected symptoms were and they were fine and knew she was having the exact ones on the list and was not feeling well and had a fever. States she was thrown for a loop when others came up and the fact that they were 24 hours out, that she got the 2nd dose 4-4:15 on Tuesday and these evolved well after that time. Caller said they said to report this and her hope is that they can help if someone else has this issue. States when she said she was laying there my hands did itch after the 1st but not like this to this degree. States she never said anything and caller didn't know. States she knows as a parent there are certain questions to ask and warning signs of potential allergic reactions. Caller states she is assuming this is some sort of allergic reaction, not the worst kind but pressure in the chest and other concerns about her heart having some sort of issue she knows have been reported.Caller states that today she could have done the EKG for more information but based on her listening and what she wanted to thinking the body aches and extensive issues with that she is glad she waited. States she was laying in bed at 6:30 and asked her if she wanted to get the EKG and she said she was afraid of going to the hospital and it's not fun but would give answers if there is something else and she laid in bed until 9:30-10 and gave her more Benadryl and Ibuprofen and continued with that for the discomfort behind her eyes and the doctor is thinking it's body aches. States the fever subsided yesterday.Caller states she would like to share that her daughter is a tough kid and tough kids can be taken down too and may not pay attention. Caller states she doesn't over react but she is aware and if she had told her about her hands she would have thought allergic reaction, mild one and brought her to the doctor or at the 2nd vaccine and she didn't say anything until after the fact. Caller relays her daughter has never been through hives and the caller has and has a lot of seasonal and environmental allergies and the caller was that kid. Caller states with her daughter not having seen her lip swell and her eyes started hurting and she started thinking the worst. States the doctor pushed on her and checked her lymph nodes and did a thorough exam that lasted about 30 minutes and nobody knows. States she appreciates all that Pfizer and the other companies have done, that we need this.Caller states her daughter goes to the pediatrician in 2 weeks for her annual check up. States the doctor yesterday said her body responded and had a hard time with it. States she does the flu shot every year and this was weird and she wanted us to know and hopes this report can help. Caller states her daughter is a tough kid nobody knows and today she is better, she has a headache behind her eyes still there.Caller relays that Friday she had her annual eye check up and it's not a vision thing, that was fine until Wednesday and other other stuff and yesterday with pressure and she is sure it's residual and her body adjusting and if she can help with letting other people know.Caller relays if it comes back she is going to do the EKG, that she is not the parent to say it is nothing and will follow through with Pfizer also. Caller states she didn't have anything weird for heart beat and no rubbing sound and no signs and she thinks it was issues from body aches and hopefully she is on the up and up and nobody will have to leave and go to the doctor today. And didn't think because it was not an immediate issue with her breathing and nothing like that and didn't think it would be an issue with a booster. Caller states it could be that instead of sitting for 20 minutes they keep her longer and that when she fills out the sheet if was not an option, she knows there is severe reaction listed, she will make notes and make the person giving the dose aware that she had the delayed what they are believing to be allergic reaction and make sure, that she may never have it again and it could have been her system was so under attack. Caller states she doesn't understand vaccines and knows it's the body's job to do something and she is not reluctant helping her be immune and she understands what to do in the event and doesn't have an epi pen and her daughter has no allergies and no reactions to anything. Caller states she didn't have the worry, that there is always a chance and you worry when something foreign goes in the body that there is a chance to react. Investigations: Caller states they listened to her heart and took her vitals and tests with her fingers checking her eyes to make sure her pupils were dilating correctly and move her eyes with a moving finger. Caller states she doesn't know the medical term but the basics and let them know she was not in dire straights to rush to the hospital immediately. The patient underwent lab tests and procedures which included blood pressure measurement, body temperature: 102 fahrenheit, electrocardiogram, oxygen saturation, vital signs measurement was unknown and unspecified date. Therapeutic measures were taken as a result of lip swelling and numbness, itching on face, hands and feet / caller states then her daughters hands and feet began to itch, pressure on her chest , fever, swelling from the digging and scratching. The outcome of the events was unknown.

Fever, fatigue, headache, sleepiness, chest pain, and. pain during days 1-4 , after that she was not herself. She had taken 9 tylenol and did not want to live anymore. She is admitted to hospital at this time.

Mom states pt fainted for the first time yesterday morning (07/07/2021). Pt stated she woke up thirsty but did not feel dizzy. Pt asked mom for water and as she was going to the kitchen she fainted. Mom states pt looked pale and her hands were cold. Pt states she does drink lots of liquids everyday. Pt states she does not have any stressors at this time and actually feels really happy. The only thing is pt did receieve the first dose of the Covid-19 vaccine on Tuesday (07/06/2021). Today pt states she feels much better. No other symptoms or concerns at this time.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Adverse event (fainting) occured today at time of immunization. Pt fainted near immediately, regained consciousness in about 15-20 seconds, then seemed a bit dazed for several minutes. Pt stayed at the pharmacy for about 17-18 min and seemed to recover by the end and walked out with her parents. Parents noted that this is a normal reaction to vaccines, but this time did seem to be the most severe compared to past events.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt fainted about 2-3 minutes post vaccination, was un-responsive for 5-7 minutes, Pulse and breathing were normal, paramedics arrived and checked her out. she ended up leaving with her mother.

Patient fainted (syncope) minutes after receiving vaccination. Patient was caught by a monitor and legal guardian and did not suffer any injuries. Legal guardian indicated that she has needle phobia and that her father faints when receiving vaccination. RN was onsite checked vitals of patient and were all stable. This occurred over the course of 8 minutes. Patient and guardian indicated she had previous incidents of syncope after receiving vaccination.

Systemic: Abdominal Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Medium, Additional Details: Patient's original BP was 91/57 and second reading was 92/72. She fainted for less than a minute and regained consciousness. She suffered from severe nausea/abdominal pain and vomited. Patient was given water and felt much better after throwing up. She also complained of feeling tired.

Patient came in with her mom to get their first dose of Covid-19 vaccine. Mom filled out form and selected NO for all questions. After receiving the vaccine, the mom was advised to wait in the pharmacy area for 15 minutes for observation. The patient ended up walking away a few minutes after and fainting face down in of the isles. She came to very quickly but was bleeding from her mouth. She bit her lip and was in discomfort. She was given water and her only complaint was her upper teeth "didn't feel right". She was wearing braces. Paramedics arrived and gave a thorough examination. Mom refused transport to the hospital.

Frequent nose bleeds. 1x/week since 2nd vaccine. This is out of the usual for patient. First one happened the evening after dose #2.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient had injection, appeared fine, moved to additional seating area and within 2 minutes had fainted. She regained conciousness immediately but we had her lay flat for approx 30 minutes. Her color returned, and she was talking and recovered. We told patient to report to MD her reaction and obtained pcp info to report as well. Parents advised if any additional interactions to take in to be seen.

Vasovagal reaction to vaccine, dizziness, diaphoresis, pale. Had client lie down and raised legs. Lasted 4-5 minutes. Completely recovered

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hyperventilation-Medium

Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Mild, Additional Details: Rph gave first pfizer covid vaccine to patient and she felt nauseaus within a couple of minutes. Mother reports daughter lighter in color and needed a bag in case she needed to vomit. PT's mother declined to be brought into ER because daughter (patient) appeared to have recovered. Instructed by parametics to f/u with primary doctory.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Pt was sitting down during 15 minute post vaccination on a chair when she began to slide out of it. Her grandfather called to us and helped her sit upright. She said all of a sudden she felt really lightheaded and nauseous and then she woke up in her grandfather's arms. her face was pale. she stated she had been "nervous" about getting her shot. after drinking some water and eating a piece of candy, patient regained color in her face and was able to walk out of the store normally.

Approximately 45 seconds after vaccination, patient began drooling and became diaphoretic, pale, and non-responsive, although she remained conscious. The patient's mother thought patient looked "blue." A Health Department nurse administered one EpiPen while another staff member called 911. Patient stopped drooling, regained normal color in her face, and began smiling almost immediately after epinephrine was administered. Nurse then took and recorded patient's blood pressure as 92/62, pulse as 64bpm, and respiratory rate as 24. Paramedics arrived approximately five minutes later and evaluated patient, who seemed to have returned to normal. Patient and her mother declined to have the patient transported to the hospital via ambulance for further observation. Patient was then driven home by her mother. Deputy COVID Operations Chief spoke with patient's mother over the phone around 6:30PM that same day to follow up with the patient. Patient's mother reported that the patient had returned to her normal self, had not experienced any further adverse events, and wished to move on from the incident.

Parent said Pt wasn't feeling well after her first covid shot. Her pulse was low when I checked her. She looked very pale, and she said she felt hot. She said her breathing was fine so no epipen was given. Pt was able to walk after she rested, and her mom took her to the hospital.

Pt fainted and lips turn blue and face become pale . Hands and body felt cold. Pt fainted only for few seconds. She was okay after few mins. Pt got taken to ER by EMS.

1 day after receiving the COVID #2 vaccine, felt dizzy, body weakness, pain in stomach and head, fever (tactile), 1x vomit - food contents, blood pressure low (unable to recall).

Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: Patient's father reported that she had not eaten or drank much, if anything, prior to the vaccination appointment in the afternoon. Patient is a premenstrual, young girl, of thin build and small stature, who just turned 12 the prior month. She expressed anxiety about shots and needles. Immunizing technician and father noticed that she slouched dramatically a couple minutes after the shot. But her face became ashen, she slouched more rigidly, and jerked. ~5-10 seconds later she was back to normal

Patient passed out (syncope event) after administration. EMS responded and examined patient. Patient was able to leave with her legal guardian.

12 year old daughter a few minutes after vaccine, says she didn't feel well and eyes closed and she dropped. I quickly grabbed and held her as she would have hit her head from passing out. The paramedics came and she lost 20 points of blood pressure and then ambulance took her to the hospital where she was released.

Patient waited 15 minutes at the pharmacy after the dose and left. Mother states that after 10 minutes on the road in the car patient started to feel dizzy and had a visible rash on chest area. They came back to pharmacy where patient seemed to want to faint, we called 911. Ambulance came within 10 minutes and took her to ER.

Fever onset day after second vaccine dose, associated with gross hematuria, proteinuria and rhabdomyolysis (metabolic crisis due to Very long chain acyl carnitine dehydrogenase deficiency VLCAD). Admitted to the Hospital on 6/12 with hypertension and elevated creatinine. Renal biopsy c/w IgA nephropathy. She was discharged on 6/23 on prednisone 60 mg daily with plan for slow taper. Acute kidney injury, proteinuria, rhabdomyolysis and hypertension improved at discharge. She had 2 additional admissions for elevated CK on 6/29 and 7/6. CK improved with IV hydration and glucose, and both admissions were <48 hours. Of note, patient had transient episode of gross hematuria in 1/21. Creatinine normal, BP normal. Proteinuria and hematuria resolved spontaneously on repeat testing of urine 3 weeks later. Also of note, patient had multiple episodes of rhabdomyolysis as young child due to VLCAD, with most recent episode in 2016. Trigger was viral illness or fasting. Previous episodes had higher max CK >20,000, no prior history of acute kidney injury during these episodes.

Pt developed ITP and anemia 4 days after second vaccination. Mom also states that a few days after initial vaccination, pt had some red spots on skin, but no ecchymosis

Within 5 minutes of vaccine administration patient complained about feeling dizzy. Patient became pale, appeared lethargic, felt clammy, dizziness, weakness, and threw up 3 times immediately. Patient was sitting in the chair, ice pack was applied to her neck and head, legs were elevated with a chair. Patient's blood pressure was taken after vomiting and was 60s/40s. Patient continued with the symptoms noted previously. Nurse assessed patient and administered Epipen 0.30mg. Blood pressure was taken again, 100/60, 911 was called and patient was taken to near by hospital, guardian left to meet at the hospital.

Chest pain; Not feeling well; This is a spontaneous report from a contactable consumer or other non hcp. The consumer (mother) reported for (daughter) that 12-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: not reported), dose 2 via an unspecified route of administration on 22Jun2021 as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unknown route of administration on 01Jun2021 (Batch/Lot number: Not reported) as dose 1, single for covid-19 immunization. On an unknown date, the patient experienced chest pain and not feeling well. It was reported that caller was calling now on behalf of her daughter, she is 12 years old. She had her first dose Pfizer COVID 19 Vaccine 01Jun2021, second dose is 22Jun2021, that is yesterday. After having the second dose of Pfizer Covid 19 Vaccine she was experiencing chest pain and she was complaining about it. The clinical outcome of both events was unknown. Information regarding the lot/batch number has been requested.

24 hours after receiving the vaccine, my daughter experienced chest pain. Per the recommendation of her doctor, we took her to the ER. She had a rash on her back and chest. After 48 hours, a low-grade fever of 101 (lasted 1 day) and a swollen lymph node on her right armpit.

Patient came in to receive her 1st dose of the Covid vaccine. At 6:25 the vaccine was administered and at 6:33 the patient passed out. After a few seconds she came to. Emergency personnel were called to the scene. They arrived at 6:41 and checked her out and gave her the clear to go home.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted as soon as the needle come out of her body and the fainting lasted for less than a minute

The patient fainted approximately 10 to 15 minutes after receiving the vaccine. She and her father walked to the front register and were waiting in line when she fell. We called 911 and monitored her closely until they came. The patient was coherent and talking and said she was not in pain. Paramedics came and took her to the hospital.

Patient was walking around the pharmacy approximately 10 minutes after receiving her first COVID vaccine where she felt lightheaded and passed out into a shelf. By the time pharmacist and technician were with the patient, the patient was awake and oriented. Offered to call 911, both patient and mother refused. Gave patient a Gatorade and a chair to relax before leaving the store. Patient was able to walk out on her own and felt fine.

Pt had a vasovagal reaction after receiving the first dose of the Pfizer vaccine. Pt was transported by wheelchair to a cot and assessed by the site paramedic. Pt reports feeling much better after eating crackers. 1448 Vitals: BP 108/64, HR 74, O2sat 99%, RR 18 Sx: pale/moist skin, re-assed 5mins later and found to be warm, dry PMH: Asthma Medications: Albuterol prn, Xyzal prn Allergies: Penicillin

Patient states she did not eat or drink anything in the morning prior to her vaccine. Crackers and water given prior to vaccine. Vaccine administered at 0730. 0748 patient stated she was dizzy, pale, and had blurry vision. She states she felt a whoosh. She was transported to wheelchair and transferred to observation area. BP 81/34 HR 86 100% RA. Patient drank more water and crackers. Remained pale, nauseous. Denies dizziness/blurred vision. 0751 85/40, HR 68 100%RA. 0756 89/53, HR 60, 100% RA. 0801 100/49, 61, 100% RA. 0807 95/64, 57, 100% RA. Patient denies any symptoms. Educated patient and mother on when to call 911. Patient ambulated without difficulty. Discharged home with mom.

post vaccination patient became dizzy and pale vitals 13/66, 96, 22, 98.6, o2 98..911 called to assess patient on arrival patient was stable remained in observation for 30 minutes-mom reported that patients has a history of having extreme anxiety after any injection which causes her to get dizzy, nauseous, sweaty and at times pass out.

Pt. Had vasovagal response right after. Patient was laid down to floor, legs were elevated, pt. felt better, A&Ox3. Transferred pt. To wheel chair, had another vasovagal for 4secods, recovered quickly, emesis pouch was provided , no emesis. had another vasovagal for 3 seconds, quickly pt. laid down to floor. Legs elevated. Ice pack was placed behind neck. Pt. Stayed on floor for 10 mins., recovered, &oX3. Father at site present whole time. Pt. was moved to observation after She was stable to wait in observation area for 15-30 minutes.

My daughter passed out 2 times within 5 minutes of receiving her first dose. She complained of being nauseous after both fainting episodes. We gave her water and orange juice and she ultimately felt better after about 25 minutes of resting.

Systemic: Fainting / Unresponsive-Mild, Additional Details: patient fainted as stood up waited about 30 minutes, drank some water said felt fine after about 10 minutes

Pt exhibited an episode of syncope/lightheadedness directly after the vaccination. Counseled patient about the risks of standing after a vaccination. Immediately gave Benadryl to the patient upon initial assessment.

Systemic: Body Aches Generalized-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: CALLED 911. AMR MONITORED PT FOR 30 TO 40 MINS AND RELEASED HER TO GO HOME AFTER THEY DID TALK TO HER MOM.

Patient became unconscious after about 10 minutes after vaccine was given for about 10 seconds. Once consciousness was regained, patient appeared confused and pale. Patient's eyes rolled back and arms and legs were flailing about during unconscious episode

Daughter passed out after 5 minutes of receiving vaccine. She said she couldn't hear for a little bit as well.

Pt presented pale, diaphoretic, with cold clammy skin @ 12:18 PM, approx. 3 minutes after receiving her first Pfizer dose. Pt positioned changed to supine with her feet elevated. Vitals @ 12:18 are: BP: 90/67 P: 85 RR: 17 O2: 100% T: 97.3. At 12:21 Pt reported feeling better and no longer presented with any previously mentioned symptoms. Pt vitals @ 12:21 are: BP: 129/67 P: 97 RR: 20 O2: 100% T: 97.1. Pt remained in supine positioned and RN continued to monitor. At 12:36 pt position changed to sitting up, water was given upon pt request. Last set of vitals before discharge at 12:45 are BP: 113/67 P: 74 RR: 20 O2: 98% T: 98. Pt was discharged with her mom.

PATIENT REPORT ANXIETY, DIZZINESS, HEADACHE. NO SHORTNESS OF BREATH. SYMPTOM START AS THE PT PULLED UP TO OBSERVATION PT APPEARED PALE. VS ; HR 65 O2 SAT 97% PT INSTRUCTED TO HYDDRATE AND LIE DOWN IN CAR PT STARTED FEELING BETTER AFTER ABOUT 5 MINS PT LEFT SITE FEELING WELL

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: 13 year old female fainted when sitting during her 15 minute observation. she fainted when her mom was standing next to her. we put her on the floor and raised both of her feet. she became concious after 15 seconds. We gave her water and chocolate. we took her blood pressure and her reading was 95/71 with pulse of 78. we had her sit for an addiotional 15 minutes. After feeling ok she left with her parents.

client had syncope episode after receiving 1st dose Pfizer Covid Vaccine. Client received vaccine at 1336 and was standing next to vaccine station and Father as sibling was receiving vaccine. Within 3 minutes of standing client had syncope episode and hit back of head on floor. RNs responded. PHN called 911 at 1340. Per RN client collapsed and hit back of head, Father tried to hold on but was unsuccessful. As PHN was speaking with paramedics, client regained consciousness. Client stated she remembered feeling dizzy and then woke up on the floor. Client alert and oriented, pale and stated blurry vision. RN elevated legs. Vitals: blood pressure 130/90, pulse 102, oxygen 99%. Father denied any relevant medical history, medications, allergies or history of syncope. Client stated feeling dizzy, denied pain on head or rest of body. Paramedics arrived approximately 1346 and assumed care. After assessment Father signed AMA with paramedics. Client sat in anti gravity chair after paramedics left. EMT stayed with client. Vitals at 1412: blood pressure 120/80, pulse 85, oxygen 96%. Client stated feeling dizzy and head hurts when she moves. Blurry vision resolved. PHN spoke with parents to review ER precautions and advised to make follow up appointment with primary doctor. After sibling was done with observation, client left facility at 1425 with steady gait.

The patient fainted after vaccine administration. The patient was fine after about 30 minutes of sitting.

pt fainted after getting the shot. pt was dizzy and pale after the shot. pt blood pressure was normal then dropped quickly to 80/40 per nurse and then came back to normal. pt rested and was given water and candy afterwards. pt walked around store after wards and felt fine and went home with parent.

10 minutes after her first dose she had been sitting in a chair & developed diaphoresis, warm skin, loss of vision,& low blood pressure. Pt was initially not responsive, when transferred to a wheel chair to take her to a gurney, left arm & left leg jerk twice. Took her to lay down and check her blood pressure. En route, in the wheel chair within about 5 to 10 seconds, she became responsive and said she could not see. Her vision returned to normal within a minute. Her initial blood pressure was 97/64 with O2 Sat 100% on room air. Her skin temp was 95.5, and her HR was 95. She continued to be responsive with excellent oxygenation and When the EMTs arrived she had a blood sugar of 90 and improving blood pressure with a regular rate and rhythm. Her diaphoresis resolved, and she continued to improve, tolerating water. Had similar reaction last year to flu shot, no hx of seizures

Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Vomiting-Mild, Additional Details: Patient became nauseous and pale several minutes after inject. She was stated she was nervous about injections and felt a little lightheaded and did vomit one time. She returned to normal within 10 minutes and was monitored the whole time.

Shortly after receiving the vaccine patient fainted. 911 was called. Pt recovered and parent refused to have patient transported.

Fainted within minutes, hot. dizzy. Lasted approximately 15 minutes. Headache appeared about 8 hours later and soreness.

Patient received 1st of dose Pfizer from nurse on duty. Within five minutes patient become dizzy and nauseated. She was barely coherent and blood pressure was low at 66/45. She was laid on the floor to help and paramedics were called. paramedics took her to hospital. she was more coherent and bp improved but still having side effects.

Patient came to the pharmacy to receive 1st dose of the Pfizer covid vaccine. About 5 minutes later patient felt unwell. According to her mom she passed out for about 5 seconds then jerked up and passed out again for a few seconds and woke up. Mom was unsure but thought it looked like a mini seizure. Both pharmacist was informed and checked on patient. Patient was hot and sweating but breathing was fine. Patient was coherent and could talk. Patient was given water. Blood pressure check was 102/69. Patient remained sitting with head over legs as that made her feel better. EMT arrived at the scene and took patient away on a stretcher for further observation.

After sitting for five minutes after the Pfizer Covid vaccine, patient reports feeling lightheaded and may have had a brief loss of consciousness episode. Per mom, patient's eyes widened briefly before returning to normal. Patient was gently laid onto the ground. Was initially confused, but soon was alert and oriented x 3. Was talking in full sentences. 911 was called. Patient was doing well when the paramedics came.

This writer witnessed patient having a syncopal event on the chair she was sitting in. With the assist of other health care team, patient was immediately put on the gurney and bed was placed in reverse Trendelenburg so that blood could flow to her brain. Pt immediately became alert and was able to tell us her name. VS were taken and BP was 108/75 and heart rate 76. patient was immediately taken to the emergency room for further care.

After receiving the Pfizer covid-19 vaccine. During the 15 minutes waiting, patient's father took pt to the front of the store to buy ice cream. While he was paying the ice cream, pt fainted and hit head on the register counter. Ambulance was called. Store personnel and pharmacist check up on pt. She said she was feeling fine. No sign of short of breath or allergic reaction. Emergency personnel arrived and performed check up on pt. Pt stated she was fine and refused the ambulance or the trip to hospital for check up. Pt's dad sign waiver and release with emergency personnel and left store with pt.

At 1345, EMT found patient on ground. Patient's mother stated patient fainted and fell face first onto ground from chair. Patient was alert and oriented to person, place, time and situation. Patient stated she felt dizzy before she fainted. Patient reported no history of fainting, eating breakfast, and no chronic conditions. At 1350, patient vitals were blood pressure 124/80 mmHg, pulse 65 beats/minute, and SpO2 95%. At 1349, 911 activated . At 1353, paramedics arrived and assumed care. Patient's mother signed an Against Medical Advice form. Paramedics left scene at 1407. Lead RN educated patient and patient's mother on following up with primary care provider, signing up on v-safe, and signs/symptoms of when to seek emergency care. Patient left observation area with mother at 1409.

Shortly after receiving vaccine patient fainted in waiting area. Ran to check on patient and she got up on her own accord. Helped patient and mom to a bench in the waiting area, had pharmacy technician grab some orange juice while pharmacist waited with patient and parents to monitor for other signs of reaction.

Patients is a 13 year old girl who came into facility to receive her Pfizer vaccine. She was nervous upon receiving her vaccine and after the shot was administered she stated she feels a little warm. The vaccinating pharmacist told her to sit and wait in the sitting area for 15 minutes after receiving the vaccine. A couple minutes after her vaccine was administered the girl started not feeling well and fainted in the store and her father caught her. We immediately called 911 and checked in with the young girl. The ambulance came and did a physical exam. They offered to take her to the hospital but the patient declined. Patient left the store shortly after with her father.

Patient developed a bloody nose within 20-25 minutes of receiving her vaccination. It gradually subsided. We called her pediatrician, who did not advise urgent care or similar. She has never had a bloody nose before to my knowledge.

Client received the COVID vaccine (Pfizer dose 1, lot # EW0185, expiration date 5/22/2021) at 2010. The client's father accompanied her, and reported to EMT at 2022 that the client was "hearing echoes." RN, EMT, and another EMT responded at that time. Per the vaccinating RN, the client had stated that she is afraid of vaccinations and has felt dizzy with previous vaccinations, but the client deferred using the zero gravity chair previously. The client's skin was pink, warm, and dry; she was alert and oriented. She denied dizziness, shortness of breath, chest pain, nausea, or any changes in breathing. At 2026, the client's vital signs were as follows: heart rate 66, O2 98, respiratory rate 24, blood pressure 80/50 (using an adult cuff that was too large for the client). The client's pulse was normal. The client stated that "this usually happens with shots" and endorsed feeling anxious. The client was transferred to the zero gravity chair at this time and denied any dizziness with the transfer. The client's father stated that the client has no allergies or medical conditions, and that she takes no medications. The client stated that she ate lunch but no dinner today. The client was offered water to drink at this time. The father of the client deferred taking benadryl at this time. At 2030, the client stated that all her symptoms had resolved. She appeared to be sitting comfortably in the zero gravity chair and continued to drink water. Education provided regarding recommended observation time, activation and emergency management, and primary care follow up. At 2035, the client was able to stand up without any dizziness, denied any return of the "echoes" or ringing in her ears, and ambulated around the room with a steady gait. Vital signs were as follows: blood pressure 82/60 with an adult cuff, respiratory rate 22, pulse 64, O2 99. At 2040, the client reiterated that she felt "back to normal." Both the client and her father denied any further questions. The client ambulated to her car with a steady gait, and was driven home by her father.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Visual Changes/Disturbances-Mild

Syncope immediately following vaccine administration. No loss of consciousness, oriented, alert, responding appropriately to questions. Described "seeing spots in front of eyes, cold feeling". Pt denied nausea.

Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Additional Details: Immunizing pharmacist checked patient's blood pressure after syncopal episode, and again before sending patient home. He then called later to follow up and was informed of a second episode, after which he accompanied patient and mother to hospital. He remained with them until she was cleared to go home.

Patient wa receiving their first Pfizer COVID vaccine. Student was well hydrated and had eaten a meal prior to vaccination. After administering vaccine, patient lost consciousness, slumped to her left side, and had seizure-like body jerk movements. She then regained consciousness, then lost consciousness again immediately after and proceeded to have whole body jerking movements. She then started sliding to the floor from her seat. Patient was lowered to ground with help from another RN. Vitals were taken, BP 102/82, HR 48 and RR 20. Dr. assessed patient and 911 was called for further assessment. Patient was not transported in ambulance and left clinic with parent recovered.

Pt w/ amoxicillin allergy unknown reaction. Flushing/sweating, dizziness, lightheadedness. Pt had a near syncopal episode post vaccination. Pt has a hx of "passing out" w/ shots. Pt was laid down, given juice, and stable. VSS BP 101/52, HR 74, RR 20 -- > 99/65, 82, 20. Pt stable and released from the vaccination site.

Event occurred during COVID vaccination clinic of students at School, under direction of Hospital COVID Vaccination team. Syncopal event 5 minutes after injection. Fell backwards striking her head on the floor. Regained consciousness immediately. Pale, diaphoretic, reported lightheadedness and nausea. BP 86/50 HR 116 SpO2 99%. Consumed several ounces water and ice pack to head and neck while in observation. Released to parent after 30 minutes. BP 110/60 HR 90 SpO2 98% skin dry, color pink, denied nausea. Able to ambulate without assist. Presented to urgent care 5/18/21 for concussion evaluation reporting sensitivity to bright lights. Advised by provider to rest, avoid electronics and strenuous physical activity.

Patient fainted while doing IM COVID injection. RN called another staff to assist lowering patient to ground and elevating feet. Patient felt better after laying down. Nursing staff took vitals (supine), which were BP - 118/84, SPO2 - 97%, pulse - 48. Patient rested for a while, taking some deep breaths and putting an ice pack on the back of her neck. After approx. five minutes staff helped patient to a seated position and re-took vitals which were 122/80, SPO2 - 99%, pulse - 57. Patient drank some water and was observed for approx. 30 minutes following injection, stating she "felt better".

5 minutes after vaccine patient started feeling dizzy and fainted, while body was shaking for 20 seconds. Body then regained consiousness

pt reported intermittent chest tightness, denies sob, dispnea acheness or swelling at injection site pt staes sh has allergies to sulfa, asprin and qunololos. vital signs 94% on RA, HR 76 pbm pt staed she did not have anything to eat thi morning pt encourage to stay hydrated and encourgae to eat before comming for the second dose after a few min pt felt better

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Pt had dentist appointment the morning of vaccine. After pt got vaccine and was seated in observation area pt got dizzy and passed out and hit head. BP was taken and was 84/54. 911 was called and pt went to ER due to continuous low blood pressure.

Syncopal event immediately following vaccine administration. Patient was placed in a laying position with feet raised and given water for hydration. They were monitored closely and had 3 total syncopal events separated 3 to 5 minutes apart and lasting 10 to 15 seconds with loss of consciousness and no injuries. Patient declined further medical treatment and was monitored by pharmacist for 30 more minutes until they were able to walk away from pharmacy on their own.

AFTER GETTING SHOT, PATIENT PASSED OUT. I CHECKED BLOOD PRESSURE AND 73/42 AND PULSE WAS 51. CALLED 911. PUT PATIENTS LEG UP AND PUT SOME ICE ON BACK OF HER NECK AND UNDER ARM. PATIENT GAINED CONSCIOUS. FELLING OK. PARAMEDICS ARRIVED AND TOOK HER TO HOSPITAL. PATIENT WAS ABLE TO TALK AND ANSWER CORRECTLY.

Patient had a syncopal episode passed out hit her head and suffered bilateral nose fractures and concussion

13 year old female patient after the administration of the first dose of pfizer vaccine in the observation area she star to feeling dizziness. We take the vitals O2% 98, Blood Pressure 140/90, Heart rate 100. We give 10 more minutes in observation. After 30 minutes the mother patient tell to the nurse that patient suffer to Vasovagal.

(Vasovagal Response) Fainted as walking to court yard. Parent was able to assist w/o fall. Pt laid down and elevated feet. No additional treatment needed. (Initial BP 80/62 ? BP 96/68)

patient fainted after vaccine administration. Patient was given the vaccine and slumped in the chair ten seconds later. We were able to revive her after 20 seconds. We had her lay on her back and lift her feet. after 15 minutes she said she was feeling fine and left with her father.

Parent note sent in with child stating child has syncopal episodes while getting shots. Pt was given the vaccine and had a syncopal episode. Pt moved to wheelchair, taken to medical and moved to mat. Pt then became alert and oriented. Ice pack applied to pt's forehead. Pt moved to fowler's position, then to standing and stated she "felt fine". Pt then sat in chair to continue observation period.

patient was given shot and fainted and started rash at site lips turned blue also shot was given at 10:23am and at 10:26am adverse event started epipen was given at 10:26am paramedics called and patient was taken to hospital for followup

Patient received her 1st dose of the Pfizer Covid vaccine around 11:20am, and started feeling bad within about 5-7 minutes of administration. Her grandmother came to the counter to alert me that she wasn't feeling well, patient was lightheaded and just "felt bad". She did say she was nauseous, but was very agitated and had trouble verbalizing what was wrong. She was very hot and clammy, her mother reported that she looked very pale. I went to get a cuff to take her blood pressure, but by the time I got it on her arm, she was slumping significantly in the chair, so we decided to move her back to the clinic room to lay her down and elevate her feet. Her mother and I each took an arm to move her. I thought she may have briefly lost consciousness, her legs were not holding any of her weight, but her head was down, so I couldn't tell if she was alert. We moved her a few more feet into the room and her mother moved to set her down in a chair, she was talking and alert. At this time, her bladder evacuated and she vomited, her mom moved her the rest of the way to the chair. I immediately went back to the room with them and dialed 911 at 11:34am. She was more alert at this time, did not report any difficulty breathing or any swelling or itching of the mouth or throat. She was very anxious/agitated, but she did say that she felt a little better after vomiting. EMS arrived at 11:52, I believe she vomited again before they got here, she did take a few sips of water. EMS left at 12:06pm, the patient and her mother left at 12:07, she was walking on her own, with support from mom.

PATIENT FAINTED WHILE SITTING DOWN, MOM CAUGHT HER AND HELPED HER STAY IN THE SEAT. PATIENT LOOKED PAIL AND WAS FEELING NAUSEATED. MEDIC ARRIVED AND TOOK VITALS AND OBSEEREVED. PATIENT WENT HOME WITH MOTHER

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

Patient received her first dose of Covid-19 vaccines and were instructed to sit for 15 minutes. Shortly later she went to purchase something at the front cashier of the store and started to faint. Her mother was behind her to catch her so she didn't hit her head but they both fell to the floor. A customer in line called Paramedics. Patient's mom claimed she only sat for 5-10 minutes because she thought she would be fine. Paramedics arrived a few minutes later and checked the patient's vitals. BP, oxygen levels and HR were normal according to the paramedic but blood sugar level was 72 which was low. The Paramedics told patient to sit, have a snack and stay for at least 15 more minutes and then call a ride to take them home because they walked. Patient agreed because was feeling better. 15 minutes later I checked on patient to make sure she was feeling ok and she said she was feeling better and that they were getting their ride to go home.

Fever, eye redness, body pain starting 1 day after vaccine cough, nausea, abdominal pain 3 days after vaccine 1 episode of emesis 5 days after vaccine - Admitted to hospital with suspicion of MIS-C - As per ID and Hem/Onc, Started on IVIG and aspirin (5/23/21) - currently still admitted for management of MIS-C

Fast onset of dizziness (head spinning, difficulty walking), nausea, temple pain, stomach pain. Some chest ?burning? sensation.

after 20 minutes of the tennis lesson in the afternoon, she felt fast heart beat, light headiness and can't catch her breath. she paused the lesson, sit aside and took few sips of water and rested for about 5 minutes, then resumed the tennis lesson.

Patient received her first dose of the Covid vaccine without a problem. She was reading a magazine in a chair while waiting for me (her mother) to have the second dose in the same room. About 5 to 10 minutes has passed since patient had received her injection. I looked over at patient, her eyes had rolled back and she had slumped in her chair. I ran over to her - her face was very red and she did not appear to be breathing. Her eyes were open but were not focused. I sat her up as straight as I could while the technician who administered the vaccine ran for the pharmacist. This took a few minutes. By the time the pharmacist arrived patient was gaining consciousness but began throwing up (although mainly dry retching). Her face had gone pale. The pharmacist was very helpful - she gave patient some Coke to drink and took her blood pressure, which was low. After 30 minutes of observation we were allowed to leave. The event was very frightening. Patient was very pale for the rest of the day. She had a severe pain in her left arm (and leg) which gradually improved over the next three days. We are very worried about her taking the second dose of the vaccine.

About 3 min after getting vaccinated, patient fainted Reason for visit in ER: Near Syncope Diagnosis: Syncope and collapse

Systemic: Patient felt extremely tired soon after receiving her vaccination. I monitored patient for 40 min. and then called to check on her later that night and then again after the weekend as well. Patient was recovered when I called to check on her on 5/24/21.-Mild, Systemic: Hypertension-Mild, Additional Details: The patient's blood pressure was elevated during the monitoring period, but I am unsure of her baseline/normal blood pressure. I recommended the patient and her caregiver to follow up with her primary care provider to be evaluated for pediatric hypertension.

2 days after vaccine was give on 5/20/21 around 430 she complained of chest pain that was sharp and pressure and that it was hard to breath. She was taken to the ED for evaluation. At the time of exam she was feeling better in her chest and complained that the pain had moved to her upper abdomen. There were no findings on physical exam or heart monitor. Her heart rate was elevated mostly in the 90's and low 100's. No further complaints of chest pain, but continues to be achy 1 week post vaccine especially in her knees.

the day following vaccination she described worsening of chronic fatigue, headache, chest/rib cage discomfort, swelling of left arm and left face, hives under eyes and left face

Chest pain shortly after the vaccination. Swallowing and throat. Long lasting and was sent to the emergency room. Labs and EKG were normal. Sore throat lasting up to five days after the vaccine. Tightness in throat and chest experienced

Approximately 3 minutes after her injection, the patient experienced stomach pain, hot flashes, and pallor so was taken to our roof for fresh air. While being escorted by parent and staff, the patient fainted and was supported to the ground. Epinephrine was administered and 911 was called. Paramedics arrived shortly thereafter and examined patient. Patient was cleared by paramedics and walked out of the clinic unassisted.

Systemic: Fainting / Unresponsive-Mild, Additional Details: i administered pfizer vaccine to patient and after 5 minutes she experienced syncope and we had to call an ambulance for the patient. The NP within the store helped the patient as well by checking blood sugar, blood pressure and o2.

The day after my daughter received her vaccine, she began to feel congested and tired. This was on Sunday, May 23. We got up for school on Monday, May 24, but she was complaining about a really bad sore throat. The school nurse called and I picked her up from school because she was also getting more congested. She began to cough and sneeze constantly and took a long nap. When she woke, she was saying that she was getting short of breath and it felt like her heart was racing, even though she was just sitting. The next day her throat felt better, but the congestion was the same - still coughing and sneezing but her shortness of breath started getting more obvious. I emailed her pediatrician to ask about bringing her in, and they said to report this to the CDC and bring her if if she's not better in the next few days. Today is Wednesday, May 26 and she is still congested, short of breath and overall feels lousy. She is coughing up lots of mucus - greenish and thick. Yuck. I just gave her one pill of a mucus reducer to see if that would help. My biggest worry is about the shortness of breath because that is exactly what I experienced after my first dose of the vaccine. Mine was Moderna and I have seen dr's about it - and actually ended up in the hospital, but they do not believe it to be connected to the vaccine. I will contact them and let them know about my daughter's shortness of breath and perhaps they will think differently. Oh, she's had a slight fever of 99 F on occasions during this.

Patient was vaccinated by Dr. As she was handing her dad, her sticker, she fainted. On the way to the floor, she bumped the top left part of her head. No bump or swelling. She states it is tender but not painful. She recovered from the faint immediately with return to full consciousness. A& O X3. She was moved to a lounge chair and laid back for 10 minutes, then to sit position, then attempted stand. On first attempt she still felt dizzy so she returned to a sit for 5 additional minutes. Then she was able to walk on own accord to observation area. She kept ice pack to head the whole time. She had a juice, water, and a piece of candy. She denied other s/s. Dad was offered a copy of incident report but left prior to completion. PHN will mail to family. RN PHN

AE: light headed, dizzy, pale, fainted Tx: n/a, just food and drink Outcome: juice, crackers helped resolve AE. pt was discharged home.

Patient fainted immediately after receiving the Pfizer vaccine. She regained consciousness immediately as soon as patient was placed on her back on the floor with feet elevated. Her blood pressure was normal and she was kept under watch for 20-25 mins after receiving the vaccine and she left the clinic after we observed her for 20-25 mins and she was doing absolutely fine. Followed up with the parent on Wednesday 5/26/21 at around 7:45pm. Mother reported patient is doing absolutely fine. I told patient's mom, fainting can be caused due to nervousness and drop in oxygen levels to the brain. However, this adverse effect will be reported to patients doctor and also to the VAERS for Pfizer covid-19 vaccine.

pt was dizzy - after 15 minutes of watching her she complained of a headache she could answer questions but not with any enthusiasm. she was groggy - I got a blood pressure cuff and took three readings and they continued to increase the last reading was 148/120 I suggested to mom we need medical care and offered to call an ambulance - mom said she would take her to the er across the street

Pt got the COVID vaccine, felt sore right away and itchy all over -itchiness on right arm and left arm and then felt chest tightness and shortness of breath. Was monitored in ED and treated with benadryl, pepcid and then course of prednisone x 5 days. She seems better today but still having lower energy than normal. No vomiting or hives. She felt itchy on right arm, no rash.. Took some benadryl for this. She had COVID last November.

Patient awoke from a nap with chest tightness, difficulty breathing, and nausea, symptoms have continued interimittently, and are associated w/fatigue.

Before I administered the vaccine, the mother stated that she sometimes has an issue with fainting, but mainly at the doctor's office out of fear. She assumed that since this was a different environment, she would be okay. After giving her the shot , she fainted. The mom called 911. I waved an ammonia inhalant under her nose, and she was revived. Her twin brother informed me that she has been in an ambulance 4 times prior after getting shots. Had I known she had a history of fainting, I would have suggested that she receive the vaccine at the pediatrician's office once it becomes available. The mom refused to go to the hospital once paramedics arrived. She sat for 15 minutes, I applied a cool cloth, she drank water and was able to walk out on her own.

Patient experienced vasovagal syncope within a minute of her vaccination. Helped patient lie down on the floor and explained situation to her. Assisted patient to cot, and provided apple juice. Encouraged patient to call her mom and continued to monitor patient's status.

RN reported that patient became flaccid after her vaccination, then became rigid, crossed her legs, and lightly slammed her head back against the wall. He reports that she fainted but had some seizure-type activity, but minimalized. She was monitored by both RN and myself. She was lowered to the floor to lay on the floor, was fanned, and her BP and pulse were monitored by RN. She was accompanied by her mother, and her mother declined having EMS contacted. Once patient regained consciousness, she was alert, laughed and talked to us, and regained a sitting position. We then gave her cold water to drink, and she was able to get up into a chair. After sitting for several minutes, she was able to walk out of the room and into one of our monitoring cubicles for an extended monitoring timeframe. We kept her here for 30 minutes for further observation, then left accompanied by her mother. Due to RN's report of the seizure-type activity, mom is going to contact patient's pediatrician to see if further treatment is needed.

Patient had a vasovagal reaction within 5 minutes of receiving vaccine. She was given water to drink and an ice pack on the back of her neck. She recovered quickly to normal respiration, pulse and skin color. She left with her mother after additional time in the observation area.

Approximately 3 minutes after recieving the shot, the patient fainted for approximately 15 to 20 seconds while seated in the waiting area. Patient reported feeling nauseous but did not vomit. EMT was called to the scene and checked her pulseox was at 100 and pulse was at 60 approximately 13 minutes after shot injection.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt light-headed about 5 minutes after vaccine and then fainted. She was responsive again almost immediately, but we called 911 to have her checked out before she left. She did not require further care. EMS advised parent to get her to urgent care if that happens again. She does have history of fainting after dental procedure, also.

pt passed out turned while and grey stopped breathing received on dose of epi pen 0.3 mg came to and a sugar drink, emt called and came, blood pressure was good

Prior to the vaccine patient and parent were given teaching about concerns for fainting. She was questioned if she had something to eat and drink prior to coming to the clinic and both indicated that she had. It was volunteered that patient has never had a fainting spell from receiving injections/vaccines. She was administered 0.3 ml of the Pfizer vaccine at 4:47 p.m. while seated securely in a chair. At about 4:50 p.m. she lost consciousness and assumed a prone position. She was held by both the R.N. and her mother and never fell or injured herself. She was unconscious for approximately 8-10 seconds and regained consciousness. She was alert and oriented. She was reassured and given some apple juice and a graham cracker which she consumed. Charge nurse and nurse manager appeared on the scene. EMT was summoned who brought a wheel chair and patient was transported to the observation area in the wheel chair. She was conversing and appeared oriented prior to going to the observation area.

fainted right away, pale, sweaty, eyes closed and then rolling back in the head. This never happened before.

Patient had likely syncope. Fainted/felt dizzy after immunization. Patient waited at the pharmacy for 30min until she felt better, then went home.

On 05-22-2021, participant's mother states her daughter pain started at about 1:00AM. I took her to Urgent care because she was having chest pain, nausea and headaches. She also had 99.2F of fever but no congestion or cough. At the ER an EKG was done and it was a bit off, lab work was also performed, x-ray of the chest was also done and they gave her an Albuterol treatment. She was given IV fluids and steroids and a CT scan of the chest was also performed. After 9 hours, she was discharged home and could not find anything wrong. On 05-25-2021 I took her to her pediatrician who pushed on her chest and it hurt her when he did this, her pain level was between 5 and 8 out of 10 on VAS scale. EKG's were performed as well as lab work, x-ray of the chest at the pediatrician office. Her daughter also said her chest hurt her to exhale and inhale. The pediatrician said that her rib cage and breast bone where inflamed upon pressing on her daughter's chest and that she has s costochondritis. As of today my daughter still has nausea that comes and goes and also continues with the headaches and takes Ibuprofen as pain medication.

Patient reported feeling nauseous and light-headed post-vaccination. EMS evaluated her, determined her blood pressure was low, and gave her snacks and water. Patient was driven home by her mother. 6/1/21:10:50am - TC to mom - daughter is doing fine and have no concerns or questions. - RN

After vaccinated and seated in the waiting area, patient turned red and became unconscious briefly. Patient came back conscious and became very pale. Patient was breathing fine.

Full body seizure, loss of consciousness. Stopped breathing. Was transported to the hospital by ambulance. Outcome is pending follow up with neurologist.

Passed out. Seizure without shaking muscles contracted and fists clenched. Dizziness. Tingle in arms.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Vaccine given at 4:05pm. Pt's dad reported dizziness at 4:10pm. Pt appeared pale/had pale lips, was otherwise alert & oriented. Rx called 911. EMS arrived ~10 mins later. EMS check vitals & asked pt to go to the ER, however pt was feeling better and pt's dad refused. Pt's dad stated he'll take her to the ER if symptoms do not improve. Pt denied any pain, shortness of breath, palpitations, nausea/vomiting, or rash. EMS escorted pt and dad out of pharmacy.

Pt lost consiousness in chair & staff brought patient to floor. C/O dizziness & fast heart rate. Was nervous & doesn't like needles. BP 102/54; HR 69; RR 18. Pt was provided water; laid in supine position w/extremities lifted. Chest stable & conscious. Alert & able to verbalize name & location. Monitored for 30 minutes. Informed to seek medical attention if sx start again.

Pfizer vaccine. Patient stated she was having some slight pain in her sternum area, then she stated it moved to her "belly" making her nauseas, then stated her throat felt like it was a little scratchy. Symptoms did not all happen at same time, the progressed. Patients blood pressure was115/75 pulse 81. Patient alert and oriented, appeared in no distress. Patients mom at side. Decided to drive her to the hospital. Did not want this RN to call 911.

Pt. Had a vasovagal symptom at 1410, Laid down pt elevated legs and took BP, which was 110/70 followed by 120/81 at 1420 and 1415 respectively, pt recovered immediately without difficulties, have pt sit , drink water. ER precaution was given for both pt and parent, who was with the pt. Pt and Parent acknowledge understanding. Pt was put for another observation for 15 minutes and was let go after acknowledgment with no sign of dizziness and full recovery.

Patient fainted within 15 minutes of vaccination. Patient felt better after resting and was released to home.

Pt w/ syncopal episode and dizziness approximately 10 mins after vaccination. BP 105/59, HR 72, RR 16 -- > 110/68, 81. Pt was hydrated and released by provider. Pt was alert and oriented, speaks in full complete sentences, VSS. No facial/mandible/tongue swelling. NO stridor. Pt feeling better. Ambulated with steady gait. Released from vaccination site with parents. Instructed to follow w/ PMD.

As client exited facility she mentioned to her mom she felt faint. Client was then eased to ground by mom, staff provided chair to elevate feet. Provider and EMS paged. VS#1 BP: 102/50, HR: 89, O2: 99%. Mom reported youth is on her period, hx of fainting at sight of needles, on Prozac 20mg daily in the AM, experienced an anxiety attack immediately proceeding her 1st Pfizer dose. Water, Gatorade and snacks provided and consumed. Client placed in seated position, VS#2 98/59, HR: 81, O2: 99%. Client responded to questions appropriately. Client denied dizziness and light headedness. Client assisted into a chair, VS#3 96/62, HR: 99, O2: 99%. Client assisted into standing position by staff, VS#4 BP: 104/52, HR: 84, O2: 9

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT PASSED OUT/FAINTED BUT DIDNT LOSE FULL CONSCIOUSNESS, WAS ABLE TO STATE HER NAME AT FIRST RECALL

approx 25 mins after vaccination, pt developed numbness to tongue, benadryl administered. Vitals: 11:05am BP 124/80, P 90, 11:13am BP 98/60, P 82. symptoms progressed to rash, dyspnea, chest pain and pedal edema. Epinepherine 0.3 mg given with Epi pen auto injector., rescue called. 11:36am 145/70, P 118. Pt transported to hospital vis rescue

Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Mild, Systemic: Tinnitus-Mild, Additional Details: 26hrs after 2nd shot, patient passed out & fell at home & brother caught her. 5 seconds later, she tried to get up but collapsed again & siblings saw her spasming for few seconds before regaining consciousness. She immediately complained of ringing in ears/fatigue/dizziness which resolved 40 minutes later. mother confirmed no history of seizures/fainting. menstruating now

There were no symptoms on the evening of the day of the injection and the morning of the next day. So I went out with my daughter at 3:00 p.m. She and stood in line at clothing store after walking for an hour and a half and then suddenly she felt dizziness and 20 seconds later she lost consciousness. And then she woke up a minutes later while an employee called 911. She was fine and felt well but when we came back to our house, she was tired and slept 15 minute in my car. The next day, my daughter was fine, but after dinner we walk out near my house after 10 minutes she felt dizziness again. She sat there for 10 minutes and she was fine. After that day, there were no symptoms.

Patient blacked out and fell on the floor. I was alerted to what happened. When I went to investigate what happened she was disoriented and laying on the floor. Afterwards she recovered from fainting and disorientation quickly. She had chills, a sore arm, and general feelings of tiredness and feeling unwell.

Post 2nd dose pt c/o nausea, pt was sweaty and poor color. Pt was assessed by medics low pulse/bp. Pt vomited x1 Pt transported to ED "not getting better".

"Healthy 13 yo female with no significant PMH. No problem with the Pfizer vaccine dose #1. Today, 7 minutes after she received the Pfizer vaccine, she c/o dizziness. She was pale and sweaty. BP 96/61, HR 82, RR 16 -- > 102/62, 78, 16 She was supported by the nurses. She was alert with her eyes closed. Pt was given water. Pt stable, dizziness resolved. She is at baseline and verbalized readiness to go home. Pt stable and released from the vaccination site with her father."

After injection, during 15 minute observation, member c/o faint like feeling, became pale. Mom states child did not eat breakfast or dinner the night prior. Child placed on stretcher and vital signs monitored. Provided juice and graham crackers. Dr notified. Member improved.

Patient fainted in the bathroom around 2:00am. When we heard the thump, we ran to her and my husband picked her up. She wasn't talking much, she started gagging and fainted again and her body started convulsing. We believe she was having a seizure. Patient has never had a seizure, her fever was high. It only lasted probably 20-30 seconds. When she stopped, she was able to walk with assistance back to her room. We quickly gave her some medicine to bring down her fever. Wet wash cloth and a fan on her. I failed to take her temperature. I was too concerned at what was going on.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient briefly fainted post Covid vaccination. Spoke to her mother later that evening, feeling much better.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: ears felt like they were clogged and difficulty hearing-Medium, Systemic: Hypotension-Medium, Additional Details: Monitored for 45+ minutes. Paramedics came and observed vitals were normal & offered ride to hospital. Pt's mom declined and paramedics walked with patient to car. Called mom around 6:55pm & she said patient felt worse on drive home and she took her to Hoag. They were watiting to be seen. Called again Saturday around 10:30am with no answer.

Daughter stated she had diarrhea for 3 weeks while we were at the hospital on 6/2 for IV fluids and severe dehydration. Her poop was mushy, and not diarrhea, however for her it was much softer than normal. She collapsed at home and was unresponsive, 911 was called, ER doctor determined she was severely dehydrated and administered 2 bags of IV fluids to stabilize her blood pressure.

Severe nosebleed with gelatinous blood. She gets nosebleeds here and there, but we have never seen blood with this consistency coming out of her before. It was pretty strange and alarming. She just sat and pinched the bridge of her nose until the bleeding stopped. She had one more minor nosebleed while on a walk that evening, but not of the same magnitude.

Fainted; This is a spontaneous report from a contactable consumer (patient). A 13-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 13-years-old via an unspecified route of administration, administered in arm right on 22May2021 10:30 (Batch/Lot Number: EW0185) as 1st dose, single dose for covid-19 immunisation. Medical history included seasonal allergy and known allergies: lactose intolerance from an unknown date and unknown if ongoing. Concomitant medications included cetirizine hydrochloride (ZYRTEC) and ascorbic acid (VITAMIN C); both taken for an unspecified indication, start and stop date were not reported. The patient fainted within 5 minutes of receiving Pfizer Covid-19 vaccine on 22May2021 10:45 (as reported). The patient recovered from the event on an unspecified date.

Patient received her second Pfizer vaccine on Friday (6/4). She developed CP and SOB on Saturday (6/5) evening which resolved after sleeping. She then developed return of her chest pain and shortness of breath this morning (6/7) which prompted her to present to ED. She was found to have elevated troponins and was diagnosed with myocarditis. Treatment was supportive with NSAIDs/Tylenol for chest pain PRN and encouraged PO hydration. Troponins and EKGs trended every 8 hours to ensure troponins were down-trending and EKGs remained normal. No sign of CHF or pulmonary edema.

Anaphylactic reaction; left cheek started swelling; looking woozy; throat and tongue started swelling; throat and tongue started swelling; having a hard time breathing; from the neck down, she had a temporary paralysis and she could not move./she could not feel anything from the waist down.; whole body was shaking; numbness and tingling all over.; numbness and tingling all over.; extreme pain in her back; When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain.; When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain.; When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain.; very weak; chest was tight.; cannot walk without assistance; itching all over and in her throat; itching all over and in her throat; This is a spontaneous report from a contactable consumer (parent). A 13-years-old female patient received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, 0.3 ML), at the age of 13-years-old , via an unspecified route of administration, administered in Arm Right on 21May2021 11:55 (Lot Number: EW0179; Expiration Date: Aug2021) as 0.3 ML SINGLE for covid-19 immunisation. Medical history included ongoing asthma, Diagnosed as a toddler. Had RSV as a baby. ongoing seasonal allergy, To like grass and pollen. ongoing constipation, Diagnosed about a year ago. allergic to shellfish because she gets sick. She said that it happened when her daughter was 4-5 years old. Whenever she has contrast for a MRI she throws it up. The patient's concomitant medications were not reported. The patient previously took Azithromycin and Amoxicillin and were allergic. The patient experienced anaphylactic reaction on 21May2021 with outcome of recovering, left cheek started swelling on 21May2021 with outcome of unknown, looking woozy on 21May2021 with outcome of unknown, throat and tongue started swelling on 21May2021 with outcome of unknown, having a hard time breathing on 21May2021 with outcome of unknown, from the neck down, she had a temporary paralysis and she could not move./she could not feel anything from the waist down on 21May2021 with outcome of unknown, whole body was shaking on 21May2021 with outcome of unknown, numbness and tingling all over on 21May2021 with outcome of unknown, extreme pain in her back on 21May2021 with outcome of unknown , when they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain on 21May2021 with outcome of unknown, very weak on 21May2021 with outcome of unknown , chest was tight on 21May2021 with outcome of unknown , cannot walk without assistance on 21May2021 with outcome of unknown , itching all over and in her throat on 21May2021 with outcome of unknown. Patient was in hospital from 21May2021 to 23May2021. AE(s) require a visit to Emergency Room. No AE(s) following prior vaccinations. No Family Medical History Relevant to AE(s). No Relevant Tests. Clinical courses as follows: It was reported they wanted her to wait for 30 minutes after her daughter received the vaccine. She said that after about 20 minutes, her daughter said that it felt like someone punched her in the face and her left cheek started swelling. She said that her husband said that their daughter started looking woozy and her eyes were closing. The staff laid her down on a mat on the floor. Then her daughter's throat and tongue started swelling and she was having a hard time breathing. Then her daughter complained that from the neck down, she had a temporary paralysis and she could not move. Her daughter asked if she asked if she was going to die. The nurse gave her an EpiPen and called a ambulance. Her whole body was shaking, probably from the EpiPen, like almost convulsing. She said that they got her onto the ambulance and her daughter was having trouble breathing. They gave her another dose of an EpiPen in the ambulance. They also gave her daughter a steroid and some Benadryl through an IV. Her daughter was rushed to the ER, having a hard time breathing and complaining she could not feel anything from the waist down. Caller said that her daughter was also complaining of numbness and tingling all over. She also started to complain about extreme pain in her back. When they would touch her hips, toes, spine, ankles, and knees she would complain of extreme pain, like joint pain. Her daughter had numbness from waist down. If they touched her foot she could not feel it. Her daughter was admitted to the hospital and got released yesterday 23May2021. She is still experiencing pain and numbness. The numbness is from the waist down and the tingling was up and down her arms. She said that her daughter was very weak and could not feed herself. They had to give her several albuterol breathing treatments in the hospital because her chest was tight. She was not wheezing, but they could tell it was constricted and treated her with Albuterol. She said that her daughter still cannot walk without assistance this morning. She was treated with Motrin, Benadryl and Atarax, and Prednisone in the hospital. The caller said that her daughter also complained about itching all over and in her throat. The caller said that her daughter did not have a rash though.

Myalgias and low grade fever on first day. Chest pain requiring ER visit on second day. Exam, ECG, lab work, echo consistent with pericarditis

That afternoon, she was lethargic, achy and her arm was sore, so I gave her Tylenol. She had trouble sleeping that night. On Sunday morning, I gave her two Ibuprofen around 9 because her arm was still hurting. Around 9:30, she came in saying she was having chest pains and her pulse rate was over 120. I took her to the ER. Her heart rate was 128 when they triaged her. They gave her an IV and a saline drip, an EKG and chest x-ray, all of which were fine. Due to her being on birth control, they also did a d-dimer test, which was elevated at 442. They then did a lung scan to rule out a pulmonary embolism. Those results were negative as well. The chest pains resolved around 11 am. Since they ruled out the blood clot and nothing was found to be wrong with her heart, she was sent home. They figured that she maybe had an anxiety attack or heart palpations. I took her to her pediatrician the next day and she was cleared there as well.

Patient received her vaccine on 6/9/2021. after Vaccine was completed the patient was asked to sit in the lobby for 15 minutes so she could be monitored due to 1st dose. Within 5 minutes Patient stated to parent that she was thirsty, when parent grabbed a water and returned to see Patient fainting and sliding out of her chair. Went to assist patient to make sure she was OK. Patient was saying she felt sleepy and wanted to sleep. we kept her conscious but her words began to slur. Rescue came and assessed the patient who began to turn pale. She complained of her chest hurting and she started sweating. Rescue took patient to the local ER. Patient came back from ER with parent to let us know that she was OK. Her color had returned and she was no longer pale.

Pt. accompanied by her mother arrived at site around 0845 to be vaccinated with her second of the Pfizer vaccination. Pt. and parent confirmed no adverse reactions after first dose, no known medication or other allergies, no known past medical conditions and the pt. indicated she was not pregnant. The pt. was given her second vaccination and as the vaccinating nurse turned away from the patient to move her cart out of the way and shut the patient's car door the patient was slouched over and nearly falling out of the car. The vaccinating nurse caught the patient and lowered her down to the ground from her vehicle. Charge Nurse was in prep directly across from the incident. Site lead brought over the E-Kit Charge Nurse utilized sternal rub to awaken patient which she was responsive to. Pt. was pale in color and stated she felt very lethargic. Pt. confirmed the last meal she had was over 13 hours ago. Upon initial evaluation of patient's vitals pt. was hypotensive 74/45 and bradycardic 45. EMS was called. Vitals reassessment BP increased to 81/54. Within two minutes of the syncopal episode the patient was able to talk and A&Ox4 after she was able to state full sentences she was given water, capri-sun and a sucker. After arrival by EMS the patient was reassessed. Vitals stabilized within normal limits. Parent informed the patient is stable and upon her choice she can be transferred to the hospital via ambulance for further evaluation. Parent decline. Pt. vitals and appearance within normal limits when driven from site by parent. Parent stated she will call the daughter's PCP to see if she can be further evaluated in her doctor's office today. Mother also stated pt. has an appointment 06/14/2021 for regular physical and follow-up.

Patient DOB: 9/29/2007. Received her first dose of Pfizer (LOT#: EW0161 Exp: 8/2021) at 1144 on 6/08/21. PHN noticed patients eyes rolling back. PHN got up and asked mother of patient if patient was okay. Mother stated that patient was feeling dizzy and that she had not eaten breakfast. PHN assessed patient. Patient was pale and diaphoretic. PHN asked patient if she had anything to eat before getting vaccinated. Patient stated she did not eat breakfast. PHN gave patient a snack and juice to drink. Patient finished snack and juice. EMT took patient vital signs. BP: 100/64, pulse: 82, O2: 97%. At 1158 patient stated that she was feeling better. Patient was no longer dizzy and was not diaphoretic or pale. Patient was moved to zero gravity chair. EMT retook vital signs and reassessed patient at 1215. BP: 100/60, pulse: 80, O2: 99%. Patient stated that she no longer felt any symptoms. EMT retook vital signs and reassessed patient at 1225. BP: 100/64, pulse: 73, O2: 97%. Patient stated that she did not feel any symptoms. Patient was educated on worsening signs and symptoms of side effects of the vaccine and when to call EMS or go to the ED/urgent care. Patient left with her mom unassisted and with a steady gait.

Shot at 4 PM Monday. Woke up at 3:30 AM Tuesday feeling very hot and thirsty. Passed out in doorway of parents room when looking for assistance, Came to and began to vomit. Vomited several times. Passed out a second time. Ambulance called. Hot, sweaty. Fever and chills, massive headache and generally uncomfortable all day Tuesday. Woke up Wednesday morning feeling 100% fine.

Patient in clinic with mom and brothers to get the second dose of the Pfizer COVID 19 vaccine. Patient received the vaccine in right arm and a small amount of blood came out of the injection site. Patient looked at the blood and got pale. She loss consciousness for 10 seconds in the chair with her mom on her left side. We attempted to put patient on the floor to elevate her feet but she resumed consciousness right away. An ice pack was placed on the back of patient's neck. Patient did shake a bit and didn't know what happened. Patient then loss consciousness again and myself as well as another nurse helped her to the floor. Her feet were then elevated and patient regained consciousness again. Vitals were done, see vital flow sheet. No other signs of symptoms of an allergic reaction. Patient as well as parent was given signs and symptoms of allergic reaction and directed to go to ER or call 911. Patient was able to sit up after 5 minutes, then eventually stand and was able to leave clinic after 15 minutes in stable condition with parent. RN/BSN on 6/10/2021 at 1:18 PM

She was observed for 30 minutes in the center of vaccination. At around 40 minutes, she started to smell a strange odor, later a strange laryngeal foreign body sensation, her voice changed tone to hoarse (dysphonia). Later she had difficulty breathing through her nose and in seconds general shortness of breath. Marked pallor of skin and lips. Strange sensation of the extremities. She does not remember what happened, she had for a few seconds cloudiness or a sensation of faintness. She spontaneously recovered from the shortness of breath around 5 minutes, time that we were able to get to the emergency room. We consulted the Clinic, emergency room. Where she was observed and monitored for two hours. She recovered well. The evening of 6/5/2021 she had fever up to 100.6, nausea, headache, mild myalgia.

Note- This patient did not receive the vaccine at our facility so I do not have further details on the vaccine. 13 y/o female with hx of juvenille arthritis, migraines and anxiety, here for left sided CP, palpitations, fast HR, SOB since 6/8 receiving the 2nd Covid vaccine on 6/6/21. Pt states she is also having some nausea and fatigue. Pt has not taken any medications at home for pain. Pt currently taking methotrexate but no steriods. No family hx of blood clots or blood disorders. Differential Diagnosis: Electrolyte abnormality, dehydration, arrythmia, COVID vaccine reaction, myocarditis r/t COVID vaccine. EKG NSR. negative troponin.

Got very anxious prior because of past issues with tetanus shot (similar symptoms), then felt extremely dizzy, blurred vision, momentarily fainted and then threw up about 3 times in the parking lot

Client experienced chest pain and tachycardia following Pfizer COVID-19 Vaccination. Client experienced similar episode during the first dose and more prolonged episodes occurred a few days Post vaccination. Today's episode began immediately post vaccination. Symptoms resolved with rest.

During monitoring period post initial Pfizer COVID-19 vaccine, patient experienced headache, fatigue, dizziness. VS 141/97, P-157, O2-99% RA. Patient states she did not eat anything today and drank very little fluids prior to administration of vaccine today. Patient began to experience chills, flushing placed in Trendelenburg position. VS: 132/80, HR 105, 02 99%. Patient remained in Observation area for an extended period of time. Nurse remained with her and Mom for duration of observation. After an hour, VS: 130/85, P- 105, O2 100% RA, stated headache lessened.

Pt received first dose on May 14. Initially, we did not think side effects. Pt did complain of getting dizzy when standing up, but we did not think was related. We thought it was from her methotrexate. Pt received her second dose on June 6. On June 7, Pt had chest pain, tachycardia, and did not feel right. We went to Hospital. Pt was admitted because of the high pulse rate and nausea and vomiting. It appears that the vaccine triggered POTS. This is an update to my report that I filled out in the hospital a few days ago

The first day she had some arm pain, nothing significant. The day after, at 4pm, she had a nosebleed. The following day, she had 3 smaller nosebleeds. She never gets nosebleeds, so I took her into the Dr. to have labs done, just to make sure her platelet count was good. All tests came back normal. We are on day 3 after her 2nd Pfizer, and she has not had a nosebleed yet today, so I'm hopeful it's resolved. In addition to the nosebleed on day 2, she was exhausted, had a headache and had a low grade fever. These I expected, but not the nosebleeds.

Patient following administration of the vaccine became lethargic and pulse slowed down. Epinephrine was administered and patient was responsive. She did vomit and was hot to the touch and mildly sweaty.

Presented to ER with R sided chest pain during football practice. In ER, abnormal EKG with possible LVH, elevated troponin. Observed overnight. Her troponin normal by next day. She did have platelet 142K, not repeated (I have ordered). CTA showed incidental R sided pneumonia (she had no fever or cough at presentation). Cardiology consulted. They felt EKG was normal. Discharged on Amoxil. Follow up with cardio ordered, will need stress test.

Mom was aware that her daughter doesn't do well with needles. Her dad is the same way, per mom. Patient fainted in the immunization room. We gave her a granola bar and some water before the injection, as a preventative measure. She fainted a second time. Mom checker her BP and patient felt nauseous. She started jerking and 911 was called. EMTs said it was not a seizure, but a vasovagal jerk. Paramedics said to lay the person down after the patient started jerking. When she was stable enough to be moved, EMTs wheeled her to the door of the store.

RECIEVED 2ND DOSE OF VACCINE AND THEN HAD A FAINTING SPELL A FEW MINUTES LATER DURING THE OBSERVATION WINDOW. NO HISTORY OF PREVIOUS REACTION, NO SOB, NO RASH/HIVES, EMS CHECKED HER OUT AND BP WAS FINE. SAID FAINTING WAS PROBABLY FROM ANXIETY AND NERVOUSNESS. NO ISSUES WITH 1ST DOSE OF COVID

Pt complained of dizziness & lightheadedness after 1st pfizer injecction, brief period of syncope today. Skin warm & dry, mom says her daughter has passed out previously after lab work injection. BP 94/63 P68 RR16 O2 sat 100%. Symptoms quickly resolved after a few minutes of laying down. alert/oriented, left with her mom ambulatory/ stated she was feeling better, skin warm & dry, no cyanosis noted per nurse.

Presented to ED 6/11 with chest pain/pressure, elevated troponin (max 28.9, nml range 0.00-0.119ng/ml), diffuse ST elevation consistent with pericarditis, normal function on echo. SARS CoV2 nucleocapsid negative, SARS CoV2 spike protein positive. Admitted to hospital for pain management (Toradol, Tylenol and ibuprofen) and serial troponins. Discharged home 6/13 with cardiology f/u in 1 month.

PATIENT CAME IN FOR VACCINE WITH HER MOTHER. SHE WAS ADVISED TO STAY IN THE STORE FOR 15 MINUTES AND HYDRATE AFTER RECEIVING THE VACCINE. THE PATIENT AND HER MOTHER CHOSE TO LEAVE THE STORE IMMEDIATELY AFTER RECEIVING THE VACCINE. THE PATIENT STARTED TO FEEL LIGHT-HEADED IN THE PARKING LOT. SHE FAINTED. HER MOTHER CAUGHT HER. SHE DID NOT HIT HER HEAD. I WAS INFORMED SHE FAINTED. WHEN I WENT OUTSIDE TO CHECK ON HER, HER MOTHER STATED SHE THAT PATIENT HAD NOT EATEN THAT MORNING AND WAS VERY NERVOUS. THE MANAGER ON DUTY CALLED 911. I RAN BACK IN AND GRABBED A BOTTLE OF WATER FOR HER AND A BOTTLE OF ORANGE JUICE. THE PATIENT WAS SITTING UP AND CONSCIOUS. MANAGER STAYED WITH HER UNTIL 911 ARRIVED. THE PARAMEDICS EXAMINED THE PATIENT AND THE PATIENT WAS RELEASED TO LEAVE WITH HER MOTHER. I CALLED THE PATIENT'S MOTHER SEVERAL HOURS LATER. THE PATIENT WAS FEELING MUCH BETTER AFTER EATING SOMETHING. I ADVISED THE FAMILY TO CALL US WITH ANY FURTHER QUESTIONS OR CONCERNS.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: Patient had a flare up of asthma. Once she used her inhaler symptoms subsided

After a few minutes, patient stood up to walk around, and became light headed and fell down. Became pale and sluggish

She woke up the next morning (approximately 14 hours after injection) complaining that she was having difficulty breathing. I?m an RN so I checked her sats and pulse. Sats were ok at 99% but pulse was 150. Mild fever of 100.5. Gave her water and rechecked pulse but it was still 140-150. Called her doctor

Patient had syncopal episode within 15 minutes of vaccination. Felt better after resting and drinking some juice, and was released to home.

PATIENT FAINTED SEVERAL MINUTES AFTER RECEIVING THE VACCINE. THEY WERE FINE IMMEDIATELY AFTER RECEIVING THE VACCINE BUT WHEN THEY WERE WALKING AROUND THE STORE, THE PATIENT FAINTED. THE PATIENT'S FATHER CARRIED HER TO THE PHARMACY AREA WHERE WE GAVE HER ICE AND A WET CLOTH AND A PRIVATE AREA (IMMUNIZATION ROOM) TO LAY DOWN. AFTER ABOUT 15 MINUTES, THE PATIENT RECOVERED AND THEY LEFT THE PHARMACY. THE PATIENT'S MOTHER REPORTED THAT SHE HAS HAD SIMILAR REACTIONS (VASOVAGAL REPONSE) TO OTHER VACCINES, SIGHT OF BLOOD OR SIGHT OF NEEDLES, ETC.

Pt had second dose of Pfizer COVID vaccine, initial sx of just arm pain/soreness at injection site. Three days later, went to ER due to shortness of breath, chest pain for evaluation. She had chest xray, labs, EKG that were all normal. Given albuterol and ibuprofen with improvement in the ER and sent home. She took a few doses of albuterol and ibuprofen the same night and by next day symptoms had all resolved. She previously did not have any reactive airway, allergy or respiratory history. She did not have any of these reactions with the first dose.

13yo girl presents for second dose of Pfizer with mother. Immediately after injection of Pfizer vaccine, patient lost consciousness for approximately 15 seconds while RN nearby and holding her upright in a chair. Patient did not fall or injure herself. Upon resumption of consciousness, patient laid down on cot for 5 minutes, vital signs stable. Patient alert and oriented x4. States she did not eat or drink today prior to coming to receive her vaccine. Mother states patient has a history of low iron. Patient does not take medications, has no allergies, and has no medical history. Patient able to ambulate steadily and independently out of vaccine site with mother. Captain on scene to assess the patient and deem her appropriate for leaving.

Immediately after she exp fatigue and pain in left shoulder. Then when she woke up full body, heart palpitations and tightness in throat causing her having trouble breathing. Her Epipen shot to relieve her pain and she followed up at the hospital. The symptoms that are lingering which happened after 1st Dose sensation of throat(uncomfortable for her to swallow) and fatigue.

Patient experienced chest pain overnight and presented to the Emergency Department and was admitted to the hospital. Patient was discharged on 6/14/2021 with follow up with PCP and cardiology.

Patient fainted within a minute after receiving her COVID vaccine at the vaccine clinic on 6/5/2021. Her father was watching the administration process and asked if the needle stayed in her arm after the needle retracted. The nurse answered, 'These needles retract back into the syringe.' Father continued, 'She did received the whole vaccine? It looked like it stayed in her arm..' The patient looked at the syringe and fainted when she didn't see the needle at the end of the syringe. The vaccinator noticed the patient's head tilt back and the vaccinator held her head and helped her to the ground and elevated her legs. Patient recovered within a minute after fainting. Patient was able to walk to the observation room with little to no assistance where vitals were taken. 102/80-87. Pulse Ox 96%. No respiratory symptoms,. Color good and felt back to normal by the time we got her back to the observation room. Drank 2 bottles of water. Patient had played soccer that morning, had eaten but admitted that she was dehydrated.

She woke up Sat with headache, body aches and muscle aches. Around 10:30 pm night she was became dizzy passed out fell down the stairs. I took her to the ER she required stitches (chin) and had some test to rule of chest pain.

Between 1st and 2nd dose of Pfizer covid vaccine, patient had a sports physical done for school. At that time she her BP and pulse were elevated. She presented to her PCP on 6/16/2021, 6 days after her 2nd dose, with a pulse of 172 bpm. After resting for several minutes it was still 180 bpm and again measured at 184 bpm. Her blood pressure was normal at 116/76. She was referred to the emergency department for further evaluation.

Patient complained of not feeling well after being administered with pfizer vaccine, she said she was cold, a little shaky, & nauseous. Checked her BP it was very low, elevated her feet, checked her BP several times after that and BP went up to 120/78. Called 911 because she was still not feeling well. EMS checked glucose level and it was low (patient did not have a meal all day). EMS said it was vasovagal syncope however patient did not pass out. Patient recovered while EMS was still on site.

Pt passed out and appeared to seize. Pt was no aware of person place or time. 911 was called and paramedics took to the ER to evaluate

Complained of SOB, "crampy, sharp" non-radiating substernal chest pain (fluctuating in severity, the most severe becoming 8/10), fatigue, palpitations, HA, and sore throat which started on 6/14/21. Pt received her second Pfizer COVID19 immunization on 6/11/21. The first symptom to start was sore throat on 6/14/21, however Pt underwent negative strep and mono testing that same day. Pt's other sx began shortly thereafter, the most distressing symptom being the chest pain and SOB. ED Course: --febrile (39.3), tachycardic, and tachypneic which met SIRS criteria --received 20cc/kg fluid bolus --first doses of vancomycin, Zosyn started; Pt reported flushing and pruritis with vancomycin administration Currently hospitalized

Systemic: Fainting / Unresponsive-Medium, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient most likely "passed out." Reported temporary vision loss. Vitals checked by nurse. Pulse was in 40s. Minute clinic provider also filled out non-patient safety report.

pt bled after the vaccine. I applied pressure with a cotton ball and the bleeding stopped. The patient left the counseling room and her father returned a few minutes later saying that she had turned white. I met the patient at the higi machine where she was breathing and talking but was saying she felt out of it and was thirsty. The father thinks she fainted at some point.

6/13 Sunday she was tired and achey, T 100. 6/14 Monday, she said her stomach hurt and headache at the end of the day. 6/14 during the night she woke up her Mom and said her chest hurt. She has mild exercise induced asthma. She said her chest felt tight, and it hurt to breathe. She went back to sleep in Mom's bed. She got up very early 6/15. She took a shower, and it helped. She does look like she has laboured breathing, she does seem uncomfortable or unhappy. No fever today, not checked, but does not feel warm. She does have an inhaler, she did use it, but didn't help. She did eat and drink 6/15. She ate cold cantaloupe, and it helped her feel better. Is not complaining of burning. She has not done anything strenuous at camp yesterday. She does not have a history of seasonal allergies. Not in distress. No runny nose, she has had a little cough, when she breathes deeply. No rash on her body. She did feel nauseated 6/15. No diarrhea. Evaluated at PCP's office . Chest pain/difficulty breathing resolved on 6/16

PATIENT FAINTED SOON AFTER VACCINE. PATIENT WAS HOT AND SWEATY AND NAUSEAOUS. PATIENT' S BLOOD PRESSURE DROPPED

tired; chest heaviness; asthma like cough; shortness of breath; aches; sweating; shivering; feeling like she was "thinking really weirdly" like she was "dreaming but awake" during the night; dizzy; her heart feels really fast and pulse this morning; fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6am; She was up a lot of the night; headache; This is a spontaneous report from a contactable consumer (Patient Mother) reported for a 13-year-old patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 03Jun2021 09:30 (At the age of 13 year) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included, thrombosis (blood clots but not DVT's), mast cell activation syndrome (mast cell activation stuff especially near her periods), device malfunction, she also has a VP shunt. There were no concomitant medications. The patient previously took first dose of BNT162B2 for COVID-19 immunization. It was reported that Consumer calling on behalf of her 13-year-old daughter, birthday of DOB, who received the second dose of the Pfizer Covid 19 vaccine yesterday at 9:30am. She reports the following side affects her daughter has experienced: headache that started within an hour of getting the vaccine, by lunch she was tired, chest heaviness, an asthma like cough, a little bit of shortness of breath but her pulse ox is 98%, aches started when going to bed last night, sweating, shivering and feeling like she was "thinking really weirdly" like she was "dreaming but awake" during the night, very dizzy, head feels like it has a heart beat in it, her heart feels really fast and pulse this morning was 130 on the pulse ox, right now standing her pulse is 150, fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6am. It was reported that "She was up a lot of the night but did not want to bother us. It was reported that She has a history of "blood clots but not DVT's, mast cell activation stuff especially near her periods and she also have a VP shunt. Reporter want to know Is this an allergic reaction or could it be. Post Covid vaccine is anyone reporting pericarditis or chest heaviness, when would pericarditis occur. The patient underwent lab tests and procedures which included body temperature: abnormal Fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6 am, oxygen saturation: abnormal pulse this morning was 130 on the pulse ox, right now standing her pulse is 150. The outcome of events was unknown.

Super high fever. Severe chest pain. Trouble breathing. Patient taken to emergency room. X rays taken. Patient was given tylenol

Shortness of breath, near syncope, decreased hearing, fever 101.7 degrees F, fatigue, imbalance in standing but dizziness, soreness to right upper extremity( injection site), pallor lips and face Denies palpitation, nausea, headache.

following patients injection, during the post vaccination wait time, patient fainted. Her guardians were with her, and said she frequently faints with immunizations. She came to quickly. Her caregiver went to get her some food and drink, as they said she had not eaten yet today. They stayed 30 minutes longer to make sure she was ok, then left.

chest pain, palpitations, and headache starting at 9am on 6/18 after receiving 2nd dose of pfizer vaccine on 6/13; noted to have a fever on arrival to ED, admitted to hospital and was noted to have sinus tachycardia without arrhythmia; underwent several tests including CT angio, echocardiogram; no clear identified etiology but per discussion with cardiology, suspected transient myopericardial or pleural inflammation from vaccine, improved with motrin

13 year old previously healthy female presenting with chest pain. Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21). Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.

Shortness of breath on the day of the shot. Then symptoms went away. About a week after she had chest pains for 1 day. On Sunday, June 13, she had chest pains and she couldn't eat or sleep. Symptoms continued for 2 days. Took her to the doctor who ordered blood tests, EKG and x-rays.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Headache-Medium, Systemic: Hypertension-Medium, Systemic: Tachycardia-Medium, Additional Details: patient experienced syncope about 15 minutes after vaccine given...lasted around 30 minutes

She had chest pain in her middle chest and to the left of middle. At first the pain was moving, it was up higher and down to ribs and is not upper chest, center chest and left of center of chest. hurts when breathing. She went to ER hour and half after pain started and then her leg, upper thigh, started hurting. elevating her leg helped the leg pain. The leg pain has gotten better. She also had a bad headache the first night and the night after the vaccine but the headaches have gotten better since.

13 y/o F with hx of exercise-induced asthma BIB mom for dizziness and chest pain s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses nausea, HA, chest pain and SOB. No fever. Chest pain currently. Pt took albuterol 1.5 hours PTA. Pt usually only needs albuterol with physical activity. NO PMH/PSH. Vaccines UTD. NKDA. Differential Diagnosis: vaccine reaction, myocarditis, pericarditis, costochondritis. After assessment and treatment, pt is well appearing, explained to mom on reassessment symptoms have resolved, no chest pain currently. Explained symptoms likely secondary to vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and fever.

13-year-old otherwise healthy female presents to ED by ambulance for chest pain. Patient received her second dose of the Pfizer vaccine on 6/18. The following day, patient had generalized fatigue, sore arm, and one episode of nonbloody nonbilious emesis. Yesterday, patient began to have intermittent midsternal chest pain which radiates to the back. Patient reports symptoms worsen with movement, walking, and deep inspiration. She denies any shortness of breath, or palpitations. She denies any headache, lightheadedness, fevers, chills, diarrhea, abdominal pain, or dysuria. No cardiac family history per mom. Patient did not have any symptoms after her first Pfizer vaccine. Differential Diagnosis: Chest pain, costochondritis, myocarditis secondary to vaccine.

After 15 minute wait period, pt left with mother. When they got outside, pt started feeling lightheaded. Pt's mother brought pt back to clinic, PCT escorted them to exam room and had pt lay on exam table. When NP arrived in exam room, pt was alert, face pale. NP placed cool wet washcloths on forehead and neck. After a couple minutes, color started to come back to face, had her continue to stay lying down for another few minutes. Had pt sit up on exam table for 5 minutes. Mother bought her orange juice, which she drank a little while in clinic. Had pt stand in exam room for 2 minutes. Then they moved to waiting area for another 15 minutes. Checked back with patient and she was feeling ok. Pt left with mother without difficulty. Pt has not had this reaction with any other vaccines. Has passed out at school at sight of blood.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: patient passed out 3 times after giving the vaccine i checked her blood pressure and it was 92/62 i lift up her legs and offerd her the epipen but she refused.her parents tried to convience her to get epipen but she also refused.she spent about half hour in the store and she became good and went to home. i called her after 1 hour and she was fine

fainted, grey color, cool/clammy skin, thready pulse, not responsive. EMS on site who attended her. She become responsive while the assessed her. Their dx was vasal vagal and advised her mom to take daughter to urgent care. Mother's name is.

Pt received Pfizer vaccine and walked to observation area. RN observed pt to be fainting with convulsing movements for approx 30 seconds. Pt recovered to full cognitive alertness almost immediately, stated that she had felt dizzy, felt like she was fainting and does not remember what happened after that. Vitals and O2 sat stable, pt did not eat breakfast or hydrate today. Pt denied having symptoms but was transported to ED for further evaluation.

Chest pain 2 days after 2nd dose of vaccine, elevated Troponin 10.2 which continues to downtrend, now down to 1.29 (during hospital day 2). EKG on admission with borderline ST abnormality in lead V1, subsequent EKGs were NSR. Echo showed normal function. EBC, CMV, Enterovirus PCR sent (pending). Blood, Urine, Throat Culture negative to date. Chest pain treated with Ibuprofen. She received no other treatments.

That evening patient stated that she was having body aches and chills. Patient passed out. Patient had fever. 911 was called. When patient stood up her heartrate increased. Headache was constant for nine days. Head felt funny. Patient experienced a high level of fatigue.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt. came into the pharmacy to get a 2nd dose of Covid-19 vaccine. 1st dose was on 6/1/21, with a hx of an adverse reaction of dizziness/pale Asked pt & her dad if she was fine after that incident-Pt. states she was totally fine when she got home so wanted to get 2nd dose. Shot was given ~4:15pm, and when I checked pt. if she's ok, she started to pale and told me she was dizzy. Called paramedic ~4:25pm and around 4:55pm paramedic teams walked pt. out, pt. seemed fine, and confirmed she was fine

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Additional Details: PT FAINTED 3-5 MINUTES AFTER VACCINE WAS ADMINISTERED.

On day 3 after the second dose, she began to develop a rash on her face and arms around 8 pm. This progressed over the next several hours to the next morning to include swelling of the face and neck, tightness of the throat and chest, and progression of the rash to involve all of the arms, chest, and legs. The rash was a fine maculopapular rash that was itchy. Over the next 3 days the symptoms did not progress further, but they also did not subside. On day 7 after the 2nd dose, she was placed on a Medrol Dose pack. The swelling of the face and sensation of tight throat began to ease by the next day. After completion of the steroid regimen, her skin is dry and flaky with mild tightness in the skin of the face. However, most of the rash has gone and the tightness in the throat is absent.

13 year old female received#2 Pfizer vaccine and within 5-10 minutes after her vaccine she was sitting in post observation with her father when one of our employees called over to me that she was fainting. I ran over to the girl and she had passed out-she was sitting in the chair and did not fall. She was breathing with a pulse of 77- her color was pasty and she was not responding verbally. She was very limp and did not awake after multiple attempts with ammonia inhalant, calling her name and rubbing her chest. 911 was called immediately and female was transported to Hospital within in 20 minutes of incident. I spoke with her stepmom and she informed me that she was sleeping now and is doing ok. They did blood work at the hospital and did not find any issues. Step mom states it took 1 1/2 hours for her color to return. She did tell me that stepdaughter has had syncope issues before and is on antidepressant med that may have caused this. We were not aware of this during time of vaccination.

Within minutes of receiving vaccine, pt verbalized feeling dizzy with a headache. Pt became pale and diaphoretic. Pt's lower extremities were elevated, ice pack applied to back of the neck and vital signs obtained. Juice and crackers were given. Within several minutes, Pt verbalized symptoms resolved and was ready to go home. Pt will lie down to receive second dose of Pfizer vaccine.

Syncopal Episode after shower. Patient developed new onset nausea and dizziness and woke up on the floor. She felt unsteady on her feet for a few hours after the incident. Also experienced shortness of breath about 2.5 hours after the incident.

13 YO F, 84 lbs, presented syncope, pt fainted 2 min after COVID vaccine, pt and mom corroborated that patient had not had breakfast or lunch, this event occurred at 3:30 pm. Patient verbalized being nervous prior to vaccination. Pt could not recall last time she had water. As soon as patient complained of feeling faint, patient was handed a water bottle and blood pressure was taken, reading on left arm was 62/47 83 bpm heart rate, pt was then given a Coca-Cola and a glucose tab. Patient reported feeling better after 5 min, then began complaining that she did not feel well again. Patient then fainted again, I popped an ammonium vial, and 2 ice packs. Took BP again and was 65/50, called 911, called a code white and let store manager know and once paramedics presented to patient, patient BP was 116/75 98 bpm, pt had regained color, and stated she felt better. Mom turned down offer to take patient to hospital, as patient stated they felt better.

Patient fainted while sitting down for the required 15 minutes after vaccine administration. Patient fainted but remained in chair. Mother of patient was sitting next to the patient. She had some water and remained for an additional 20 minutes sitting down. She refused EMS . She walked out of pharmacy 30 mins after fainting in chair. Called mother at 7pm same day of event and patient's mother reported she was feeling okay.

Systemic: Fainting / Unresponsive-Medium, Systemic: Weakness-Mild, Additional Details: patient feell week and loss counciusness. I place it on the floor on the side and she started feeling better and recovering counciusness. I adviced to continue breathing and she follow my comands and instantly started to recover.

Patient said she felt immediate, strong pain in her arm from the jab the nurse gave her. She said the needle was in her arm a lot longer than when she received her first shot. I also watched patient receive her first COVID shot from a different provider, different facility, and I was surprised by the force of the jab of this second COVID shot, and length of time the needle was in her arm. After the nurse left us in the room to wait 15 minutes, patient became more and more uncomfortable, hot, sweaty and nauseous. Within 5 minutes, she was lying down on the exam table - at which time I alerted staff at the nurse's station in hallway that patient wasn't well and we needed help. She said she would get "the provider" and be right in. When I walked back into the room, patient was curled up in a ball on the table, pale, clammy and not able to speak. I yelled down the hallway for help right away, and stepped back into the room. Patient then began to vomit. At least two nurses entered the room, and began to assess her vitals. Her blood pressure was low, but she was breathing fine. 'The provider" (I don't know his name) came in and I told him about how hard she was jabbed, and that she began to feel badly immediately afterward.

Chest pain Shortness of breath Feelings of having a fast-beating, fluttering, or pounding heart

Patient passed out shortly after leaving the vaccination room. When emt's assessed the patient they determined it to be a stress response and patient was not sent to hospital.

Patient looked like they were having a seizure and collapsed. Patient was unconscious for about 3-4 minutes. Called 911, paramedics arrived in about 5-10 minutes assessed patient and transported patient to the emergency room.

Patient came to the pharmacy for her 2nd COVID -19 vaccine. She received the vaccine and then was told to wait the 15 minutes in the store for observation. The administration of the vaccine went normal. She walked over to the cooler shortly after receiving the vaccine to get a drink and fainted at that time. The pharmacist on duty called 911 and checked for pulse and breathing. The paramedics arrived within minutes and performed vitals and tests within the store and then as a precautionary measure decided to take the patient to the hospital for a more thorough evaluation.

Patient received COVID-19 shot and shortly after passed out hitting her head on the floor. Paramedics were called to check her out. We did a wellness check patient had a headache but otherwise was fine.

Pallor- vagal event with subsequent possible loss of consciousness and brief generalized seizure possibly per family versus vagal event only. Return to normal function by the time of arrival from PCP office to the emergency department. Transported by No report of anaphylactic reaction clearly, though did have nausea and possible emesis once with event.

severe chest pressure; shortness of breath/cant breathe / not breathing normally; unable to dance or even walk; This is a spontaneous report from a contactable consumer (patient). A 13-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0180), via an unspecified route of administration, administered in Right arm on 05Jun2021 at 13:00 at the age of 13-years-old as dose 2, single dose for covid-19 immunisation. Medical history included Bechet's disease from an unknown date and unknown if ongoing, allergy to sesame seeds, she also carries the antibody for crest syndrome but does not have the disease or diagnosis (crest syndrome) from an unknown date and unknown if ongoing. Concomitant medications included colchicine (COLCHICINE) taken for an unspecified indication, vitamin d nos (VITAMIN D NOS) taken for an unspecified indication, iron; vitamins nos (IRON; VITAMINS NOS) taken for an unspecified indication, cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for an unspecified indication on unspecified date. The patient previously took Omnicef omni-pac, and first dose of previous vaccine, bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: Eq0170), via an unspecified route of administration, administered in Left arm on 14May2021 at 16:00 at the age of 13-years-old as single dose for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has been tested for COVID-19 since the vaccination. On 13Jun2021 at 8:00 AM, 8 days post vaccination, the patient had severe chest pressure and shortness of breath. Previously she was significantly athletic and danced 30-40 hours a week, now she was unable to dance or even walk without feeling like she cannot breathe. ER in said they have had 2 other cases with similar symptoms 8-10 days post vaccination. Her labs checked out okay, but she is not breathing normally. The patient received treatment for adverse events with Mortin, Tylenol, steroids and breathing treatments. Adverse events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care was not specified. The patient underwent lab tests and procedures which included labs (Investigation): okay on an unspecified date and Nasal Swab (sars-cov-2 test): negative on 16Jun2021 (). Device Date: 18Jun2021. The outcome of events was not recovered.

severe chest pressure; shortness of breath; This is a spontaneous report from a contactable consumer (patient herself). A 13-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: Ew0180; Expiration date: unknown) via an unspecified route of administration, administered in Right arm on 05Jun2021 at 13:00 PM as Dose 2,single for COVID-19 immunization. The patient's medical history included behcet's syndrome, crest syndrome antibody, allergy to plants. Concomitant medications included colchicine (COLCHICINE), calcium carbonate, colecalciferol (VITAMIN D 2000), iron (IRON), cetirizine hydrochloride (ZYRTEC ALLER-GY) taken for an unspecified indication. The patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: Eq0170; Expiration date: unknown) via an unspecified route of administration, administered in Left arm on 14May2021 at 4:00 PM as Dose 1,Single for COVID-19 immunization. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient was not diagnosed with COVID-19. It was reported that, 8 days post vaccination on 13Jun2021 08:00 patient had severe chest pressure and shortness of breath. Previously was significantly athlethic and danced 30-40 hours a week, no she was unable to dance or even walk without feeling like she could not breathe. ER in said they have had 2 other cases with similar symptoms 8-10 days post vaccination. Her labs checked out which was okay but she was not breathing normally. The adverse event resulted in Doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of severe chest pressure and shortness of breath as patient had received mortin, tylenol, steroids and breathing treatments. The patient underwent lab tests and procedures which included SARS-COV-2 test which was negative on 16Jun2021. Since the vaccination, has the patient been tested for COVID-19. The outcome of events was not recovered. Follow up attempt is excepted. Further information is requested.; Sender's Comments: Linked Report(s) : -PFIZER INC-2021739775 same reporter/drug/AE, different patient

Mild seizure; could not see; fainting; low blood pressure; Felt cold; This is a spontaneous report from a contactable consumer. A non-pregnant 13-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 15Jun2021 at 10:00 AM, at patient age of 13-year-old, as single dose (Lot number EwO191) for COVID-19 immunization. The patient had no COVID prior vaccination. The patient's medical history was none. 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 any medications within 2 weeks of vaccination. The patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 25May2021 at 15:00 PM, at patient age of 13-year-old, as single dose (Lot number Ew175) for COVID-19 immunisation. The patient experienced the adverse events from 15Jun2021 at 22:15 PM. The patient experienced mild seizure, could not see and low blood pressure, fainting. The patient felt cold and could not see is what she said before sitting in the chair at the pharmacy. The events resulted in doctor or other healthcare professional office/clinic visit. The patient was treated with laying down with propped up legs and water. The outcome of the events was resolved. COVID was not tested post vaccination.

Dysfunctional uterine bleeding causing symptomatic anemia requiring hospitalization and transfusions. Onset of menarche 4/2021. Received first shot 5/18/2021 and 2nd shot 6/8/2021. Third menses onset 6/7/2021. Started becoming symptomatic with DOE, lightheadedness, and pallor 6/17/2021 (day 10 of menses). Hospitalized on 6/19/2021. Still bleeding as of date of this form (7/1/2021)

Patient began to feel light headed and like her head was spinning. She proceeded to move to the chair and fainted. She quickly recovered ( less than 30 seconds). She was able to walk to the chair, she felt back to normal after a few more minutes. She was observed for about 20 minutes. When she left she was feeling back to herself.

1530 - Patient received first dose of Pfizer vaccine, had syncopal episode and hit back of her head (in observation area). Stated she did not have anything to eat today and she feels anxious/nervous when she comes to the hospital or doctor's office. Mother assisted patient off the ground and onto a chair. Assisted patient onto gurney, vital signs taken 119/80, HR 90, 97% on RA, resp 18. Awake, alert and oriented, complains of pain on back of her head 4/10. Mother agreed to have paramedics called for transfer to emergency room. 1600 - Paramedics arrived, evaluated patient. Mother refused paramedic transport. Patient assisted onto wheelchair, mother stated she will take patient to emergency room in wheelchair. Risks/benefits explained. Mother gave verbal understanding.

Pain in chest, burning sensation in chest, shortness of breath and tired with normal walking and talking.

Tolerated #1 COVID-19 vaccine well. Recieved #2 vaccine and the following morning has significate chest pain and a bit of shortness of breathe. Was seen at Hospital ER. Heart rate 110-130, EKG normal, labs were normal except Ddimer was elevated. Nuclear study to r/o pulmonary embolism was negative. Given IV fluids and chest pain resolved. Discharged 8 hrs after arrival.

PEDIATRIC PATIENT RECEIVED SHOT WHILST FATHER PRESENT AFTER SHOT HE STEPPED AWAY, THEN CHILD CLOSED HER EYE SHE LOOKED LIKE HER LIMS WERE SHAKING PER FATHERS OBSERVATION, THIS OCCURED FOR NO MORE THAN 2-5 SECONDS TECHNICIAN GAVE VACCINE. HE ALERTED ME AND I CAME OVER WITHIN 30 SECONDS. PATIENT WAS AWAKE LOOKED A BIT PALE AND HER PARENTS HAD LIFTED HER FEET UP. SHE TALKED TO ME EXPLAINING THAT SHE REMEMBERED THE BLOOD AND THE NEEDLED AND SHE DOESNT LIKE NEEDLES SHE THEN DOESNT REMEBER ANYTHING FROM WHAT SHE SAW THEN SHE DREAMED. SHE WAS ABLE TO WALK OUT THE CUBICLE AND SIT DOWN, AFTER 5 MINUTES SHE APEARED TO BE MORE SWEATY AND HOT LAYING ACROSS HER MOTHER , MOTHER GAVE HER SOME SODA-FLUID. I THEN CALLED EMERGENCY SERVICES, THEY CAME BY 5:25PM TO 5:30PM TOOK HER IN THE TRUCK TO OBSERVE, AFTER 15MINUTES OR MORE THE PARENTS CAME INTO THE DRIVE THRU AND SAID THEY WERE TAKING HER HOME SHE WAS FEELING BETTER.

Headache, chest pain, body aches, tired. Chest pain, in the ribcage area just started 33 hours after the 2nd dose

Patient is a 13-year-old who was transferred from another hospital for chest pain in the setting of Covid vaccination. She received her second dose of Pfizer vaccine on Tuesday, June 29. On Wednesday she developed fatigue chest pain shortness of breath weakness, nausea and mild abdominal pain. She also had a fever to 102.5 Fahrenheit. mom is a nurse and took her pulse and felt that it was 30 and fast. She then took 1 with her home equipment it was in the 120s. She called her neighbor who took her pulse and it was in the 130s. She then transferred her to another Hospital for further care at hospital her vital sinus evaluation was a temperature of 37.4 pulse 119 respiratory rate is 15 blood pressure 106/62 satting 98% on room air. On exam she was well appearing with tenderness to palpation of sternum heart rate normal rate and rhythm lungs clear bilaterally and abdominal exam benign. they obtain CBC with white count of 4.8 hemoglobin 12.9 Camm that was unremarkable LFTs are within normal limits troponin that was negative BNP 223 with a normal upper limit of 125 ESR 2 D-dimer 0.697 with upper limit of normal 0.5 and a CRP of 9 with upper limit of normal of 8.1. UA bland. She was given Toradol for chest pain EKG with sinus tachycardia . She was given 1/2 L normal saline bolus ondansetron Toradol and started on maintenance IV fluids of D5 NS. She was then transferred to another hospital for further care . Upon arrival here she notes improvement in her energy level and all of her pain except for her chest pain. She describes it as a pressure on top of her chest that is right in the center and is worse with movement and deep breaths. Of note she had a appendectomy a few years ago that was complicated by surgeons making the bowel and then required her to have a bowel resection. She has no dietary restrictions and eats by mouth, no GI complications in the long-term. PMH: as above PSH: No significant past surgical history FH: Reviewed and noncontributory to current presentation SH: Lives with caregivers Meds: None Allergies: No known drug allergies Immunizations: UTD Review of Systems Constitutional: fever, no chills, no sweats, fatigue Skin: no rash, no lesions, Eye: no redness ENMT: no ear pain, no sore throat, no congestion, no hoarseness Respiratory: + shortness of breath, no cough, no wheezing Cardiovascular: + chest pain, no palpitations, Gastrointestinal: + nausea, no vomiting, no diarrhea, no GI bleeding Genitourinary: no dysuria, no hematuria, Musculoskeletal: + muscle pain, Neurologic: no headache, no dizziness, no numbness, no weakness Psychiatric: no sleeping problems, Allergy/Immunologic: no recurrent infections, Additional ROS info: All other systems of a 10 system review are negative. Briefly, patient is presenting with chest pain, myalgias, and fever in setting of recent covid vaccine (2nd dose Pfizer 2 days ago). Seen at an outside hospital where labs were notable for mildly elevated BNP and D-dimer, negative troponin, normal LFTs and chemistries. Chest x-ray reportedly negative. EKG with T wave inversions in V1 through V4 (read as nonspecific ST changes by their physician), but otherwise normal. Given the possibility of post Covid vaccine myocarditis or PE, transferred for further management. Patient states that after Toradol that she received the outside hospital all of her other symptoms have resolved but she continues to have chest pain. My exam showed: Gen: tired but nontoxic appearing, no acute distress, alert and active; HEENT: PERRL, EOMI, normal conjunctiva, neck supple without LAN; Chest: significant reproducible chest pain; Card: RRR, no murmur, good perfusion, brisk radial pulses bilaterally; Lungs: CTAB, good air entry, no increased WOB; Abd: soft, non-tender, non-distended, no masses; Ext: warm and well perfused, moving all extremities; Skin: no rashes Chest pain. Overall well appearing with normal exam with reproducible tenderness. Given recent Covid vaccine, must consider myocarditis, although only mildly elevated BNP and negative troponin at the outside hospital are reassuring, especially given reproducible pain and reassuring EKG. Symptoms then may represent musculoskeletal etiology such as costochondritis or myositis related to vaccination. Less likely pneumonia or pneumothorax, but possible. Low suspicion for PE given lack of persistent tachycardia (tachycardia improved while in ED, currently HR 80s) or hypoxia. EKG obtained which showed T wave inversions in V1-V4 (normal for age). Bedside ultrasound with normal global function and lack of pericardial effusion. Labs obtained in BCH ED notable for negative BNP and troponin, along with reassuring lipase given abdominal pain. Thus, unlikely to be true myocarditis, more likely musculoskeletal etiology such as costochondritis or chest wall pain. Cardiology will discuss with mom for reassurance. Final Diagnosis 1. Chest pain R07.9 2. Fever R50.9 3. Fatigue R53.83 4. Shortness of breath R06.00 PLEASE NOTE: Since the patient is not from here, we do not have access to her vaccination records and cannot supply lot number, etc.

About 2 mins after the vaccine was administered patient stated that she did not feel good. She was hot, pale, sweaty, nauseas, almost passed out. We laid her on the floor and elevated her legs, then she started feeling better. The paramedics came. BP was 90/48. when they left her BP was 101/60. Her parents decided to take her home for observation. I called them at 7:58pm and mom said she was perfectly fine. Vaccine given at 4:55, paramedics left at 5:20.

tachycardia the day after the second dose / sinus tachycardia; This is a spontaneous report received from a contactable consumer (patient). A 13-year-old female patient received bnt162b2 (Pfizer COVID-19 vaccine), second single dose via an unspecified route of administration, administered in arm left on 06Jun2021 12:00 (Batch/Lot Number: EW0180) for covid-19 immunisation at age of 13-year-old (non-pregnant). The patient previously received first single dose of bnt162b2 on 14May2021 at 12 :00 PM (lot/Batch: EW9168) at arm left at age of 13-year-old. Medical history included juvenile idiopathic arthritis. Concomitant medication included methotrexate sodium and folic acid. 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. The patient experienced tachycardia the day after the second dose on 07Jun2021 at 12:00 and had constant tachycardia since. She was in the hospital overnight. Cardiac enzymes and chest x-ray and echocardiogram were normal on 07Jun2021. EKGs showed sinus tachycardia on 07Jun2021. The adverse event result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Outcome of the event was not recovered. Since the vaccination, the patient had not been tested for COVID-19. Information on Lot/Batch number was available.

Fainted for the first time ever. Light-headed, fuzzy and woozy, and fainted while standing outside on the grass, viewing a performance.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: Patient fainted after giving second pfizer dose. After putting on bandaid and explaining to her she needs to wait 15 min she passed out. She leaned forward (thinking she was getting up) and fell to the ground. She hit her head on ground. Her blood pressure was checked twice, the second a half hour after the first and she was still low. She did not feel comfortable walking so we wheeled her out to parking lot and she went to urgent care. Facility filled out report as well since she hit her head.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Mild, Additional Details: pt fell from chair and felt dizzy and fainted .Rph got water and gatorade . she felt better and went home . Rph checkecd on pt .Mom have taled tp pedtricaid . she was much better . no too much concerned

Patient has Pericardial Effusion and pericarditis and required a pericardial drain. This even happened 3 weeks after the vaccine and the symptoms the patient had following the vaccine were persistent fevers.

Pt. Had vasovagal response immediately after vaccination. Patient was laid down on floor,legs were elevated, pt.felt better, A&Ox3. Transferred pt. To wheel chair, had another vasovagal for 4secods, recovered quickly, emesis pouch was provided , no emesis.had another vasovagal for 3 seconds, quickly pt.laid down to floor. Legs elevated. Ice pack was placed behind neck. Pt. Stayed on floor for 10 mins., recovered, A&oX3. Father at site present whole time. Pt.was moved to observation after She was stable to wait in observation area for 15-30 minutes.

Patient anxious, dizzy, and had syncopal episode while being guided onto the cot. No falls or injuries. Monitored for over 30 minutes. No transport.

Approximatly 10min. after patient recieved her vaccine she was seen slumping over onto her mother and hyperventilating. RN was then notified and arrived to help coach patient to slow her breathing down and to take even breaths. Vitals were taken at 0950:BP-110/70,HR-90,RR-20. Skin was pale and diaphoretic. Patient then was given water and crackers and transferred to lay down in a non-stimulating environment. At about 1015 her vitals were retaken:BP-115/80,HR-100,RR-18. Skin was normal pallor and non-diaphoretic. After a few minutes in the sitting position, then standing and soon she was ready to leave. mother was advised on when to seek medical attention for signs and symptoms of anaphylaxis.

Within 15-20 seconds of receiving the injection, my daughter who has NO history of seizures or health issues of any kind, , began having seizures. Her skin color becamee gray, her lips turned blue. The seizure last approximately 20 seconds and when she came out of it she was able to breathe but said her throat felt funny, scratchy, smaller - but she was still able to breathe. She was nauseous, head hurt and was very disoriented for approximately 20-30 minutes. The pharmacist called 911. 911 arrived and took her blood, did a multitude to tests which all came out ok. We opted not to take her to the hospital as she was breathing ok, and her color was returning.

1. Intense bloody nose that bled for 35 minutes, very heavy flow and had a hard time stopping it. 2. Menstrual cycle started 13 days early with unusually heavy flow and cramping.

The patient, 13 y/o female, presented to clinic for the second dose at approximately 9:00 AM on 7/7/2021. The patient denied contraindications to vaccination and reported that she experienced no adverse effects with the first dose of vaccine that was administered 3-weeks prior. The vaccine was administered by the public heath nurse to the patients left deltoid and the patient tolerated the injection well. After vaccination, the patient returned to the waiting area to sit with her mother for the 15 minute observation period. Approximately 5-10 minutes later, the patient's mother called for help and reported, along with front desk staff, the the patient started convulsing for a few seconds and then lost consciousness. At this point, front desk staff contacted EMS and I arrived at the side of the patient. The patient was pale and lethargic. She had no visible swelling or difficulty breathing. She reported feeling extremely hot and appeared to struggle to stay conscious. The patient responded accurately when asked her name and date of birth. The patient was given water and placed in the supine position. EMS arrived and transported the patient to a local hospital for evaluation. The patient's father was contacted on 7/8/2021 and he reported that the patient spent a number of hours in the hospital and that medical staff did not believe that she had a seizure and that the most likely etiology of her symptoms was vasovagal syncope. He reported that the patient was starting to feel better and was resting in bed. He was instructed to contact the health department with any questions/concerns and to report any additional side effects.

Patient had fainted about 5 minutes after the vaccine was give. Patient was pale and non-coherent before fainting. Patient was placed on the floor, her feet were raised and chest compressions were started for 15 seconds before patient came too. EMS was called and arrived shortly after the patient came too EMS checked the patients vitals and gave the okay that there was no need for a hospital visit and the patient was fine. The EMS concluded that it was nothing more than a vagal response to the shot.

Syncope, nausea Duration of approximately 20 to 30 minutes in total Loss of consciousness was only 30 seconds or less

Pt. left the vaccination room and walked over 2 isles and then up past the middle of the store. Pt grabbed the mother's arm and the mom helped her slow her decent to floor. Mom stated pt. fainted and unresponsive for a couple of minutes. Pt. regained consciousness and needed no further treatment.

After about 5 minutes after getting her Pfizer dose, she was pale. She vomited and was not able to see. EMS called and when they came they checked her blood pressure which was 74/49. EMS stayed with patient for another 20 minutes until the patient became better and was okay to return home with her mom.

Around 7PM on June 19th, she had chest pain and chest pressure. She also had a mild headache. She was taking a walk in the neighborhood and had to come home because she was experiencing shortness of breath and having difficulty breathing. She described it as an electric shock/shooting pain in her chest area, on both sides. I took her (the participant) to the ER. While at the ER, she started to feel experience pain and tingling in her left thigh. It would feel better if her leg was elevated. The leg pain subsided by the 20th. On the 21st, she was taken back to the ER because the chest pain and shortness of breath was not subsiding. They did another EKG which showed no abnormalities. Blood work came back with the same indication of virus/inflammation. They gave her a pain med (not sure of the exact name, but it is used for patients after surgery) and an IV. Also given a prescription for 27ml of ibuprofen with Tylenol in between. Two days later, on the 23rd, she had an appointment with the pediatrician. The doctor checked muscle tone and listened to her chest. My daughter gets fatigued by going up a single flight of stairs. Doctor referred her to a pediatric cardiologist. Later that night of the 23rd, she began to get a tingling sensation in her left arm that went down to her hands and lightheadedness. She was not able to move and had to lay down. Being upright made the pressure in her chest worse and she had to take shallow breaths. I took her to the ER. They did a chest x-ray that showed no abnormalities. Referred her for an echo cardiogram on the 24th. She was doing better after that until July 5th, when the pressure and pain started getting worse again. I took her to the pediatrician again and they referred her to rheumatologist on the 11th of July. The rheumatologist prescribed a steroid medication to calm her immune system. She said her immune system was activated and was inflamed, which is why she was experiencing the shortness of breath and pain. She prescribed her colchicine and Aleve. Since she has started to take the meds, she is doing better but she is still experiencing pressure at a lesser level. The pain is the same level that feels like static shock.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: Patient presented about 10 min after vaccination as lightheaded and nauseous. Patient vomited one time. EMS was contacted, when they arrived the patient's BP was 90/60 and HR was 88 bmp. Parent of patient refused hospital transport after EMS gave all clear, and patient was able to talk, stand, etc on her own. Mother stated that patient was very anxious before and during the vaccine.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Vaccination was administered, within 10 min patient became unresponsive and appeared to lose conciousness. upon immediate assessment no signs of anaphylaxis were present, 911 was called. pt felt very warm to the touch and lost control of bladder. mother mentioned pt had passed out 7/14 at home but no prior history of any events. no reaction to any previous vaccines. paramedics arrived and took over pt was released under care of mother with suspision of dehydration

Blacked out on day 2, 24+hrs after dose 2; This is a spontaneous report from a contactable consumer (patient). A 13-year-old female patient received second dose of BNT162B2 via an unspecified route of administration at arm right on 06Jun2021 10:30 (age at 13 years old, Batch/Lot Number: Ew0191) as single dose for COVID-19 immunisation. The patient had no known allergies and other medical history. The patient received first dose of BNT162B2 on 16May2021 10:30 (lot number Ew0185) at arm right for COVID-19 immunisation. There were no concomitant medications. No other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. The patient experienced blacked out on day 2, 24+hrs after dose 2 on 07Jun2021 13:00. No treatment received. The outcome of the event was recovered on an unspecified date. Follow-up attempts are completed. No further information is expected.

Systemic: Fainting / Unresponsive-Medium, Additional Details: about 2 minutes after administration of vaccine, patient fell out of her chair. quickly woke up, fully alert, able to speak, no pain, no anaphylaxis. fell on vaccine curtain but did not hit head, no injuries, bruises,or scratched noted or reported. mom mentioned patient was fasting prior to administration. patient reported no pain, no confusion. abulance came and escorted patient out. case number: 2021089124 sheriff's office

Headache starting 10 minutes after vaccine Extreme tiredness and malaise for two days Ringing in ears Chest pain randomly since then.

Patient felt ill right after getting vaccine. She complained of temporarily losing vision and hearing. Patient became pale in appearance and vomited once. An ambulance was dispatched and patient was taken to an emergency room

Patient presented to the ER at 630 am with acute onset of generalized hives , itching and vomiting x 2 and was treated for anaphylaxis . SHe was given OM epinephrine and Benadryl with improvement .

Pt passed out after 2nd vaccine 2 minutes after administration she started to loose consciousness. RPh helped lay her on bench, eyes remained open patient was sweaty and answered immediately when her name was spoke. Arms were turning red, 911 was called. Assessed her breathing and pulse. Took blood pressure which was low, and took pulse ox; which was normal. Breathing was fine and color returned soon after. No swollen lips or tongue. Pt stated that she didn't eat anything all day and it was around 5pm. Mother stated that she has hx of syncope after any use of needles. EMS cleared pt, gave her a glucose tablet and he left on her own accord with her mother.

At first, waking up with difficulty breathing (around 4:30 AM), pain when breathing (throat), Chest pain. Headache. Very fast heartbeat. Took a lot of effort to walk, especially down stairs. Took Tylenol (around 5:00 AM) , went back to bed. After 7 hours of sleep, had no appetite. Headache. Symptoms faded after a couple more hours.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient received Pfizer Covid Vaccine and went to sit in the waiting area. Immediately upon sitting down, patient said she felt dizzy and fell on the floor and bumped her forehead. Patient is responsive and pharmacist observed patient for 30 minutes. Offered to call 911 for the patient, but mother refused and they are going to see their PCP after leaving the pharmacy.

13 year old female previously healthy, no chronic diseases,.10 days after the 1st dose of Pfizer COVID19 vaccine, she developed fatigue, lethargy, paleness and dizziness. She was found to be profoundly anemic and was diagnosed with autoimmune hemolytic anemia; she was also found to have positive high-titer (1:1280) antinuclear antibody (ANA) testing (status prior to vaccination unknown). She was diagnosed with mixed cold/warm autoimmune hemolytic anemia. She received two units of packed red blood cells via blood transfusion and was treated with high-dose corticosteroids (both IV and oral). The anemia has resolved but the patient remains on oral corticosteroids (prednisone).

Patient had the normal injection of first dose in the series of Pfizer COVID-19 vaccine. The patient waited in the facility for the standard 15 minutes when fainted (syncope). I rushed over within 10 seconds to turn the patient onto her back. I checked for a pulse and breathing. There was a faint pulse and breathing initially, which seemed to stabilize after about 2-3 minutes. She became conscious again after about 2 minutes of unconsciousness. Patient was diaphoretic with shallow and rapid breathing. EMT was called and arrived about 20 minutes later. Blood pressure read by the EMT: 105/56 about 30-40 minutes after the injection (20-25 minutes after the syncope). Patient was not given anything for treatment besides purified water. Patient was told to follow-up with primary care doctor for the second dose if required.

Patient received Pfizer Covid-19 vaccine while sitting down then transfered to another chair. Approximately 2 minutes after vaccination, the patient witnessed her sister being vaccinated and reported feeling light headed. She progressed to being faint while seated and pale, so rapid response was called. Patient was transfered to to be monitored and discharged home. Patient was noted to have had prior similar events while having blood draws.

patient arrived in ventricular tachycardia via EMS, but responsive. deteoriarated to pulseless ventricular tachycardia, PEA and ultimately death.

About 10 minutes after injection patient became dizzy, diaphoresis, flushed, hypotensive (100/80), drowsy, nausea. Patient was seated and legs elevated. Cool water bottle placed behind neck, blood pressure obtained. She remained in this positi9on for about 15 minutes. No reaction noted at the injection site. When she began to stabilize we offered juice which she took and began to feel better. She was released to go home. I contacted her mother at about 7:30pm that evening and patient was feeling much better

acute onset of cough, chest tightness and shortness of breath starting 3 hours after vaccination. Presented to urgent care facility. Took albuterol every 4 hours which improved symptoms. Developed body aches, nasal congestion in the following days.

Vasculitis of hands. Patient presented redness, pain and itching of hands and palms intermittently starting approximately 4 weeks post-vaccination.

Patient came to the pharmacy with her mother to receive her scheduled first dose of covid Pfizer vaccine. Patient seemed fine after the receiving the vaccine and once I turned around to inform the patient to stay within the premises of the pharmacy for 15 minutes, the patient fell back on the chair and seemed unconscious so her mother and I held her and I had a pharmacy tech call 911 and followed their procedure over the phone until EMS arrived to the pharmacy.

14 y/o female presented to observation after receiving covid-19 pfizer vaccine c/o of dizziness and expressing syncope after lying down for ten minutes in the vaccination station. Pt V/S as follows; at 1332; 79/49 53 12 and O2 100% RA in supine position with legs elevated. Pt continued to express dizziness. Pt reposition to seating after ten minutes. Pt V/S as follows at 1340; 86/50 57 16 and O2 100% RA. Pt provided water and chips. Pt reposition to standing after ten minutes. Pt V/S as follows at 1350; 76/45 57 16 and O2 100% RA. Pt express feeling dizzy after standing. Pt advised to reposition to sitting. Pt V/S while sitting at 1400 are as followed 85/55 53 16 and O2 100%. Pt then advised to stand and try to ambulate once ready. Pt stands and expressed they felt fine and was ready to ambulate. Pt ambulated thirty feet without assistance. Pt VS after standing and ambulating at 1209 as followed; 84/54 63 18 and O2 100% RA. Mom stated PCP reports SBP of 90 in March via phone. Pt and Pt mother advised to follow up with PCP prior to playing Baseball next day. Pt DC after displaying steady gait after ambulating, eating chips, drinking a full bottle of water Pt stating "no longer feeling dizzy" and VS taken at 1409. Supervisor notified.

After about a minute or so, Pt. felt pretty warm/hot in the room and started saying that she could not see/vision was blurry and she started turning pale/yellow. The room was stuffy so we moved from the vaccination room to the waiting room but the symptoms (vassalage syncope) seemed to progress so we brought her into the pharmacy where there was enough room for her to lie down. We had a fan run directly on her & within a few minutes the EMTs were present and they checked her out initially & they decided to bring her to the ambulance & checked her vitals. They asked her mom if she wanted to bring her to the hospital as her vitals were all normal. Mom decided to bring her just in case to make sure everything was okay and get her checked again as a safety precaution/parental concern.

Immediate syncope lasting about 15 seconds with 5 seconds of tonic-clonic activity and brief emesis. Normal mental status within 30 seconds. Initial heart rate 50, and BP 90/60, recovered to normal with BP 100/60 and heart rate 70 within 30 minutes. No signs of allergic reaction or anaphylaxis. Taking fluids and felt well upon discharge.

Approximately 4 minutes after administration of vaccine, patient fainted and was caught by parent and gently laid on ground. Patient was monitored by pharmacist until paramedics arrived. Patient woke up quickly and was in good spirits and left the store on her own after being monitored by paramedics. Followed up with parent the next day and she was doing well with no adverse effects except for a mild sore arm.

A 14-year-old female received her COVID vaccine. After about 5 minutes of sitting in the chair for her 15 minute observation, her mom said she felt nauseous and like she was going to pass out. She was laid her back in the chair. The patient's mother went to get orange juice. She was pale and her eyes were rolling back in her head. She did pass out for a few seconds, and I checked the patient's pulse and blood pressure. BP 139/58, pulse 53. By that point she was coming back around. After she sat for several minutes and had orange juice and water, she was feeling much better.

Vasovagal syncope resulting in loss of consciousness for approximately 1/2 to 1 minute. Followed by nausea and and multiple rounds of emesis over the course of the next fifteen minutes. Patient remained in pharmacy for approximately another 15 minutes before her mom and her felt she had recovered enough to leave under her own power.

Patient received the 1st COVID vaccine (Pfizer lot # EW0182 use by 5/15/2021) at 1455. The client had a history of fainting (x3) with intramuscular injections. The client reported eating lunch prior to arriving for her appointment. The client was vaccinated in the anti-gravity chair at 1455 by EMT. The client became very pale about 1 minute following the vaccination administration and she loss consciousness for 5 seconds, during this time she had 2 myoclonic contractions. RN and EMT immediately placed the patient in Fowler's position in the anti-gravity chair during the syncopal episode. The patient immediately regained consciousness and was alert and oriented to person, place, time, and situation. The patient remained in Fowler's position and vitals were taken at 1456: BP 125/95 (R arm), HR 45, RR 18, and oxygen saturation at 95%. The patient denied experiencing lightheadedness, shortness of breath, dizziness, nausea, headache, or blurry vision. The patient was given a juice box. The patient's color slowly returned. Vitals were retaken at 1505: BP 123/82 (R arm), RR 20, HR 50, oxygen saturation at 98%. The patient stated, " I usually feel really bad after I faint but this time I feel fine." Vitals at 1510 were as follows: BP 130/70, RR 18, HR 67, oxygen saturation at 100%. The patient was speaking in full sentences and laughing with her friend. Vitals taken at 1515: BP 125/ 68, RR 16, HR 68, oxygen saturation at 99%. The patient was positioned from a Fowler's position to sitting upright. The patient's color returned to her face and she denied any nausea, dizziness, blurred vision, double vision, or chest pain. Vitals were taken at 1520: BP 125/70, HR 82, RR 16, oxygen saturation at 99%. At 1524, the patient's blood pressure was 125/68 and HR was 58. The patient continued to deny any shortness of breath, dizziness, nausea, or vision changes. The patient's heart rate was taken at 1531, HR 55 and again at 1536, HR 62. The patient's mother stated her daughter was currently taking an antibiotic for acne (dosage and name unknown) and denied having any drug allergies or chronic medical conditions. RN instructed the patient and her mother about emergency precautions and to follow up with their primary care provider. RN, also educated the patient and her mother about the importance of informing the healthcare provider about her history of fainting with injections when receiving the second COVID Pfizer vaccine. Gave the patient's mother V-safe information and reported the occurrence in VAERS. The patient had a steady and even gait when leaving the site with her mother at 1537.

Pt received vaccine while seated and when she stood to go to observation area she experienced syncope and fell supine to tile floor. No LOC, was A&Ox4 immediately. Pale, strong pulses, RRR P 60's, unlabored resp effort. BP not evaluated. Some nausea, no vomiting. Exam of head revealed mild TTP with no open wound, swelling, or depression. Pt responded to rest and required no intervention. Pt was monitored x 60 mins with full resolution of sx and discharged to home in good condtion.

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

Approx. 5 min after vaccination patient started to feel dizzy. Technician went to retrieve ice packs and patient fainted. Pharmacist gently moved patient to her side on the floor and brought knees up to her chest while technician called 911. Patient regained consciousness after approx. 2 minutes before EMS arrived on scene. EMS took patient's blood pressure (hypotensive), administered saline drip in ambulance onsite then released patient to parents. Followed up with parents next day, patient was monitored at home and was feeling fine. Per EMS patient most likely was dehydrated. No prior history of event post vaccine.

PATIENT FAINTED AND RECOVERED CONSCIOUSNESS WITHIN ONE MINUTE. OCURRED WITHIN 5 MINUTES OF BEING VACCINATED

Patient got up from receiving shot and fainted on the ground-patient hit his head. EMS was called. Patient turned very pale and nausea, patients arms was swelling. Patient started to return to conscience but remined unwell. EMS did an evaluation. Father took son to hospital

PATIENT FAINTED ABOUT 2 TO 3 MINUTES AFTER GETTING HER FIRST DOSE OF COVID VACCINE. NO INJURIES REPORTED. MOM AND PHARMACIST ASSISTED THE PATIENT, PARAMEDICS ARRIVED AT SCENE FOR EVALUATION. AFTER GETTING SOME FLUIDS AND SUGAR, PATIENT FELT BETTER. MOTHER REFUSED TO GO TO HOSPITAL. AFTER LONG OBSERVATION, PATIENT DEPARTED PHARMACY WITH HER MOTHER.

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

pt fainted roughly five minutes after shot. She came to shortly after and was helped back into her chair. Pt complained of dizziness and numbness in her arms. Blood pressure was taken 79/56. Paramedics came and checked pt out . Pt was released to mom after being given water and sitting for 10 more minutes.

Patient received her first dose of the Pfizer Covid-19 vaccine. While waiting for observation, patient started to faint and seized. She also reported being hot and asked to take off her sweater. Paramedic was called and patient was taking to the nearby hospital. Patient reported black out while sitting on her chair, though by the time paramedic finish with the transportation patient reported vision recovery.

Patient fainted about 10 minutes after receiving first dose of Covid-19 vaccine. She was instructed to remain seated in the waiting room but got up and walked around the store with her parents and felt faint after walking for a minute or two. She passed out and was caught by her dad and gently laid down on the floor. Paramedics were called to check vitals as patient continued to feel drowsy for a few minutes. She was assessed by paramedics and released to parents after checking vitals, blood glucose, heart. She stated she was feeling better after several minutes of sitting or laying down.

Patient's blood pressure dropped to 60/40 with a pulse of 50 initially, then she was given Benadryl 25mg ie 1 tab with half a glass of water, she rested for a few minutes and we checked her blood pressure a second time which read 70/49 with a pulse of 55. We offered the Patient EpiPen and to call 911, but she refused. However, we provided the Patient an EpiPen 0.3mg to take home and instructed Patient's father on how to use it. We confirmed with Patient that her breathing was fine, she had no difficulty in breathing. Patient was fine when they left to go home.

Patient experienced vasovagal reaction post-Pfizer #1. Per parent, patient was "fine" for the first 10 minutes, then started c/o symptoms. EMS assessment at 1259: initial BP 71/33, HR 45, RR 20, SPO2 97%, BSG 109. EKG indicated bardycardia, then sinus arrythmia. Final assessment before transport to hospital: BP 100/61, HR 85, RR 15, PSO2 98%. Parent was counseled by a health department RN to discuss the reaction with pediatrician prior to receiving the second vaccine.

Pt c/o stabbing chest pain 15min after receiving the COVID vaccine. Pt was evaluated by MD and determined to be having an episode of anxiety. Vitals signs within normal limits.

AFTER GIVING THE SHOT PATIENT WAS SITTING ON CHAIR AND SUDDENLY COLLASPSE . SHE PASSED OUT FOR 15- 20 SECONDS AND WAS CONSICOUS AFTERWARDS MEASURE HER BLOOD PRESSURE WAS LOW AROUND 87/57 , GAVE HER WATER AND SOME THING TO EAT AND MEASURE BLOOD PRESSURE AFTER 15 IMUTES IT WAS 111/82

Starting at 0300 5/16/21 Pt was awoken with pain in R arm, R arm pit, and along back. Pain kept waking Pt up, she slept fitfully. Pt stayed in bed until around 1300 5/16/21. She had a project for school due- had to video tape making a recipe. She was standing up videotaping the ingredients when she felt very dizzy. Pt then reported that she lost her vision- everything turned black. I had to rush to her to catch her- she had loss of consciousness for about a minute. She was very pale- lips turned blue. She had a pulse the whole time, BP was 117/60- when I checked it about 5 min later. Her temperature on a ear thermometer was 99.7. After she awoke, she was still very dizzy and stayed in bed most of the day. 5/17/21 AM- she woke up for school 0600- and was feeling better. No more dizziness, color was back in her cheeks, was able to eat and left for school.

Patient received first Pfizer Covid-19 LOT #EW0167 vaccine, pt stood up with mother to go to obseration area. pt passed out and hit her head on floor. mother states pt loss of consciousness for 10 seconds. after pt axox4. Vitals taken, 106/64 bp, hr 85 and spo2 100% RA. pt brought to urgent care via wheelchair for further evaluation. pt able to walk with steady gait without assist to wheelchair. breathing equal and unlabored. no open wounds noted no medication given.

EMS reports syncopal episode pt turned pale after vaccinated while in observation area. No LOC. Reused transport to ER - Father took pt home.

PATIENT HAD BEEN ON CHAIR MONITORING FOR 14 MINUTES WHEN SHE FAINTED. NOT CERTAIN IF SHE HAD A SEIZURE. HOSPITAL WAS CALLED TO THE SCENE AND SHE WAS TRANSFERRED TO HOSPITAL FOR OBSERVATION. PHARMACIST SPOKE TO PATIENT'S MOM THIRTY MINUTES LATER AND SHE WAS ENROUTE. MOM STATED SHE WAS DOING OKAY.

Vasovagal Syncope @ 10:05 14 year old female. No breakfast or fluids in am before vaccination. EMT called BP 104/68 oxygen 99% HR 78 . BS 85. 10:14 seizure like behavior eyes roll back in head both arms constrict. BP 100/60 IV fluids started 100ml saline. 10:30 BP 104/70. ( Per mother history of syncope four years ago after receiving an allergy shot.) alert and oriented x4 at 10:40. released to mother .

Vomiting second day morning followed by rash on face around eyes. Rash subsiding but left eye has blood hemorrhage ( blood shot eye). 24 hrs later second eye also blood shot. Tightness of chest also started third day but now improving. No discharge from eye, no discomfort as of now.

Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Immediately after administering vaccine, patient bled quite a lot. I wiped the area 2 times times and applied pressure for ~1 minutes. Applied a cotton ball under a band-aid. Within 1 min of the vaccine, the pt developed a pump that appeared to be filled with blood under the surface. She stated that the site felt like "when you initially get poked with a needle". I recommended to take ibuprofen 200-400mg q4-6 hours until the swelling decreases, to apply a cold compress, and call md if worsens.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Additional Details: 10 minutes after receiving vaccine patient felt lightheaded and dizzy. After being place on her back with legs elevated she started to feel better. Her blood pressure was 101/66. Patient felt better over some time and left feeling fine.

Patient received vaccine and within 5 minutes was not feeling well. Patient fainted and then when conscious began vomiting. Patient also became very pale and clammy. Patient has experienced vasovagal symptoms before when having blood work done but not during vaccination. Patient also stated afterwards that she had not eaten any food all morning prior to receiving the vaccine.

Patient complained of dizziness about 5 minutes after vaccination. Patient was sitting at the clinic lobby with her mother. I assisted the patient inside the exam room to lay down on the exam table. Patients was so dizzy and about to faint. She could hardly get up to the exam table. I instructed her to get up to the exam table one more time. She was able to get up and lay down on the table. Patient did not lose consciousness. Vitals were taken and were stable. Mother gave patient gatorade to drink. Patient stayed laid down on the table for about 10-15 minutes. Mother was watching the patient. Patient was fully alert and no longer feeling dizzy. Patient walked with her mother. My assistant walked them outside our facility.

Daughter fainted 20 hours after vaccine. Was treated by school nurse who observed elevated heart rate (150 bpm). Eventually heart rate normalized; took daughter to pediatrician for further evaluation. Not clear if fainting was related to the vaccine but it has never happened to her before and the timing of the two seems odd.

Patient received Pfizer COVID19 vaccine at 03:50 PM to left deltoid by EMT. Patients skin began to become pale. Patient reported nausea. Her eyes closed and her head went limp for approximately 10 seconds or less. Patient remained upright in chair with support from this RN. Patient was moved to cot with assistance from EMT and placed in prone position with feet elevated. Blood pressure, pulse oximetry and pulse obtained by this RN. Initial blood pressure of 90/58, heart rate 71, and oxygen saturation of 98% on room air at 03:52 PM. At 04:00 patient reported she began to feel better. Patient was assisted to sitting position. Patient denied dizziness or nausea upon rising to sitting position. Vital signs at 04:00 PM blood pressure 102/68, heart rate of 81, and oxygen saturation of 98% on room air. Patient stated she was feeling much better. Patient left building with her mother accompanied by this RN.

Patient received her vaccine and took a seat in the waiting area. After about 10 minutes she fainted and fell off her chair. Patient's mom yelled after it happened and the pharmacist and rushed over to help. When the pharmacist got to the patient she was face down and when they turned her over she got up. She did not appear to have hit her head and regained consciousness quickly. 911 was called at the request of patient's mother and the patient did not leave in the ambulance.

immediately after the injection, pt appeared to have fainted, eyes closed, still breathing, body stiffed and jerked for a brief moment then became slouchy on the chair. we called 911 - as we waited for ems, pt opened eyes, said very sleepy, i kept her awake by taking about greys anatomy - ems arrived - mom wanted pt to be monitored at a facility - ems took pt away on stretcher.

Systemic: Dizziness / Lightheadness-Medium, Additional Details: Right after immunization patient looked pale and thought she was going faint. This was a near syncope event. Patient did not actually faint. Told her to lay on the ground flat with legs elevated. She was monitored for 30 minutes and felt fine after.

Patient with syncope right after vaccination. Vitals stable. Patient given juice and crackers. Hadn't eaten today. Able to discharge patient home with mom.

After administration of the vaccine within 1 minute, the patient had a loss of consciousness. The patient was laid supine with feet elevated. She regained consciousness after 30 seconds. Vitals remained stable throughout. BP 110/72 P64 O2 99% at the time of regaining consciousness. After 5 minutes 118/88 P 64. After 30 min 118/78 P 64. Left with mother and sibling.

At 15:18 pt reported to observation RN that she is feeling dizzy. Pt noted to be pale, vitals takes at 15:20 are: T: 97.4 P: 75 RR: 20 BP: 138/80 O2: 99%. Pt provided water at her request and feet propped up on a chair. Pt vitals taken again at 15:30 are: T: 98.3 P: 91 RR: 16 BP: 119/74 O2: 99%. Pt reported dizzy feeling subsided. Pt discharged at 15:45 in her mother's care.

During monitoring period post first dose of Pfizer COVID-19 vaccine at 1633 pt experienced vasovagal episode. Pulse 57, BP 80/48, pulse ox 99%. Patient alert and talking. Patient given orange juice and ice pack. Was monitored for additional 15 mins. Repeat bp 91/46, pulse 57, resp 18, pulse ox 99%. Notifications made: EMS, L.R

Patient had syncope-type reaction, chills, sweating, and passing out. Started around 12:35-12:40pm, lasted until 12:50pm after pharmacist intervention.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Mild

She had a really bad bloody nose this morning around 9:30 am for about 45 minutes. The nurse from her school helped her to stop it but it was pretty bad. This is very unusual for her and the amount of blood was not like a typical bloody nose. It was all over her the front of her sweatshirt.

Pt appeared clammy and ashen in face 5 min after receiving 1st Pfizer vaccine . Had pt lay on floor in the event of passing completely out. Elevated pt's feet on the chair. Pt's hands where sweaty. Pt continued talking throughout process while laying on the floor. Pt stated she felt tired and tingly and hot. Monitored pt for next 15 minutes until she felt well enough to sit up. Pulse was normal and steady. After 15-20min pt had color returning to face. Pt felt well enough to sit up while still on floor. Had pt sit 5 min on floor and texted on phone. Pt felt well enough to sit on chair. Pt sat 5 min on chair. Pt felt well enough to stand and walk. Mom and I monitored pt walking and doing well. We sent pt home with mom.

Patient received vaccine, stood up to walk around corner, then collapsed, hitting her head on floor. An EMT was in the area and stepped in. Pt was unresponsive for about a minute, pulse very weak. 911 was called. Pt was moved into a separate room once slightly responsive, she was very pale and seemed confused and was very nauseated. Her blood pressure dropped to 68/44, but over the course of a few minutes started coming back up. EMTs arrived and took patient to hospital to evaluate.

Patient immediately became sweaty, dizzy,and experiencing hearing loss after receiving her first dose.Patient was seated on floor with elevated legs before she was wheeled back for observation. Patient was visually pale and sweaty.Patient denied any anxiousness before receiving her vaccine. Patient had vitals assessed and was given snacks and juice . Patient was reassessed after 15 minutes and reported feeling better and was sent home with parent. Patient and parent were advised to reach out to family doctor is any late onset of symptoms.

Vaccine Administered: Pfizer COVID-19 Patient reaction: Flushing Pale Skin Nausea/Vomiting Fainting Dizziness Action taken: Antihistamine given. Outcome: Patient recovered. Late charting for 5/17/2021 - 5ml Diphenhydramine given PO 10 minute after c19 vaccine - patient dizzy, diaphoretic, and nauseous. Emergency medication entered and signed.

Patient was administered the first Pfizer Covid 19 vaccine per protocol and was seated for observation post administration. She became faint. Pharmacy staff broke an ammonia inhalant to help the patient recover. She responded quickly, but did require additional whiffs later. When questioned, she stated that she was having no difficulty breathing, swelling in throat, and no obvious rash. She was accompanied by her mother, who declined emergency medical care/911 assistance. The patient was not wearing constrictive clothing, so no adjustments were necessary, but she did recline further in the chair. She was also provided with cool, wet, paper towels for her forehead and neck. When she was feeling better, she had a few sips of water. Although offered a motorized cart to leave the store, she left with both parents walking with no assistance. On 5/20/21 we reached out to the family and spoke with her father. The patient did have a minor headache the evening of her vaccine administration, which has resolved. She does have a sore arm, which is a common side effect of the vaccine, Her father has reached out to her pediatrician to see whether she should get the second dose or not. He has not yet received a response.

Syncopal event, no injury accorded, accompanied with mother. Vital signs stable, AAO x 4. Able to stand and walk unassisted

Child had hives on all 4 extremities, no flank or head. No additional body system complaints. VVS except for elevated pulse of 118. Pt was assessed in the presence of mother. They agreed to administer Benadryl 25mg po - brought to site by mother, given at 1710. Child remained for full 30 minutes, rash subsided but did not disappear. No additional complaints/concerns noted. Pulse decreased to 103 with no discomfort or distress. both reviewed indications for calling PCP and/or EMS. Mother noted that pt's sister has anaphylaxis allergies and the family is well versed in management and has EpiPens. Pt's MD was contacted following day and advised parents that she may receive the second dose of Pfizer. Her symptoms have completely resolved with no adverse effects.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: Weakness-Severe, Additional Details: patient started feeling hypotensive, sweating, lethargic post covid 19 vaccination. paramedics called due to low blood pressure. patients symptoms resolved gradually and didn't necessitate ER trip.

Patient stated she was not feeling well after her first dose of pfizer covid vaccine. Patient had seizure like activity and was unconscious for a about 15-30 seconds. an ambulance was called vitals were taken. patient and patent family declined transport to medical facility.

I administered the vaccine, got one side of the band-aid on and that is when her head fell back. Her eyes rolled into the back of her head; she then leaned over the right arm of the chair. Her body stiffened next. I held her head and body with the help of a colleague. This happened for about 10 seconds, then she woke up and snatched her mask off with a confused look on her face. We asked her questions to see if she was aware. She was, then she went back out falling over to the side. I called 911. When she awakened the second time after about 7-10 seconds her face turned pale. We then moved her to the floor and propped her feet up. Patient said she was nervous and felt like she had to use the restroom. Her skin was clamy; patient said clamy skin is nothing new for her. The fire truck and ambulance arrived on scene. The workers began to assess patient. Vitals were good. She did not go in the ambulance, but stated her vision were blurry. She went home with grandparents.

a few minutes after administering the first dose of the vaccine pfizer into her left arm, the patient became very pale and couldn't hear what we were saying to her and partially lost her consciousness but then came back. when the ambulance came over, they took her out on a stretcher .

Patient fainted two minutes after receiving vaccine. Loss of consciousness was not total. Patient was pale, clammy, and lethargic. Patient's mother and myself held patient is place while she recovered in chair. Resolution was within 15 minutes from start of episode. Followed up with mother two and one-half hours post incident and mother said patient was completely recovered.

This reporter received paperwork for report of Pt. experienced fainting event seven minutes after first dose of pfizer. Feet were elevated by EMS. Pt. cleared by EMS to leave with parent.

Patient had syncopal episode with seizure. Diaphoretic and hives noted after regaining consciousness.

Patient fainted and felt dizzy roughly after 10 minutes upon receiving the vaccine. She immediately gain consciousness but could not recall that she fainted and just said she "blacked out". The pharmacy staff took her blood pressure, and said it was low but after monitoring for 10 minutes, it went back to normal. She felt no more dizziness, was able to stand up, walk normally and went home shortly after.

Patient had vaccine and entered waiting area for monitoring period. Started feeling dizzy and started to sit on ground but passed out while transferring to ground. Patient came to confused, pale, sweating and then proceeded to pass out 2-3 additional times. EMS was called as a precaution since patient reported feeling confused, weak, heart palpitations. Patient was advised to remain on the ground while waiting for EMS and was given an ice pack, water, juice and crackers.

Patient got her 1st dose of Pfizer vaccine, was told by provider and mother to sit down for 15 minutes. After awhile patient 's mom came back to pharmacy and alert us patient is fainting. I came to patient and she could barely stood up. patient looked pale. We assisted patient to come to pharmacy sitting area. I measured patient 's bp. BP reading was 60/43 and 70HR. Patient 's mom informed us she has not been drinking or eating breakfast, so they went to grab some snacks while waiting and that was when patient fainted. A by stander called 911 when patient first fainted. EMS came and brought patient to ER for further check up.

Patient received 1st dose of Pfizer covid vaccine and was told to stay 15 minutes after vaccine was administered to monitor for symptoms. We were then informed she fainted at the front of the store. It was reported she was unconscious for roughly 30 seconds. When I came up to her, she was conscious on sitting on the floor. She was given cold water and an ice pack while EMTs were on their way.

pt fainted/had seizure 50 to 10 minutes after covid vaccine. pt did not fall, dad held her.head and eyes rolled back, shaking and stiff for 2 seconds per dad. pt alert, breathing, and movement looked normal when I saw pt . pt mom called 911 and pt was taken to hospital . no history of fainting or seizures per dad

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Nausea-Medium, Additional Details: after getting vaccine, pt felt dizzy/lightheaded. pt has had hx of fainting after getting vaccines due to anxiety. pt was very sweaty/hot. laid pt on the ground and instructed her to put legs up on the chair. provided water stated that was helping. nurse, lpn came and checked pts vitals. while we called 911. ambulance came and took her away. mom came back and said daughter was feeling better and did not go to ER

Patient immediately felt dizzy, broke out in hives on bilateral arms from elbow up, chest, neck, mouth area, muscle weakness in bilateral lower extremities. Increased heart rate from 110 at lying to standing at 146 bpm. Administered 25 mg of Benadryl By mouth with water. Within 20 minutes hives on face disappeared but remained in all other areas and none of her symptoms went away. Called 911 had her transported on a stretcher in an ambulance for further observation.

I administered the Pfizer Covid-19 vaccine to the patient (14 year old) she was very anxious, after giving it to her she sat in the post-IMZ waiting area on the chair. Her mother was next to her. In a few minutes she told her mother she was feeling dizzy and started to fall off the chair. Her mother caught her and yelled to us for help. We called code white and 911. She recovered in a few minutes and he gave her an ice pak as she was hot. She sat on the floor with her mother. She stood up after she felt better and sat on the chair and then she got pale again and looked like she was about to faint again. The fire department had arrived and they checked on her. By then she was a lot better. They decided that it was not necessary to call an ambulance and went home. We gave her a bottle of water. I followed up with the mother at 7 pm and she was doing a lot better

Approximately 2 hours after receiving her first covid vaccine, my 14 year old fainted. She was standing in our kitchen at home and became dizzy and started falling backwards. She said her vision was black, she was hot, her head hurt, I could see sweat on her face and chest, and she said she was having tightness in her chest/not able to get full breaths. She didn't totally lose consciousness, but she was disoriented. These symptoms lasted a few minutes, then she felt fine.

Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Pt received vaccine, spoke to her shortly after and decided to shop around the store. Shortly after walk pt started feeling light headed, and dizzy and fainted. Mom stated that this had happen to her before. Monitored patient for 30 min, gave water and a snack. Mom decided against calling 911.

Pt was vaccinated and had a syncopal episode in response. Pt was supported in her chair so that she did not experience a fall. Estimated syncope time of 8 seconds. Pt was taken to private observation area via wheelchair after she regained consciousness. Her vital signs and mentation were monitored continuously. Upon leaving clinic, pt was AOx4 with stable vitals.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: PT fainted after receiving the vaccine, she hit her head against a shelf and got bruises. 911 was called to inspect the patient, intial BP was 90/60 and it became 105/60 after about 10 minutes.

Patient had episode of vasovagal syncope approximately 3 minutes after the vaccine. Pharmacist assisted dad in comforting patient. Patient was placed flat on the floor. 911 was called by technician. Patient aroused before EMS arrived on scene approximately 2 minutes after syncopal episode. Patient recovered. EMS did not take patient.

Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: pt passed out after about 10 minutes while in observation area. dad was next to her and she did not fall. emt were called to check her out and after 1/2 hr pt seemed to be ok

Pt had syncopal episode after vaccination (BP 86/60, HR 74). Pt stable VS improved (BP 101/77, HR 79, RR 20). Pt stable & released from vaccination site. Pt has hx of eczema

Patient while sitting in the post-vaccination are, fainted in her chair. Upon my immediate arrival, I tapped the patient and she was coming to consciousness. Patient upon awakening, felt nauseous and wanted to vomit, but barely did. I gave the patient water and sports drink and the patient was regaining normalcy. Both the patient and her guardian reported that she did not eat or drink anything prior to coming to the vaccine appointment and that she was very nervous and worried prior. Patient denied history of fainting. I recommended to have the patient sit for at least another 15-20 minutes, but the parent stated his daughter was fine and decided to leave.

Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: within minute of injection patient passed out, parent and witness said patient had seizure like shaking (I did not personally witness this), became extremely pale and non-responsive for few minutes. Before shot given Mom informed me patient normally faints and has extreme anxiety and aversion to needles.

AE: patient got dizzy, vomited and syncopal walking. No medication was given. food and water improved the symptoms Outcome: patient discharged to POV/Home

Patient with history of syncope following vaccine administration came to the pharmacy for COVID vaccine. She was accompanied by her father. They warned me of the history prior to giving the vaccine. Within a minute after administration, patient fainted in the chair and slide accompanied by myself and dad to the floor. She was out for about a minute. She rested on the floor for 5 minutes and then moved to the chair, where she recovered for 10 minutes. When she felt able to walk, she went the the pharmacy lobby and continued to recover until 4:18pm.

Patient fainted within 10 minutes of receiving vaccine. Patient was woke up within 30 seconds of fainting. Upon awakening patient did experience nausea and vomiting. Medical intervention was not necessary. Patient was able to leave pharmacy on own power.

Started Tuesday evening with light headed, dizziness, headache, in the early morning hours pt said she felt as if her right side was going numb & asked to go to the hospital. Later in the afternoon she got worse along with bad chest pain & stomach & started vomitting

Patient developed dizziness and coldness in extremities. She tried walking and fell down, but did not lose consciousness. She then alternated between feeling hot and cold and seeing "blurry spots". I noticed her lips turning white and she said she needed to lie down. I got her water and ice packs since she was sweating. We sat on the floor for about 10 minutes, then she was able to move to a chair for another 5-10minutes and then left the facility. Mom reports that she has been lethargic and napping most of the day. Patient ate a few cheez-its for breakfast and reports that she did not get a good nights sleep last night.

Patient received her first dose of the vaccine then fainted shortly after.. She appeared unresponsive and her cheeks were flushed. Patient only responded to verbal command with confusion. Permission was obtained from ER Dr on duty to administer EpiPen at 0.3 mg Patient was then transported to ER

Pt fainted/syncope s/p vaccination. No head injury. Experience nausea. symptoms self-resolved and pt discharged home in stable condition with family. BP 93/56 HR 76 RR 16, unlabored SpO2 99% RA

Patient suddenly fell out of the chair 10 minutes after getting vaccinated and her bridge of the nose hit the concrete. Patient had tonic clonic movements for 5 seconds and regained consciousness immediately, was breathing spontaneously and had a pulse. Patient reported feeling dizzy prior to falling and anxiety over getting vaccinated. Patient was taken to a cot to lay on for 15 more minutes. Patient reported feeling better after laying down. Mother of the patient stated that there is a family history of epilepsy. Informed mother to bring patient to her primary care provider for follow up.

Following routine volleyball practice, patient developed heartburn, lightheadedness, and palpitations. Elevated heart rate noted by this reporter (mom and also RN), called Peds on-call and were directed to ED. Patient was found to be in SVT with heart rate over 250. After several tries, able to reduce HR to 110-120 range with vagal maneuvers, discharged home to follow-up with pediatric cardiology (patient has no medical history). Correlation unknown and long-term effects yet unknown (currently wearing long-term heart monitor with other testing and follow-up pending).

The pt was sitting in observation and had a syncopal episode. VS were stable. The pt was very anxious about receiving the vaccine and possibly had a panic attack.

Participant's mother states her daughter received the vaccine around 3:30pm. PT mother states her daughter felt a headache, felt dizzy and then had a syncope at around 6:00pm. 911 was called. PT mother states they went to the hospital where lab work was done. They told her that her daughter's potassium, iron and sodium was was low. The medical staff said she was excessively dehydrated. Her mother states as for today her daughter gets easily dizzy after she eats, and gets headaches, feels light headiness and I have been IV liquids to give her levels up.

Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium, Additional Details: pt passed out immediately after vaccination briefly, when she regained consciousness she convulsed for about 2 seconds, heart rate at 58, with weak pulse, called 911, pt taken to er as a precaution

Patient received the first dose of Pfizer on 5/28/21 and during the 15 minute waiting time after the immunization, patient fainted. Patient did not fall or hit head, due to father being in the proximity and able to protect her from hitting the floor. Patient regained consciousness quickly within seconds and was moved to the floor while her feet were elevated. Patient stated that she saw a bit blurry and feeling shaky right before fainting. Patient was seen to be a bit pale in the lips but color came back after a few minutes. When patient's mother came, it was learned that the patient had a similar experience with an allergy shot in the past. Patient blood pressure was 110/71. Patient laid on the floor for a while before sitting back up.

Daughter was tired and went to sleep not long after shot. Woke up with sore arm around 12:30 am. And went back to sleep after taking Advil. She woke up and took a shower at around 9 am and fainted while showering. She?s never had a history of fainting ever.

Within 5 days of immunization, developed fever, abdominal pain, headache, elevated inflammatory markers, DDimers, ferritin and BNP and coagulopathy. Admitted to Hospital and evaluated for MIS-C. Observed and treatment recommended for MIS-C with IVIG and steroids.

patient was given pfizer vaccine and was sitting in the chair for post vaccination waiting for about 5 minutes. Suddenly I looked up, I noticed her body stiffened and her eyes closed. she tumbled to the floor and hit her head on the ground. Paramedics were dispatched immediately. patient woke up right away, we checked her pulse, forehead for fever, and back of her head for any possible bleeding. She answered all questions that we asked of her correctly (such as her name, her age, etc.) Paramedics arrived, took her blood pressure, oxygen level (both normal), blood sugar (normal). Parents decided to take her to hospital for further evaluation. I called and spoke to Dad 5 hours later, dad stated that she is doing fine.

5/30/2021 11:04 AM After 4 minutes of receiving vaccine, pt became weak, diaphoretic and fainted. 911 was called. Pt's v/s HR 46,BP80/64. Pt woke up 2 minutes later, able to pronounce name and date of birth and able to drink 3 oz of apple juice. Pt's HR 65 BP 88/58. Transfer of care to ambulance personnel at 11:12. Ambulance record.

Patient fainted after vaccine given and fell from the exam table onto the floor landing on her left side bumping the left side of her head and left shoulder. An ambulance was called. She quickly regained consciousness after approximately 10 seconds. She was alert and oriented to place, date and her birthday. She was able to move all extremities with 5/5 strength; no misalignment, asymmetry, or defects noted in head, neck, spine and major joints. She had full range of motion in all extremities and neck . Pupils equal and react to light. Left side of head above ear was slightly tender without any defects. Left shoulder was slightly tender to palpation anteriorly without difficulty with full range of motion. There were no bruises noted. She denied any difficulty breathing. BP was 88/60 and HR 125. After evaluation and assessment, patient was stable and the ambulance was cancelled per father's request. Patient remained in clinic and drank approximately 8 oz of water without difficulty. Patient's blood pressure was checked standing after 45 minutes and patient became slightly light headed again. Patient was instructed to remain in the clinic for 15 more minutes. Patient's blood pressure was re-evaluated and was 84/60 after standing for 2 minutes; she was asymptomatic and denies feeling like she would faint. HR 100. Discussed signs and symptoms of a concussion, warning signs to monitor (sleepiness, difficulty moving, headache, or vomiting), and when to go to ER. Father verbalizes understanding. Patient was able to walk out of the clinic with father and brother in a stable condition. Patient instructed to f/u with doctor in two days or ER sooner if worsening

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium

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

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

Subject observed 30 min. post vaccine with no adverse reaction. Mother states pt called her and c/o itching, fine rash at 4 pm. Mother states that at 6 pm was taken to Emergency Room due to c/o chest tightness, SOB. ER physician administered EPI pen. Pt improved and was sent home. Physician reported "may have been due to vaccine, not sure". Mother reported this per telephone to school the next am (5-26-21), and was called back by RN for report. Mother will not give second dose vaccine. Contacted 5-27-21 and had no other ill effects.

On 6/2 patient received her first dose of covid19 (Pfizer vaccine). After a couple minutes, it was reported to us by her brother that the patient passed out. However, she was alert within seconds. Paramedics were called upon brother's request. Patient was transported out of store.

Patient felt dizzy immediately after the shot was given. She said she was going to pass out, and did for about 10 seconds. She was sitting up in a chair during this time, with her mom holding her up. She came to, the about 20 seconds later, she passed out again for another 10 seconds. She came to, and was given some water to drink, but 20 seconds after that she threw up the water. I took her blood pressure, and it was 60/40, with a pulse of 60. She was very pale. After resting in the chair and taking deep breaths, her color returned and she felt much better. she also said her vision wasn't blurry anymore. Ten minutes later, she left with her mom, feeling ok. She was very anxious about getting the shot, and told me she had passed out in the pass after giving blood.

Vasovagal syncope immediately after IM injection. Lowered pt to floor and elevated LE on chair. Pt responsive and AOx4. Taken to Med Obs 1 for VS, assessment and further observation. VS WNL and no reported or objective s/s distress noted during assessment. Pt reported symptoms resolved and escorted to doors from Med Obs 1 at approx 0848 VS Sitting 0832 BP 108/67 HR 83 RR 16 SpO2 98% RA Sitting 0845 BP 113/58 HR 76 RR 16 SpO2 98% RA Standing 0846 BP 1108/62 HR 74 RR 16 SpO2 100% RA

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted while walking down aisle with dad. She immediately regained consciousness. Although she was conscious, EMTs were called to assess vitals. She was cleared by the EMTs to go home. No injuries were sustained.

Patient fainted after receiving vaccination. After a period of 15 minutes, patient was able to leave under her own power.

At 14:13 voiced complaints of Nausea, lightheadedness and dizziness. Then started vomiting. Attendee was pale and clammy. Assisted to the cot after she stopped vomiting. Elevated legs, when stated that she was no longer nauseated. HR: 84 BP 120/68 RR 16 O2sat 95. 14:20 - Attendee stated she felt better, a little pale, denied any dizziness, lightheadedness or nausea. Hr 82 BP 120/68 RR 18 O2Sat 97. 14:36 -No voiced complaints- skin warm and dry. HR 69 BP 118/64 RR 20 O2Sat 98. 14:43 - Care Practitioner educated on home discharge/adverse reaction instructions and she was discharged to home with her mother.

Patient received 2nd shot and was standing nearby when she started feeling nauseous. She took a seat and started to become pale. She felt sick in her stomach and was responding to questions. Pharmacy staff gave her a bottle of water and bag to vomit in (but did not vomit). Staff also checked her blood pressure resulting in 109/68 HR 65. She felt better and left. Pharmacy staff called mom to follow up around 3:30pm. Mom said she was doing better, but feeling tired.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient passed out for abt 5sec and cameback, Her face was flushed and immediatly after turned white. She drank some water and after that she was feeliong okay. Mother reported she has fained before from the HPV vaccine. SHe didnt not want to call the ambulace. Sat for another 15 under observaction and then she was okay to go home

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient received vaccine. directly after administration patients pupils were dilated, she was pale, and was not answering questions. Patient was placed on floor with legs elevated, we called 911. after a couple minutes patient said she felt fine, so we sat her up in chair and gave her glass of water, which she drank. Patient again reported feeling light headed and her pupils were dilated. medics took her the native hospital

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient received vaccine. directly after administration patients pupils were dilated, she was pale, and was not answering questions. Patient was placed on floor with legs elevated, we called 911. after a couple minutes patient said she felt fine, so we sat her up in chair and gave her glass of water, which she drank. Patient again reported feeling light headed and her pupils were dilated. medics took her the hospital

Patient became dizzy and had a vasovagal syncopal episode 5 minutes after vaccine administration. Mother denies any significant medical history. Mother reports that the patient faints with blood draws and patient reports being anxious with needles. Mother reports patient did not eat breakfast this morning prior to vaccine administration. EMS was called from one of the team leads and EMS took the patient to the ED.

Patient came in with her father to get 2nd Pfizer vaccine. Patient stated with the first shot, she felt a little dizzy but then it went away. Her father said she was nervous/anxious to get this vaccine. Patient got the vaccine first, then sat in the observation chair while her father got his vaccine. While her father got the vaccine, I checked on her and she said she felt a little dizzy. Patient agreed to put paper towel on back of neck and wrists. As soon as her father finished his vaccine, we moved her to the immunization room to monitor her (such as blood pressure - readings given to paramedics.) Her heart rate was a little high (I believe 107), then went back to normal. However then her blood pressure started getting lower (around 80/40s) and began feeling worse. Laid patient down with feet elevated and called 911. By the time ambulance arrived, her blood pressure was starting to improve. Her father agreed with ambulance to bring her in to get checked out.

She was not feeling well when she got up on Saturday morning. We went to the neighbors house and were outside for maybe 15 minutes (it was a warm day) when she passed out momentarily. We immediately got her some water and got her in the AC and she did fine since then. She did have mild finger swelling on the distal joint of both index fingers after the first injection on 5/14/2021(same lot #). We are not sure if the finger swelling was related to the vaccine. It started about 5 days after first vaccine.

Patient passed out temporarily after vaccine administration. Patient was conscious again almost instantaneously (within seconds). She stated she had some blurry vision and ringing in her ears. She drank some orange juice and water. After about 15 minutes, the patient felt fine. She denied any symptoms of an allergic reaction at any point during this episode. The patient's mother was with her during this entire episode and stated that the patient has a history of passing out with vaccinations. Both the patient and her mother declined calling 911, an ambulance, or going to the emergency room.

Approximately 11:10 am on 6/7/2021 Adverse event occurred during the 15 minute wait period following the vaccination. Pt c/o SOB, weakness , diaphoresis and pale. Pt stated that she could not see and it was hard to breath. Pt stated that she has not eaten or had anything to drink today. Hx: was taken. Pt had no known medical hx or allergies to meds

Patient had syncope/seizure episode and fell face forward. Patient then had an episode of seizure like activity. She was transported to the emergency room.

Roughly 5-6 minutes following administration of the vaccine, pt had what was thought to be a seizure - but was later confirmed as a likely fainting spell.

pneumonia; inflammation to the heart; Shortness of breath; chest pain; This is a spontaneous report from a contactable consumer (patient). A 14-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0150, expiration date not provided), 1st dose via an unspecified route of administration, administered in Arm Left on 22May2021 08:00 at age of 14 years old as a single dose for covid-19 immunisation. Medical history included pericarditis with inflammation. The patient's concomitant medications were not reported. The patient previously took vancomycin and experienced allergies. The patient experienced pneumonia, inflammation to the heart, shortness of breath, chest pain, all on 23May2021 07:00. The outcome of the events was not recovered. The patient was not pregnancy at time of vaccination. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The adverse events resulted in emergency room/department or urgent care. The patient received treatment for the events included Antibiotics. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.

Immediately following first does of covid vaccine patient became unresponsive, diaphortic. Pt did have a pulse and spontaneous breathing. Pt responded to ammonia capsule by opening her eyes . She complained of sudden onset of chest and abdominal pain . Pt states she became dizzy, lightheaded immediately following the injection. Then developed chest tightness and abdominal pain and nausea . Pt rated abdominal pain 10 0n 1-10 scale. Pulse 88 resp 36 Tx at mobile clinic: Ammonia capsule, benadryl 25 mg PO Pts weight 40.1 kg Tx in ED: Prevacid , Tylenol with great relief ,symptoms resolved

Fainting 24 hours after receiving 2nd dose of Pfizer vaccine. Started feeling lightheaded, dizzy, broke out into a sweat and passed out for approximately 15 seconds. EMT called and observed at scene; transported to ER for additional observation. Received IV fluid and monitoring at ER and discharged later the same day.

COVID-19 Post Vaccine #2 Vasovagal reaction. EMS notified due to patients history of anxiety and increase in RR, patient stated she feels "shaky". Patient stated she feels better with legs elevated. Patient lowered to the ground, legs elevated and moved to the litter. VS taken and EMS notified.

Site: Bruising at Injection Site-Mild, Systemic: Weakness-Medium, Additional Details: pt was anxious and light headed she fainted on the floor gradualyl no bursing or hurt. pt was able to walk to car to head home and rest

Heart rate on 5/20 of 204 until now still higher than normal between 97-116, when usually is around 80; diarrhea; cough; cold symptoms; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 14-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 19May2021 12:45 (Batch/Lot Number: EW0186) as 1ST DOSE, SINGLE for covid-19 immunization at the age at vaccination of 14 years old. Patient was not pregnant. Medical history included prior to vaccination, the patient was diagnosed with COVID-19. Past drug reported as none. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced heart rate on 5/20 of 204 until now still higher than normal between 97-116, when usually is around 80 (medically significant) on 20May2021 09:45 with outcome of not recovered; diarrhea, cough and cold symptoms (non-serious) on 20May2021 09:45 with outcome of not recovered. Reported as: Heart rate on 5/20 of 204 then we took her to the urgent care was given fluid and ekg and blood work, after that HR when down to 106, and until now still higher than normal between 97-116, when usually is around 80, also she had diarrhea on 5/20, and also cough from 5/20 until now like cold symptoms. The patient underwent lab tests which included blood test: unknown on 20May2021, electrocardiogram: unknown on 20May2021, heart rate: 204 on 20May2021, heart rate: 106 on 20May2021, heart rate: 97-116 on 20May2021 (still higher than normal, when usually is around 80), sars-cov-2 test: negative on 22May2021 (Nasal Swab; Test: Pcr). The events induced Emergency room/department or urgent care. The treatment received for the adverse event included: Fluids thru IV. Information on Lot/Batch number was available. Additional information has been requested.

VACCINE GIVEN AT 5:30PM PATIENT HAD SYNCOPE AND FELL TO THE FLOOR BUT DAD CAUGHT HER AND LAID HER DOWN ON THE GROUND SINCE SHE COULD NOT SIT UP ON HER OWN. WE TOOK HER PULSE AT 5:34PM AND WAS 68 BPM. SHE BECAME PALE AND WAS NOT RESPONDING. REGAINED CONSCIOUNESS TOOK HER BP @ 5:40 WAS 102/80. SHE WAS RESPONSIVE AND PATIENT WAS ABLE TO WALK OUT WITH DAD. RESCUE CAME AND SHE DECIDED NOT TO GO TO THE HOSPITAL **(REFUSED), LEFT AT 5:55PM.

Patient received 0.3ml Pfizer Covid vaccine injection into the right deltoid. About 10 seconds after receiving the injection, she stood up and started to feel dizzy. About 5 seconds later, patient fainted. Patient was caught by pharmacy staff and was lowered to the ground. After about 10 seconds, patient regained consciousness and was aware of the surroundings. Patient was able to answer questions regarding her name, her location. Pharmacy staff called 911 when patient fainted and paramedic staff came within 8 minutes. Patient was accessed by paramedic staff and was transported to hospital per request of her mother. The vital signs reported by paramedic was as followed: Blood pressure 96/52 , Heart Rate 98.

My daughter was receiving her second vaccine about 1230pm and while administered she immediately told me she felt ?dizzy and nauseous.? We sit down, she is not feeling better and within 3 minutes or so she said she felt? dizzy and feel like I?m going to throw up.? She then starts nodding off and on, not able to keep her eyes open. I waved over for help and by the time volunteers got to her she went limo and passes out. She was taken by wheelchair to medic room and they had her lay down. She came alert and said ?everything went black? and had no memory/recollection or awareness of where she was and how she got to the medic room. We gave her water and I asked for crackers and she felt better and was able to leave around 115pm. In addition, we saw a teenage male pass out prior to my daughter and was also taken by wheelchair. I spoke with a RN as I was leaving and was told multiple teens had had the same initial reaction today. She had no reactions or side effects with her first dose.

EOA called in to report an adverse event. Attendee, DOB 05/28/2007. W/in 60 secs of receiving shot, she looked pale, felt dizzy, reported feeling lightheaded. Mom was there and reported this happens when she receives injections. Didn't have time to get her to observation, so laid her down over 3 chairs w/head in mom's lap. First vitals:3:15p, BP 110/70, HR 86, resp 19, O2 100% room air, temp 98F. Kept an eye on her, w/in time she took vitals she was feeling better. 2nd vitals 3:20p, BP 102/70, HR 71, resp 16, O298% room air, temp 98.3. 1st dose of Pfizer, lot EW0217. Shot in L arm. Patient's sx subsided, she was released w/her mother, no further issues.

Patient had a vagal response. She became sweaty, dizzy, her vision was impaired then she passed out or seemed to.

Patient had received her vaccine around 4:15pm. Patient was feeling fine immediately after receiving the vaccine. Around 4:27, the patient stated to her grandmother that she felt nauseous. As she stood up to walk to the bathroom, the patient fainted. One epinephrine pen was open but was not administered to the patient. The patient regained consciousness within a minute or two. The patient was given water and after a few minutes, she was able to sit and rest for a few minutes. The patient was then told contact her physician of the reaction.

After I read out the signs of severe allergic reaction. Caller mentioned her daughter had some but not all of them; her lips turned blue; light headache; incoherent; This is a spontaneous report from a contactable consumer (patient's father) reported for his daughter via medical information team. A 14-year-old female patient BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number, and expiration date: Unknown), via an unspecified route of administration on an unknown date (at the age of 14-year-old) as 1st dose, single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. She received the first dose of the Pfizer COVID-19 vaccine three weeks ago and was due to receive the second dose next day. She had a severe reaction to the first dose. she had the first COVID-19 vaccine dose, she had a pretty severe reaction to it, that passed after 15, 20 minutes but just want to make sure that still get the second shot which was scheduled for tomorrow. Reporter stated, patient got her first shot for the first fifteen minutes, her lips turned blue, she got really light headache, become slightly incoherent, then after about 15, 30 minutes those symptoms went away, and she was ok. Reporter wants to know whether she could get her second dose and asked what the signs of a severe allergic reaction are. Consumer read out the signs of severe allergic reaction and mentioned her daughter had some but not all of them. Reporter did not specify any seriousness. The outcome of the events was resolved. Information about batch/lot number has been requested.

0918 Called to front lobby. Found patient unconscious lying on floor. Unconscious 15-30 seconds. No facial swelling and no difficulty breathing. Per witnesses she fell. Code called. Pale and diaphoretic. C/O hot and dizzy/ VS Resp 14 HR 78 BP 106/66 O2 Sat 100% on room air. No history of syncope with vaccines or needles. Instructed parent to remind us this happened when returns for #2 so we can administer vaccine with her lying down. Verbalizes understanding. 0920 Cleared cspine by Dr. who was fist physician on scene. 0925 Transferred to gurney via walking with two person hands on assist. Transferred to ED accompanied by ED personnel and mother.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Weakness-Medium

Pfizer-BioNTech COVID-19 Vaccine EUA: Patient was given the vaccination and then walked out to the pharmacy waiting area. She sat down, told her mom that she felt dizzy and then her head fell backwards while she was sitting in the chair. A moment later, she picked her head up and called for her mom. Pharmacy personnel immediately went out to see what was happening. Mom said to call 911 so the pharmacy technician called 911 and sat with the patient until EMS arrived. Patient was talking and still sitting in her chair when EMS arrived and she was taken by EMS to the hospital. We contacted her father by cell phone a couple of hours later and he said that she was having tests done.

Patient was getting tingly, lightheaded, pale, and eyes rolling back after receiving her first dose of the Pfizer Covid vaccine. We gave her some glucose tablets and she seemed to get better afterwards. I did a pulse oximeter on her her and her pulse and oxygen was normal. I offered mother if she wanted me to call 911 and she said no. I counseled mother and the girl to monitor how she is feeling and to seek 911 or urgent care if she gets worst throughout the day. The girl left the store feeling okay.

Lightheaded, low heart rate, low blood pressure, blacking out with no vision the first hour of the vaccine. Could not walk without being held.

Starting early morning after vaccine, approximately 15 hours after vaccine, patient developed severe chest pain, shortness of breath, and tachycardia. Her fever was high throughout the day (often 102.8 even after Tylenol and Ibuprofen). I am a physician and my husband is as well, we monitored her heart rate, oxygenation, temperature, and symptoms at home. We called her doctor and asked whether this could be myocarditis and whether we should go to the ER. She felt that we should just have her rest and monitor her vitals. I dosed her with two large doses of Ibuprofen (600 mg twice during the day), and by 6 pm on 6/4 her chest pain started to improve and her fever broke. The severe crushing chest pain lasted about 12 hours.

Patient received vaccine and immediately after lost consciousness. She did not display an allergic reaction and was checked by paramedics. She fainted with no other symptoms

Moments after receiving the vaccination, the patient temporarily lost consciousness. I was able to keep the patient from any harm and with the mom, monitored the patient for many minutes as the patient returned to normalcy. patient was given granola and water and monitored for a half hour.

Patient experienced syncope episode : turned pale, fainted and fell off the chair, leg jerked. Had to call 911

Patient came to the pharmacy to receive her second vaccine of Pfizer. After received her dose she told Immunization technician, that she feels that she will faint. After she fainted she received alcohol swabs to inhale. Tech called me and I told the personal to close the pharmacy, call 911 at 12:25 pm, 1 technician to write all the incident and page with white code. I called the pharmacy manager, put the patient on the floor with her feet elevated and put cold pad below her head. Patient's mother told us that she is hypoglycemic patient and she don't eat her breakfast and gave her an orange soft drink at 12:30pm. The paramedics arrived at 12:35 pm and they took blood pressure, oxygen and glucose and everything was fine. Patient and her mother declined to go to the hospital and go to sandwich shop.

The patient developed a severe headache. Grandmother (guardian) helped her sit in the car seat and she took 10 steps away from the car, when she looked back at the patient had began seizing. She was taken to the ER by rescue and diagnosed with having a grand mal seizure. Grandmother states her lips and around her mouth were blue and the seizure was severe. She was treated and released from the ER dept. The patient has been seizure free for 2 years.

48 hours after second COVID vaccine Patient started to have epistaxis lasting 8 hours on the first day, and persisting intermittently since then. It was treated with Afrin three times in 24 hours, pressure, and ice. The next day she went to an ENT who cauterized her nose. She went back to an urgent care subsequently where her hct dropped from 39 on June 7, 2021 to 34.9 on June 12, 2021. WBC briefly was 2.3 on 6-7-2021 but rebounded to 4.7 on 6/12/2021. Patient is otherwise well with no PH epistaxis, no meds, no allergies.

9 days of left upper quadrant abdominal pain and fever (starting 6/7/21), and splenic infarctions visualized on CT abdomen/pelvis on 6/14

After pt received vaccine, pt became diaphoretic, complained of headache and was pale. Pt sat down in chair and feet propped up. Pt given juice and crackers. Pt laid down for the following 30 minuets to observe. pt discharged with mother with NAD, equal and unlabored breaths, warm, dry and pink.

The patient received her first dose of the covid vaccine and was fine immediately after the shot but after she got up and walked out of the consultation room she fell over and fainted. We cleared the area and put ice packs on her forehead and behind her neck and put some fragrance in front of her to smell which woke her up. Once she woke up her dad lifted her back into the consultation room and we had her lay down and put her feet on a chair. She was lying down for about 10 minutes then we gave her gatorade and she said she felt better. Once she got up, I asked her to remain seated in our waiting for another 15 minutes before leaving.

Patient was coming in from practice on the field. She was anxious about getting her vaccine. Per the pharmacists, the patient did not eat other than a granola bar around 1 pm for lunch. Upon receiving the vaccine, patient's eyes rolled back and patient fainted. Patient regained conscious after a few minutes and was alert and oriented. EMS was declined

Pt received her second dose of Pfizer COVID vaccine 0.3 ml. Pt immediately began to curl her arms and had a blank stare. Pt was pale but did not pass out. Pts mother stated she did the same thing at her 11 year old vaccines. Pt was very anxious prior to getting the vaccine.

9:52 Within 1 minute of being vaccinated, while seated in chair stated "I'm really lightheaded". Eyes were wide open and became unresponsive to verbal stimulation 9:53 Arms stiffened, no response, diaphoretic, pale 9:54 More responsive, groggy 9:56 Placed in supine position on floor mat with legs elevated. Stated she "could feel nurse holding me up" 9:58 BP 96/50 HR 70 laying flat 10:00 Call placed to mom 10:03 Mom arrived 10:05 Sitting up, eating snack with bottle of water 10:07 Felt "shaky" and laid down 10:09 BP 96/52 HR 80 10:15 BP 98/52 sitting up, HR 80 10:26 Seated in chair eating another snack. feels "a little lightheaded"10:25 Feels OK. DC with Mom

9:45 Pale, eased to floor/mat BP 102/60 Pulse 64 9:55 BP 104/58 Pulse 60 10:00 Left ambulatory with Dad. Color pink, skin warm an dry. Has routine Dr appointment shortly and will talk to her about her episode

9:10...Patient noted to be very pale, was assisted to the mat. BP 110-60, HR 62 9:20...BP 106/62, HR 70 9:35...BP 104/60, HR 62 9:40...Left ambulating with mom.

Immediately after recieving the vaccination the patient stood up and collapsed. She was attened to be our nurses. The patient was pail and clammy and a litte dizzy. We called for paramedics who came and examined her. They offered to transport her to the hospital, but they mother declined.

The mom mentioned that the pt was experiencing fever of 102 which was not going down even after taking motrin. The pt fainted almost and the pts heart was having rapid heart beat. She had soreness as well and was concerned about heart conditions linked with this vaccine whether this was the situation.

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

vaccine was given at the local high school (not by her doctor, the physician who is placing this report with mother's information) She told mother she did not feel right 10pm the night of the vaccination, felt hot and cold, sweating, could not sleep, rose up from bed at 4am to get a glass of water, mother heard a noise from kitchen, and found patient passed out on floor. She was out for 2minutes at the most Mother got her up and made her drink a lot of water. She continued to feel bad. Temp was close to 102. Around 5pm that evening she was feeling better. So this report is because of a syncopal episode about 19 1/2 hours after the Covid Pfizer vaccine #2.

HPI: 14-year-old female 1 minute post-vaccination developed 1 syncopal episode, lasting 5 seconds. Patient was caught by her father prior to falling off her seat and regained consciousness. She was able to verbally communicate and respond to commands. No falls or head trauma witnessed. Patient reported a similar episode with her first dose of Pfizer; she was seen at her PCP the following day and was told she could get her second dose. Patient denied shortness of breath, pruritus, difficulty breathing, fatigue, diaphoresis, tongue or lip swelling. Patient was fully assessed by medical staff and given PO fluids and cold compress. She was monitored for 30 minutes with no further progression of symptoms. Upon leaving the patient reported a full recovery of any adverse symptoms and was driven home by her father. Patient and parent were educated to call for EMS if symptoms returned and to follow-up with her PCP. Physical Assessment: BP: 96/60 mmHg left arm, sitting position HR: 79 bpm RR: 18 breaths per minute SpO2: 97% RA Constitutional: No acute distress. Non-diaphoretic. Lungs: Clear to auscultation bilaterally. Heart: Regular rate & rhythm. No murmurs, rubs, or gallops. Neurology: A&O x3. Normal speech and gait. Skin: Warm and dry.

Fallen unconscious and collapsed; Fell down and she was not conscious/passed out; Had concussion like falling on the ground but it appears like a seizure, that was a immediate thing; Fallen unconscious and collapsed; Fell down and she was not conscious; Had concussion like falling on the ground but it appears like a seizure, that was a immediate thing; Low blood pressure; Fever; Shaking/She was shaking/still moving; She was not feeling well; She is still twitching; Eyes go back; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (mother) reported that a 14-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 03Jun2021 (Batch/Lot number was reported as EW 'O or 0' 186) at the age of 14-years-old as SINGLE DOSE for covid-19 immunisation. The patient medical history was none. There were no concomitant medications. No family medical history of seizure. The patient previously received the first dose of BNT162B2 on an unknown date at Arm Left for covid-19 immunisation. The reason for the transfer today (03Jun2021) was that her 14 year old daughter immediately after getting her second dose of the COVID vaccine started shaking, experiencing fever and fallen unconscious and collapsed and was taken to the hospital and she wanted to go ahead and report those adverse side effects for her. She (patient) was 14 year old and she got her second vaccination today and few minutes after she got it, she stood up and she said she was not feeling well and then the next thing reporter knew like her eyes go back, she do not seem conscious and she was shaking as if, looks like she was having a seizure and then she fell down and she was not conscious, so she fell down, she is still twitching. She has no history of like seizures but that is like twisting and now she was taken to the hospital. So, the hospital treated her as if she had a concussion. Reporter have reported to them that she looks like it was a seizure before she fell down, into her head. Reporter further stated "That day was her second shot and like I said she stood up, she got up from that, she said that she got funny and that I can see where she just kind of lost consciousness, eyes going back, shaking as if she was having seizures and then she fell down and she was unconscious and she is like still moving as if she is having a seizure and she was taken. Reporter stated, "it was a like a seizure but it is like over and she had concussion like falling on the ground but it appears like a seizure, that was a immediate thing." For treatment, reporter stated that "Any treatment, No. She was taken to the hospital and the hospital needs to write it down and I don't understand that, the hospital wrote down concussion but the hospital they took the vital signs and she had low blood pressure." For the date when patient went to the hospital, reporter stated "That was today, June 3rd and she is discharged. The reason she was taken was potential seizure and it was concussion and it was after she fell, she passed out and had low blood pressure. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Passed out twice on the 2nd day after vaccination; This is a spontaneous report from a contactable consumer (Patient reported for herself). A 14-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 07Jun2021 (at the age of 14-year-old) as an unknown, single dose for COVID-19 immunisation. The patient's medical history was reported as none. No known allergies were reported. There were no concomitant medications or other medication within 2 weeks of vaccination. The patient did not diagnose with COVID-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The patient had not been tested for COVID-19 since the vaccination. It was reported that, on 08Jun2021, the patient passed out twice on the 2nd day after vaccination. Adverse event resulted in doctor or other healthcare professional office/clinic visit. No treatment was received for the event. The outcome of the event was reported as resolved on an unspecified date in Jun2021. Information on the lot/ batch number has been requested.

familiar to a seizure; collapsed; unconscious; fever; shaking; they told possible sign of infection; This is a spontaneous report from a Pfizer sponsored program. A non-contactable consumer reported that a 14-year-old female patient (consumer's daughter) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), the second dose via unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The relevant medical history was not reported. Concomitant medications were not reported. On an unspecified date, after getting the second dose of the Covid Vaccine immediately started experiencing fever, shaking; her eyes were back as she seemed unconscious and collapsed; it was familiar to a seizure; was taken to the hospital, they told possible sign of infection and she was advised to go ahead and just to report what had happened. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Patient received her second Pfizer covid vaccine and when waiting she lost her vision and became very pale. Her eyes were open and her pupils were at maximum dilation. She could answer question in a very slow and robotic pace. She said later it seemed to her she had ear muffs on. The EMT peaople arrived and she was treated and then taken to the local hospital for observation and to see a doctor.

FAINTED AFTER VACCINE, HER DAD CAUGHT HER, REGAINED CONCIOUSNESS SHORTLY AFTER, REFUSED PARAMEDIC MEDICAL ATTENTION

My daughter lost consciousness either from passing out or seizure; My daughter lost consciousness either from passing out or seizure; This is a spontaneous report from a non-contactable consumer (patient's mother). A 14-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration, administered in Arm Right at the age of 14-year-old on 04Jun2021 12:00 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient was not pregnant. The patient previously took first dose bnt162b2 for COVID-19 Immunization. The reporter stated that 'my daughter lost consciousness either from passing out or seizure'. Event start on 05Jun2021 08:00. AE resulted in: Emergency room/department or urgent care. Since the vaccination, the patient has not been tested for COVID-19. The patient underwent lab tests and procedures which included investigation: unknown results in Jun2021. Therapeutic measures were taken as a result of events (Testing and pain meds /IV fluids). The outcome of event was recovering. Information on lot/batch number has been requested.

14 yo female was anxious prior to and during vaccination given at 11:59am. The patient was told to sit for 30 mins due to an egg allergy. After waiting 30 minutes, the mother (who was shopping) retrieved child who was sitting in the pharmacy waiting area post vaccination. After 5 more mins, another customer got the RPH attention explaining the patient was passing out. The mother assisted patient to the pharmacy waiting area, in which the patient was given chairs to sit on and put feet up. Another shopper who said she was an ER nurse told the pharmacy staff to have the patient lay down across the chairs then left. The patient was weak, cold, clammy, and pale. The patient then told the pharmacist that she had left her mother at the check out section, went upstairs, used the bathroom, was coming down the stairs when her vision started to have black spots. She reached her mother when she said she didn't feel good and started to pass out. The mother stated she caught her daughter. At this point, the RPH initiated a 911 call. She called out for the technician to call the store managers for assistance and take over the 911 call. The RPh then stayed with the patient and the mother. The tech gave the mother a bottle of water for the pt. The store managers arrived at the scene and also assisted. The patient stated she was feeling a lot better after she laid down for a little bit. The RPh notice color coming back into the patient's lips and face. The patient stated that the adverse effects didn't start until she was walking down the stairs. After 10-15 mins, the Paramedics arrived and further assisted the patient and her mother. The paramedics took the patient via stretcher to the ambulance for further treatment around 12:55pm.

14 yo Female client received Pfizer vaccine at 13:29. Client reported feeling dizzy and light headed, appeared pale. Client escorted to the floow to lie down, father present BP 138/94, client reported feeling anxious Father gave client cookies, client reported feeling better but had a headache, color returned No EMS called Ambulatory upon leave with father

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: face was pale---consiousness was on and off-Severe, Systemic: Nausea-Severe, Additional Details: after recieving 1 st dose of pfizer vaccine--patient was in the observation area for 15 minutes,during that time frame patient started feeling nauseous and then she felt dizzy..her skin was turning pale.. her consiousness was on and off.. she would respond one time and then another second she would freeze..at one point she lost consiousness. then we called 911 (EMS) right away...before even ems arrived patient regained consiousness. when EMS arrived patient was responsive & went to hospital.

The next day after vaccination the patient started having vaginal bleeding that lasted for 30 days. She was even bleeding out clots of blood

1:55pm Pt. complains about chest pain rate 5 in scale (1-10). Vital sighs show: BP 109/48, SAT 99%, P 79 and ECG (sinus rhythm). Mother of the pt. refuse take pt. to the hospital after pt. verbalized feel no chest pain few minutes after the assessment. Pt. has allergy to penicillin (no airway).

6/17: two episodes of shortness of breath and heart palpitations lasting approx 30 mins each first one around 5pm 2nd around 10pm. 6/18: 9am shortness of breath and palpitations started again lasted over 2 hours. Pediatrician evaluated patient and ordered chest X-ray which was normal. Pediatrician referred us to ER for further evaluation. At the ER they did blood work, EKG, urinalysis. EKG was normal. Labs came back showing elevated D Dimer so they ordered a CT scan of her chest which came back normal. They also ordered a coagulation profile which came back normal. We were released from the ER and told to monitor if symptoms continued. She had no symptoms of shortness of breath or palpitations while at the ER. As of today she continues to have very short episodes of palpitations but has not had shortness of breath.

pressure in chest, shortness of breath, rapid/irregular heart beat, light headedness. Started afternoon of June 13 and continued to 6/15.

Approximately 10 minutes after patient had received her 1st COVID-19 Vaccine she states she started to see spots and was feeling weak/dizzy and she proceeded to pass out. Family members and Pharmacist guided patient into a chair where she did not respond to verbal commands, patient was breathing normally and eyes remained open. Patient came to after approximately 10 seconds and was shaken up/scared, but overall feeling ok. Patient stayed in facility and saw provider, noted that BP was low at 88/40mmHg. Patient also had blood sugar checked which was 101 and BP was rechecked and was 90/50mmHg. Patient reported she had not ate all day and was nervous about receiving a shot. Provider determined that patient had returned to baseline and she was ok to go home.

Pt visit ER 3 days post 2nd Covid-19 vaccine on 6/18/21. SOB started following day, CP last night. Diagnosed with Myocarditis during ER visit. Discharged.

Patient is a 14 yo girl with PMH significant for migraines who presented with one day of chest pain and nausea that woke her from sleep in the setting of multiple days of malaise. She states that after receiving the COVID-19 vaccine three days prior to admission she has not been feeling well. She reports subjective fevers and chills the day after receiving the vaccine, and intermittent feelings of her heart racing. She also has been feeling hot and generally unwell. + shortness of breath. The night of admission, she awoke from sleep with burning central anterior chest pain and nausea. She tried to stand up and felt generally weak, and then had tunnel vision and felt she was going to faint. Per mom, she was pale and diaphoretic at that time. The pre-syncopal symptoms resolved within about 10 minutes and the chest pain persisted for approx one hour. Parents called EMS and she was brought to the ED for evaluation. Of note, she reports a history of pre-syncopal sx however has never lost consciousness before. Also reports a history of intermittent palpitations. No hx chest pain prior to this episode. + fevers/chills as mentioned after receiving COVID vaccine three days PTA but no infectious sx prior to that. No cough/URI sx, no abdominal pain, no nausea. + diarrhea night of admission. No sick contacts. She is active in dance and has good exercise tolerance for that; does not spend much time outdoors. No known insect or tick bites. + FHx of sister with heart murmur as a baby that spontaneously resolved; unclear diagnosis. In the ED BP 94/62, T 97.4, P 84, R 16, SpO2 100% on RA EKG: sinus rhythm, no ST or PR changes CMP: unremarkable CBC: WBC 11.8, Hgb 11.5 Trop T 0.33 Bedside echo w/ reported good function UA wnl COVID neg CXR PA and lat unremarkable On arrival to the PCICU she reported feeling at her baseline and denied chest pain and shortness of breath.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: Patient did not have complaints during her 15 minute waiting period each time technician checked in on her. When the techinician told her her 15 minutes have elapsed, she complained of dizziness and fainted soon after. She regained consciousness after a few seconds and then complained of nausea. Paramedics were immediately called when she fainted. They arrived in about 5 minutes and transported her to ER.

This 14 year old female patient presented with her mother for the first dose of her COVID vaccine. She opted to receive Pfizer. Her mother and her both expressed fear of needles. Administration of the vaccine was uneventful, but during 15 minute follow up, the patient fainted in front of the pharmacy. Her eyes appeared to be moving a lot left and right. There was no shortness of breath. Her mother stated at this time that her daughter did not eat anything that morning prior to administration. Patient's state stabilized very quickly, within a few minutes, after elevating feet and lying down. Mother stated she had history of seizures.

1 day after 2nd shot had fever, abdominal pain, chest pain, shortness of breath, tachycardia.. Was seen in ER. Fever. abdominal pain resolved in 2-3 days. Chest pain still present, and shortness of breath 5 days after

Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: After 3-5 min from the shot she was waiving her arms and unresponsive. I then gave her a epipen. Then a few seconds later she was breathing and talking. blue lips and labored breathing was noticed. 911 was called and assessed her. father declined taking her to er.

Pleuritic chest pain, emesis, shortness of breath, palpitations, epigastric pain - albuterol with improved shortness of breath f/u 6/23 all symptoms resolved except epigastric pain

6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain. She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9. Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms. She received a dose of antibiotics and saline boluses during transfer to another hospital. In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis. A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.

Patient experienced fever and chills day following vaccine. On day two after receiving vaccine, patient developed chest pain and presented to ED. Work up concerning for myocarditis due to chest pain in the setting of ECG changes and troponin elevation. Chest pain resolved prior to discharge from the hospital and patient was back to baseline.

Got the Vaccine on Sunday. On Monday had chills, fever, muscle aches. Tuesday started to feel vaginal pain and swelling of vulva. On Wednesday had more chills, episode of fingernails turning blue. Extreme vaginal pain. Thursday went to Gynecologist- diagnosed with ulcers. Sent pictures to dermatologist and diagnosis of Lipschutz ulcers was made. On Friday went to rheumatologist and ruled out any auto-immune disease. Monday- 6/21/21 seen by Dermatologist who confirmed the diagosis of Lipschutz ulcers, believes it came from the covid vaccine. No current treatment available, only supportive care available.

Patient was nervous and teary eyed in the vaccination booth, prior to administrating. She is a minor so her Father accompanied her. We were in the booth for a few minutes where I was trying to get her to relax and breathe. Her father was there the entire time. I gave the Pfizer vaccine and she stated "that was it?" She seemed ok upon leaving the booth. Her and her Father sat in the observation area directly in front of the pharmacy. About 5 minutes passed when her Father tapped on the window. Went out to check on the patient and she was pale and little disoriented. She ended up throwing up as well. We gave her a bag so she wouldn't have to stand up and could stay near her father, to prevent a fall. ?We gave her a cold compress and a water and had her stay for 30 minutes. By the time she left, she had her color back and was able to say that she was feeling much better. Her father was not surprised that she had a reaction like this and stated that she usually has form of reaction like to vaccines. She was ok by the time she left and they both stated they'd be back for the second vaccine.

chest pain, trouble breathing, and heart palpitations - started ~48 hours after vaccination and lasted approximately 18 hours.

Patient presented ~2 weeks after 2nd pfizer vaccine with chest pain and tachycardia diagnosed with myopericarditis course complicated by pericardial effusion and hypotension which improved prior to discharge.

16:06, patient went into syncope x3. 911 was called. Blood sugar: 116, RR-14, O2SAT-98%, heart was 45 bpm. When patient awoke heart rate would stay above 80 bpm but would drop back down to mid 40's, then she would become unconscious. Patient's speech was sluggish. Skin was pale and warm to the touch. Constant communication was given to try to keep patient awake. Airway remained. Patient showed no signs of inflammation. 16:10, patient was awake. Alert and oriented to person, place and time. O2SAT-98%, heart rate 82, RR-20. 16:22, patient was taken by ambulance.

Patient fainted and fell out of chair immediately upon receiving shot Hit her head on the floor and chipped a tooth. called 911 and put cold wet paper towel on patient's forehead until emt's arrived. Emt's advised patient to be seen by a physician.

Patient received vaccine. As she walked out of the consult room she felt dizzy and described that she thought she blacked out. She fell into a plastic room divider and went to the ground. Her dad was right there and hoisted her upright. Offered to call ambulance but patient's dad declined and reported that she had history of being squeamish and had passed out from needles before. Patient was breathing and quickly began responding verbally. Her dad picked her up and she sat upright in a chair. Took patient's blood pressure, provided water, and had patient sit. First blood pressure reading was low (90s over 40s). Offered to call ambulance again. Patient's dad declined. Patient drank water and juice. Retested blood pressure about 15-20 minutes later and it was 116/65 and patient reported that dizziness had subsided. Patient's dad had left message with doctor's office to report what had happened and to see if they wanted her to come in to be seen today. Encouraged him to do that and seek medical attention if anything worsened.

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

Within 2 hours of the vaccine, patient was experiencing nausea and general feeling of unwellness. Within 3 hours, patient had a fever of 99.9. At 11 pm, patient had a fever of 100. Mother administered Tylenol and patient went to bed. Patient woke up around 4:30 am with her whole body shaking uncontrollably. Mother heard her stirring and went to check on her. Her temperature was 100. Mother sat and talked with her and offered a snack, drink, and more Tylenol. Mother checked her pulse, which was normal. Patient was coherent and able to communicate. Mother left the room to get snack and drink and heard something fall over in patient's room and Mother called out and waited a few seconds for a response. Patient did not respond. Mother went back in the room, as it was unusual for patient not to respond, and found patient sitting back up and placing her head in her hands, stating in a panicked voice that she felt she was going to throw up and that she was very hot and that her head hurt really bad. Patient stated that her ears felt weird and everything went black and she somehow fell over from a sitting position on her bed to laying on her bed and had landed on the dog. Patient was unaware that she had knocked over her water bottle and had no recollection of the loud sound it made as it fell over (unusual because loud sounds are very startling for her). The shaking subsided to a tremor a few minutes after the black out. Patient then reported feeling very cold and her temperature had risen to 101. Patient complained of an extreme headache and continued nausea. Mother took patient to Urgent Care, who performed bloodwork and an EKG, and then referred patient to the Emergency Room for an EEG. ER repeated EKG and declined to do EEG and told patient to follow up with her doctor in 5 - 7 days.

PATIENT CAME WITH HER PARENTS TO DO SECOND DOSE OF COVID 19 (PFIZER) . PATIENT WAS SCREENED ABOUT FIRST DOSE REACTION THE PATIENT INFORMED US IT WAS ONLY ARM PAIN .A FEW MINUTES AFTER 2ND DOSE PATIENT HAD A POSSIBLE SYNCOPE EPISODE . PATEINT WAS CONSULTED TO WAIT AND SIT FOR 15 MINUTES AFTER HER VACCINATION BUT A FEW MINUTES AFTER THE SHOT SHE CLOSED HER EYES AND HER DAD WAS HOLDING HER IN BETWEEN AISLE 18 AND WE PUT HER TO SIT DOWN SHE OPENED HER EYES ALMOST RIGHT AWAY BUT HER FACE/LIPS WERE PALE AND HANDS GOT COLD SHE RECOVERED IN LESS THEN 5 MINUTES AND WAS RESPONDING BY THE TIME THE AMBULANCE CAME PATIENT REMAINED IN THE CHAIR FOR 30 MINS AND THEN LEFT WITH PARENTS. PHARMACIST CALLED SOC AND REPORTED INCIDENT

Heart pain and stomach cramping. Stomach cramping started first a day after the 2nd shot. Then immediately followed by chest pain and heart abnormally strong beating.

Became pale, diaphoretic, nauseous and had an emesis. B/P and pulse were stable. She was given water and a granola bar. She was also leaned back and feet were put up in the chair to raise them above her heart.

Diaphoretic, states can not see, Dropped BP, monitored for 30 minutes, BP improved, no loss of vision

Received 2nd Dose on 6/22. On 6/23 & 6/24 she had "normal" reaction, for example- Headache, sore muscles, low grade fever, tired. On Friday 6/25 she woke up with chest pain and the headache was still there. She had a hard time taking in a deep breath and when she did it hurt really bad. The chest pain hurt all the time, but worse when taking the deep breath. We call pediatrician and they told us to go to ER.

After the patient received the shot she stated she was dizzy and then passed out. She was only unconscious for about 2 minutes. After she gained consciousness she started to feel better within 5 minutes. She did not need any medical attention.

patient's mom yelled that she was having a reaction a few minutes after the vaccination. Patient was very pale, looked unwell. said she was feeling dizzy and bad. had her put her head between her knees. said she hadn't eaten anything that day, gave her some orange juice. we had called ED as a precaution because mom had at first thought she might be having a seizure. Paramaedics came and evaluated her. She was feeling better about 20 minutes later so mom took her home.

24 hrs after first dose child developed difficulty breathing. 48 hrs later child had insomnia and chest pains x 30 mins.

She is a soccer player and runner with high exercise tolerance. Today she went to track practice. She experienced chest pain, dizziness, severe headache, nausea, and fatigue. She was not able to complete the workout. Heat was not a factor. She continues to have episodic chest pain, headache, and nausea the rest of the day.

Slight dizziness; pale skin improved within approximately 5 mins. Adverse event occurred shortly after vaccination.

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium

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

After receiving first PFIZER brand COVID-19 vaccine patient had a syncope episode in clinic. After leaving exam room, while walking to appointment desk, patient stated that she may have stood up too fast and needs to sit down. Nurse sat patient in near by nurse chair. Patient then closed eyes and became limp. With the help of, RMA, LPN and patient's mom patient was assisted to a supine position on the floor with patient's head and neck supported the entire time. Within 3-5 seconds patient's eyes opened and she began speaking clearly AAAx3. Cool rags placed on forehead. Patient supported in this position for about 3-5 minutes then assisted to a seated position. Cup of water and sucker given. Patient actively talking with nursing staf and mom. After several more minutes patient assisted and ambulated to exam room. Patient on exam table in supine position for aprox 15 mins then seated for 15 mins before arrived. Patient cleared for discharged per. Patient ambulated to vehicle without difficulty. Mom advised to call with any questions or concerns. VSS b/p 97/59 HR60 Pox 96-100% , LPN Care Coordinator

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe.

Patient fainted at the front of the store approximately 15 minutes after receiving her vaccine. I did not witness the faint but was told that she fell to the ground and within seconds was awake. When I reached the front she was sitting upright and stated that she felt ok. She had been given something to drink and was given an ice pack. Patient's mother stated that she is prone to fainting and has fainted before after having blood drawn.

Generalized rash, weakness, swollen lymph nodes, general malaise, fever, chills, one episode of diarrhea and vomiting and headache.

14 y/o female with a history of HgSS and asthma who presents 1 day post 2nd Covid vaccination with chest pain and general body aches. Some of the patients pain and aches may be associated with post-vaccination symptoms, but does have elevated retic count and right leg pain consistent with previous sickle cell pain crisis. Low concern for acute chest syndrome.

Patient stated on 3 days post-dose on June 14, 2021, she began to feel lethargic. On June 15, 2021 patient started running low grade fever and treated with ibuprofen as needed. On Saturday, June 19, 2021 through Monday, June 21, 2021 pt was experiencing sharp chest pains with laying down and with movement as well as difficulty deep breathing. Patient continued to take ibuprofen to relieve symptoms. All symptoms resolved by Monday, June 21, 2021.

Patient received 2nd dose of covid vaccine. After vaccine was administered she appeared anxious. After about a minute, patient appeared to have a short seizure for 10 seconds. Patient appeared pale afterwards. Patient stated she had a history of passing out after vaccines. Ambulance came and evaluated her. She was released to go home with parent.

Pt was given shot by immunizing technician. And then sat down by her parent in the waiting area. Immunizing tech came and got me since parent was worried. Pt briefly passed out. By the time I got out into the waiting area pt had already woken up. Pt felt hot got her water and checked blood pressure and pule all within normal range. Stayed with pt who after a few minutes said was feeling better. Did not call 911 due to quick recovery. Pt was kept for observation for an additional 20 minutes. Saw further improvement and pt continued to say she feels a lot better. Told pt and mother (mother did not speak English) that they should contact primary care provider about the event and further discuss if she should receive second dose or not. Due to quick recovery, believe patient most likely was nervous and worked herself up before getting the vaccination causing her to pass out.

1st dose Pfizer vac at 3:16pm L arm. w/mother/sibling in attendance. Attendee directed to observation area but immediately had reaction after receiving injection. Became pale, faint,dizzy. Stated anxious, fear of needles. Legs elevated while sitting. 3:26pm drank water. Encouraged to stabilize breathing. Skin pinkish, warm, dry. Mom distracted her. After sibling done with vaccine, Attendee walked unassisted to observation area. 3:40pm went to observation area check on her laughing and talking with family. Took pulse ox 99% and HR: 63. Gave mother home discharge/adverse reaction instructions to contact Primary doctor/UC prn. Attendee discharged to home w/her mother approximately 3:50pm.

Administered vaccine at 1:48 pm. Prior to administration patient's mother stated she had previously fainted after vaccine administration. Advised patient to wait in vaccine area for 30 minutes. Approx. 10 minutes after receiving the vaccination, the patient's mother called for help from the waiting area I went outside to waiting area. Had patient sit back and grabbed patient water and returned to waiting area. Patient began to faint and upon awakening she started to vomit continuously. Patient's mother and I decided to call EMS. EMS arrived and assessed patient. It was determined that her vitals were okay and since she was feeling better she would not go to the hospital and would follow up with her pediatrician about the incident.

After 2nd vaccination at 10pm on 7/1/21 patient reported a headache. At 5am on 7/2/21 patient woke up with a fever of 100.4 temperature, headache, chills, and body aches, and feeling very tired. Later in the day her nose started to run and she felt like her chest was heavy when she took a deep breathe in. She slept all of the day. All symptoms continued throughout the day until early on 7/3/21 when the fever was gone but all the other symptoms remained mildly.

Per RN, patient "almost immediately" after receiving vaccine, stated she wasn't feeling well. Patient became diaphoretic and pale. Patient assisted to supine position. Vitals at 1227 BP 113/78. 100% O2Sat, 61 HR. Placed cool compress on forehead. Continued to monitor. At 1235 BP 115/65, 99% O2Sat, HR 59. Offered Gatorade and given pretzels. Color improving, continued to lay supine. At 1240 BP 114/68, 99% O2Sat, HR 65. Patient slowly assisted to sitting position and assisted to chair. Remains slightly pale, awake & alert. Sipping Gatorade and eating pretzels, conversive with Mom and sister. Patient left Observation at 1:00pm, ambulatory with Mother and sister.

Patient received dose #1 on 5/14/21 and dose #2 on 6/4/21. On 6/30, began to develop petechiae and easy bruising. Presented to urgent care on 7/3 after biting cheek and a large bruise/hematoma developing on the inside of her cheek. Thrombocytopenia identified on labs, resolved in 4 days without intervention.

Dizzy, pale, diaphoretic, and syncopal event. Patient was caught by staff and parent, did not fall. Blood pressure taken, placed in a chair and then on a cot, cold compress, monitored for 20 minutes. Educated parent to have child in supine position during 2nd dose.

The differential diagnosis for this patient's chest pain includes PE, ACS, Dissection, Pericarditis, Pneumothorax, Pleurisy, Pneumonia and musculoskeletal strain. Given the above history, physical exam and ancillary tests, the patient's symptoms are most consistent with: Acute myopericarditis. Should be noted the patient is post 2nd COVID 19 vaccine by 3 days ago. Case reviewed with the pediatric emergency medicine physician at healthcare facility who will accept the patient in transfer. Because this is highly likely a post vaccination myopericarditis will hold on aspirin or other treatments at this time. Patient was given Motrin 400 mg p.o. in the ED for pain.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Tinnitus-Mild, Additional Details: patient fint for 2 minutes but recovered consciousness

Patient complained of feeling faint-like shortly after vaccination, while in observation unit. NP assessed patient. Patient was slightly tachycardic HR 102. O2sat 99%. She was provided water. Once patient was able to relax, heart rate returned to normal and left site without incident. Her father accompanied her (minor).

slightly passed out for 1 sec., blood pressure measured within normal limits, gave fluids and advised to eat

After vaccination, patient stood up and walked around the room. She started bouncing and acting a little nervous. I asked if she was feeling light headed woozy, she said a little bit. I sat her back in the chair. After about 30 seconds she fell sideways to the arm of the chair then slouched forward. I caught her before she went all the way to the floor and leaned her back into the chair, she then seized for approximately 3-5 seconds. Grandpa (legal guardian) was in the room and helped me get her to the floor where she came out for a few seconds and opened her eyes for 5-10 seconds passed out again then seized again for 3-5 seconds. She then woke up on the floor and was alert and looking around. She was very pale, I elevated her feet for a while and had her lay on the floor for 7-10 minutes. I then had her sit up on the floor and provided a bottle of water and put cold compress on the back of her neck. She stayed seated on the floor for about 5-7 minutes before I had her move to the chair to sit again with back against the back of the chair. She continued to sit there sipping water and talking for 7 minutes or so. Learned at this point that patient had not eaten breakfast and has passed out after a vaccination in the past (had not marked on the intake form). After 7 minutes or so, had the patient try to stand. She said her legs were wobbly, so I had her sit back down for several more minutes. Her coloring was much better at this point. After another several minutes we tried standing again and she felt better at that point. Had her just stand in the room for about 3 minutes before walking to the waiting room. Had her then sit in the waiting room for 5 minutes then she walked out with grandpa. They were going to get breakfast. Grandpa was going to call MD to discuss the events and follow up as necessary as well as to discuss plan going forward concerning the second dose.

weak pulse,changes in body temperature,clammy sweat, pale skin I called emergency services the emt firefighter came they checked her vitals her color returned and she was doing better but still shaky Mom wanted her to be checked out the emt took her to hospital

Vaccine was administered on 7/7/2021. On 7/9 pt woke up feeling like something heavy was sitting on her chest and said it was hard to catch her breath. She would get winded walking up a flight of stairs. Symptoms worsened throughout the day and was taken to the ER around 2am on 7/10/2021. Upon arrival at the ER, she rated her chest pain a 6/10. A CXR and EKG were completed and returned normal. She was diagnosed with inflamed tissue around her sternum and told to continue to take Motrin at home.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: patient fainted within 15 minutes of receiving first dose of pfizer covid vaccine. patient immediately gained conciousness

She began feeling badly the day after 2nd dose. Sore throat, runny nose, sneezing, headache, fatigue. Today is 4th day after 2nd dose and she feels pretty awful. Started running low fever and complaining of *chest pain* and *pain in back and shoulders* and pain upon *deep breaths*.

myopericarditis with SOB 2 days after vaccine. diffuse ST elevation EKG. troponins 8-20. echo with mild function decrease.

Patient received vaccine about 1415 and felt "dizzy" at about 1440pm. Pt was able to follow basic commands, appeared pale, and mother stated she "fainted." Pulse and o2 level were 70 and 97% on RA. Pt observed for 20 more minutes and was able to walk, A&O X4. Mother stated she usually feels dizzy when she gets lab work done; per mother, pt had not had anything to eat since last night.

Fainted upon standing approximately 1-2 minutes after receiving the vaccine. Hit head on wall when fell. Patient was laid on the ground and brought back to consciousness within 20 seconds. Patient laid until checked out by first responders who arrived within 5 minutes. Patient had no issues and left under own power with parents.

Site: Pain at Injection Site-Mild, Systemic: Abdominal Pain-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: passed out for 3-5 seconds-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: she passed out for 3-5 seconds, came to. Was very pale, maybe 5 minutes later threw up. Then she regained some color and was less confused. She was very anxious about getting the shot prior to getting the injection.

WITHIN A FEW SECONDS AFTER RECIEVING THEIR VACCINE, THE CLINE T TURNED WHITE AND SAID SHE FELT HOT. AFTER SITTING IN THE CHAIR FOR A COUPLE MINUTES, THE CLIENT WAS HELPED TO THE FLOOR AND FEET ELEVATED. WITHIN A MINUTE THE CLIENT FELT BETTER AND WAS ABLE TO SIT. SHORTLY AFTER, THE CLIENT THEN WAS ABLE TO WALK. WET COMPRESS AND A FAN HELPED CLIENT COOL. NO OTHER ISSUES OR CONCERNS.

Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Additional Details: pericarditis

Chest Pain, Tachycardia, Resting heart rate stayed around 130 for the approx 11 hours we were in the emergency room.

24 hours after vaccine, she had a fever of 106. A week after, she began having breathing problems (no history) and chest pain. Symptoms have continued still, and not getting better. We have been to urgent care, ED, pediatrician, and going to cardiologist soon. Now has 2 inhalers and OTC pain meds. I firmly believe the problems are connected to covid vaccine.

Patient received first dose of Pfizer COVID-19 vaccination. She was asked all the appropriate questions prior to administration. She had no past experiences or allergies that would be a cause for concern. After administration she expressed confidence that she felt fine. She went to the waiting area to wait 15 minutes prior to exiting the pharmacy. Within 5 minutes her mother notified the pharmacist that she passed out. Upon examination, she indeed fainted while sitting in a chair. The pharmacist called 911 while an intern when to check her vitals. Within 30 seconds, the patient awoke and was a little confused but felt better. Paramedics came and she was checked out and sent home with her mother.

Pt had Pfizer covid vac this morning at 10:25 am. She tolerated injection well, waited 15 mins and left w/o symptoms. Her uncle drove her back to clinic at approx 11:13 am with pt stating she was SOB, throat felt like it was closing and her lips felt numb. Epi autoinjector pen 0.3mg was administered at 11:14 am and RN arrived on scene at that time and VS were taken: 134/89-104-99%. Pt verbalized less difficulty breathing, and no longer feeling throat closing. RN and Dr. arrived and MD provided assessment. Pt was taken to treatment room via w/c and placed on table. Pt was monitored and transported to ER when EMS arrived.

14 yr old attendee departed after 15 minute observation period but returned at 27 minute mark (post vaccination) with nasal bleeding. Applied ice pack and bleeding stopped at 37 minute mark. Able to ambulate and departed again at 47 minute mark.

per mother, developed dizziness and had low BP 100/60. Symptom started on 6/11/21. Child only had soreness at sight prior to development of dizziness. Saw medical care physician on 6/15/21 due to persisting dizziness and low BP. Symptoms lasted for 2 weeks then resolved.

Shortly after vaccination (~15-20 minutes) patient became very faint and nauseous. Was pale in the face and vomited. Patient was seen by several firefighters that happened to be in the store at the time. She mentioned to them having fuzzy hearing, heavy arms, and sweating. They checked vitals and gave oxygen supply. Patient was then taken via ambulance to hospital but was feeling much better.

Client received her 2nd dose Pfizer COVID vaccine this afternoon at our offsite clinic by a LPN. Had just asked for a bandaid because there was a spot of blood where she had received the vaccine. Her sister reports she said she was feeling dizzy then her sister turned away and the client fell from standing position to the ground at 1412. Hit on her right side, shoulder and face. Lost conscious momentarily and together with family members we rolled her onto her back. I directed co-worker to call 911. Client came to and we helped her to sit up against the wall. Blood pressure 96/52, P 80 at 1415. Family and client denied history of seizures or fainting. Weather outside hot and client reported she hadn't eaten anything all day. Water provided. Client reported pain from the right side of her face and her lower lip which had a laceration from the fall that was bleeding a small amount. Fire EMS arrived just after 1420. Reported their vitals as BP 110/68, P 97, O2 99%. Ambulance arrived around 1430 and assessed. They had her rise from sitting to standing and reported her SBP dropped to the 70s. Paramedics advised to be assessed in ER. Client left in ambulance at 1443 accompanied by mother. Family provided reassurance regarding syncopal episode and contributing factors. They had no further questions or concerns at time of departure.

pt dx about 3 weeks with a vasculitis of unknown cause - may be completely unrelated and patient is very well otherwise. Just a new, undx problem in the time frame after the vaccine

Immediately after administration, the patient slid off the chair and bumped her head on the trash can. She came to, but did not remember what happened. She was pale in color and started to perspire. We gave her water and was asked to lay on the floor. No medication was given and patient concentrated on breathing until she was able to get up. She layed on the floor for approximately 5 minutes until she was feeling better. We continued to monitor her until 4PM

Patient experienced vasovagal response and momentary loss of consciousness. recovered within 15 minutes with ice pack, elevation of legs and rest

Approximately 10 minutes following the injection, patient was in observation area when she became pale and slumped over in her chair. The vaccinating nurse, along with the help of her parents, lowered the patient to a supine position on the floor and I elevated her legs. . We applied ice packs to her neck and forehead and within 10 seconds, was able to respond appropriately to verbal stimuli. Approximately 10 minutes later, the patient felt well enough to sit up and drink water . We continued to monitor the patient for another 25 minutes until she felt well enough to stand. The patient was stable and discharged from the facility at 11:48 am in custody of her parents. The patient ambulated without difficulty. No further complaints of dizziness. Skin pink, warm and dry.

Pericardial effusion on 6/19 s/p percardiocentesis. Ongoing hospitalization, associated complications including pleural effusion and new pericardial effusion on 7/16. Initial rpesentation also with somnolence, decreased respiratory drive thought to be due to Onfi overdose. Was intubated now on room air.

5 minutes after vaccination monitoring client had blurred vision, diaphoretic X@ altered pressure in ear, and alter mental status. Had eaten lunch- chick-fila and had no medical HX Vitals taken twice P48, BP 100/50, R16 O2 96% EKG sinus bradia, Near Syncopal P53, BP 88/51, R 20, O2 98%

Patient passed out after receiving immunization. vaccine received at (6:18 pm) Patient fell from chair hit her head on the ground 5 minutes after. I, a health care professional ran out to the patient after mom yelled she passed out. I called for a fan and Ice pack. RPH called emergency services immediately . patient was escorted to hopsital by ambulance.

Patient had an syncope episode following a pfizer covid 19 shot. She had shortness of breath and appear to have a seizure afterwards. Gave 1 dose of an epipen and patient vitals was stable.

One day after receiving the vaccine (her second covid vaccine) she had a convulsive syncopal episode.

Pt felt faint and passed out a few minutes after vaccine was given. No history of this happening prior to vaccination.

Patient got vaccine her mom said that she fainted and hit her head on something and then shook like she might have had a seizure. By the time that I got to her the patient was pale and she said that she felt heavy. I called 911 and the paramedics came and took over and got some vitals.

Within seconds of getting vaccine, felt nauseous and headache. Within a minute, dizzy, extremely pale, nauseated and felt like she needed to vomit. She was excited to get this vaccine and has never had a reaction to any vaccine to include her allergy

About 9pm on July 15, 2021, my daughter started to feel a tingling sensation on her face. Between 9:30pm-10:30pm she gradually begin to have mild to severe numbness in her face, legs, chest and arms and her heart was beating rapidly. She told us she feels that she?s going to die. We took her to the emergency room where heart rate rose as high as 175bpm and the numbness got worse

14 yr slender female with history of fainting with needles(told staff after event) with ALOC of 45 seconds in chair supported by very observant LVN; self resolved, departed with mother who reports: this "happens all the time".

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Severe, Systemic: Tachycardia-Medium, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PATIENT IS STILL FEELING CHEST PAIN AND STILL HAS RASH.

Pt. had her 2nd Pfizer shot on July 14, 2021. Two days later, on July 16, 2021 approximately 4:58pm, she developed chest pain and light headache. She took 2 Tylenol pills and the 10- 15 mins the pain went away.

Ten minutes post immunization, the patient became pale and was complaining of dizziness, nausea, and feeling lightheaded. Nursing staff evaluating patient when witnessed, syncopal episode occurred. Episode lasted for less than 15 seconds with no injury to patient. Patient was in a seated position at time of event and was then placed supine with legs elevated. No incontinence and patient remembers everything up to and following the brief episode of syncope. (Patient has a previous history of syncope following HPV9 immunization.) Once supine, patient's pallor improved as well as other symptoms. At 10:20 am, repeat vital signs taken in the seated position: HR 80 (regular and strong), RR 20 (non-labored), BP 100/54 (left arm). Patient denied any complaints at this time. Patient stated that she had a small amount of chocolate pudding for breakfast. Denied any issues with blood sugar. Patient was given and consumed peanut butter crackers, Munchkin donuts, and water without difficulty. She did not drink the protein shake, but chose to take it home with her. Dr. was notified of the event and followed up with patient and father. Patient was monitored for another 30 minutes. Vital signs at 10:35 am: HR 84 (strong and regular), RR 20 (non-labored), BP 110/62 (Right arm). Skin color back to normal. No complaints. No dizziness, lightheadedness, or feeling faint when standing. Gait normal. Patient instructed to always notify health care staff of history of syncope after injections and to always wait at least 30 minutes for delayed symptoms. Patient discharged to home with father. No complaints or concerns. Follow up call placed at 5:45 pm and patient out and about with mother, no complaints. Family notified to call back with any questions or concerns.

AFTER RECEIVING THE VACCINE PATIENT LOOKED LIKE SHE WAS FAINTING . I CALLED 911 . AFTER THE PARAMEDIC TEAM ARRIVED PATIENT STARTED TO FEEL BETTER. GRADUALLY THE PARAMEDIC TEAM LEFT AND PATIENT WENT HOME.

about 1 minute after receiving covid vaccine pt had a syncopal episode falling forward out of the chair. Dry heaves following incident and felt weak after.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Vomiting-Medium, Additional Details: after 15mins pt vomited while walking out of store. she came back and stated she felt dizzy she was very pale. b/p was 88/86 pulse 107. had pt sit for 5 more mins. went out again and bp was 89/79 pulse 95. contacted ambulance as pt still felt faint. ambulance came 15 mins later. by that time pt had drank a whole bottle of water. pts vitals were within range. emts recommended she seek a physicians help at urgent care.

patient had syncopal episode 20 minutes after vaccine administration-mom reported patient unconscious for 20 seconds, but no issues since --EMS contacted and assessed patient

Patient stated she felt nauseous about 5 minutes after shot was administered. She stated that she got tunnel vision, could not feel her hands. A few minutes later she stated that she felt vibrations in her hands, felt like she could not move her hands. She was visibly pale and clammy. Patient was given an ice pack and 25 mg dose of oral Benadryl liquid. Her symptoms resolved within 25 minutes of onset and she was able to leave the pharmacy feeling back to normal

The patient presented to the ED with Shortness of Breath and Chest Tightness which started 24 hours after she received her first dose of the Pfizer Covid vaccine. The patient received diphenhydramine IM for treatment of the adverse reaction. Her symptoms improved and she was discharged from the ED.

Fevers over 100; chest pain; hard time breathing.; Sore Joints; This is a spontaneous report from a contactable consumer. A non-pregnant 14-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for inejction), dose 1 via an unspecified route of administration, administered in left arm on 23Jun2021 13:00 (Batch/Lot Number: EW0217) as dose 1, single (at the age of 14 years old) for COVID-19 immunisation. The patient had no medical history. The patient's concomitant medications were not reported. The patient experienced fevers over 100, chest pain, hard time breathing and sore joints on 23Jun2021. The patient received TYLENOL. Prior to vaccination, the patient was not diagnosed with COVID-19 and not been tested for COVID-19. The outcome of the events was recovered on an unspecified date in 2021.

Pt fainted in chair after receiving vaccination. Moved to cot. Mom & sister present. 4:15PM Pt eating crackers, Juice & sitting up. Color returned to face. 4:25PM Left w/o assistance with mom & sister.

Patient temporarily lost consciousness twice becoming incontinent after the second episode. Patient complained of lightheadedness, dry mouth and was pale throughout. EMT arrived and administered an IV ultimately transporting the patient to the hospital as they remained weak and unable to maintain balance.

Myocarditis Presented to ED with 2 days of chest pain, back pain, and nausea and vomiting 1 day after receiving Pfizer vaccine. Patient initially had back pain starting the night of 7/24, sudden onset. The next day she began to complain of stabbing chest pain that radiated into her left arm. Outside ED found elevated troponin of 2.93 and transferred to the hospital. Patient was COVID negative on admission and remained afebrile throughout her hospital stay. Patient was given IVIG on 7/27 which was well-tolerated, did not require steroid treatment. Cardiac markers downtrended over course of admission and was discharged 7/29 after normal Echo with Cardiology follow up.

Pt fainted on mother's arm after a few minutes of receiving vaccine. She fainted approximately 30 seconds - 1 minute. When she woke up, she was pale and weak. BP was taken, and it was below normal. She drank water and ate skittles to boost her sugar and get BP back up. She was informed to sit for another 30 mins with her mother to make sure she was okay. She also had a fan blowing cool air on her to help her feel better. After waiting over 30 mins and retaking her BP, pt felt better enough to leave with her mother. Mother was advised to watch her daughter for the remainder of the day, and for the pt to eat a hearty meal before returning for her second covid imz.

Patient began to have a vasovagal response around 7:18 pm about 15 minutes after her vaccination. Began feeling nauseous, got pale, and stated that she felt very tired. B/P was 90/60 HR 84. Did not pass out or feel like she was going to. Mom was present with child the entire time. Gave patient water to drink during event. Patient began to feel better after 5 minutes with complete resolution of symptoms at 7:35 pm. Patient walked out with mom from the clinic.

She c/o dizziness about 5 minutes after vaccination, skin was pale, diaphoretic. She also c/o "not being able to see," for a few seconds. She was brought to observation area, allowed to lie down on cot, vital signs taken, wnl. She was observed for 30 minutes, left with parent.

Patient began to get pale, lightheaded and dizzy about 3 minutes after injection - pharmacist applied two ice packs to patients neck area and patient felt better with color returning and dizziness going away about 10 minutes later. Pharmacist followed up with mother at home via phone and confirmed that patient was fine about two hours after vaccination.

Patient fainted after getting Covid-19 Pfizer immunization. She recovered right away and she seems to have no effects from the fainting or the shot. She said she has fainted in the past and she is afraid of needles but she did not mention that at the moment of answering the questioner.

Systemic: Fainting / Unresponsive-Medium, Systemic: Tinnitus-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Fainted immediately after administration & came to within 1 minute. Vision impairment & plugged ears for approx 10 minutes afterwards. She remained in the observation area for 30 minutes and was fully recovered when she left the store.

Pt had waited the requisite 15 minutes and was at the front of the store with her mom. She felt "hot" and kind of slumped over . She never lost consciousness. She was pale. Sat on floor. Drank water and seemed to be doing better. Mom took her home and will follow up with her pediatrician.

Vaso-vagal response. Nausea, dizzines, flushing/sweating, no loss of consciousness. Pt stabilized, VS stable (95/57; HR 65; RR 16; O2 sat 100%), ambulates appropriately

Pt felt light headed, common vaso-vagal response. PT stabilized AOx4, ambulates appropriately (BP 95/54; HR 67; RR 16; O2 sat 99%) & released home

Patient fainted after the needle was removed. She quickly regained consciousness. Blood pressure was low. She waited 15 min. Blood pressure was good. Pt felt fine. She left with her Dad.

PATIENT FAINTED WHEN STANDING UP OUT OF CHAIR AFTER VACCINATION REGAINED CONSCIOUSNESS IN SECONDS AFTER SITTING DOWN

Patient fainted while sitting in a chair after receiving the vaccine. After checking on her, she was responsive and was nervous about receiving the vaccination.

PT got shot was with mom, seemed ok. Sat down to wait the 15 minutes, at about 7 minutes after sitting fainted.

Patient felt dizzy and fainted after 4 minutes of receiving the Pfizer COVID-19 vaccine. Pt immediately woke up, no change in level of consciousness. Patient awake, alert, and oriented to name, place, time, and situation. Vital signs were within normal limits. BP 96/54, HR 71, SpO2 99% in RA. Patient left ambulatory with mother in stable condition after 40 minutes of monitoring and observation.

Pt experienced fainting speel right after vaccination. BP 107/73; HR 68; RR 16; T 98.4 & pt stable and d/c'd home with father

One day after shot bloody nose for a few minutes Two days after shot bloody nose again for a few minutes and also spitting up blood from mouth

Systemic: Allergic: Itch Generalized-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Additional Details: 5 Minutes after the vaccine, pt lost consciousness for a few seoncds. pt showed some jerking motion. Pt was given water and benadryl. About 30 minutes after the shot, pt fully regained consciousness and back to normal

Patient went to sit 15 minutes for recovery post-vaccine with her mom. All of a sudden she said "My arm feels funny," then laid her head on her mom. Her mom said her eyes rolled back and she passed out and slid down the chair onto the floor. 911 was called, pharmacist ran to scene. Patient remained on floor, started puking. Told her to breath deep, offered water. She slowly started feeling better. Paramedics arrived and examined her. After about 30 minutes, patient left with mom. No ER needed.

Client given Pfizer Covid vaccine. After administration the client became dizzy, pale and lightheaded. Client assisted to the ground, given O2 @ 10 L via mask, ice pack applied to fore head, feet elevated. Client began to feel better after 2-3 minutes as noted by improvement in skin color, temperature of skin, verbally stating she was feeling better. Juice and crackers given. Client walked out with mother.

Pt was nervous prior to vaccine administration. After receiving vaccine patient experienced pre-syncopal episode and became dizzy. Reaction nurse evaluated Pt and laid Pt in Trendelenburg pos. Pt began to feel better and was given pretzels and water and then moved to wheelchair. Pt received eval from clinician. VS were appropriate for Pt age and improved after 2nd set of VS. Pt released @ 1408 hrs.

syncope with bilateral tonic/clonic movements. per parents, patient has history of vasovagal syncope following exposure to needles or lancets (vaccines, finger prick). approx 2 minutes following injection, patient lost consciousness, followed by several clonic movements bilaterally of upper and lower extremities. patient was transfered from chair to floor, legs were elevated. She regained consciousness quickly, was given water. When she felt better, she once again sat in a chair. After another 5 minutes (approx), she had another episode of loss of consciousness with increased tone of UE and LE bilaterally and also several clonic movements. She was again transferred to the floor, regained consciousness. She was more shaky and diaphoretic following the second episode but was otherwise aware and oriented. She was observed for another 30 minutes at the pharmacy and then left.

In 2-3 minutes after injection patent fainted, she was conscious but dizzy, she was sweating a lot, her skin was pale and clamy, she felt nauseated and threw up

Patient fainted within 5 minutes after injection. Patient experienced a syncope event passed out. Patient regain conscious within a minute. Patient may have injure her head upon falling.

15 y/o F with no known prior medical conditions or NKDA presented for her first dose of Pfizer vaccine. 5-min post vaccination the patient began to feel dizzy and light-headed. The patient experienced a syncopal event resulting in an assisted fall from chair. The fall was atraumatic and the patient instantly regained consciousness. Patient was alert and oriented x3, and rapidly improved back to her baseline. Patient denied any SOB, difficulty breathing, throat swelling, itching, or HA. Parental guardian was advised to keep patient hydrated and educated on any signs or symptoms that would warrant urgent care.

15 year old female syncope s/p Pfizer first dose Covid19 vaccination at 1300 . Pt was with both parents Assisted fall to ground Approximate LOC of 10 seconds No injuries Laid down supine with legs elevated. After about three minutes pt placed in W/C and placed in cot in supine position. Initial VS 99/56 71 12 98% O2 sat on RA Ate a bag of potato chips and drink one bottle of water (118 mL) Ambulated to BR by self, steady gait, maew, nad, a+o x3. Given instructions to patient and parents to increase salt intake and water intake and to lay down immediately if dizziness returns. Repeat VS at 1320 97/64 67 16 99% on RA Pt is asymptomatic at this time. DCd home with parents and to f/u as needed with pcp and to inform staff of syncope for 2nd vaccination,

Patient received her first dose of the Pfizer COVID19 vaccine at approximately 12pm. Patient felt fine immediately after the vaccination and was instructed to sit and wait for 15 minutes. The immunizer, watched the patient sit down in a chair. A few minutes later the mother of that patient began screaming help, help. Patient had fainted, falling on the floor and hitting her head. I ran our to assist patient, I instructed my technicians to call 911. Patient was on the floor, shaking. I assisted her in rolling over. When she came to I helped her control her breathing and take deep breaths. I used I gauze pad to stop the bleeding on her head. I made sure she was lying flat on the floor. We gave her an ice pack to help with the numbness and tingling in her hands. The paramedics arrived and took patient to the hospital.

Pt was brought in by her father for her first dose of Pfizer vaccine. Prior to receiving the vaccine, her father asked her to let the writer know of her fear of needle and what occurs when she she has blood draws or vaccination. Patient states that she usually lays down because she feels faint and passes out at times. After she sat down, another chair was provided to rest her legs. Pfizer dose was administered and within a minute, she acknowledged that she about to passed out. She had a near syncopal episode with both arms contracting. She was carried from the chair to the floor. Her father, who was prepared for this, had ammonia with him and had the patient sniff it and she responded to it. She was observed for little over 30 minutes and walked out of the pharmacy stating that she felt well. Throughout the ordeal, she was responding appropriately.

Patient received injection and sat down in the waiting area with her Mom. Less than 5 minutes after the injection she fainted and appeared to have a small seizure , her mother shouted at her and shook her and she became conscious and vomited. 911 was called , they evaluated the patient and she went to the hospital.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium

Patient received a first dose of Pfizer vaccine around 10am on 05/16/2021. Around 6pm on 05/17/2021, patient's mother called and stated that her daughter feels difficulty breathing, SPO2 at 94, heaviness in chest (she describes like an object was sitting on her chest) and chest pain (on scale 0-10, with 10 is the most intense pain, pt reported 8/10). In addition, pt has been experiencing chills since the day of the vaccination. Parent gave the child ibuprofen before calling pharmacy. Pt 's mother reported that her daughter dose not take any medication nor any herbal supplement. The daughter has a history of heart murmur. Based on the severity of the symptoms, we advised the mother to take her child to emergency care.

After administration of vaccine the patient stood up quickly and passed out. The patient fell down and came to rather quickly. After she came to we helped her to a chair and sat her down, advised her to put her head between her knees, and got her some water that she requested. After a few minutes she appeared rather pale and went to ask her if she was ok and she asked for a trash can because she felt like she was going to be sick. We gave her a garbage bag and she did get sick in the garbage bag. We kept an eye on her for another 15-20 minutes and she stated that she felt better and that she thought she was ok to leave. We offered her help to her car but she denied it saying she would be ok with she walked slowly. Her father was with her the entire time. While talking with them the father did state that she had incidents like that in the past where she stood up too fast and got light headed and passed out.

client felt lightheaded after receiving 1st Pfizer Covid Vaccine. Client received vaccine at 1717 and RN kept client in chair a few mins as client stated feeling nervous. PHN brought client water. Per client had only ate snack prior to appointment. Client able to transfer by herself to anti gravity chair. 1722 vitals: blood pressure 122/68, oxygen 98%, pulse 81. Per client feeling nausea, RN gave emesis bag. Client appeared diaphoretic and pale. Per Mother only medical history is seasonal allergies and client takes Zyrtec as needed. No history of fainting with vaccines in the past or allergies. Vitals at 1728: blood pressure 118/72, pulse 82, oxygen 97%. Per client symptoms still there, but improving. Vitals at 1733: blood pressure 120/70, pulse 83, oxygen 100%. Client stated lightheaded resolved, nausea still same. Client denied blurry vision, headache, warmth feeling. Vitals at 1738: blood pressure 118/72, pulse 80, oxygen 99%. Per client all symptoms resolved. Last vitals at 1743: blood pressure 114/80, pulse 76, oxygen 99%. Mother driving client home. Advised to follow up with provider and ER precautions given. After completing 30 min observation client left facility with steady gait at 1750.

Patient received her covid vaccine, while waiting for 15 minutes to be observed the patient fainted. Her mom noticed her eyes rolled back and started calling for help. We called 911 . Patient was placed on the ground carefully as we awaited for EMS to arrive. The patient was breathing, but had low blood pressure when EMS arrived. EMS took the patient to the hospital.

1436 felt dizzy, was diaphoretic, pale, b/p 90/40, pulse 60 RR 40 99% 02 sat., MOC present. 1437 assisted to floor placed in Trendelenburg position feet elevated. 1439 B/P 110/p, pulse 80, RR 30 02 sat 99 %, alert and oriented , able to verbalize feeling better. No longer diaphoretic, skin color pink. 1444 assisted to sitting position in chair B/P 98/68 RR 32, 02 sat 100%, pulse 76. 1500 B/P 102/64 99% 02 sat 75 pulse respirations even and unlabored, per MOC stated she is feeling better, pt verbalized the same no longer requiring medical care, left with MOC, educated and encouraged to contact Primary MD if symptoms should return, verbalized understanding.

Dizzy, displayed pupil, heart rate, pale with blue around eyes and fingers. No epi pen given as patient wasn?t too short of breath and came out of it quickly. 911 was called

Pt reported lightheadedness and was found to be diaphoretic and pale after vaccine administration. She was laid down on a gurney with legs elevated, V/S monitored for 45 minutes and given apple juice po.

Patient exhibited signs of paleness, dizziness and nausea during the 15 minute post-vaccination observation.

Patient bopped her head back and then forward (fainted for about one second) after receiving vaccine. Reports of low blood pressure and dizziness

15 year old female found in supine position with feet elevated in vaccination area. Pt had a left upper lip injury (non-bleeding) , redness and slight swelling to left lateral eye area. She also had a less than dime sized abrasion to right knee. Pt was recovered from dizziness (syncope) and then placed into a wheelchair and placed onto a cot in the observation area with her feet elevated with a chair. VS 107/73 66 24 and an O2 sat of 99% on RA Pt timid and somewhat afraid of passing out again. Chair was later removed and then pt sat up in bed with apprehension. She ate a bag of doritos and drank a half bottle of water ( about 250 ml) She then stood up and denied any dizziness but insisted on sitting and/or lying down. She did sit back down for another 10 minutes and later stood up , denies any symptoms. Pt then ambulated to BR without help, MAEW, NAD, steady gait. She was a + o x 3, VS at 1431 111/69 74 22 with O2 sat of 99% on RA. Pt and mother given directions to change positions slowly allowing 30-60 seconds per position change. They both acknowledged this. Pt discharged home with sister and mother with direction to f/u with pcp as needed and to increase sodium and water intake today and tomorrow. No medical history Denies taking any medications Denies any allergies (name), site supervisor aware of situation. Vaccination Site

Patient started feeling dizzy/faint right after administration, she was sweating and felt hot to the touch, then she convulsed and shot up out of her chair for a few seconds before sitting back down. As she sat back down she vomited and then seemed to get better after. 911 was called and she was better by the time they arrived and blood pressure and vitals where all good.

Patient received the vaccine with no issues. Approximately 5 minutes after the vaccine the patient fainted. They were seated on a chair and had multiple instances of syncope.

Vasovagal reaction of c/o dizziness with nausea. bradycardia, hypotension. color pallor. Vital signs- 126/66 P-51 R-20 Temp 98.3 reaction subsided within 30 minutes. intervention required observation of s/s

Pt started exhibiting a dry cough that progressed in frequency over the course of aprox. 15 mins. Patients father remained at her side, patients father administered two puffs of patients inhaler, Albuterol, for the coughing. Nurses attended at patients side, checked vitals which were stable with oxygen saturation of 100% and however, pulse noted to be elevated in the 130's. RN auscultated lung sounds, no wheezing noted, but pt exhibiting signs of anxiousness as well now. Pt assisted to wheelchair and to area to lie down for further evaluation. Pt was lain on her right side, RN remained at her side entire time. Pt advised to use inhaler again, two pufffs, and encouraged to slow her breathing, relax, and was advised that her vitals were stable. Pt was asked if she felt she needed additional support with her breathing and she stated yes. 911 was called and advised of the situation. Pts pulse did lower to 100-105 and breathing did become easier and more regular while we waited for EMS to arrive. Pt transferred to care of EMS with oxygen saturation of 100% and pulse of 104.

Was standing passed out and fell to ground. Vital signs: @13:15 B.P=100/50 118/80 HR: 70 Pso2:100% @13:45 B.P. 97/50 Trending hypotension Recorded by staff

Right after the shot, pt feels dizzy and went passing out for a few seconds, turn pale, then came back within seconds, start sweating and was laid on floor. Paramedics came and checked on her, she is alert and responding to questions. She went home with Mom after being checked by paramedics.

patient tolerated initial injection well. approx 5 mins after vaccination the patient syncopized for 5 seconds while in the obs area. caught by mother. immediate recovery to normal cognition

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

Pt had syncope x 1 postvaccination followed by seizure x 2. Pt recovered spontaneously after 3-5 seconds. No labored breathing. Alert and oriented x 3. Pt brought to ER.

patient fainted after receiving pfizer vaccine. became alert after 1 minute. school nurse attended to patient and checked vitals and mother took patient home after recovery within 15 minutes

Patient passed out about 15 minutes after receiving the vaccine. She stated that she had not eaten since breakfast and is the reason she felt lightheaded. Staff provided water and a snack for the patient and sat with her until she felt ready to stand up.

Stood up after vaccine and then passed out. Evaluate by EMS BP 100/72 P 60. Felt better. Went home with mom.

Pt received vaccine...came out of vaccination room...sat down and started talking to mother...started to feel nauseous ? sat back and started to look limp...paramedics immediately contacted...pt never loss consciousness...looked pale... not feeling well...was responsive and breathing...respirations were being monitored...EMTs arrived and took over...did take pt to hospital...

severe syncope and fainting, vomiting, lowered BP and lowered heart rate. First signs about 10 min post injection. Paramedics attending within 25-30 min of injection

Fainted, blurred vision, ringing in the ear, 911 was contacted, EMT came and shortly ambulance, patient was taken away shortly

15 Y/O F syncopal event following vaccine. PT had LOC. Woke within 30-40 seconds, vomited x1. Was oriented x3. Treated w/ rest (supine, then sitting) and PO fluids. PT released to home w/in 45 mins. Dx: Vaso Vagal Syncope

15yo patient in observation parking lot c/o headache and laid down. honked horn because patient stated she had trouble breathing. RN's in observation area ran to the car. Patient tachypnic and couldn't talk, slightly pale with no signs of cyanosis. 911 called immediately and epi pen, 0.3mg administered at 1621. Patient layed down in the back of her car until ambulance arrived. BP stable, no pulse-ox available, respirations 66 bpm. Patient awake and alert, still unable to talk, lips pink, diaphoretic. Care turned over to Paramedics on site. No h/o allergies or anaphylactic reactions. H/O anxiety and on Prozac.

Pt had an episode of syncope, pt's mother supported the pt's head, ammonia tablet was used to rouse pt and pt was assisted to the floor. Vitals were monitored, legs elevated, cold compress provided to the pt and placed on her neck. Pt rested and awoke 2-3 minutes later.

Patient collapsed on shelf after fainting in diabetes care/ointment isle at around 6:10 PM after receiving shot

Vaccine was administered. The mom made a comment that her daughter has a tendency to pass out after vaccines after administering the vaccine to the patient. We kept the patient in the counseling room seated for observation to be on the safe side. Within 5 minutes, the patient got light headed and stated she didn't fell well. She passed out. We laid her down for about 10-15 minutes and gave her some candy since she stated she hadn't eaten all day. Pt regained consciousness and was fine after.

Patient fainted within a minute of receiving vaccine. Pale, diaphoretic, nauseated. No treatment. Recovered without incident.

RPh administered dose#1 of Pfizer vaccine to patient. Patient was walking toward front of the store after ~15 minute observation. She felt faint and fell to floor. She regained consciousness within a minute or so and stated she was not injured from fall. Blood pressure was normal. Paramedics were called to verify patient was OK. She was given the all clear and left with her mother.

Passed out about 5 minutes after receiving the shot. Was sitting in a chair and collapsed to the ground. She regained consciousness within 30 seconds and was sitting in a chair again 5 minutes later

Patient has history of passing out. 2-3 min after Pfizer shot patient started to feel hot and was pale. A volunteer doctor assisted to sit down on floor. Has syncope episode after seated on ground. Use ammonia capsule . Pulse was intact throughout. Airway as cleared of gum in mouth. Loss of consciousness for 15 sec. Then alert able to call mother who was in the parking lot. 911 EMS called and arrived. Cool compress applied. Ems arrived. Patient felt better. Vital by Ems Glu 80 BP 120/80. Patient was able to drink water. MD instructed mother to clear with PCP or Cardiologist to clear before getting 2nd shot. Mother declined EMS transport. MD walked patient to car.

single episode of syncope 15 minutes after vaccine after standing up, likely vasovagal vs. orthostatic. completely resolved

Systemic: Hypotension-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Stated she could not see clearly or hear well-

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium

Patient is here today for his covid vaccination. It was noted that he was unconscious. At 11:00, monitored by EMS for 15 minutes. History of:NA Nursing Assessment: Airway: Open Breathing: Spontaneous Circulation: Pulse present Mentation: Alert Skin: Normal Patient fainted after receiving Pfizer vaccine and was lowered to the floor, feet were raised, cold towels were applied to the patient's face, and patient was monitored on site by EMS with no further incidence and released to home care with his parent at 11:20.

One of the physician observers wrote: From what I understand she had her shot and switched places with her sister and was standing and then just went down. I don?t believe she hit her head we didn?t see a lump. She came too right away and got nauseated and light-headed again sitting up so we took her to lay down on the stretcher. She was doing ok but laying down when I left. The nurse that administered the immunization wrote: She got vaccinated, tolerated it well. Told her sister she barely felt it and expressed relief. Sat for a minute while in handed her mom paperwork ( vaccination card). Then got up, stood with mom and brother. Was standing one minute and went down without warning, standing next to brother and mom. I had just finished vaccinating the sister, I was putting a bandaid on her when it happened so couldn't have been more than a couple of minutes. Dr. observed this patient after they passed out at the vaccination clinic and subsequently released her home with the family.

Dry, itchy throat with some throat swelling. Clamminess, dizziness and paleness. Local emergency services requested for assistance

1:28 108/57 - 90 - O2Sat 99%, Presented self with complaint of nausea, vomited digested food, color pale, no resp. distress. 1:40am Stated felt better after vomiting. Color pink. 1:57pm left obs. area. Inc to call 911 if symptom reappear.

Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: pt immediately said she felt dizzy& eyes began to roll. Mom stated she has a fainting condition. Her Mom & I eased her to the ground. she briefly passed out, but immediately came to and asked what was happening. Her right leg was bent back but we lifted her to straighten leg. I elevated her feet & got her some water. I also got her some gatorade & a cool wet paper towel for forehead. She leaned against her Mom for a little while, then she sat. Mom said not to call 911

Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: TINGLING IN FEET

patient fainted about 3 minutes after getting her vaccine injection. SHe was out for about 3 to 5 seconds and then came to. she was sweaty but her temperature was ok and pulse seemed normal. THe pharmacy called 911 as a precaution. paramedics verified her vitals and gave mom the option to take her to the ER or just let her stay and be monitored. mom decided to have her stay. Mom and patient stayed by phramcy for 30 minutes as the child drank 2 bottles of water and ate a granola bar. when she felt 100% they left the store.

Pt received vaccine and was standing outside of immunization room with her parents waiting for her brother to receive vaccine. She felt dizzy and fainted. She hit her head and collapsed. She was seizing/ shaking on the floor. She was conscious with no visible bleeding. She was able to say her name and DOB correctly. Mother reported no history of epilepsy or seizure. Called emergency services and pt was taken to Clinic for further evaluation. A 1.5cm laceration was noted behind her left ear. Pt received 2 staples in the lacerated area.

Pt had a syncopal/vasovagal reaction (fear of needles). BP 135/79 (88), HR 61, RR 16 -- > 121/81 (90), 66, 16. VSS, juice and crackers given. Pt stable and released from the vaccination site. Recommended that the pt lay down for 2nd dose.

Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Medium, Systemic: Vomiting-Mild, Additional Details: Patient felt dizzy and blackout/ fainted for less than 10 seconds. Vommiting and blood pressure on the low 96/64

Pt reported feeling woozy, dizzy, and nauseous after walking out to waiting room after receiving shot. Approximately 3 minutes after shot was given I was called out to the waiting room as the patient had passed out. I helped her mother lower her to the floor and by the time we lowered her down she was regaining consciousness. After about 5 minutes she was feeling better and we moved her into the immunization room to wait for EMS. EMS came and evaluated her and determined she was ok to go home

Site: Pain at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Turning very pale, passed out and unresponsive, sweating-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: After 5 minutes of vaccination, mom called for help in the waiting area. The patient passed out for a few minutes and responded after we both called her several times. We called 911. She was feeling nauseous. She sipped a little water and was looking very pale and was starting to become unconscious again. Mother thought it was an allergic reaction and asked for Epipen. Epinephrine was administered, and patient became alert and less pale. EMS came and took her away due to low blood pressure

Patient was hot, sweaty and turned pale 5 minutes after vaccine. She felt like she was going to pass out.

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

Vaccine was given 5/23, on 5/24 she felt a heaviness in her chest, this persisted to 5/25 when she felt like she could not eat. When she told her mother that's when mom noted the facial droop and took her to ER for evaluation. There she was given steroids and a prescription for eye drops and oral steroids. She has not taken the oral steroids at this time but nearly all of her symptoms have resolved.

Prior to arrival, the patient received her first COVID vaccine at the clinic, after which she suddenly felt dizzy, described as lightheadedness, and felt warm. She was noted to be hypotensive with SBP at 67. She subsequently drank water with some improvement. No syncope, severe headache, numbness, tingling sensations, or focal weakness. Mother was concerned and brought the child to the ED for further evaluation. Currently the patient feels better. No similar symptoms in the past. The patient denies any chest pain or pressure, shortness of breath, or abdominal pain. No recent fever or cough.She is otherwise healthy and has a normal cardiopulmonary exam and reassuring EKG. The description of her symptoms and the environment which happened is very consistent with vasovagal syncope and she does not have any stigmata, and acute neurologic or cardiac emergency. I believe she is safe and stable for discharge home and she was discharged with return precautions and follow-up instructions.

patient experienced a Vasovagal episode after feeling lightheaded. But 15 minutes later she did not regain consciousness. EMS was notified. Patient was observed on site for 30 minutes then released. Possible Conversion disorder

Syncope. Pt fainted and fell on Left side. Had small elbow abrasion. No Bleeding. Pt denies hitting head. No swelling noted. HR stead 80-100, RR 18. BP 128/82 -- > 110/65 -- > 112/74. Pt symptoms resolved. Pt stable and released from the vaccination site.

Patient lost consciousness for approximately 30 seconds, approximately 2 minutes after receiving injection

After the vaccine within second my child was sweating was taken out the waiting area before the 15 minutes and passed out on the floor .we have a broken jaw missing teeth and concussion there no protocol being followed my family is going through the worst right now this could have been avoided if guidelines were followed

Pt came in to pharmacy with her mom for her 1st dose Pfizer vaccine appointment at 2pm on 5/26/21. We checked her in and (pharmacist ) gave her shot with her mom present at 2 10pm and she was fine with no issues. Within 2 minutes in of her observation period, she started fainting and having seizure like for about 10 seconds, and regained conscious and said she felt dizzy and then blacked out. She was pale and sweating and asked for water. Our shift lead happened to be closed by her chair where she was sitting so she prevented pt from falling down from the chair and called pharmacist for help from inside the pharmacy. Pharmacist rushed to the patient and asked shift lead to call 911. Pt was consious, but lethargic, she could breath normally, no sign of obtruction airway. Pharmacist lift her legs up to opposite chair and started to take BP. Paramedic arrived within minutes and took her vitals which was normal. Mom agreed for paramedic took her out in stretcher to hospital for check up.

Patient fainted at check out desk. All necessary precautions were utilized. Patient walked to check out desk and started to fall forward. Desk staff and mom caught patient and lowered her to the floor. Patient became conscious and sent over to observation area and was monitored for 30 minutes. No injuries sustained during fall and was able to leave with mom.

patient received the fist dose of Pfizer and started to experience syncope during her 15 minutes post-monitoring. EMT was called per mom's request because patient wasn't feeling good. Patient was escorted out with EMT.

This 15 year and 11 month old female developed fevers, abdominal pain, diarrhea and constant wrenching. She was seen in the ED and noted to be hypotensive and meeting SIRS criteria so was admitted to the PICU and started on norepinephrine pressor support. She had fevers to 39 degrees C and about a day into hospitalization developed acute mental status changes.

Approximately 10 minutes after the 1st dose, the patient fainted in the store and hit the back of her head. She regained consciousness immediately. She was alert but pale and complained of pain on the back of her head.

Patient received vaccine, then proceeded to faint and fall out of chair. She hit her head on the floor. Mom was with her--patient was coherent and speaking to me. She said her head hurt--I told her I'd get an ice pack, which I did and gave to her. Mom was really worried so I asked her if she wanted me to call 911, which I did. 2 EMTs came and checked the patient out. Mom wanted her to go get checked out at the hospital so the patient and Mom went with the EMTs. I called Mom around 8:00pm 5/28/2021 and she said pt was checked out. The hospital doctor said it was a vaso-vagal reaction and released patient home with no restrictions.

Patient got nauseous and dizzy approx 10 minutes after administration. BP dropped to approx 75/50. Patient laid down. Benadryl given @ 50mg oral liquid dose, patient requested water bottle which was provided and consumed. EMS arrived and patients BP went to to approx 95/55. Patient became ambulatory and went home.

Patient fainted about 2 minutes after vaccination after standing up for about 30 seconds. Patient recovered quickly, brought patient Apple juice and grand parent brought up some food. Patient states she hadn't eaten since lunch time.