Pfizer

Patient in clinic for chief complaint of possible side effect of the covid vaccine which she received yesterday. She states that she woke up at 0200 with chest tightness, achyness and headache. She rates the discomfort 7/10 last night and improved now to 5/10. She denies any worsening with any type of exertion and states that she can do simple things like take a shower, walk across the room, down the street or even stairs without any worsening. She denies any SOB or chest pain--just feels tight. Doesn't feel like she can't get a full breath or get the air out of her lungs either. She received her first of two doses of the Pfizer vaccine yesterday (4:23pm) and had no difficulty with the injection itself and then 9.5 hours later woke up from sleep with this chest tightness as well as achyness and headache.  She states that she had the exact same symptoms when she had positive covid test back in August of this year with the addition of fatigue which lasted for 5 days. At that time it was not felt necessary to do any further testing nor treat with steroids according to cardiology. She does have history of LV non-compaction cardiomyopathy and her last visit with cardiology was about 2 years ago and she had a normal EKG and echo only showed "mild LV non compaction at the apex" at that time. He did not need to see her again until she is 18 unless she has problems. She states that she generally does very well and other than this tightness she does not have any other significant symptoms.

Approximately 20 hours after vaccination patient felt faint, lost all color and fainted. She was in and out of responsiveness. Patient was transported to the ER. Patient was treated with fluids and discharged after observation. According to patient's mom the EKG and lab work were unremarkable. Patient has fully recovered.

Congestion, breathing abnormal, elevated heartrate , 02 lower then usual , tired , exhausted, fatigue, not usual self , fussy , incosebale. Patient is a non verbal child

A minute after receiving vaccine, client lost consciousness for approximately 30 seconds paired with facial twitching. No history of seizures and history of syncope due to holding breath and anxiety with medical procedures and vaccinations in the past.EMS was called, client was evaluated by EMS upon arrival, parent was called and history verified. It was discussed with parent that PCP and client have a plan in place for these kinds of reactions to go home and continue monitoring, so client was driven home by friend.

Went to sit down and passed out; felt dizzy; nausious/nausia; sweaty; sick feeling; as she was ghost white; bad headache.; This is a spontaneous report from a contactable other Health Professional reported for herself. A 16-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN5318) via intramuscular on left arm on 02Feb2021 03:45 PM, at age of 16 years old at single dose for Covid-19 immunization. Patient was not pregnant at the time of vaccination. Medical history reported as allergies to medications, food, or other products was reported as none known. Prior to vaccination, patient was not diagnosed with COVID-19. Other medications the patient received within 2 weeks of vaccination included multivitamin and melatonin gummies. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3248), via intramuscular at left arm on 12Jan2021 03:45 PM for Covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported morning after vaccine 03Feb2021 08:00 patient was felt dizzy and nausious. Told her mom and her mom ran over as she was ghost white. Went to sit down and passed out. Patient experienced sweaty, nausia, sick feeling and bad headache. Patient went to the emergency room (ER), they gave fluids and blood work. No heart issues noted. Felt better around 3 hours after. Headache was bad and continued on 05Feb2021 (reported today). Also, still feel nausious and had to lay down. All events occurred on 03Feb2021 08:00 AM. Patient was recovering. It was reported the adverse event result in emergency room/department or urgent care. The seriousness criteria were reported as not serious, no results in death, no life threatening, no caused/prolonged hospitalization, no disabling/incapacitating, no congenital anomaly/birth defect. Patient was received treatment for the adverse event included fluids and heart monitoring. The patient underwent lab tests and procedures which included blood work in Feb2021. Since the vaccination, patient had not been tested for COVID-19. Outcome of events bad headache and nauseous was not recovered, for felt dizzy, as she was ghost white, passed out, sweaty, sick feeling was recovering.; Sender's Comments: Based on the information provided and plausible temporal association, a contributory of the suspect drug to the reported events cannot be completely excluded. Case will be reassessed when additional information is available. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

My daughter became very dizzy, pale, and hot (sweating through her clothing) almost passing out after receiving her first dose . Paramedics were called, vitals taken, and she was taken to an observation area. She started to feel a bit better after about 15 minutes. She was observed by paramedics and a nurse for another 30 mins and we were able to leave and go home. At home she was exhausted the remainder of the night.

Patient was sitting in the observation area. Patient stated that she was feeling "off" and we helped lower her to the ground into a sitting position. She stated that she felt dizzy and we lowered her onto her back and raised her legs onto a chair. 911 was contacted. Patient remained responsive and was able to answer questions throughout. Patient stated that her shoulder felt like it was burning where she received the injection. She also stated that her face felt numb and her lips felt funny (tingling). Patient was still able to breathe and respond appropriately to all questions. Care was taken over by Ambulance service. After speaking with patients mother later in the day, it was determined patient had a vasovagal episode.

Patient mother reported patient began to shake and she was unable to speak or respond. Upon observation patient was pale, awake, and clammy, responding appropriately . Pulse ox placed on patient O2 sats 98-100, pulse 57, BP 87/45. Patient oriented to person, place, and time. Patient reported feeling weak, complains of headache and neck hurting. Patient reported tingling in her left hand and reported her tongue was tingling. . At this time ambulance was called to transport the patient to the ED.

PT RECEIVED 1ST DOSE OF PFIZER COVID VACCINE. SHE SAT ON A CHAIR FOR 15 MINUTES AND WAS FINE WHILE SEATED. AFTER 15 MINUTES SHE STOOD UP TO LEAVE AND WALKED ABOUT 25 YARDS WHERE SHE SUDDENLY FELT DIZZY AND PASSED OUT. SHE FELL TO THE GROUND, HER FACE SLAMMING THE FLOOR. AFTER A FEW SECONDS SHE WAS CONSCIOUS AND BREATHING. WE KEPT HER LAYING ON THE GROUND AND TOLD HER TO KEEP BREATHING. SHE WAS CONSCIOUS AND RESPONDING TO OUR QUESTIONS. WE CALLED 911 AND EMT ARRIVED AND TOOK OVER HER TREATMENT

Patient is a 16 y.o. female who received the Pfizer-BioNtech Covid-19 Vaccine, mRNA, BNT162b2 (PF) 30 mcg/0.3 mL IM Susp, Lot ER2613 on 3/19/2021. The patient experienced the following reaction(s) during the immediate of observation: Patient received vaccine at 4:21pm and proceeded to recovery area where she verbalized to her mother that "I don't feel good." 4:23pm Patient had a witnessed syncopal episode and fell to the ground where she was attended to. Patient was treated/managed as follows: 4:25pm VS BP 118/88, HR 57, RR 18, O2 sat 98% on room air. Patient alert and verbal. 4:35pm: VS BP 144/80, HR 85, RR 18, O2 sat 97% on room air. Patient alert and oriented. Denies shortness of breath, difficulty breathing, or pain. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. 4:37pm Paramedics arrived and care assumed by paramedics at this time. Patient mother present.

Fever, chills, extreme fatigue, lightheadedness and very sore arm, but more importantly chest tightness that became increasingly worse over 48 hours. My daughter dealt with the other symptoms but her asthma became less treatable over the two days since the second shot. I finally administered the nebulizer and inhaled steroid today after all other treatments failed to relieve her symptoms. She is doing better but I will follow up with the pediatrician.

Patient briefly lost consciousness immediately following vaccine administration. Had shaking, chills, flushed and nausea. Pt had not eaten at all today. Administered oral water, snacks. VS within normal limits. Discharged with mother after 40 min of monitoring.

Patient was shaky and pale during post-vaccination observation following her second Pfizer dose. Juice was provided to the patient. Per Mom, client has a history of "vagal" reactions following blood draws or other needle encounters. Onsite EMS evaluated client, took vital signs (below). Client's condition improved. Client was cleared by EMS to discharge home with her mother, and she left the facility of her own volition.

Approximately 15 minutes following vaccination, the patient complained of headache, dizziness, chest pain and throat burning. I asked that she wait an additional 15 minutes so that we could monitor her. Approximately 30 minutes after vaccination, patient appeared to experience syncope or absence seizure (prev. history). we called 911 and paramedics transported her to hospital

Felt dizzy about a minute after vaccine administration, patient described blurry vision and then she fainted and fell to the floor. Patient described no prior history of reactions to prior vaccinations. After about a minute she regained consciousness and was able to walk, talk, and function normally. Mom did intend to follow up with primary care doctor regarding the fainting episode.

16yo F with known history of syncopal episodes after injections who had a witnessed syncopal episode and LOC for 30s. Pt was evaluated by medical staff and EMS, provided with oral hydration and nutrition. Pt improved after 20min of observation and was released.

Patient waited 15 minutes after her vaccine and when she stood up to leave she fainted. Her mom alerted me right away and when I got out to the patien she was up and sitting in her chair. She was feeling fine at that point. She waited another 15 minutes and she was all better.

Patient had a CVA (stroke) to the R internal capsule and basal ganglia while therapeutic on warfarin. She has a history of Truncus Arteriosus s/p repair and has been anticoagulated for >10 years without issue. Stroke occurred 1 week after vaccine. She now has L sided motor deficits which are likely permanent. Left arm is flaccid. L leg with poor motor function.

Pain in injection area, sharp pain in underarm area, shortness of breath, chest pain, rapid heart palpitations, dizziness, tiredness,

Patient referred to clinic for increased bruising. Patient reports heavier menstrual flow, frequent bloody nose recently.

Immediate intense headache. Feeling faint. Lay down on floor, semi conscious. Ems staff moved her to sitting position where she completed blacked out. They struggled to hold her, so they lay her on the floor where she had convulsions similar to a seizure. Completely unconscious at this point.

On Tuesday late morning, she texted from school - that her heart was racing. shaking, headache, tummy ache. We brought her home from school. These symptoms - especially the severe headache, nausea, dizziness lasted for 3 days. She missed school as she stayed in bed.

Patient received Pfizer vaccine at 2pm, went to coffee shop, and then went out to car to wait. Became dizzy 5 minutes after coffee shop order. Patient fainted approximately 15 minutes after receiving pfizer vaccine on 4/4/21. Mom came into store to alert courtesy clerk, alerted pharmacy who brought E-kit out to car, brought patient into store to take blood pressure. Took patients blood pressure. ~83/63 mmHg pulse 109. EMTs were called and arrived within 5 minutes. EMTs arrived and stated vitals were normal but recommended mother take patient to be checked out by a doctor at a nearby hospital. Patient saw Dr who determined she can get the second dose, but must remain seated for 15 minutes after vaccination

Patient became unresponsive within 15 minutes of getting vaccine. Her eyes were wide open, lips were turning blue, and had appeared to stop breathing.

Pfizer 1st dose administered at COVID-19 Clinic. Client reported being diagnosed with COVID-19 during the last week of September 2020. Reviewed with client what to expect with side effects after receiving 1st dose. No questions or concerns voiced. Gave vaccine at 1505. Mother then stated after vaccine administered that client has history of syncopal episodes after vaccines. Provided water to client and recommended for client to be moved to a supine position. Client declined lying down. About 1506, client lost consciousness for 4 seconds. Client returned to consciousness without intervention and was alert and oriented x 4. Client had 10mL emesis after returning to consciousness. Recommended for client to lie down, client declined. Provided graham crackers and cycling floor fan. Client able to tolerate water and graham crackers. After 5 minutes, client stated feeling better. Mother elaborated that about 1 year ago had first vagal response to needles when having wisdom teeth removed. Happened again during IV initiation for tonsillectomy surgery and during flu vaccination 2020. Monitored client in clinic room for 20 minutes, no further reaction. Advised for client to state needing to lie down when returns for 2nd dose. Client and mother verbalize understanding. Mother escorted client from clinic to private vehicle.

She almost fainted. BP dropped to 72/30. flushed pale skin. Pulse ox 96. Alert and felt dizzy throughout the stay. Paramedics arrived onsite and as requested by parents EMTs transported the client to the parents' vehicle.

Patient is a 16yo seen for her first dose of the COVID-19 vaccine. She was seated in the back seat of the car. Shortly after receiving her vaccine (within a few minutes), she chose to move to the front passenger seat of the car, and after sitting in the passenger seat she became lightheaded and lost consciousness. Syncopal event was witnessed and lasted a few seconds. She spontaneously regained consciousness, and complained of some lightheadedness and tunnel vision. No significant confusion was noted, her responses to questions were appropriate. Initial pulse was thready and heart rate initially difficult to auscultate. Pale color noted on the face. Initial pulse approximately 50bpm. Breath sounds clear with good air exchange. Patient was placed in a reclined position with feet on the dash. She quickly recovered and repeat heart rate was auscultated at approximately 70bpm, stronger pulse noted. She was noted to have improvement and she was then driven out of the vaccine site after obtaining consent from her mother (who was the driver) and parked beside EMS. BP was 100/50 and HR 68-72, SaO2 97%. Lightheadedness resolved and she was feeling well, at her baseline. She was monitored for 30 min then allowed to leave with her mother, she was at her baseline at last evaluation. Per history review with her mother, she has had 2 prior episodes of syncope with pin removal from hand after surgery and IV placement.

Patient passed out for about 2 minutes upon receiving immunization. The patient was caught by her father and placed in a seated position. As the pharmacist went to call for assistance, the patient's father realized that she was awake again. The whole incident occurred within a few minutes. We had the patient sit in observation for 30 minutes, and we gave her water.

Patient was accompanied by mother for her Pfizer COVID-19 vaccine. After recieving her vaccine, she told her mother that her hands were feeling 'different.' Mother attempted to walk patient over to nurse's vaccine bay. Patient then became faint and was lowered to the ground by mom and myself. She was brought up to the chair and reclined. She states that she does not remember this occurring. Her vitals signs were taken. BP was 103/61, pulse was 61. She admits that she did not eat anything today besides a couple of chips and admits that she was very nervous prior to the vaccine. She was given some Nutella, crackers, and water. After about 10 minutes she said she felt much better and she was allowed to leave with mom. Advised to eat prior to next vaccine appointment.

Patient fainted within 5~10 seconds after the vaccine; not responding to conversations, not responding to calling her name during the fainting. Patient woke up approximately 5 minutes after fainting, and reported that she started to feel much better. Patient was seated on chair under direct help of pharmacist at the time. No observable injury, did not fell to the floor. EMS was called and arrive, and patient care handed over to EMS.

Patient had syncopal event about 5-7 minutes after vaccination. She came to within a minute or two, but was very anxious and visibly upset. She stopped shaking within another minute or two and had calmed down enough to sit up upright. She drank a few sips of water and said she was feeling better. EMS as called as a precaution and arrived in about 15 minutes. Patient's BP was normal (120/80) and blood sugar within normal range.

Patient presented for her first COVID-19 vaccine. Approximately a minute after vaccine was given, she was noted to be seated upright in the passenger seat of her car, with head bent forward and eyes open. She was unresponsive, stiff posture, and was placed into a reclined position. She then had some posturing with head turned to the left, no eye deviation or nystagmus, no tonic-clonic movement. Radial pulse was thready, bradycardia was noted, with normal respirations. She was noted to become diaphoretic and pale/ashen color noted to the face and arms. She became responsive within a few minutes, however initially was not able to answer questions clearly. She had no loss of bowel or bladder function. EMS assisted with evaluation. Initial blood pressure 78/31, HR 54, SpO2 100%. EMS then transferred her to the stretcher and she was transitioned from her car to the ambulance. She continued to improve spontaneously with BP 94/61 then 103/60 and HR 86 then 74. SpO2 remained stable at 100%. Skin color improved. She had normal responses to questions, no complaints of headache, dizziness, chest tightness, shortness of breath, numbness or tingling. She had some shaking/voluntary movement of the limbs and body noted, but she could control and stop this voluntarily, no myoclonic or tonic-clonic jerking noted. After syncopal event occurred, mom reported that the patient has a history of syncope routinely with blood draws and vaccines in the past, however this episode was slightly more prolonged and seizure-like activity was different. She has had some jerking movement previously with syncope which lasts 20-30 seconds, different from today's response. No known history of seizure disorder.

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

POST VACCINATION SYNCOPE. DID NOT FALL, LOWERED TO GROUND. QUICKLY ALERT AND ORIENTED, ASSISTED TO WHEELCHAIR. WHILE WAITING FOR COT HAD ADDITIONAL SYNCOPAL EPISODE, NAUSEATED. MONITORED FOR 25 MINUTES AND SYMPTOMS RESOLVED.

Asthma Attack started at 1 pm while seated and attending virtual class. She was under no distress and was not in any way exerting herself. She described the attack as a feeling of someone sitting on her chest and began to hyperventilate. The color drained from her face and her hands felt numb. Her asthma attacks are generally exercise-induced, so this was highly unusual. She took a dose of albuterol ( 2 puffs with a spacer) and followed her asthma action plan. She laid down and slowed her breathing. 20 minutes later her facial color returned to normal. Two hours later her hands returned to normal. She was disoriented for about 5 hours.

Patient showing symptoms (closing/opening of eyes. fall back on chair. pale face) of fainting tendency within 5 minutes of vaccines. Pharmacist instructed patients to take slow, deep breaths and try to open eyes. Patients was able to stabilized.

Patient felt lightheaded almost immediately after receiving vaccine. She was walking with her parents to the lobby and they reported pt "jerking" then becoming unconscious. She woke up right away. She was nauseous and pale for another 20 minutes or so. We called 911 and paramedics determined it to be a vasovagal response.

post vaccine syncope. did not fall. brought to observation tent. monitored for 25 minutes and sent home.

By 4:30 started having chest pains and could not take deep breaths, by 7:00 she was running a high fever of 102, body aches and extreme fatigue. She had a fever all day on 8th and experienced severe fatigue. She is still weak, having body aches and a low grade fever on Friday the 9th. Her chest pains stopped on Thursday.

Pt received first dose pfizer covid vaccine. Approx 1-3 min later pt lost consciousness and experienced upper extremity myoclonic jerks for approx 5-7 seconds before regaining consciousness with fists clenched. Upon regaining consciousness, pt was A&Ox4, reported slight lightheadedness; denied CP, SOB, or cutaneous sx suggestive of anaphylaxis. Pt denies anything like this in the past, denies family hx of seizures, and denies needle phobia. Pt instructed to recline supine in car seat with legs elevated on dashboard, and soon reported feeling better, less lightheadedness.

Patient received first dose of Pfizer covid-19 vaccine on 4/9/2021 at 1800 with her mother in attendance after consent was acquired. At 1805 patient began to feel hot and nauseous. The patient thought she was going to vomit, so she left her chair in the waiting area to head to the restroom at the back of the store. at 1807, Upon rising the patient became weak in the knees and began to collapse. The patient's mother initially supported the patient and I was called to assist the patient to the floor. The patient was very pale in appearance as she was assisted gently to the floor, avoiding any injury. EMS was called shortly after the event around 1810. The patient remained conscious however was a bit disoriented initially while lying on the floor. The patient recovered quickly, however remained nauseous and complained of feeling hot. Upon questioning the patient, she had not eaten since lunch at school at 1300. The patient was given a cold water and a sprite, of which she had a couple of drinks out of each. The patient was relocated back into a chair at 1815 as she was feeling much better. EMS arrived at 1821. EMS performed a general assessment and a blood pressure check resulting in 130/80. The patient's mother dismissed any further treatment from EMS. EMS exited the building at 1827. The patient and mother waited in the store for a while longer. Both patient and mother exited on their own, denying escort from associates at 1840.

Pt was vaccinated. She said she felt fine. Pt walked 15 feet then fainted. Her mom was able to catch her. We moved her to a cot. She slowly regained consciousness. She had no signs of anaphylaxis. She was breathing fine. Her mother states she has fainted during blood draws in the past and her daughter hadn't eaten this morning. We monitored pt for 30 minutes. Her color and smile came back. Pt was able to walk out on her own. Her mother will monitor her today.

Pt syncopal episode post vaccination likely due to vaso vagal response. Diaphoretic and unresponsive slumped over at chair. Quickly regained consiousness was alert and oriented NAD, Given water allowed to lay down. Feeling much better. Discharged POV in NAD with father. Diaphoretic and unresponsive slumped over at chair Quickly regained consiousness was alert and oriented NAD

Systemic: Fainting / Unresponsive-Mild, Systemic: passed out for less than 1 minute immediately after shot given-Mild, Additional Details: passed out immediately after shot given for less than 1 minute, after coming to, had her lay on floor with legs up, blood pressue and pulse normal 111/88 , 70bp, was okay. had her stay over 30 minutes for obeservation, her dad with her

The patient started feeling anxious when she got out of her car to come up to the clinic. After she received her vaccination, she started to feel anxious, felt like her heart was going fast, and sat down. We checked her blood pressure and HR which were normal.

Immediately following administration of vaccine, patient was still in chair, became pale, diaphoretic, had pre-syncopal episode. Regained consciousness, did not fall. Placed in WC, transported to OBS area, completely alert and talking with parents and staff. Patient consumed gatorade, feels well. Finished 30 min obs period without incident. Left with parents feeling well.

After the patient got the vaccines she started to have the pre-verso symptoms related to cardioinhibitory syncope

The patient received her first dose of the Pfizer vaccine and was waiting in observation when she momentarily loss consciousness. No other serious medical problem or injury occurred while on site.

Within 1 minute of receiving vaccine, patient started to shake and appear to loose consciousness for about 30 seconds. She then came to and was disoriented for just a minute then could answer all questions asked of her (name, dob, where are you) She stated she had an intense headache, had trouble hearing but hear a buzzing sound. Mom was in the room as well, we gave her water and sat with her for about 10 minutes and she seemed weak but okay. They remained in the waiting area for another 15 minutes, she was feeling better and mom was comfortable to take her home as Mom is a Doctor.

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

After patient received the shot she was sitting on a chair and she pass out and hit her head on the floor . As per mom she has history of passing out. So I called the 911 and they came check her blood pressure and she was ok. And mom took her home.

Pfizer-BioNTech COVID- 19 Vaccine EUA: Vaccine recipient experience vasovagal syncope post vaccination

At approximately 6:00PM on 04/09/2021 patient during 15 minute observation has a syncopal episode and fell to the floor. First aid staff came to her assistance as soon as she went to the floor. Patient trauma assessment conducted with no life threats, and was assisted to the wheel chair and moved to assessment area. Vitals take and recorded as 110/70, Pulse rate 76 regular at radial, Respirations 12 not labored, Pulse ox. on room air at 98%. Reassessment of the patient vitals, 76P, 108/68, 98%. Gave patient cold pack for the small hematoma on her left side of her head. Father of the patient did not want her taken to the hospital for evaluation. He stated he would take her to the hospital for additional evaluation.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Sycope with twitch, fully awake and oriented within a minute.

Patient received vaccine around 4:30pm. After 10 minutes patient reported that she was having a headache, felt like her breathing was a little bit heavy. Patient was brought to exam room with mother present. BP was 150s/100, O2: 99%, HR: 65, RR 20. No distress noted. Patient was slightly anxious, continued to complain about headache. Denied any blurred vision, changes in vision, nausea, vomiting. Around 4:45, patient was asked to lay down for a while to be observed further and to give her time to relax. Patient was given cold wash cloths for forehead. Patient suddenly became more increasing anxious at 4:49, complained of excruciating headache and bilateral arm pain. Oxygen remained at 100%. 911 called at 4:50pm. Paramedics arrived at 4:55pm. Paramedics checked patient's blood sugar: approximately 345. Patient reported last meal around 12:30pm. Patient was crying and continually stating that her head hurt. She was alert throughout the entire process and able to answer questions. Mother elected to have patient sent to ER for further evaluation. Followed up with family on 04/14/2021. Mother reported that patient was held at hospital for 5 hours, was given norco for headache. Diagnosed with panic attack. Mother reports that patient is doing better today.

Patient stated in evaluation form that she had passed out once before after giving blood for labwork. She and her mother decided to continue with the vaccination as it had never occurred before after getting a vaccine. A few minutes after the vaccine the patient lost consciousness. Mom stated that her face tensed up right before hand. The patient remained in her chair for the duration of the event. She regained consciousness about 30 to 60 seconds later, and within a few minutes she was conscious but still very shaky, pale, and hot. She was able to sip some water and we put a cool, wet paper towel on the back of her neck. The patient and her mother remained seated and under observation for an additional 15 to 20 minutes with no further issues, at which point they left the store. I followed up with the patients mother the next day and she said her daughter was exhausted last night, but this morning she woke up feeling well and went to school like normal.

Patient had a syncopal episode after receiving vaccine. there is a history of anxiety over needles per family on scene.

Patient became clammy and fainted after vaccine administration. Episode lasted about 10-15 minutes. Patient became alert and oriented and felt fine.

Patient presented to the ER following her first COVID immunization. Symptoms started an hour after the vaccine was administered. Stated her heart felt like it was racing, she had increased SOB, headache, was tired, nauseous, and had nasal burning.

She had received COVID testing several times in the past. Each time, she feels tunnel vision, spinning, lightheadedness, and then she loses consciousness. This has happened in the past with each COVID test. When she received her vaccine today, she again had this same episode. She quickly regained consciousness after about 10 seconds. She continued to have lightheadedness afterwards.

Vasovagal syncope. She began to get very warm, then fainted and became very pale. She was better within 5 minutes.

Patient was a 16yr female who received Pfizer vaccine 3/19/21 at vaccine clinic and presented with ongoing CPR to the ED 3/28/21 after cardiac arrest at home. Patient placed on ECMO and imaging revealed bilateral large pulmonary embolism as likely etiology of arrest. Risk factors included oral contraceptive use. Labs have since confirmed absence of Factor V leiden or prothrombin gene mutation. Patient declared dead by neurologic criteria 3/30/21.

lethary and altered mental status 2.5 weeks after COVID vaccine. Found to be septic (hypotension, hypothermia, suspected infection). Admitted to ICU. Required 15L vapotherm for respiratory support and several fluid boluses for blood pressure. Urine culture resulted positive for a bacterial infection. Started on antibiotics and improved. Concern for vaccine adverse event is low.

pt informed mom that she was not feeling well. nurse in observation lane witness seizure. pt was unconscious for 5-10 seconds. pt vomited as well. bp was 104/54 at 1154a, 107/52 at 11:52a, rest of vitals WNL. Md assessed, observed for additional 30 minutes. pt stated she was feeling well and was driven home by her mom

Patient was given a Pfizer covid vaccine and then immediately passed out. She was completely unresponsive and given 1 dose of epi and she responded to the epi. Her dad was with her and said that she has anxiety issues and this is probably the reason she passed out. EMS was called and it was decided between EMS and Dad that there was no reason to transport her to the hopital as she was doing fine after being checked out by EMS; Dad signed a waiver with EMS declining transport to the hospital.

No immediate response, approx 4 hours after dose started not feeling well passed out 3 times with 5 minute time frame, EMS called, became coherent while they were route, continue to improve and vitals were checked and advised to monitor. Currently experiencing dizziness when standing from a seated position consistently with no improvement, also fatigued as well. In touch with Primary Care Physician and am monitoring .

Patient with near syncope, provided juice, ice pack and rest, continued to feel dizzy, moved to the cot to lay down, then a syncope episode occurred, Medics on site, transfer to local Emergency Department via squad. Vital Signs: B/P 120/73 P: 103 R: 18 Pulse ox: 100%

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild, Additional Details: pt complained of dizziness. lied down w/ feet elevated + used ice packs. stated this has not happened before. BP very high on 1 reading (233/108) and decided to call EMS out of precaution. begain shaking after a few minutes of ice packs but stopped after a few minutes of removal. EMS evaluated, sat pt up, and once pt was sitting up began shaking again and they decided to take to hospital to get checked out.

patient experienced lightheadness, followed by passing out for approximately 2-5 minutes, during which pulse was weak and patient difficult to arouse. pale color. ems and pharmacist contacted and watched patient. Patient fine after 15 minutes more of observatio

The patient passed out completely while sitting after having her 1st covid vaccine. She was alert shortly thereafter but had blurry vision and low blood pressure. She said she was very hot and was sweating somewhat. We gave her some water and gradually she started feeling better. In the meantime, we had call 911 and when they evaluated her, they felt it was somewhat of a panic attack since she did have anxiety before getting the vaccine.

It was reported that the guest felt nauseous and lightheaded and lost consciousness. EMS was called. She was responsive to sternal rub. She was laid down and her symptoms improved. She did, however, continue to complain of nausea and some stomach pain. EMS took vital signs, The BP was unable to be obtained manually. A doppler systolic was obtained. It did slowly improve. She then was able to get up to a sitting position and denied abdominal pain and nausea. BP continued to improve. Able to stand without feeling lightheaded and BP continued to remain stable. Guest was observed for a total of 35 minutes.

About 5 minutes after receiving the vaccine, patient was sitting down, and started to feel nauseous, pale, and dizzy. We had the patient lie down on her back and elevate her legs, place a cold compress on her forehead. Within 2-3 minutes, patient was feeling better. She sat around for another 15 minutes and then left after feeling fine.

Customer was unresponsive, clammy, pale. Customer received 0.3 mg of Epi IM in right thigh, 911 called and customer laid to floor with legs elevated. Customer became responsive after Epi. EMT arrived and vitals wnl. Customer and her mother declined hospital transfer.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Medium, Systemic: Weakness-Medium, Additional Details: Patient fainted in chair shortly after receving vaccine. She came to within a minute, but body became very rigid and she began to seize throughout her whole body. This lasted less than 30 seconds and she was very pale and lightheaded. Patient decsribed feeling extremely nauseous with chills, slowed breathing and lightheadedness. Moved patient to a new area to elevate feet, stated feeling better but was extremely nauseous and unaware that she had fainted or seized. 911 called per parents request

Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: Tingling in face and legs

After the first dose, mild dizziness and nausea followed by massive inflammation in joints and face, severe fatigue and loss of hearing in right ear. Hearing returned in 3 days, general malaise until a week before 2nd shot when she started having severe bloody noses and EXTREMELY heavy period. After the second dose, 45 minute nose bleed soaked through two wash cloths, so many blood clots it clogged the sink.

10 hours post vaccination, she felt tightness in chest and felt slightly wheezy. 16 hours post test she was wheezing, taking shallow breaths, and felt like her throat was constricted. Shallow breaths only. Symptoms slowly dissipated. She returned to normal over the next two days post reaction.

It was reported by the safety officer that the guest was walking up the stairs to observation after receiving the vaccine and stated to her mother that she was feeling lightheaded and sat down on the stairs. Guest appeared pale, skin was cool and clammy. EMS was called. Guest remained sitting on the stairs when EMS arrived. Vital signs were taken and were WNL. Guest was transferred to a cot and monitoring continued. Guest was talkative. About 15 minutes later she sat up and began sipping juice. Denied lightheadedness and vertigo. Vital signs remained stable. She was released by the medics. Went home with her mother.

Patient received first dose of pfizer vaccine to the left deltoid. In observation the patient has a syncopal episode. She was guided to the cot and patient became responsive alert. Paramedics arrived on scene to intervene. No medical intervention was necessary.

About 10:30 today, Meredith's teacher noticed she was breathing heavily after a trip to the restroom. She was taken to the school clinic with a seat heart ate of around 110. She was seen by her pediatrician and came home. She slept much of the day with her heart rate while laying down reaching up to 136. She reports feeling hot at times, but does not have a fever. She also is very thirsty.

Patient became dizzy and nauseous after vaccine. pt was assisted to wheelchair and brought to hallway for assessment. After first set of vitals pt vomits and passes out for about 30 seconds (max). Pt is woken up and reassessed. Pt is A&OX4. After second set of vitals pt states she feels better. Mom and pt decide to leave together instead of calling for a rescue.

Patient was on observation having a conversation with her father when suddenly she started passing out and exhibiting twitching like having Petit mal convulsions and not able to arouse, and later in 2 minutes she recovered eyes open appears pale in face and lips, not aware that she had passed out, and became responsive. Father claims that HR is always running on low side because she is an athlete. On around 4:40pm she was released under the care of her parent and recommended to get an appointment with her PCP for further evaluation Patient status was checked the following day 4/22 and Pediatrician said that it must be a vasovagal Syncope per Neurologist he consulted no further appointment will be needed at this time

Within a minute of receiving the vaccine, my daughter fainted and had a short seizure. She did not hit her head because I was able to help her on her way down - it was a ver small room with 3 people in it. The pharmacist was there and he said it was a seizure, she just jerked her chin up, sharply 3 or 4 times. She laid on the ground for about five minutes, then sat on the ground, then sat in a chair for a total of about 20 minutes. She felt dizzy and nauseated for about 15 minutes after. She drank a juice and felt better so we drove home, no other symptoms since.

pt started feeling really dizzy and nauseated immediately after taking the vax. she started having a seizure and made a growling type of noise and urinated on herself. The nurse at the vax site helped bring her back and was told to take her to a doctor. She was monitored and released from the vax clinic when her BP was 107/76. She was taken to medical center where she saw. She was told she had Syncope due to the stress of the situation of getting the vaccination. She is resting today and seems to have some fatigue.

Patient stated that she sometimes gets a little lightheaded after a vaccine and would like to wait her 15 minutes after the vaccine in the room instead of the waiting area. After the administration of the vaccine she stated she was going to pass out and lost consciousness. She had a normal pulse and was breathing normally. Her mother stated that she has passed out after injections in the past. Once for close to an hour. Her mother indicated that she did not want an ambulance called. I watched her closely for about 30 to 40 minutes and made sure she was not disoriented until she felt steady enough to stand up and walk. Upon leaving the pharmacy the patient felt fine and ready to get on with her day.

patient verbalized and on consent form to no prior issues with vaccines, and no history of problems when receiving, or allergies before vaccination. advised patient to wait in designated waiting area. As patient was sitting in chair, she immediately lost consciousness, and her mom was able to hold her up on the chair while i ran over within seconds. i gently shook the patients shoulders and put her feet up on a chair, and she regained consciousness. gave her water and crackers, and hard candy. sat with her for 5 minutes and told her to wait a full 30 before leaving. after the 5 minutes she was feeling normal. checked with me before leaving. patient then stated that this had happened before. i told the mother to advise us of this in the future before giving any vaccines.

Patient felt weak and dizzy and had syncopal episode. Patient received vaccine, walked out to sit in observation area and had syncopal episode after sitting down. Lasted about 1-2 minutes. Mother provided water and held patient up to prevent from falling over. Declined requesting ambulance. Patient became responsive after 1-2 minutes and continued to feel weak and dizzy. The patient was instructed to stay for at least 30 minutes. Mother left with patient after 45 minutes and were instructed to go to urgent care or emergency room if condition of weakness/dizziness does not improve.

16 year old female came to the triage to utilize the cot to lay down to get vaccinated. Patient had no chief complaint at the time of arrival to the triage area. Patient lay down to get the vaccine due prior history of seizure after vaccine in 2018. Patient vaccinated at 4:50pm, at 5:12 pm patient wanted to stand up to see how she feels, prior to standing patient denies reporting any complaint. at 05:12 Per EMS, as soon as she stood up she went into Tonic-clonic seizure that last for one minute. Patient Stumped into EMS COT. Blood sugar 130. Bp at 17:10 136/96 Pulse 78, RR 24, )2 sat 100, PERLA, Normal sinus Rhythm. BP at 17:30 136/88 pulse 76 RR 20, O2sat at 100 %, PERLA, Normal sinus Rhythm. Patient has history of asthma, seizure after shot, NKDA. patient was postictal after seizure.no sob or any acute distress. This Nurse Practitioner was radio at 05:14 pm, i arrived at 05:17pm, Patient mental status was assessed, patient was awake and alert x 4, patient report history of seizure after shot and Asthma. Patient did not appear to be in any acute distress. Patient mother was present at bedside. Patient and patient mother was informed that patient will be transported to the hospital to be further evaluated, patient mother agree to the plan of care.

1130 RN called. When this RN arrived patient was sitting up in a chair and was found to be pale, clammy, and non responsive verbally. Ammonia salts placed under nose and patient immediately aroused. Blood pressure at 1132 was 95/54 pulse-58, and 02 sat was 99% sitting. 1136 Blood pressure at 1136 was 76/44, pulse 66, 02 sat 99%, and Patient was still responding but somewhat dazed. Still alert and oriented. Ice pack applied. Sweatshirt removed. Patient was given water and a granola bar. Patient transferred to guerny and repeat blood pressure taken. 911 called by RN. Patient talking and awake.1138 blood pressure lying down was 113/62, pulse 67, and 02 sat was 98%. Transferred to nurse treatment room by RN RN. Patient's Mother present. 1147 Paramedics here and report given. 1158 Patient is awake and stable and transported to ER via ambulance.

Patient developed fatigue and headache within 24 hrs of receiving 1st vaccine, over the next several days she developed periorbital edema and cervical LAD. 6 days after vaccine she developed fever and chills and was febrile to 103. She went to the ER and labs revealed pancytopenia. She was admitted on the evening of 4/20 and was observed for 36 hrs. Symptoms improved without antibiotics

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient briefly fainted post vaccination, was accompanied by mother, immunizing pharmacist assisted with care, provided ice pack for head, laid patient on back with feet elevated, patient returned to conciousness, after returning to seated position patient complained of nausea so we returned patient to laying on back feet elevated. Patient was observed by immunizing pharmacist and mother prior to leaving under own ability. BP 123/81 HR 87 at 555pm, injection was at 517pm.

After shot felt light headed, dizzy, Requested water. Sat down put head back started snoring loudly. Stating seizing, eyes rolled back in head. Nurse had to wake up with smelling salts. Low blood pressure 60/40 All happened within 10 minutes.

Syncope, 102/62 (pulse 72), 98/64 (pulse 70). O2 sat 100%. Feeling dizzy post-vaccination and syncope.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypotension-Mild, Additional Details: PATIENT BLOOD PRESSURE DROPPED TO 103/67 BUT PT STATES BLOOD PRESSURE USUALLY AROUND 120/80 NORMALLY.

Patient was with her mother and she fainted while walking down the aisle. We got her water and a chair to sit in. She stared feeling nauseous and seeing "dark". 911 was called and she was assessed. was found to have low blood pressure (patient reported not having food or drink yet). Ambulance advised she go to the ER , She did with her mom.

Received first dose of Pfizer , within 1 minute fathe noted she "passed out". Called staff to car ad observed pt with clonic/tonic movement of hands, eyes closed, respirations slowed but even pulse approx 58/min. Responded to verbal Stimuli. Said she felt failt, lips pale, skin clammy. 911 called had additional same incident 9 minutes later. Transferred pt to medical facility by ems after 2nd episode .

After RN administered vaccine she spoke to my daughter for some time afterwards 5-6 minutes and my daughter was fine answering her questions and just visiting with her. She directed us to the table to schedule her second vaccine which was directly in front of us. We went to this table and spoke with two other ladies choosing a date and time and she was also fine talking with them and answering questions of eat time offered and then suddenly she went straight back with warning passed completely out and struck the back of her head on the concrete floor. EMS and RN?s who were there went to her aid immediately and she was unconscious for a little over a minute. They initially couldn?t get her to respond and finally she came to and had no idea what happened and no recollection of falling. She had blurred vision and bleeding a bit from the back of her head and they wanted her to have CT of her head after hitting it that hard. They took her by ambulance to hospital and they assessed her and ordered a CT. The CT thankfully came back clear and she has follow up appointment with concussion doctor first thing in the morning. On discharge she was describing her pain from hitting head a 7/10 It was very scary and everyone around us was visibly upset as well. She has never fainted or had a reaction to any other shot, vaccine or needle before today so that was a very unusual reaction.

11:40: Called to the car, witnessed vasovegal response with tonic / clonic activity. 11:45: BP 89/34 HR 48 sats99% Alert and oriented x3 CO L arm pain 5/10 @ injection site CO nausea. given 25mg Benedryl 11:48: Car pulled to the side 11:52: Ems called and charge nurse notified. 11:55 ems on scene and took over care.

Patient had syncope (BP 85/52 -- > 106/68, RR 14 -- > 14), flushing/sweating, not alert for 9 minutes. BP dropped after passing out, put patient in Trendenburg position, gave orange juice. Patient alert & ate crackers. Advised to give second dose lying down. Patient stable, released from vaccination site.

Dizziness due to syncopal episode. Patient with previous reaction to "painful procedures." Last being her ears getting pierced. Spoke with mom who is a physician and states this happens to her frequently with procedures that can result in pain. VSS. Pt hydrated with PO fluids. Tolerated well, no nausea/vomiting. Observed for 25 minutes after event. Got up, ambulated steadily without discomfort/dizziness. VSS. Patient left clinic in stable condition, no acute distress. Left clinic ambulatory with dad.

Tightness in chest, extreme nausea, dizziness, headache, shortness of breath. After receiving the vaccine I had these symptoms for the rest of the day, as of this writing I am still feeling mostly nausea and the tightness in my chest has died down.

After getting the 2nd dose of Pfizer, two days later, my daughter developed chest pain. She gets the chest pain every day and it today's date is 4/27/2021. She went to urgent care on April 18, 2021. However, she kept having chest pain and Saturday, April 24th the chest pain was intense. Patient states she has daily chest pain. Chest pain tends to be intermittent but she has it several times throughout the day. Sometimes the chest pain can be intense. (patient has a history of Kawasaki Disease, she received IVIG as a toddler and was on aspirin for a few weeks after the treatment. We were concerned if the chest pain was related to her heart). Currently, still monitoring her chest pains daily.

First experienced heart racing, fatigue, dizziness and heaviness in your legs followed by hives that moved throughout the body including face, hairline, ears, legs, arms for the next 2.5 days.

Pt felt "near syncope" event, with a feeling like she was going to vomit. The sensations relived themselves with several minutes of observation from the EMTs on site.

NEAR SYNCOPAL EVENT APPROX 2-3 MINS AFTER INJECTION. PT REPORTED MUFFLED HEARING AND BLURRED VISION DENIED CP, SOB, ITCHINESS, INITIAL VITALS UPON ENTERING OBSERVATION UNIT: BP-79/43 HR-46 RR-18 SPO2-100%--AOOX4 REPORTED A HEADACHE APPROXIMATELY 10 MINS INTO OBSERVATION PT DISCHARGED WITH CAREGIVER ASYMPTOMATIC WITH NEGATIVE ORTHOSTATICS. LAST SET OF VITALS: BP 109/76 HR 70 SPO2 99% RR18

Patient experienced a syncopal episode while in clinic. The episode was addressed while the patient was in our care.

Stroke; severe allergic reaction; This is a spontaneous report from a contactable consumer (the patient's father) from the Pfizer-sponsored program. A 16-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in the Right Arm (also reported as: right shoulder) on 23Mar2021 (Batch/Lot Number: ER8732; Expiration Date: 31Jul2021) at 16-years-old as a single dose for COVID-19 immunisation. Medical history included heart valve operation from an unknown date and unknown if ongoing (Mechanical heart valves). Concomitant medications included an unspecified medication, taken for an unspecified indication from an unspecified date to an unspecified date, which was reported as: "Yes she is taking other medication." On 29Mar2021, the patient experienced stroke and severe allergic reaction (medically significant). The clinical course was reported as follows: On behalf of his 16-year-old daughter, the patient's father reported that she had the first dose administer in the right shoulder on 23Mar2021. On 29Mar2021, the patient had a stroke. The patient's father stated, "our lives have changed, completely." The patient's father reported that his daughter was receiving medical care ever since then; and was also being treated by a physician. The patient's father was asking about compensation from Pfizer regarding his daughter's severe adverse event (AE) that occurred after the first dose of vaccine. The patient's father reported that the case had been submitted by the (Name) healthcare team "to the FDA and to Pfizer, and I haven't heard back from either." The patient's father mentioned in passing, that he "could call (Name) and have this all over the news" but that he "wants to be responsible" and doesn't want to do that. The patient's father stated the concern, "Well my concern I am not sure that medical profession is what I really need to do, my concern is that my daughter took the Pfizer COVID vaccine on 23Mar2021 in (Name) in vaccination location. On 29Mar2021, 6 days later, she had a stroke, and that she is receiving a medical care ever since then , now my question is like I said probably for maybe for correlated relation type of person define as well as for it there is a compensation for adverse reaction to COVID vaccination being that this was only thing that was introduce in her system as far as doing that time the vaccination shot." The patient underwent lab tests and procedures which included blood test: "that's for 4/2 out of normal" on an unknown date; also reported: "Yes that's been ongoing as far as giving blood. That's for 4/2 out of normal". Therapeutic measures were not taken and was reported as "no she isn't taking anything for it." The clinical outcome of the events, stroke and severe allergic reaction, was unknown.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021411875 Pfizer

Arm soreness, tightness in chest, dizziness, nausea, difficulty breathing. Symptoms started pretty much right after getting the shot but the dizziness and tightness in chest stopped after I took a nap about an hour after the shot. As of the submission of the form I am still feeling soreness in my arm but it?s lessened a bit and I still feel nauseous and am having trouble breathing properly.

Patient fainted while seated minutes after vaccine was given. Mother was next to her to prevent her from falling to floor. She complained of nausea and blurred vision. She was given water and Gatorade and began feeling better 5-10 minutes after fainting.

Patient was a client at a drive-through COVID-19 clinic. Patients Father was driving and the patient was seated in the front passenger seat. After receiving vaccine, FOC drove forward and parked in an observation lot that was staffed by 3 RNs. FOC reported to an observation lot attendant that patient, Patient was losing vision (narrowing), shaking, and then stopped responding. The observation lot attendant noted loss of consciousness, reclined patient in the seat and elevated feet above the heart by placing them on the car dashboard. At 1535, 911 was notified by RN. When car door was opened by the attending observation lot worker, client began regaining consciousness. Client was given apple juice and crackers and vitals were taken. At 1540, Patient blood pressure measured 91/60, pulse oximeter reading of 96% saturation, and heart rate 72bpm. Paramedics arrived to the scene at 1545 and assessed the client; patient was not transported. Father was instructed by paramedics of warning signs and when to seek further care. FOC and patient were advised to inform PCP and to report this instance when receiving future vaccines. FOC and patient remained onsite for 15 minutes following Paramedic care and were dismissed when patient and FOC reported that they felt comfortable leaving.

Patient passed out during monitoring, observation period. She was alert and oriented and EMS was contacted. She sat up and drank some water. EMS monitored her heart rate and blood pressure and she was released to her father.

Pt completed vaccination and was at check out station with mother scheduling her second appointment. The patient suddenly fell backwards and landed on the concrete floor hitting her head. She was unconscious for about 30-60 secs.

Pt had finished getting her vaccine and was walking to observation area, when she fell to her knees as her mother caught her. Staff then helped her to her feet and started walking her over to medical area as pt went unconscious and Paramedic caught patient as she collapsed. Pt remained unconscious for approximately 10 seconds. Medic and one other staff member carried patient to cot in medical rehab area. Vitals were assessed at 1245PM: BP 102/78, HR 68, SPO2 98%, RR 22. Lungs clear and equal bilaterally skins: pale, cool, moist, pupils: PERRL. After patient regained consciousness she was alert and oriented answering all questions normally. Pt remained pale, cool and moist for another 20 minutes. PT stated she had not eaten anything all day and was given some snacks to eat while she was being observed. After about 45 minutes pt was stood up and checked to see if she was still feeling light headed and felt normal and was released to her mother to go home. Pt was advised to drink plenty of water and take the rest of the day to relax and recover, and to call 911 if any other serious issues occurred.

Within 2-minutes of vaccination, the patient experienced a syncopal episode. EMS evaluated the patient on-site. The patient was hypotensive (84/44) with a FSBG of 59mg/dL. EMS administered 15g PO Glucose. IV access was attempted but not obtained. Upon re-evaluation, the patient was hypertensive (147/116) and tachycardic (117bpm). EMS transported the patient to Hospital Emergency Department. In the ED, the patient stated they became dizzy and passed out after vaccination. The patient noted that they did not eat anything all day. The patient was hypotensive (99/56). The patient's labs/tests indicated dehydration and the physician administered 1L IV normal saline. The patient was discharged with dehydration and vasovagal syncope.

Patient fainted and unconscious less than 10 seconds. Patient flushed and admitted she had not eaten since the am. No further treatment required.

patient received vaccination at 9:29am. She was asked to sit down and wait for 15 minutes post vaccination. Patient and grandmother left after 5 minutes. she had a brief fainting episode at the front door of store. She came back to pharmacy and was observed for 30 more minutes, she felt fine and then left the pharmacy

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

Per EMT, patient became diaphoretic and pale suddenly approximately 5 minutes after receiving her first dose of the Pfizer Covid-19 vaccine at a drive-through vaccination site. Patient was in car sitting in the observation area when incident occured. After becoming pale and diaphoretic, EMT lowered the seat and someone held the patient and patient became unconscious for approx. a minute. After consciousness regained, patient wanted to sit-up because she "felt naseous". Patient sat up and the RN called to incident. When this RN arrived, patient was consious and leaning over and appeared pale/grey and cyanotic. 911 called. This RN put pulse-ox on patient and told EMT to get O2. Patient's O2 saturations were in the low 80's and HR 46. Patient immediately layed back in seat of car and put feet up on dashboard and given 5L of oxygen. After approx. 5 minutes on 5L of O2 and laying back, patient's color improved and stated she "felt much better". O2 saturations improved to 100 after a couple minutes on oxygen and remained over 98% on RA X 5 minutes. Patient was not taken to the hospital and someone droved patient home with follow-up. Follou-up the next day: patient was febrile and given acetaminophen and was afebrile the rest of the night with no other adverse symptoms.

Patient started seeing stars, fell up against silver anti-theft gates by front doors, then passed out. Did not hit head, and was awake and alert by the time I reached her.

Patient fainted post-vaccination. Observed patient beginning to lean forward and RN was able to prevent her from falling. Patient's eyes observed to roll upward while patient became unresponsive to stimuli and diaphoretic. No incontinence. EMS called while patient assisted simultaneously to gurney by multiple staff. Upon lying down, patient awoke and become alert and oriented to person, place, time, and situation, though stayed pale and diaphoretic for several minutes. VS @ 12:55: BP 120/80, P 59, SAO2 99%, resp unlabored. VS @ 13:00: BP 138/83, P 62, R 20, SAO2 99% VS @ 13:04: BP 123/73, P 54, SAO2 99% VS @ 13:10: BP 100/69, P 78, SAO2 98% Sitting at edge of bed without symptoms at 13:05, alert and conversing with staff and mother. EMS arrived at 13:07 - their monitor showed NSR, random blood sugar = 93. Ate a snack and drank juice, symptoms completely resolved. Mother declined transport to ED. Discharged home with mother with post-vaccination instructions, will receive 2nd dose while lying down.

Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: shakes-Mild, Systemic: Shakiness-Mild, Additional Details: pt fainted and had shakes/ convulsions for a few seconds. after 30 seconds pt awake and stated ok , after 30 min pt stated ok after 30 min observastion. mom n dad brought to hospital dad called and said pt was ok . no unusual findings

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

Patient Received her first dose Pfizer vaccine (LOT#: EW0173 EXP: 8/2021) at 1140 on 4/30/21. Mother of patient alerted EMT. Mother stated that patient wasnt feeling well. Patient stated that she felt weak and nauseous. Patient was moved to anti-gravity chair to make patient more comfortable. Patient then experienced a syncopal episode at 1155 which lasted about 30 seconds. Patient denied SOB. Patient did not hit head. EMT took patients vital signs at 1157. BP: unable to read, pulse: 70, O2: 100%. EMS was activated. EMS arrived on scene at 1205. EMT transported patient to outside area on wheelchair. EMS transported patient into AMR vehicle and put patient on a 12 lead. Paramedics stated that everything was within normal limits. Patients parents were informed on patients health. Patients parents denied care and signed AMA form. Patients parents stated that they would take patient to hospital themselves. Parents and patient were educated on worsening symptoms of syncopal episode. Patient left vaccination site with a steady gait, unassisted with her parents at 1215.

Fainted 48 hours after shot, sweats, slumped over. Luckily I was there to catch her. Complete loss of color. Came on very suddenly. Could have been catastrophic if she was driving.

fainted for a few seconds; I started seeing blurry; my ears were ringing; This is a spontaneous report from a contactable consumer (patient). A 16-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0161, expiry date not reported), via an unspecified route of administration, administered in the right arm on 16Apr2021 16:45 (age at vaccination was 16 years) as single dose for COVID-19 immunization. Medical history was none. The patient had no known allergies. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was vaccinated at a pharmacy or drugstore. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medications were not reported. The patient reported that on 16Apr2021 17:00, "I started seeing blurry. I stood still so my vision would clear. Then I fainted for a few seconds. When I came to my ears were ringing." The events resulted to emergency room/department or urgent care. Therapeutic measure was taken as a result of the events that was seen by a doctor. Clinical outcome of the events was unknown. No follow-up attempts are required. No further information is expected.

Patient received second dose of Pfizer vaccine and was waiting in the observation area when she fainted and was held to chair by Security Guard and mother. Patient reports that she had not eaten and that she has a history of fainting with other injections/blood draws. Patient was given orange juice and a snack and reported feeling better. RN remained with patient in observation until patient and mother left.

Five days following her first Pfizer COVID vaccine, she woke up from a dead sleep with sharp chest pain, shortness of breath, and feelings of her throat closing. She was given one dose of oral steroids by PCP, but continued to have the feeling that she couldn't breathe due to her throat closing throughout the day so she presented to the ED. There, she reported continued chest pain, worsening SOB, and the feeling that she could not breathe. She was tachycardic to 140 bpm, but otherwise vitals were stable. She was admitted and monitored on continuous telemetry and pulse oximetry overnight. By the following day on 4/29, her symptoms had largely resolved and she was discharged.

Patient passed out with associated convulsions within 2 minutes of vaccine being administered. No previous Hx of this post vaccination but did occur once after donating blood. Patient was lowered to flat position on floor.

16 y/o female with NO PMH and no h/o similar prior experiences/syncope c/o "feeling tired" ~3 min after receiving the 1st dose of pfizer vaccine. Pt LOC, "gently" falling onto the floor, landing on her face ~5 min after receiving the vaccine. Pt reported feeling tired before LOC, not associated with any other symptoms (dizziness, changes in vision/hearing). LOC lasted ~10 seconds, pt immediately returned to baseline. She was sat up with the help of her mother and nurse and the clinical lead was notified. Pt was laid down on a cot, VS were taken, ice was applied to her pressure points. Pt reported complete resolution of symptoms within ~5 min. Pt was progressively moved from lying down to sitting to standing. Pt denies eating or drinking anything today and was given fluids and snacks. Pt was monitored for a total duration of 45 min. Pt was driven home by parents. Pt was advised to eat and hydrate today and for the next dose. Pt and parents were advised to call PCP / 911 if symptoms return/persist/worsen or if pt develops concussive symptoms. Pt was instructed to inform the nurse that she fainted ater 1st dose and to prophylactically lay down prior to receiving prior to second dose vaccination.

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient had fainting episode immediately after vaccine administration. She became responsive in few seconds. she said before fainting she felt tingling, rapid HR and really cold. she reports nausea and confusion right after becoming responsive. Mother denied the need for EMS said she is fine and she has had fainted once after flu shot. Her blood pressure was 100/62 and 95/82 with Heart rate of 99 and 89. She lied down for 30 minutes. she reported feeling fine before leaving.

Within about 5 minutes of receiving her first Pfizer Covid19 vaccine, the patient passed out and hit her head on the floor. She regained consciousness quickly (within seconds) after I got to her. She stated she had felt nauseas and tingly before fainting. She has not experienced this before with other vaccines. Ambulance was dispatched due to her hitting her head. Parents and paramedics determined she was ok to go home.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Tingling at site of injection. Patient was seated after receiving the vaccine and suddenly collasped. Patient maintained consciousness throughout the episode and her symptoms have improved.

Client c/o "chest hurting and hard to breathe" approx. 15 mins. after 2nd Pfizer dose. EMS was called for transport to local hospital. V/S @ 12:35: AOx3, BP 118/90, HR 72. At 12:42pm, client reported increased difficulty breathing and rated chest pain 7/10. V/S @ 12:42 BP 122/82, AOx3, HR 66, RR 22. At 12:50 medics arrived on scene and assumed care of client.

Patient reported feeling lightheaded status post first dose Pfizer COVID vaccine (Lot: EW0167, expiration date: 08/31/2021) to medic. Medic noted that the client was CAOx4, her skin was pale, warm and slightly moist, pupils were equal, round, reactive to light and accommodating (PEARRL), respiration rate (RR) was 20. The client's sister stated the client had a history of anxiety and that "she gets this way whenever she gets a shot". Medic walked patient to the zero gravity chair. The client was given water to sip on. At 1213 baseline vitals were taken with client sitting: Blood pressure (BP): 110/82, heartrate (HR): 98, RR: 20, PEARRL. Medic reports she coached the client on her breathing to help alleviate her complaint of feeling lightheaded, mild nausea and anxiety. Client reported she felt anxious prior to her vaccination and that her last oral intake was 15 minutes prior to vaccine. Client denied headache, blurry vision and chest pain. At 1220 a second set of vitals were taken while standing: BP 108/80, HR 86, RR 16, CAOx4. Client stated her symptoms were diminishing. Client's RR slowed down to normal rate and rhythm, vital signs were trending to normal and client was negative for orthostatic pressures. Client was advised to stay for additional 30 minute observation. Client's symptoms resolved completely and she was able to ambulate away from observation site without assistance and with a steady gait.

Pt complained of nausea and feeling dizzy immediately after vaccination. Patient became diaphoretic, pallor to face, patient assisted to wheelchair and taken to stretcher and laid flat since unable to stand. BP 108/67, HR 57, RR 14, o2 sat 99%. Patient later reported she left better, color returned to face and diaphoresis ceased. Updated vitals: BP 109/71, HR 52, RR 16, o2 sat 100%.

pt recived 1st dose at 1:17pm. proceeded to observation area , no complications. 1:19- RN observer rounds on pt who sts heart is racing. RN grabs bp tree and patient proceeds to pass out. Rapid response called patient A&O when response team arrives Pt passes out for second time pt taken to Trauma Room in ER

16 yo female came into our injection site today 05/05/21 to receive her first pfizer vaccine. She was accompanied by her father. Pt received vaccine IM to her left deltoid. Pt completed vaccine at 2:55pm at which she sat down for her 15 minute observation period. As soon as she sat down she called over the staff that administered the vaccine. She explained to her that she felt nausea and was breathing heavily. I then walked over to them and the attendee was very pale and breathing heavily. By that time I had RN getting attendees history from her father, She has no history of allergic reactions, not taking any medications and no current illness. She is "slightly asthmatic" but is not taking any rx. RN was helping me by putting cold pack behind attendees neck. Pt then proceeded to explain that she felt nauseas and starting dry heaving. RN then brought over trash can and attendee started to vomit. I then started to proceed and take her vitals. first set of vitals were taken at 2:58pm BP: 90/60 HR: 132 RR: 24 O2: 100%. Attendee at this point was diaphoretic, pale, breathing heavily and vomiting. We continued to monitor attendee in which she started to feel better by 3:08 pm. She was no longer pale, diaphoretic or vomitting and was breathing normally. We provided attendee with water and continued to monitor her. Now that pt was calm, I was able to ask her some questions. She stated that she had a smoothie and an avocado toast about an hour prior to vaccine. She explained to me that she does have a phobia to needles and was feeling very anxious prior to appointment. I then repeated her vitals at 3:16pm BP: 98/60 HR:89 RR: 20 O2: 99%. I had attendee stand up off chair and walk at 3:22pm. She felt fine and did not feel dizzy at all. No signs of distress noted. She was then discharged and walked out with her dad at 3:25pm.

Client received the Pfizer Covid-19 Vaccine (Lot #EW0167 Exp. 08/2021) at 1:51 PM. Approximately 10 minutes after receiving her first dose the patient fainted from her chair in the observation area. Patient did not strike her head. EMT and other nurses responded and sat the patient upright and began treatment. Patient was A&O X3, immediately after fainting. Patient was assisted to the gravity bed and vitals were taken, see below. Patient stated that she felt better almost immediately after laying in the gravity bed. Vital signs are as follows: 1400- BP: 100/80, O2: 98%, P: 80, Res: 18; 1405- BP: 106/74, O2: 98%, P:96, Res: 18; 1410- BP: 110/70, O2: 99%, P: 90, Res: 18; 1415- BP: 110/70, O2: 99%, P: 87, Res: 18; 1420- BP: 112/70, O2: 99%, P: 86, Res: 18; 1425- BP: 110/70, O2: 99%, P: 96, Res: 18.Patient's vitals improved over time after laying down. Patient was accompanied by her mother who was outside at the time of her fainting. Patient has a history of fainting after injections and getting blood drawn. Patient and Patient's mother felt comfortable after 30 minutes of observation to leave the vaccination site and return home. Client declined EMS transport. Patient and Patient's mother were instructed to seek medical attention if symptoms worsened or if symptoms returned. Patient left the facility in good condition with a steady gait.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tachycardia-Mild, Additional Details: pt released to her father. spoke with father a few hours later. pt is fine.

At approximately 9 AM on the morning after receiving the second dose, the patient became dizzy at school. As she was walking to the teacher's desk, she lost consciousness and fainted, hitting her head on a desk, scraping her neck on a desk, and suffering several other minor injuries from the fall. She was immediately seen by school nurse and released to my care for the rest of the day. She rested at home and then was seen in at Walk-In Clinic to be evaluated for a concussion. On Day 2 after receiving the vaccine, the patient reported a sore throat, but no other symptoms. She was seen on the third day post-vaccine by our pediatrician's office for possible strep. She tested negative for strep and a concussion from her fainting episode was confirmed due to the lingering headache.

At approximately 1:04pm on 04/30/2021 patient during 10 minute observation had a syncopal episode and fall from standing to floor with loss of consciousness. Trauma assessment found contusion to occipital region of skull. No bleeding, no other trauma findings. Pt moved to wheelchair, and then to cot without incident. Pt AA&Ox4, airway patent, breathing shallow and non-labored. Pulse strong and regular with delayed perfusion. Pt skin pale, cool and dry. Pt eyes PERRL bilaterally. Pt complains of pain 7/10, dull, localized, to the base of skull, and ringing of ears, as well as dizziness without nausea. Pt administered 650ml oral water with improvement to skin and respirations. Vitals and report continued on next page Pt however post oral hydration still stated no change to headache, and new onset tinnitus to left ear. Pt parent was consulted for transport to emergency department for assessment for potential injury post fall, and consented. EMS was contacted, who transported patient to hospital. Vital signs as follows 1312 108/68 93p 14r 98%RA 1323 106/62 82p 17r 98%RA 1335 104/60 74p 16r 97%RA

Accompany minor with dad received vaccine for first time. Pt complain of dizziness, diaphoretic, pale to face, body stiffness and started jerking once on floor. Pt placed to floor for safety precautions. V/s obtained w/ b/p 80/54, HR 92 O2 98%. Jerking stopped with v/s obtained again w/ b/p 82/56 HR 95 O2 99%. EMS arrived and taken over care. Pt was more a/ox3. Taken to hospital via EMS.

it seems like patient have vasovagal symptoms 5 minutes right after vaccinated. she was nauseated and sweat and almost faint. she said that she has hard time breathing. WE gave her 0.3mg epinephrine then she is ok and better. we called EMS over. and she is all fine after that. SHE did not need to go to hospital.

Vasovagal episode for < 10 seconds, then vomited once and felt better. Didn?t eat anything earlier. Ate crackers and juice and dad drove her home.

Systemic: Fainting / Unresponsive-Mild, Additional Details: mom said she passes out after shots, fainted less than 1 min, had her lay down with feet up for 15 min, then sit up for 15min before leaving,

Patient with chest pain 5/5. Elevated troponin, peak of 2.96 at time of report. Chest pain resolved at this time. ECHO by cardiology team completed and normal. Admitted to cardiology service for monitoring

After counseling and giving the patient her vaccine, the patient walked to the waiting room and sat down. 2 minutes after receiving the vaccination the patient leaned back, tensed up, became unresponsive and had a vacant look in her eyes. We called 911. Her lips started turning blue. I administered 0.3mg epinephrine auto injector and the color in her lips came back. Paramedics arrived evaluated her and transported her to the hospital.

Patient was seen at the urgent care clinic on 4/19/2021 having congestion for a couple of days as well as cough, news throat the head and troubles breathing was noted to have normal oxygen saturation and was given an albuterol inhaler and told that she had a virus. She followed up in the PCP office on 4/21/2021 with worsening troubles breathing and was given Decadron in the office, 4days of prednisone, CXR and labwork. CXR showed possible reactive airway disease and was to do steroid and continue out albuterol every 4 hours. Had negative/normal lab work and positive Covid antibodies. History of Covid 10/2020. Felt almost completely back to normal by Sunday, her last day of steroids. On Monday had worsening of her breathing throughout the day, increased troubles breathing again after softball that night. Albuterol did seem to help up. Called the office as she woke up Tuesday morning with worsening and would started on Flovent. With no improvement return to PCP office on 4/29/2020 with marked inspiratory stridor. Was admitted to the hospital for work-up of return of stridor. Had a normal chest x-ray and neck/soft tissue x-ray. With continued troubles breathing and chest pains with decreased heart rate was elected to go to Hospital where she could have further work-up. When the ARNP came helicopter, was concerned about her airway and she intubated to fly to hospital. Was dx there with Sudden Acute Onset of Vocal Cord Dysfunction and is continuing with therapies.

16yoF was accompanied with an adult who was present for the vaccination. The COVID-19 Vaccine Pfizer-BioNTech 0.3mL administered IM in right deltoid while patient was sitting. Patient remained sitting for 10 minutes after administered dose. Patient reported feeling well after the injection. Patient stood up while we continued to talk, after 2 more minutes passed out while standing. Suddenly, patient begain to go limp and her eyes crossed and rolled back. Patient fell backwards into the privacy curtain and into aisle 13 of the store. Patient's head bounced off the floor. Immunizer knelt next to patient. Patient was unresponsive until immunizer placed cold hand on back of neck and front of chest to check if she was breathing, immunizer calmly guided patient to breath, slow deep breaths into the belly and patient's eyes fluttered open. She said her head hurt really bad. Immunizer offered to the accompanying adult to call EMS because patient should be evaluated after hitting her head so hard. The accompanying adult denyed EMS, then stating that patient had previously fainted while walking and said that she would be fine. Immunizer advised patient to remain laying down while immunizer got some ice. Ice was then placed on the back of the head. Patient slowly stood up after laying for 10 minutes and was walked over to a sitting area to put feet up and continue with ice for another 5 minutes before the accomanying adult wanted to leave.

Pt became dizzy and diaphoretic approximately 5 minutes after vaccination. She sat down and began to feel better. She reports fear of needles and not eating since 12pm that day. Approximately 10 minutes later she lost consciousness for approximately 30 seconds. Pt came to was given orange juice and left with her father around 20 minutes after vaccination.

Approximately after 1 minute from receiving her first pfizer vaccine the patient reported to her mother that she feels like she is going to pass out. This RN was alerted about the situation by the patients mother and when approaching the patient this RN noticed the patient losing consciousness and drawing her arms to chest and curling her hands with tremors throughout her body. This RN placed the patient on the floor for safety out of the chair and had other staff member contact 911. Tremors lasted approximately 30 seconds and patient regained consciousness however appeared tired and stated she is unware of what just happened. Vitals were taken which were within normal limits and continued to be taken frequently until EMS arrive to transport patient to Hospital

My 16-year-old daughter, very healthy without any health conditions, got her first dose of the Pfizer vaccine on Saturday evening, April 10th, at around 5pm. On Wednesday, she started complaining of shortness of breath, chest pains, which she described as a feeling of someone stubbing her heart. By Thursday, she began blacking out repeatedly throughout the day, each blackout lasting about a minute. These progressed and whenever she blacked out, she would not remember what happened. At first, she and I brushed it off as maybe lack of calcium since she rarely drinks milk. But as they intensified, I began to become more concerned. I told her I cannot leave her by herself in the house as I prepared to go pick up her young siblings from school then schedule an appointment with her doctor. On our way back home, she blacked out again, however, it was for more than a minute. Straight away, I drove to the ER close by. The doctor came back to inform me that her heartbeat was irregular and concerning based on her age. In that same moment, she began complaining of excessive pain like someone punching her heart out, and then she passed out again. Still with my two other children, the whole ordeal began to frighten them and illicit some heavy tears. Being that this ER was general admission, the doctors insisted they call in the paramedics to transport her to another ER for children. However, after being transported to the other ER, her condition began to intensify rather quickly and the pediatric doctor at the second ER informed us we would have to be transferred to Childrens intensive care unit where the cardiologists could check her heart, find the ultimate cause, and monitor her closely. In that moment, as a mother, I was speechless and extremely terrified. Seeing my daughter being transferred from ER to ER, made it even tougher on me so much that I could no longer hold myself together. Here she was in terrible pain and being moved around with no clear diagnosis and treatment. From there on, we spent a couple days in the Cardiac ICU waiting and praying with friends for answers and the best treatment she could get to ease the pain. By about the third day of being in the ICU, the cardiologists informed me, she had Acute Myocarditis. This was so shocking in a sense that both sides of the family have no history of heart issues. Secondly, she is a very healthy child.

12:12 Patient is in the Observation Area post VAccination on her LEft Arm 2nd dose, suddenly complaints of dizziness, lightheadedness, clammy, pale and cold skin. Vitals were taken as follows: 77/40, HR 68, Oxygen SAturation 93%, Temp 97. Kept attended, both parents are with this 16 years old lady. Patient remained alert and oriented. When Emergency TEam came and evaluate the patient, BP was 103/66, HR 84, O2 saturation 95% and felt better. Patient was advised to go to the emergency room for further evualtion but declined. EMS team left

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Seizure-Mild, Additional Details: Parents were with patient. says it happens every time she gets shots or blood work. possible NES and/or hypotension. says its happened in docs office before and they're testing her for pots and her sister has non epileptic seizures. She was fine after about 15 minutes. gave her a cold packet to put on the back of her neck and just monitored her for further symptoms.

My daughter reported general achiness the night of the vaccine (May 4) and went to bed. The next morning (May 5) she passed out standing up from the toilet (about 5 minutes after getting out of bed).

18 hours after administration, vasovagal syncope and low blood pressure for 11 hours after onset; patient fainted and could not sit up or stand -- blood pressure would drop; symptoms persisted for 11 hours

While in seated observation area, pt reported feeling faint. Brief loss of consciousness, while supported by pharmacist, legs stiff, arm twitch then relax as regained consciousness, lasting few seconds. Feet elevated, called 911 for care. Evaluated by paramedics in parkinglot, returned back to pharmacy after recovery for checkout.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Vomiting-Medium, Systemic: Weakness-Mild, Additional Details: Within a few minutes after receiving second dose, she threw up and was very pale. She was drinking water and we got her crackers and candy. She laid down on the floor for about 10 minutes and started to vomit again. I asked her dad if he would prefer me to call an ambulance to have her checked out. He said yes so they were called. Her vitals were good when they checked her when they got here. They did take her to the hospital.

Patient received Pfizer vaccination at 04:55 pm. Her father accompanied her. A few minutes after receiving the vaccination, she passed out. Her father shook her arm and she became cognizant again. She did not remember passing out and has never passed out in the past. I monitored her for 30 minutes and gave her bottled water to stay hydrated. After 30 minutes she was feeling well and I observed her as she stood up. She had no further problems.

20 hours after receiving the vaccine I felt very dizzy and nauseous for a moment and then fainted and was unconscious for a minute. I had developed a fever about 8 hours after receiving the vaccine, but by the time I fainted the fever was pretty much gone.

Nose bleed 2 hrs after vaccine. Occured on 4/18,4/23, 5/6 and 5/7. No history of nose bleeds prior.

Systemic: Hypotension-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: Patient felt faint after void vaccine. She had some changes in vision and sat down to relax and drink an orange juice. Vitals were examined. (BP: 90/56 & 90/60; pulse: 62). Parents stated that patient has a history of feeling faint after vaccine administration. Patient was able to walk out under own power. A follow up call was placed and the parents stated that the patient was stable and doing well.

Patient felt dizzy. Became pale and diaphoretic. 1215 - 98/52 HR 54, repeat at 1220 110/64 HR 78, repeat. 12/25 patient feels better, able to ambulate, alert and oriented. 1234 symptoms completely resolved and able to resume normal activity.

Patient had a syncopal episode after receiving vaccine. Apparently there is a history of anxiety over needles per family on scene.

One day after the vaccine, feeling fatigued, feverish (99.5), headache Two days after the vaccine, feeling some SOB w exertion, chest heaviness Mild chest heaviness 3 days after, resolved by end of day.

PATIENT LOST CONSCIOUSNESS, FELL FORWARD OUT OF CHAIR (WAS CAUGHT AND ASSISTED TO THE FLOOR), PATIENT REGAINED CONSCIOUSNESS, EMERGENCY SERVICES WERE CALLED, PULSE, BLOOD SUGAR, OXYGEN, AND VISION WERE FINE, PATIENT VERY LIGHT HEADED, BLOOD PRESSURE EXTREMELY LOW, WASN'T RETURNING TO NORMAL

The patient felt tired and describes her eyes going dark, then passed out a few minutes after vaccination. She was vaccinated and then left the immunization room to sit down for a 15 minute waiting period. When she went to sit down, she collapsed on the floor. Her mother assisted her into a chair. She continued to be incoherent and have her eyes rolling back into her head for a few minutes. We used a cool cloth on her forehead and the back of her neck. The parents requested that we call 911. EMS arrived shortly and evaluated her. Heart rate, blood pressure, pulse ox, blood sugar and chest sounds were all within normal range. The patient stated that her arm felt heavy and "funny". She then stated that her tongue felt funny. EMS evaluated her tongue and said it looked normal. To err on the side of caution, she was taken to the hospital to determine whether or not she was having a delayed onset anaphylactic reaction. This patient has no history of seizures.

Pt developed chest pains and heart racing that night along with high fever 102 with very bad headache. Chills and fever and weakness latest through Friday afternoon Fever started to go down Friday afternoon and weakness improved. Headache remains strong

16-year-old medically complex female, JIA, bronchiectasis and chronic nighttime oxygen requirement who presented to the hospital on 5/6 with fever, increased stool output, and perianal skin breakdown. Her course was complicated by respiratory failure (requiring ICU admission for CPAP), pancytopenia, diarrhea with buttock skin breakdown requiring rectal tube for wound and stool management, and extensive workup which was unrevealing for an infectious cause. She clinically improved with respect to pancytopenia with discontinuation of felbamate, and completed a treatment course with Zosyn for suspected buttock SSTI.

LAYED PATIENT DOWN ON COT, ELEVATED HER LEGS, TOOK VITALS AND CONTINUED TO MONITOR HER . PATIENT WAS RESPONSIVE AND AWARE OF THE SITUATION. VITAL SIGNS WERE STABLE , B/P- 131/71, HR: 104, RR- 20 , O2- 98% ON ROOM AIR. 911 WAS CALLED, ONCE THEY ARRIVED THEY RETOOK THE PATIENTS VITALS AND DECIDED THAT IT WAS NECESSARY TO TAKE HER TO THE LOCAL HOSPITAL DUE TO LOW BLOOD PRESSURE OF 78/42. AT THIS TIME, PATIENT WAS STILL RESPONDING TO COMMANDS AND ALERT AND ORIENTED X 4.

received vaccine and stood up. During walking out of room, fainted and potentially had seizure as she fell. Head hit the ground. Stayed awake, alert after she fell. Generally knew who, what, when, where and that she just had vaccine. EMS called who arrived and transported to ER for evaluation.

Patient received vaccine, 1-2 minutes later stated she was feeling dizzy and passed out and began to seize. 911 was called. patient was monitored and given water and an icepack upon regaining consciousness. Paramedics did a physical assessment, including checking blood pressure and blood sure. Patient's guardian refused going to hospital. After 30 minutes patient and guardian went home as patient stated she felt fine. Pharmacy planning to follow up with patient the next day.

Adverse event: PT here for first dose of Pfizer COVID vaccine. PT reported feeling anxiety before vaccination, but indicated that she was ready for her vaccination. Immediately post-vaccination, PT experienced an apparent vasovagal response, presenting with palor, slumped posture. PT's eyes were open, but PT was unresponsive and later reported no memory of events. PT became responsive within 2 minutes, but remained "shakey" and pale. RN was in attendance and provided initial assessment/response. RN also responded to PT. Aid was called at 1251 and EMTs arrived at 1253. Aid assessed PT, took vital signs (1256: BP 104/56 laying, HR 70, SPO2 98% on room air, 1303 BP 110/62 laying, HR 87, SPO2 99% RA, 1307: BP 96/58 sitting, SPO2 99%RA, 1311: BP 106/62 sitting, SPO2 99% RA). Treatment: PT was assisted to lay down on cot, water and juice were provided and consumed, cool compress were provided. Psychosocial support provided. Education to PT and mother to monitor for further s/s and to seek out urgent care if more were noted. Outcome: PT's color improved soon after laying down, PT reported "feeling better" after consuming juice and water. PT sat at edge of cot without difficulty, walked down hallway without difficulty. PT medically cleared by EMS at 1223, exited facility with mother in private vehicle.

Right after patient received the vaccine she turned very pale and told the technician she felt light headed. She remained seated in the room and closed her eyes a couple times but never appeared to lose consciousness. Her dad joined us in the room and confirmed she was really nervous before the vaccine. We kept her seated for several minutes and then she said she felt sick and vomited. After that she started to regain her color and was able to move to the waiting room. She sat there for about 5 more minutes and then felt well enough to leave with her dad.

Within 5-10 mins post-injection pt became pallor, sweaty, dizzy and had a vasovagal episode while sitting in her chair. Pt exhibited jerking motions and then quickly had a syncope episode lasting <1 min. Pt was lowered to the ground during the episode. No trauma occurred. Pt mother beside pt entire time. During this time a pulse ox was put on pt and her legs were elevated. Pulse ox remained 96-98%. After waking, water and wet rag was given to pt and pt moved to reclined chair after 5 mins. Pt remained pallor and dizzy x15mins, after 40 mins pt was able to walk and leave the clinic. Mother stated in past that pt had a vasovagal episode after the Gardasil vaccine.

ADVERSE EVENT: DIZZINESS/ SYNCOPE AND NAUSEA, PATIENT ALS O TURNED PALE DURATION OF 15 MINUTES. TREATMENT: MONITORED PATIENT ENTIRE TIME AND PROVIDED SUPPORTIVE THERAPY. GAVE PATIENT WATER OUTCOME: PATIENT RECOVERED IN 15 MINUTES AND WAS OBSERVED FOR AN ADDITIONAL OF 15 MINUTES (30 MINUTES TOTAL) AND PATIENT WAS RELEASE TO THE CARE OF HER GUARDIAN

she fainted; hit her head; This is a spontaneous report from a contactable consumer (patient's mother) reported that a 16-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0171), via an unspecified route of administration, administered in arm left on 23Apr2021 (at the age of 16-years-old) as 1st dose, single for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On 24Apr2021, she fainted and hit her head. Clinical course details was reported as the patient got her Pfizer COVID vaccine on Friday (23Apr2021), and she fainted on Saturday (24Apr2021), knocked her head on counter and was knocked out. The doctor was taking her to ER. The patient was not yet admitted to the hospital, since when the patient's mother called they were going there (hospital) now. The doctor had her blood drawn to find out what was going on. The patient underwent lab tests and procedures included weight: 58.97 (no unit), and height: 157 (no unit) both on an unspecified date. The patient was scheduled on 15May2021 for 2nd vaccine. The outcome of the events was unknown. No follow-up attempts possible. No further information expected.

Child was complaining of pain and knot on the left side of her chest and her left shoulder and arm as well. Parent took child to the doctor on May 12, 2021 because the pain was unbearable. The doctor stated to the parent that she needs to consulted with the infections disease doctor to get his opinion on what it is and how to treat it. The infections disease doctor stated to the other doctor to treat it with antibiotics. The doctor wanted to do a follow-up with child in two to three days to see if the antibiotics is working. Childs follow-up is schedule for May 15, 2021. Child was saying that she cannot sleep on her left side because it hurts so much.

Syncope caused patient to lose consciousness and fall out of chair hitting her head. Paramedics were called to the scene but patient did not require additional medical assistance at the time. Follow up with PCP recommended.

Patient fainted after vaccination. Patient was put into the wheel chair by the nurse and taken to observation area. Patient wake up and was alert and oriented. Patient was asked to sit for 30mins observation. Patient feels better.

Thrombocytopenia noted; Elevated temps to 104; Associated chills; headaches; This is a spontaneous report from a contactable healthcare professional. A 16-year-old non-pregnant female patient received bnt162b2 (BNT162B2 reported as PFIZER COVID-19 VACCINE), dose 1 intramuscular on 25Apr2021 (Lot Number: EWO171) as 1st dose, single for covid-19 immunization. Medical history included eczema, Pyle disease, food allergies, short stature, seasonal allergies, peanuts allergies and nuts allergies. It was unknown if the patient was diagnosed with COVID-19 prior to vaccination. The patient's concomitant medications were not reported. The patient did not have other vaccine in four weeks. On 26Apr2021, the patient had elevated temperatures to 104 [unspecified unit], 4-5 days post vaccination (pending clarification) with associated chills and headaches. Thrombocytopenia noted. The adverse events resulted in doctor or other healthcare professional office/clinic visit. No treatment was provided for the adverse events. The patient was tested post vaccination with a nasal swab test on 28Apr2021 and the result of negative. The reporter did not consider the events was serious. The outcome of the event was recovering. No follow-up attempts are needed. No further information is expected.; Sender's Comments: The reported event thrombocytopenia was observed only 1 day after vaccination. It is unlikely that thrombocytopenia is related to BNT162B2. It's more likely intercurrent medical condition. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Parademics/911 called, patient's parent refused transport to the hopsital. Patient waiting in recovery with NP and nurses, RPH to check

Patient passed out within a minute of vaccination. Mother and I moved patient to a laying down position where she immediately woke up and knew where she was and what just happened. Declined any other symptoms. Mom said she passes out often after vaccinations. Patient was conscious carrying on a conversation like normal immediately after coming to. Over the next 30 minutes I tried to get patient to a sitting position to take her blood pressure but every time we tried she needed to lay back down because she felt like she was going to pass out. After trying this twice and being unsuccessful I had EMS called to check on patient to make sure nothing more serious going on. EMS came and took a couple blood pressures and pulses which were normal. Patient was starting to feel better. Walked out with EMS and planned on going home.

Patient left vaccine site without waiting in observation with mother. Came back to site with reported palpitations and anxiety after going to Chik fila nearby. On arrival patient vitals 125/78 HR 85 regular O2 Sate 98% No signs of distress. Patient obviously anxious. Observed for 30 minutes and released with no treatment or transport. Released with Mother.

Patient has a seizure history. Mother stated they have had numerous vaccines in the past without a problem though. Patient was waiting the period of time afterwards. Mother then stated she was having a reaction. Mother stated she is a nurse and said she believed the patient was having a seizure. Mother later was not sure if patient had fainted also since she was nervous about receiving the shot in the first place. After paramedics arrived, they took her glucose and was 77. Paramedics let mom then take patient home to get food.

Presented with acute onset chest pain, found to have right lower extremity DVT and bilateral PEs. Required short stay in ICU for close monitoring given clot burden in her lungs. Required heparin infusion and then transitioned to lovenox for home-going therapy.

Patient presented to the ED with dizziness, fever and heavy vaginal bleeding around 24 hours after receiving her first dose of the Pfizer-BioNTech COVID-19 vaccine. She was tested for active COVID-29 infection via nasal swab PCR and tested positive. Upon presentation labs were drawn and her platelet count was found to be 8 on 5/15. Repeat labs were drawn that day to confirm low platelet count and confirmed diagnosis and thrombocytopenia secondary to an immune reaction to the vaccine was suspected. She was admitted and was started on tranexamic acid, medroxyprogesterone, dexamethasone and IV immunoglobulin (Ig) to help treat low platelet count and vaginal bleeding. As of writing, she is still admitted and her most recent platelet count on 5/17 was 16.

Pt passed out after fisrt dose of Pfizer vaccine. Pt was wheeled to the EMS station where she passed out a second time. Pt VS at 11:08AM HR 54, BP 11/40. At 11:16AM HR 60, BP 90/60. At 11:32AM HR 66, BP 100/60. Pt was given cookies and water and appeared alright, she was released following last set of VS.

Very shortly after receiving the vaccine the patient's head dropped down and she momentarily fainted. She was held in her seat so that she didn't fall out and was awakened only seconds later. She was kept in her seat for 15 minutes after the incident until she felt stabilized. She stood up slowly and assessed for balance and strength. She and her father felt she was stable enough to go home.

At approximately 1:04pm on 04/30/2021 patient during 10 minute observation had a syncopal episode and fall from standing to floor with loss of consciousness. Trauma assessment found contusion to occipital region of skull. No bleeding, no other trauma findings. Pt moved to wheelchair, and then to cot without incident. Pt AA&Ox4, airway patent, breathing shallow and non-labored. Pulse strong and regular with delayed perfusion. Pt skin pale, cool and dry. Pt eyes PERRL bilaterally. Pt complains of pain 7/10, dull, localized, to the base of skull, and ringing of ears, as well as dizziness without nausea. Pt administered 650ml oral water with improvement to skin and respirations. Vitals and report continued on next page

Patient received vaccine in her left arm. It was made aware to the immunizing technician prior to vaccinating that the patient had a history of dizziness after vaccines. Patient was seated when receiving shot and after stayed seat. About 30 seconds after the shot patient lost consciousness and fell out of the seat hitting her head on the way down. The pharmacist and mother helped patient back to her seat. As she came to consciousness patient reports a little headache and dizziness. Pharmacist took blood pressure which read 84/52, temp 97.9 and gave patient some water and 911 was called. As EMS arrived patient reported still some dizziness but was feeling better.

Right after receiving Pfizer Covid-19 vaccine, patient began to feel queasy. I asked her whether she had eaten recently and she said she hadn?t. Her eyes rolled back and up then her head fell backward. I supported her head and her dad was checking her for awareness. I gave her a bottle of water and she drank some of it. She indicated that her vision was still not accurate. Her dad brought her a candy bar and she ate the majority of it and drank the majority of the contents of the water bottle. We gave her a few more minutes to feel comfortable then I asked whether she was ready to stand up. She was not. We gave her a bag of chips and she ate some and finished the water bottle. After a few more minutes, she stood up and was able to walk without assistance. Her father indicated that she had an incident like this before, but patient did not remember the previous incident.

Mother states that 18 hours post-vaccination her daughter fainted. She was taken to receive medical help and it was determined that her blood pressure was low and she was given IV fluids. Patient's blood pressure remained low for 11 hours.

A few moments after receiving the vaccination, patient fainted and had some tremors afterwards. We picked her up off of the floor and placed her in a chair. She was pale and had some discoloration around her nose area. She was able to speak to us. She felt cold and was sweating at the same time. Her body temp was 97 degrees F. According to her mom, she's had a previous reaction similar to this but not to this extreme with the HPV shot. We called 911 to have her assessed by the paramedics

Patient felt lightheaded and dizzy after 2nd dose of Pfzier, was pale and diaphoretic but alert and oriented x4. Had pt lay done supine and observed for an extra 15 minutes. Pt felt fine and symptoms resolved. Left with father feeling better

At approximately 1825 a patient fainted over in her seat at the observation area. The EMS transported her to the other side of the gymnasium wherea privacy screen is set up. She was fine to leave around 1835 per the EMT but stayed till 1848 and left on her own will. Patient was 16 years of age, female. Girl has a history of passing out, i.e. when she received novocaine and when she got her ears pierced. Her guardian declined to give a name for the report.

Pt was in 15 minute waiting period and suddenly collapse out of seat; she was immediately assisted by pharmacy staff who also alerted EMT based on patient's rapid breathing; No Epi was needed. Cold pack put to pt's head and nape of neck & oximeter placed on finger until EMT arrived about 10 minutes after call. Pt was not taken by EMT; Left with mother and brother

PT HAD A SEIZURE APPROX. 30 MINS AFTER RECEIVING THE COVID VACCINE, PT FAINTED, STIFFENED UP, AND BEGAIN TO CONVULSE. PT WAS PLACED ON COTT IN THE RECOVERY POSITION, 911 WAS CALLED AND VS OBTAINED. P74, R22, BP118/80, O2SAT 98% ON RA. SEIZURE LASTED APPROX 10 SECONDS, AMBULANCE ARRIVED WITHIN 10 MINS, AND TOOK OVER PT'S CARE. PT'S COLOR REMAINED PINK THROUGHOUT, AND SHE WAS SLEEPY BUT ABLE TO ANSWER QUESTIONS APPROPRIATELY. VS: P83, R24,BP116/80, POX99% ON RA. PT TAKEN IN AMBULANCE TO HOSPITAL FOR FURTHER EVALUATION

is a 16-year-old female patient admitted with tachycardia. Starting 1-1/2 weeks ago, mom notes that she has had episodes where she feels her heart racing. It began 1-1/2 weeks ago with her crying and her watch that her heart rate was 208. They went to the ED, where she was given some fluids and her heart rate improved so she was sent home. She had had prior episodes of mild tachycardia up to the 140s in the past but which has always improved with fluids. Mom states that she used to have a lot of trouble maintaining her hydration and would not drink a lot of water. Since the last 1-1/2 weeks, she has been having these episodes 1-2 times a day that last about 1 to 2 minutes with a max of 5 minutes. When it comes on, she feels dizzy and lightheaded, and after the episode she feels a big rush of blood to her head. She also has some associated shortness of breath. She denies having any episodes of chest pain at all. She has never passed out, she has never felt like she was going to pass out, she has never felt like she was out of balance. She denies any nausea or vomiting during episodes. She denies any headaches during the episodes. She does have history of migraines, but has not had one in the last couple weeks. Her prior resting heart rate was in the 80s per her watch, and lately it has been in the 110s to 120s while awake in 80s while asleep. Along with the episodes, she also feels some pulsating sensation in her abdomen. She does not have any abdominal pain. Today, her heart rate was again in the 200s, but it was worse than before because it lasted about 30 minutes total. Lately they have been using an app that continuously monitors her heart rate. Since these episodes started, she has cut down on her caffeine intake and she has increased her water intake. Does not feel that this helped. She has never had syncope in the past and has never had seizures in the past. Patient was started on carvedilol which has helped control heart rate and was encouraged to drink fluids. Per primary care team, her current episode of tachycardia was not due to the vaccine.

arrhythmia, heart palpitations, pain in left arm, pain in chest (particularly left side) radiating into shoulder blade, fatigue, muscle aches

The patient had a Vasovagal response. She had a 15 second seizure ,blood pressure dropped, was flush, tired and nauseated. She has no memory of the event.

Patient received first dose of Pfizer vaccine (lot EW0170) on 4/24/21 at University and received 2nd dose of Pfizer vaccine (lot EW0182) on 5/15/21 also at University. Came to hospital ED on 5/16 AM with diagnosis of acute chest pain, acute dehydration, and adverse reaction to vaccine administration. Was discharged to home and returned to ED on 5/17/21 for continued chest pain (central, throbbing, non-radiating chest pain). Medical tests and laboratory results revealed elevated troponin level (1.546 at peak, then declined to 0.585 prior to discharge home). Patient was admitted to PICU for close monitoring. CT angiogram of chest was negative, chest x-ray was negative, EKG showed normal sinus rhythm, echocardiogram was done and it was a normal study. Dr. discussed with the cardiology department at Hospital. Possible myocarditis due to vaccine. COVID-10 IgG IgM antibodies were positive for the patient which indicates good efficacy of the vaccine. Patient to have follow-up with outpatient pediatric cardiology Dr. Discussion with father on 5/20/21 indicates that patient's symptoms were improving.

Within 15 minutes, pt complaining of chest pain, not radiating, in center of chest. Coughing, stating sore throat. Given PO 50 mg Benadryl. Vital signs stable. No other s/s. Took private vehicle to hospital with RN.

Pt received her 2nd dose of the Pfizer COVID19 vaccine. While sitting in observation she proceeded to pass out. She was held up by the RN. Pt lost consciousness briefly. Pt was laid down on cot. Initial BP 91/70 JR 47, no pulse ox, Repeat BP while laying down 117/76 HR 70, pulse ox 99. EMS was called via 911. EMS arrived and evaluated the pt. BS 99. Pt did not want to go to the ED and a release was signed with EMS. BP 121/75 when leaving clinic. Pt reported feeling better. ED precautions were given.

Patient experienced fainting symptoms immediately after administration of vaccine. Further investigation showed patient had low blood pressure 73/57 mm Hg.

Fainted; Didn't know if it was a convulsion or a seizure; Shaking; was very anxious; This is a spontaneous report from two contactable pharmacists. A 16-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0167, expiry date: Aug2021), via an unspecified route of administration, administered in the left deltoid, on 30Apr2021 15:30, as 1st dose, single, for COVID-19 immunisation, at a pharmacy/drug store. There were no medical history and concomitant medications. On 30Apr2021 15:30, the patient received the first dose of the COVID-19 vaccine and was very anxious. She wanted her mom to be present. On the same day, 30Apr2021 15:35, five minutes later, the patient was shaking, and she fainted. The reporter did not know if she was having a convulsion or a seizure. A few minutes later, the patient was sitting and becoming more alert. The patient was given water and one dose of Benadryl. The patient's vital signs were checked (unknown result). The reporter talked to the patient's mother and contacted the patient's pediatrician. The events resulted to emergency room and physician's office visits. Later in the evening, the reporter followed up with the mother and she confirmed that the patient was doing well and better. The mother asked the reporter if the patient should get the second dose of the COVID-19 vaccine. The outcome of the events fainted, shaking, "didn't know if it was a convulsion or a seizure" and "was very anxious" was recovering. The reporter assessed the events fainted, shaking, "didn't know if it was a convulsion or a seizure" as serious (medically significant). The reporter considered that BNT162B2 has a causal effect to the adverse events. Follow-up (18May2021: New information received from a contactable pharmacist includes: reporter information, lab data, suspect drug details (vaccination site and vaccination time), event details (onset time provided, outcome updated to recovering, causality and seriousness assessment provided). Follow up attempts are completed. No further information is expected.; Sender's Comments: Based on the available information, and on a reportedly closed temporal association, the company assessed that a reasonable possibility could not be excluded that the reported events (fainted; didn't know if it was a convulsion or a seizure) were related to the suspect product BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE). The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

PATEINT WAS ANXIOUS BEFORE GETTING VACCINE, ABOUT 10 MINUTES AFTER GETTING VACCINE PATIENT FAINTED FOR A FEW SECONDS. PARAMEDICS WERE CALLED PATIENT WAS EVALUATED AND NOT SYMPTOMS WERE FOUND. PATIENT WAS NOT EXPERIENCING ANY OTHER SYMPTOMS AND WENT HOME WITH MOM.

Patient fainted approx. 1 minute after getting the vaccine. Layed down on the floor with feet elevated and head supported for 15 min after, given water and cold compress for forehead. No additional care needed

48hrs post-vaccine began with polyarthralgia, progressed to myalgias, arthritis, weight loss, abdominal pain/diarrhea, mucosal ulceration, and dyspnea, now admitted for evaluation which is suggestive of systemic lupus erythematosus.

6 days following vaccination, patient was exercising for the first time. started feeling dizzy. She had some water and realized that her skin was red. She had a rash on face and puffy lips. Mom came to get her she stood up and was extremely dizzy. Mom did not notice that her lips were swollen but did notice that her skin was rashy and red. Mom, who is a nurse, also thought she appeared pale and diaphoretic. By the time they got the ED she was hypotensive. She got a cocktail of meds in the ED including a couple doses of EPI. She got IV fluids. She started to improve quickly after giving the medications.

Pt began to feel faint in observation area after vaccine. Transported via w/c to observation bay after brief loss of consciousness. Mother present. BP 109/68, HR 58, RR 16 -- > 101/69, 64, 16. Pt reports feeling much better. Pt stable and released from the vaccination site.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Severe

Pt received vaccine and was walking around the store and passed out. Pt was responsive, alert and oriented. 911 was called. Pararmedics arrived and she was checked out. They released her to go home without addition followup.

Patient was fine after vaccine administration, but while sitting down patient passed out while sitting next to her mother. Patient was laid on the floor and regained consciousness while on the floor. Eventually with other help, got patient into wheel chair. Mom didn't want EMS called and just let patient sit for awhile until our store director in charge left with patient in wheel chair and Mom to make sure patient was alright.

PT SLUMPED OVER IN CHAIR UNCONCIOUS, PALE, DID NOT EAT PRIOR TO VACCINATION. PT WOKE UP, SX RESOLVED, DRINK AND SNACK PROVIDED. REFUSED TRANSPORT.

Systemic: Fainting / Unresponsive-Medium, Systemic: See statement below-Medium, Additional Details: Minor patient with parents in attendance. After receiving immunization, patient stood up, took a few steps and fainted, falling backward and hitting head on the floor. Pharmacy staff immediately called 911 and provided supportive first aid. Patient quickly regained consciousness, RPh had her continue to lay in the floor, provided pillow for head, elevated feet and ice pack was applied to back of head. Paramedics arrived to evaluate patient's condition, patient was released home with parents.

Vasovagal response immediately after vaccination. Dizzy, pale, lightheaded, diaphoretic, hypotensive. B.P. 64/25 @10:25 and @10:35 B.P. 110/60. Laid down in medical screening with good rebound Blood pressure. Remains for 30 minutes observation. Left in stable condition at 10:53.

Patient was visibly nervous/anxious about the vaccination. Patient had reported syncope from a previous vaccination on their consent/screening form. Vaccine was administered as prescribed and patient initially appeared fine but lost consciousness approximately 15 to 20 seconds after. The patient's mother, who was present as her legal guardian, helped me cushion the the patient to ensure she did not fall and injure herself. Patient regained consciousness in 10 to 15 seconds but then passed out again. I was then able to elevate the patient's legs and she regained consciousness. Provided patient with chilled bottled water and allowed her to rest in the vaccination booth for 15 minutes. I stayed with the patient during that time and observed her. Afterwards she said she was feeling better and the color in her face was returning. She felt comfortable standing up and moved to a different seat in front of the pharmacy where she waited another 15 minutes. I observed her from the bench during that time. When the patient and her mother felt comfortable they left the pharmacy together.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Additional Details: Patient had seizure with 1st vaccine, pediatritian informed mother to have patient lay down if it happens again. Patient said she felt out of it (at 11am) after administration of this vaccine so we helped her lay down on the floor with her head proped up. Gave her water and turned on the fan to try and make her more comfortable. Patient decidede to try sitting up slowly after 10-15 minutes, then after another 10 minutes she was able to stand and felt back to normal and left the store 11:30am.

Vaccine administered at outside facility. Patient is a 16 yo girl, admitted on 4/19 with myocarditis, s/p IVIG (4/19) after presenting with progressive new onset chest pain. She was in usual state of health up until 2 days ago when she started developing body aches, and chest pain. Patient received her 2nd Pfizer COVID vaccine last week (4/15). No known history of COVID infection. Parents brought her to the ED yesterday after she complained of dizziness, SOB, chest pain, and had a near syncopal event. EKG showed non-specific ST abnormalities with labs showing elevated troponin, mildly elevated CRP, normal CXR, negative COVID PCR. Denies fever, GI symptoms, GU symptoms, headache, rash. Once transferred to our PICU, she was worked up for myocarditis vs MIS-C. Troponin has been trended q6 and is trending up (now 11). Of note, there have been no fevers. Patient is a 16 yo girl, s/p admission (4/19-4/23/21) with myocarditis, s/p IVIG (4/19), has now been readmitted on 5/10 with myocarditis after presenting with headache and neck pain for 2 days. Following discharge from the PICU on 4/23, patient states that symptoms have lingered (low grade fevers, feeling tired, on and off chest pain). After developing a progressive headache and neck pain, she came back to the ER for re-evaluation. Upon readmission, her troponin was elevated (2.06 on 5/10). Her CBC and CMP were reassuring. Blood culture collected on 5/11 and urine culture collected on 5/10. ID consulted for workup.

Patient is a 16 yo female, experienced syncopal episode immediately after receiving first dose of pfzier covid vaccine. Loss of conciousness noted for less than 60 seconds. Once patient regained consciousness, she presented Alert and oriented x4, verbal and able to make needs known. Respiration even and unlabored. Skin pink, warm dry and intact. No c/c of allergic reaction. No loss or altered level of consciousness noted. Patients mother reports patient has a history of anxiety, especially with medical procedures, reports prior near syncopal episodes but denies actual loss of concern, denies allergies or significant past medical HX. Patient reports feeling very nervous. Mother remained with patient and provided emotional support. Patient was assisted to ground, placed supine with lower extremities elevated, past medical HX obtained from patient and physical assessment completed simultaneously. VS 137/82 HR 75 O2 97% RR 20. Encouraged patient to relax and breathe. Within 60 seconds, patient reported feeling better, although emotional. Once pt was OK, patient was assisted from sitting position and provided oral fluids. Patient denied dizziness or lightheadedness while in sitting position. Patient was then assited to standing positions and escorted to observation area, patient sat in chair while being observed for 30 mins. After observation period, pt denied any symptoms, no acute distress noted, patient went home with mother.

Felt dizzy and like she would pass out Felt faint and nauseous and very sweaty. MOM noted she was obviously sweating and left wet marks from her arms on the table Did have a syncope episode

16yo female pt had syncope episode approx 15 min after vaccination. Parents said they had just come off of a long international flight and that pt was very tired and had not had anything to eat or drink. After vaccination, the family walked around the store, and pt fainted on other side of store. Emergency services were called. Pt was helped to sitting upright in a chair, and had a scraped knee.

Patient fainted and vomited within 15 minutes of vaccination. No treatment needed. Patient released to home with parent.

Presented to ED on 5/13/21 with trouble breathing, chest pain, back pain and numbness. Had been exposed to boyfriend with flu like symptoms 3 weeks prior and had had some symptoms around that time but had been improved. SARS-CoV-2 PCR negative in ED. patient afebrile but workup in ED revealed troponin of 0.71, no EKG changes. Symptoms resolved in ED but given troponin was admitted to the hospital for further evaluation. Echo performed and normal. Troponin trended in hospital and patient discharged without events.

Patient went stiff/possible seizure 5 minutes after getting the vaccine. She came back after approx. 30 seconds. EMS was immediately called and her blood pressure and pulse were both taken prior to EMS arrival. Blood pressure was 91/51 with a pulse of 48. PER EMS, the patients blood sugar was low.

This patient received the Pfizer vaccine on 5/24/21 at 4:30pm and was feeling fine until the next morning at 5:30am when she felt dizzy and passed out. She then was able to get back up and passed out again. Her guardian states that she was gray in color and was very weak. She was able to communicate but was very tired and stayed at home for 2 days. Today she is feeling fine and guardian was asking if she should get the 2nd dose. I said that she should contact her physician.

Pt has history of anorexia. When she arrived at 1:00pm stated she had only eaten 1/2 banana today. Stated she has lightheaded and dizziness frequently and right then. RN instructed her to go and eat something before her vaccine could be given. She returned at 2:15 after eating a whole roast beef sandwich. Vaccine was given and she immediately began feeling even more lightheaded than her norm, per her. She was assisted to lay flat on the floor and feet placed up on the chair. She stated that helped but still was feeling poorly. 911 was called. She was diaphretic and got a severe headache, stating she was blacking out and unable to see. She never lost consciousness. Mother remained at side. EMT took her to hospital.

Approximately 10 minutes after vaccination, patient's brother yelled out for help. The pharmacy cashier then observed the patient convulsing. Her body was leaned back on the bench, with head tilted back a bit. When I came out, patient appeared very pale. I immediately ran back into the pharmacy, instructed a fellow employee to reach out for assistance from front end management, and I called 911. While on the phone with 911, I walked out to check on the patient. At that point, she appeared to be coherent and said she was okay, and doesn't need any medical help. At that time, her brother explained that a reaction like this had occurred in the past when she got other vaccinations/injections so they were familiar with the symptoms. We continued to monitor patient for further reactions. After about 30 minutes, patient appeared to have no further reactions and left.

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Additional Details: Patient temp at time of incident was 96.8. About 8 mintues after vaccination was given patient became pale and passed out for several seconds. Patient was dizzy and vomited. No other symptoms. Called paramedics to make sure patient was okay. Gave patient some water and spoke to patient until the paramedics arrived. Paramedics took her vitals and after while they cleared her. She was able to walk out on her own and went home with her father and brother.

Patient sat about 2 minutes after getting vaccine and started to walk away to sit in our designated area. She immediately turned around to sit down again. She then proceeded to start falling to her right and passed out. I was able to catch her and then she started shaking as if having a seizure. This lasted about 5 seconds . She stopped and then it happened again for about 5 seconds. When she came to, she tried to walk away again and had to return to sitting. Then she vomited twice. Upon checking her blood pressure after about 30 minutes, it was 97/66. She sat for a total of about an hour before feeling good enough to leave. She was nauseous for the remainder of the day and the next day as well.

arm pain, mild chest pain, mostly around the sternal area, more with on palpation, extremely elevated troponin levels (high normal is 0.04 for our labs, patient had 20) echocardiogram negative transferred to a more complex center, Hospital

PATIENT EXPERIENCED DIZZINESS, BLURRY VISION, HEARING LOSS AND BECAME SHAKY AND PALE ABOUT 2 MINUTES AFTER GETTING THE VACCINE. SHE WAS STILL SEATED IN THE IMMUNIZATION ROOM AT THE TIME THE ADVERSE EVENT OCCURED. SHE REMAINED SEATED IN THE ROOM FOR ABOUT 20 MINUTES BEFORE FEELING WELL ENOUGH TO LEAVE. SHE WAS GIVEN WATER AND AN ICE PACK.

PATIENT'S FATHER REPORTED AFTER PATIENT SAT DOWN IN OBSERVATION AREA, SHE REQUESTED A WATER. PATIENT AND MOTHER WALKED TO RETRIEVE WATER AND AS SHE ENTERED THE TENT PATIENT REPORTED DIZZINESS AND VISION DISTURBANCE. PATIENT STATED SHE BEGAN TO SEE BLACK AS SHE WAS SEATED. NURSE WAS CALLED OVER. DAD STATED PATIENT'S BODY SLUMPED OVER AND HE SUPPORTED HER IN THE CHAIR. THE NURSE WITNESSED FULL BODY UNCONTROLLABLE SHAKING FOR LESS THAN 20 SECS. LOC ASSESSED AND PATIENT WAS AOx4 IMMEDIATELY FOLLOWING THE SHAKING. NURSE ALSO OBSERVED PALE LIPS. FLUIDS OFFERED AND CONSUMED. MD & EMS PAGED. DAD REPORTED TO MD, PATIENT HX OF FAINTING. PATIENT BECAME PALER. MD ADVISED AGAINST PLACING PATIENT ON GROUND. GURNEY PROVIDED. PATIENT FEET ELEVATED. VS OBTAINED #1 BP: 76/48; #2 83/52, p: 60, RR: 16; O2: 98%; #3 BP: 85/53, P: 81 at 1540. PATIENT OBSERVED WITH FEET ELEVATED FOR LESS THAN 10 MINS. MD RECOMMENDED PATIENT REMAIN IN OBSERVATION FOR 15 MINS PRIOR TO LEAVING. PATIENT MOVED TO CHAIR SEATED UPRIGHT POSITION WITHOUT ASSISTANCE FOR 15 MINS. 15 MINS ELAPSED, MD MADE AWARE AND DECLINED TO REEVALUATE PATIENT AT 1555. PATIENT EXITED OBSERVATION AREA ACCOMPANIED BY PARENTS AND BROTHER WITH FLUID IN HAND IN STABLE CONDITION.

Shortly after receiving vaccine (about 5 minutes), pt complained about difficulty breathing. I went to check on her and she appeared pale and seemed very drowsy and unresponsive to questions. She continued to complain about dizziness and nausea. Her parents grabbed some water for her and still there was no improvement. I called 911 to report the symptoms and was advised to administer EpiPen. When asked if her breathing improved, she nodded yes, but she did not appear to have improved. She continued to be unresponsive to questions and appeared extremely drowsy. Within 15 minutes, the ambulance arrived.

Patient began to loose vision and fainted. after about 5 minutes she began to make jerking movements and fainted again 911 was called and they took over the situation

Patient received the Pfizer vaccine. Patient left to sit in out waiting room after vaccine. Patient's mother informed in a few minutes that the patient was not feeling well. She stated that the patient felt hot. I grabbed an ice pack on my way out to her. I put the ice pack behind her neck. Patient passed out within a minute of me getting to the patient. She came back to quickly and stated that she was having a hard time seeing and hearing. She then again passes out. At this point I made the decision to call 911. I delegated to my tech to call 911. She called 911. I asked my other tech to come help me thinking the patient my have needed to be lower to the ground. The patient again regained consciousness. At this point I asked tech to call our Store Director and inform them. I also asked that she get me a water for the patient. The patient was feeling better and drank some water. She then again passes out. This time we were struggling to get her to regain consciousness. I used sternal rubs to help the patient regain consciousness. I was having a hard time finding her pulse. This lasted for a minute or two and then she stared responding. Right then EMS arrived and took over. I gave them the information I had and they took her vitals. EMS decided that she was stable and could go home to be monitored by mom. I did call the Mother the next morning to check on the patient. The patient did well last night and was feeling good this morning.

Shortly after receiving vaccination client became pale and diaphoretic, c/o blurry vision and fell from chair. She received a minor injury to her right knee which was treated on the scene by EMS. BP 91/50, 02 99%, HR 46

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

Patient developed left sided chest pain that lasted for approximately 12 hours. It then improved but she still had it with lifting heavy objects. Was seen in clinic. Went home and has follow-up with Pediatric Cardiology tomorrow.

Myocarditis. Chest pain started 2 days after the 2nd shot. Elevated troponin and went upto 20. Near syncope and tiredness.

Patient had an episode of vasovagal syncope right after receiving the vaccine. Her blood pressure dropped to 92/50 at 11:15, but then it resolved to 102/60 within 5 mins. Gave 8 oz. of orange juice and patient reports feeling normal after 15 mins. Monitored for about 20 mins and no other symptoms were observed.

Patient reports immediately after receiving the vaccine she developed chest tightness and pain that has continued to wax and wane the past two weeks. Has some intermittent difficulty breathing and fast heart rate that each last about 20- 30 minutes. Also accompanied by dizziness or lightheadedness. Reports her whole right leg feels tingly and her joints hurt, but denies weakness, redness or swelling of the joints or right foot. Also has a continuous headache that started within an hour of receiving the vaccine and worsened over the next few days. This too has waxed and waned.

passed out; BP was 70/44; could not sit or stand; EKG-Potential abnormal Twave; Calcium was low; This is a spontaneous report received from two contactable consumers reporting for her daughter. A 16-years-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), vaccinated at the age of 16 years old, via an unspecified route of administration, administered in Deltoid Left on 05May2021 15:00 (Batch/Lot Number: ER8735; Expiration Date: 31Jul2021) as single dose for covid-19 immunisation. Patient received the first dose on unknown date. Her daughter had no reaction from the first one that was three weeks prior. The patient medical history included Attention deficit hyperactivity disorder. Concomitant medications included lisdexamfetamine mesilate (VYVANSE) taken for attention deficit hyperactivity disorder, start and stop date were not reported. Last Wednesday, at 3 pm, caller's daughter received the second vaccine. Her daughter had no ill effects. Her daughter got up the next morning, 18 hours after administration, and passed out. Caller states that they called the squad and her daughter's BP was 70/44. They pushed an IV, transported her daughter, and they were in the ER for 10 hours. The local hospital gave her daughter 2 1/2 bags of fluid and transported her daughter to Hospital. Caller adds that there were 4 liters of fluid given, and her daughter could not sit or stand without her blood pressure dropping for about 8 hours after the incident. There were 2 transports and 2 ER's. Caller asks why were they not told that this is a symptom. She was grateful that she could catch her daughter before she hit her head, but what about parents who leave their kids alone. Last Wednesday, caller's daughter received the vaccine 05May2021 at 3 pm and passed out 06May2021 in the morning. It was the only time she passed out and caller states she saw her daughter's head drop and then was trying and caught her. She was trying to talk to her and her eyes were in the back of her head, and was trying to arouse her. She was out for over a minute. She went to Emergency Room in. They were there for 6 hours. Then, when she could not sit up and her blood pressure was dropping, they recommended Hospital. She was there, this all took place, on Thursday from 9 am or around 8:50 am when she passed out and then they were discharged after 9 pm. It was a 12 hour situation where they were transported and she spent 12 hours in 2 emergency rooms. The only one she had at time was vyvanse but she did not take this before passing out. The last time that she took this would have been nine hours before administration of the vaccine on 05May2021. She did not take it on 06May2021 when the incident happened. She was just getting up. She had only been on this for about a week. It is a stimulant drug but it is out of the system in the evening so people can sleep. She asked each doctors if this had any role in it and they said no. They told her to take it again which they have not started back yet. She has no other medical conditions. Investigations: caller does not provide dates or specific test results. The first ER did bloodwork, urine, chest x-ray. They wanted a CAT scan of her head but caller declined because she thought it was unnecessary. They did an EKG at first in the ER. Nothing was abnormal. She did have some things out of range in bloodwork which is not surprising because she was taking in fluids. Her calcium was low. Nothing was way out of range, nothing was abnormal. The second ER did a follow up EKG but no other tests or bloodwork. According to three physicians, the EKG was fine. A cardiologist reviewed the 2nd EKG and she got a phone call that they wanted her to follow up because of potential abnormal T waves which could have been a result of that much fluid intake and electrolytes being out of sync after that much fluid. They are following up on this. Her father has as vasovagal response hat he has experienced 4-5 times in his lifetime. He has never passed out following a vaccine. Caller had no idea that was even a response to vaccine. He has passed out after giving blood, with severe pain, coming out of anesthetic, and with severe stress. He has never had an extended period of time where his blood pressure was low. She, they could not get, her blood pressure up with fluid after fluid which is why she was transported to the second ER because they thought they did not know what was going on there. Caller states does she think that there may be some relationship and her daughter has this tendency to vasovagal - yes. Was it brought on by the vaccine? Yes. She has never fainted in her life. Caller adds she can see how some many say this may not be related to the vaccine but 18 hours after administration, they can not get her blood pressure up and were in the ER for 12 hours. Treatment included all the fluid, and 2 capsules of acetaminophen. No other treatment. Outcome of events was unknown. Information on Lot/Batch number was available. Additional information has been requested

About 18 hours after she got the shot, she started passing out. This happened 9 times over the 24 hour period. She got a CT, MRI, 2 hour EEG and a 24 hour EEG. All of her test came back normal.

I woke up not feeling well. I was pale in color and felt nauseous, light headed and my ears were ringing. I took my blood pressure and the reading was 120/71 with a pulse of 54 which is really low. I went to the Dr. to be evaluated. Dr. felt it was a vasovagal response. I will continue to monitor myself and if it continues, I will see a cardiologist.

Fever 37.5C, fatigue, headache, swollen lymph nodes, back of the neck pain, stomach ache, pale complexion. Missed school, stayed in bed at home until symptoms resolved.

After leaving the immunization room the patient fainted and fell on the floor. Patient lost consciousness for a moment but then was breathing and talking without difficulty. 911 was contacted. At some point before the patient left the store she vomited. Patient parent was contacted the next day; patient did go to hospital and was checked out and given the all clear and was then at home resting.

Mother reported daughter fell in bathroom in the middle of the night- said she couldn't see then sight came back. Then again Mother checked on daughter later on and daughter was unresponsive when mom was tapping her in the face-she was just looking at her mom but not seeing or hearing her -like a black out-- couldnt be woken up easily- and when she did wake she couldn't see. But since those 2 episodes daughter's sight is back but she feels nauseous and has an upset stomach.

Pt passed out. Experienced extremely low blood pressure. Pulse couldn't be detected for a couple of seconds. Pt woke and was clear and coherence. Paramedics saw pt and provided IV fluids. Pt left under own power.

Syncope x 3 in the early morning hours (around 3am) about 14-15 hours after vaccine. She had had headaches that is intermittent, throbbing, phonophobia but no photophobia, from back of head to top of head and behind eyes, taking Advil or Excedrin intermittently with relief for a week prior to covid19 vaccine. Syncope, longest lapse was two minutes, her sister found her. She went to Medical Center ER at 0400, was assessed and scanned, neg CT scan of head, and was discharged home. Has felt some fatigue today due to not sleeping early the night before, has returned to school since concussion, with normal learning, and denies any exertional physical activity due to pre-existing torn ACL, torn medial meniscus L knee. After evaluation by ER, was given IV fluids, determined cause to be dehydration.

Patient appear to have seizure just after receiving the vaccination. After apparent seizure or loss of consciousness patient appear weak and had a hard time answering questions. 911 was called and patient transported for medical care.

My daughter had a mild seizure 5 minutes or less after receiving her first vaccine. She fell out of her chair, her eyes fluttered and rolled in the back of her head, her teeth were clocking and chattering and her body was shaking mildly. She lost consciousness for approximately 2 minutes. At 8:33 pm she felt a second seizure begin, her step father grabbed her before she could fall and again, her eyes fluttered and rolled in back of her head, her teeth were clicking and chattering and her whole body was shaking. The second episode lasted approximately 2 minutes as well, with her losing consciousness again. She was taken to the emergency room and stayed overnight for observation.

After receiving the injection the patient fainted. Patient was offered juice and after taking a sip she had a small amount of emesis. A cold towel was placed on patient's forehead and then observed by EMS.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: blurry vision-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient reported leg weakness and blurred vision and dizziness/slight difficulty breathing upon getting ready to leave observation area. Said she hadn't eaten in a while and felt cold due to A/C in the store as well. BP was low and HR high, so called 911 to get her emergency help as she didn't feel like she could walk out of store safely. Felt strange and that her legs might give way. EMS arrived, vitals looked good, pt refused ambulance.

Pt had loss of consciousness x 2 immediately after injection. , shaking of extremities described. Lasting appx 1 min each. return to baseline after . Differential was seizure vs. more likely vagal syncope

Within minutes of receiving the 2nd dose of Pfizer vaccine the patient start to feel light headed, she saw stars, she vomited, she started to look pale and felt tightness in her chest. We called the EMTs and we advised the patient that syncope is something we have seen in children receiving the vaccine and the EMTs advised of the same thing. They took her vitals all normal and the patient began to see the symptoms disappear. The patient once better and cleared by EMTs went home per their advise.

Immediately following administration, patient walked out of room and sat down in waiting area. Patient felt very dizzy and almost fainted. Complained of hearing loss then tinnitus. Initial BP was 82/31 then gradually increased back towards normal over 20-30 minute period. Hearing loss recovered after 1-2 minutes then complaint of tinnitus which then stopped after 5-6 minutes. Approx 30 min after admin, pt felt much closer to normal and parent felt comfortable bringing her home.

Myocarditis (with chest pain, shortness of breath, dizziness) starting after first dose, worsening after second

atient was in for 2nd covid-19 (Pfizer lot was EW0167, exp 8/31/2021): It was her and her brother receiving the vaccine. Brother went first and was fine. She was second. After receiving the vaccine (~30-60sec) she appeared to lose conciseness (not sure if complete or partial) she said she didn't remember all of it, but it was more like a dream. During that she had some twitches/spams (involving circular motions with her arms and leg, leg extended and then retracted, but her head rolled back). Upon coming out/waking she appeared sensitive to light and was nauseous. Left her in the room with her mom to get an ice pack, water, paper towel. Total episode lasted less than a minute, but took about 10-15 minutes (estimate, unsure of full time spent) before she felt good enough to use a wheelchair and get in her mom's car to drive home.

Vasovagal event. Pt fainted and immediately came to. Pt felt better after about 15 minutes and was able to walk.

At the time of the vaccine daughter dizzy and started to fade out 20 minutes after the vaccine. She couldn?t see and it seemed like it was a Vaso Vagal response which resolved quickly. At 5am the woke up with a fever of 102 and extreme left arm pain. The fever was controlled with Tylenol. Two days after the vaccine she woke up complaining of chest pain and a knot under her left arm. It felt like something was pressing on her chest. We went to the ER and all tests were negative. The feeling lasted until the end of the day. Three days after the shot the next morning she got a headache for half of the day and resolved with Tylenol. The next day all symptoms were gone. Emergency Room Dr.

patient fainted a few minutes after getting pfizer covid vaccine. She felt better 5 minutes later, Her blood pressure was 113/69 pulse 73. Her blood pressure was 98/64, pulse 80 30 minutes after. But she felt perfectly fine then.

Pfizer COVID-19 Vaccine Vaccine Lot Number: Ew0178 2nd dose; vagal faint. Pt got dizzy after immunization, assisted to ground. Ambulating from vaccine site to chairs, slow faint to ground no LOC no sz no DOE VSS. glucose 93; weakness taken to ground, observation in EMS tent, home with parent. 5pm-94/60 p-93, r-20; 5:10 104/60 p-79, r-20, pox 99%

This young lady was at the school to receive her second dose of the Pfizer vaccine, she answered all the questions with a No answer, she stated she was feeling well and had minimal reaction to first vaccine. She appeared to be nervous as reported by the nurse. after recieving her second shot, as the nurse was finishing up paperwork and filling out card, the student felt like passing out, one of the other nurses that were at her side, caught her as she fainted out of chair, she was placed on the ground and EMS was called at 10:10 and Nursing Supervisor was notified at 10:15. EMS determined she had a Vasovagal Syncope. EMS attended to patient and it was unknown if she was released after observation or taken to ED for further evaluation. a field emergency record was recorded and return to the nursing supervisor at the health department.

Bleeding & bruising happened instantly as the injection was given. Within 2 minutes (walking to the waiting area) she was feeling dizzy. By the time we sat down she said she felt like she was going to be sick. She began sweating - it was dripping off her head and neck and her eyes kept closing. She was extremely pale and her lips were white. She was like this for approximately 10 minutes.

approximately 5 minutes after vaccine, patient experienced paleness, nausea, tingling throughout body, stomach tightness and sweaty

Vasovagal episode following vaccination. Spontaneous resolution after being put in the supine position. Paramedics on site. No treatment required.

Vasovagal event following administration of vaccine. Spontaneous resolution after being placed in supine position. Paramedics on site. No treatment required

excessive bleeding immediately the needle was withdrawn. then 9 hrs later when the bandage was being removed patient fainted for 5 mins associated with LOC.

Pt w/ hx of allergy to penicillins (rash) & HPV vaccine (unknown reaction). Pt had syncope, flushing/sweating and dizziness. BP 119/76, HR 78, RR 18 -- > 107/61, 72, 18. Recommended to the patient to take 2nd dose supine. Pt stable and released from the vaccination site.

Patient's mom reported that patient had chest pressure and felt tired on Saturday 6/5/2021 (pt got 2nd pfizer covid 19 vaccine dose on 6/4/2021) per mom. Pt's mom was advised to contact PCP or visit urgent care or ER if symptoms get worse. Called pt's mom next day to follow up on pt's adverse reactions. Pt felt better and chest pressure went away per pt's mom.

Syncopal event. Np was doing routine rounds when mom of patient called for help. NP, Charge Nurse, and Paramedics went to aid patient. Patient was sitting in her chair, and recovered consciousness immediately. Pt's blood was assessed by NP, Charge nurse and Paramedics. Blood pressure was checked. Initial blood pressure was 60/32, O2 was 99% at room air, heart rate was 52 beats per minute. Once patient recovered consciousness she was alert and orient X4 , she stated she felt fine, blood pressure retaken was 99/62, O2 99% at room air, heart rate 68 beats per minute. Mother of patient stated this was the first time patient loss consciousness. Patient and mother of patient were given the option to be transferred to hospital and they refused. NP educated and advised mother of patient to make an appointment for patient to see primary provider. Patient stayed an additional 15 minutes for further observation and was able to leave home with mother.

My daughter experienced fatigue, GI issues, heart racing, anxiety, jittery (these are signs that her thyroid is not working). All her thyroid issues were off, her TSH value was up to 6. My daughter still has her symptoms of anxiety, GI issues and anxiety.

Pfizer COVID-19 Vaccine EUA Patient received 1st dose Pfizer at 1705. Patient stood up and had vasovagal reaction, passed out and seized for 15 seconds. Nurse performed sternal rub, patient was aroused. Patient A&Ox3. Physician arrived at 1708, vital signs obtained at 1711 (BP 113/68, O2 100%, HR 83 bpm. Patient right ear started to bleed at 1712. 1725 obtained another set of vital signs. BP 118/70, O2 96%HR 82 bpm. EMS/Fire arrived 1732.

Fever and chills on the 8th and 9th; Over the last couple of weeks, several times that I've gone to doctor. On May 18th, she had what was considered to be a pre-syncope event (almost passed out). And she had a pretty large migraine headache as well - the headache lasted for days - for probably three days. 18th, went to dr and they took her vitals. They were under the impression she passed out from having the migraine (her blood pressure is low but normal, in general). Dr was called on Monday 24th - doctor wanted tests. She had another pre-syncope event on May 1st in school and then had a fever the rest of the week. (From 6/1/2021 - 6/6/2021 - fever and threw up and bad headache - fever until yesterday). I did take her pediatrician. Negative for COVID and Strep on 2nd . She had another migraine on Tuesday. Pediatrician said it could be a viral infection of some sort. Neurologist believes the migraines were exacerbated by the viral infection as well. This one has lingered and it's the first time she had a migraine within a week or two weeks of each other. She was out of school was out 2 1/2 days last week and the week of the 18th she was out of school the 19th and got sick again the 20th and was out.

Fever, urticarial rash to face, neck trunk, and extremities, arthralgias and swelling to hands, feet, ankles, left knee and left elbow occurring 4 weeks after vaccine lasting for 4 days in hospital after 2 days at home. still resolving slowly

Patient admitted with myocarditis s/p dose #2 of the Pfizer COVID-19 vaccine. At the time of the report, she is still hospitalized. From EHR note: Patient was in her usual state of health when she received her second dose of the Pfizer mRNA Covid vaccine on 6/3. She experienced mild myalgias in the day following the vaccine. However, on 6/5 she developed new severe substernal chest pain, dizziness, and dyspnea. Pain radiated to her throat. Given severity of pain, she presented to the emergency department. In the ED she was afebrile, tachycardic, and initially hypertensive. Labs demonstrated WBC 10.9 (N 49, L 27), Hb 11.7, PLT 315. ESR 25, CRP 7.61. Troponin T was mildly elevated at 0.08, consistent with mild cardiac inflammation. SARS-CoV-2 PCR and antibody testing were negative. An EKG was normal. However, an echo demonstrated low-normal LVEF (55%). Otherwise, patient denies nausea, vomiting, diarrhea, cough, runny nose, conjunctivitis, new rashes, arthralgias. Patient was admitted to the cardiology service for further monitoring. Following admission, she was started on ibuprofen. She notes that her substernal chest pain has improved somewhat since admission. Differential for patient's presentation includes infectious, post-infectious, and non-infectious causes of myocarditis. Although post-vaccination mild myocarditis seems likely, we agree with the infectious workup already undertaken, and recommend additional EBV and CMV PCR testing.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Hypertension-Medium, Systemic: Shakiness-Severe, Systemic: Tachycardia-Medium, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe, Additional Details: Patient appeared weak, pale, sweaty, shaky about 5 minutes after the first dose was given to her. She complained of visual disturbances and progressive shortness of breath. Stated her throat felt a little tight but was not experiencing and swelling of of any parts of her face. She then complained of an intense headache that was getting worse. Patient was admitted to the hospital to make sure she was ok.

Pt given vaccination in left deltoid at 10am today, approximately 5 minutes later, pt lot consciousness, and had seizure like activity for approximately one minute. Pt's primary provider and pharmacist told pt to come to ER to be assessed.

Patient received shot and left the room and then passed out in the waiting area, hit head on the ground.

Pt was laying down for 2nd Covid vaccination as she fainted for 1st Covid vaccination. After 2nd vaccination was given- she had a vaso vagal reaction. BP 102/72 Pt has had 4 episodes of ears ringing & pressure both sides of head. Recommended to see her primary Dr. after leaving clinic.

She experienced severe chest pains within the first 24 hours of the vaccine. The pains have lingered on and off for a week after. She has severe fatigue, headaches, nausea, and bilateral arm pain in both arms like pain in her bones. They are giving her Zofran for the nausea which also causes headaches.

Patient had a headache this morning. At 11:30am she felt hot, so we took her temperature which was 100.0. She then walked into another room and had a febrile seizure lasting 30 seconds. Her face was pale white, her eyes were open and staring off, she moaned initially and then her jaw was stuck open with her tongue making a clicking sound. She urinated herself and then the seizure ended.

chest pain; body aches; dizziness; SOB; near syncopal event; an EKG showed non-specific ST abnormalities with labs showing elevated troponin,; mildly elevated CRP; Upon readmission, her troponin was elevated (2.06 on 5/10); myocarditis; This is a spontaneous report from a contactable nurse. A 16-year-old female patient (pregnant: No) received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), at the age of 16-year-old, via an unspecified route of administration on 15Apr2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine, unknown if any other medications the patient received within 2 weeks of vaccination. Known Allergies: NSAIDs. On 19Apr2021, the patient experienced myocarditis, chest pain, body aches, dizziness, SOB, near syncopal event, an EKG showed non-specific ST abnormalities with labs showing elevated troponin, mildly elevated CRP, with outcome of recovering. Upon readmission, her troponin was elevated (2.06 on 5/10) on 19Apr2021 with outcome of recovering. Seriousness criteria-Caused/prolonged hospitalization. The patient was hospitalized for myocarditis from 19Apr2021 to 23Apr2021. The patient was hospitalized for other events for 6 days. The adverse event result in Doctor or other healthcare professional office/clinic visit. Emergency room/department or urgent care. Clinical course as follows: patient is a 16 yo girl, s/p admission (19Apr-23Apr2021) with myocarditis, s/p IVIG (19April) after presenting with progressive new onset chest pain. She was in usual state of health up until 2 days ago when she started developing body aches, and chest pain. Patient received her 2nd Pfizer COVID vaccine last week (15April). No known history of COVID infection. Parents brought her to the ED yesterday after she complained of dizziness, SOB, chest pain, and had a near syncopal event. An EKG showed non-specific ST abnormalities with labs showing elevated troponin, mildly elevated CRP, normal CXR, negative COVID PCR. Denies fever, GI symptoms, GU symptoms, headache, rash. Once transferred to our PICU, she was worked up for myocarditis vs MIS-C. Troponin has been trended q6 and is trending up (now 11). Of note, there have been no fevers. Upon readmission, her troponin was elevated (2.06 on 10May). It was unknown prior to vaccination the patient diagnosed with COVID-19. Since the vaccination, the patient tested for COVID-19. covid test type post vaccination: Blood test. covid test name post vaccination: SARS COV2 ANTIBODIES QUALITATIVE on 19Apr2021, covid test result: Positive. covid test type post vaccination: Nasal Swab, covid test name post vaccination: Respiratory Virus Panel by PCR on 19Apr2021, covid test result: Negative. Information on the Lot/batch number has been requested.; Sender's Comments: The reported myocarditis with chest pain, body aches, dizziness, SOB, near syncopal event and the abnormal lab data were possibly related to the bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), considering temporal relationship and the inflammation features. The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.

After given Covid19 vaccine Pfizer 2nd dose to patient on 6/8/21, patient feels dizziness, headache and start to faint. We called 911 and paramedic came very quickly. Patient was conscious and we continue monitored patient for about 30 more minutes and she was ok at the store. Advice her dad to continue monitor patient when at home and report if any side effects. We called patient to follow up in the evening and patient is doing fine.

Patient came to college on 4/24/21 after she received her Pfizer COVID vaccine from hospital. She reported chest tightness and itchy throat. Her pulse ox was 98. Her lungs were clear. She accompanied her mother who was coming to college for her COVID vaccine. EMS spoke with patient as did Dr. Pt refused to go with EMS to the ED. She claimed if she had any problems she would go back to hospital.

Patient has primary essential hypertension. Patient undergoes an annual echocardiogram to monitor for ventricular hypertrophy. Prior to this years ECHO, all results have been normal. This year there was an incidental finding of a small amount of fluid around her AV node. ECHO was performed on 5/21/21. She is to have a repeat ECHO on June 11 to monitor for changes. Patient did endorse stabbing like chest pain a couple of weeks ago, but dismissed it as heartburn. Her first Pfizer Covid shot was 3/18/21 and her second Pfizer Covid shot was 4/7/21. Same lot# for both vaccines.

felt dizzy, became pale...was given water, VSS, school nurse aware and patient mother was called to make aware she felt better after water and color returned, she left the clinic on own within a hour

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt fainted after receiving the shot. BP was stable. Pt was conscious and responsive and rested on the floor for a while and then went home with father.

Patient vaccinated on 5/28. She reported having pleuritic chest pain and hemoptysis 3 days after that lasted about a week. Then after she developed right leg pain and swelling x 3 days. Seen at our ER 6/11- studies show DVT of the common femoral vein and other veins of the right lower extremity. Also had b/l pulmonary emboli. Started on lovenox treatment and pending thrombectomy by vascular surgeons in 2 days. (In addition she also had admitted to OCP use for a month prior to this event; no reported FH of clotting disorders)

Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt did not have breakfast before her shot at 11am. She got the shot and sit down. Mom came over and said her daughter passed out. Rph and techs rushed over. We laid her down to the floor and call emergency number. After a few minutes, she wake up and feel better. Mom said thank you and took her to eat.

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

Attendee received first dose Pfizer vaccine at 10:03 in the Left arm. Lot# ER8737. Attendee was directed to observation area. At 10:10 the observation RN noticed redness in the attendee's left arm. Upon palpation the arm was firm not just directly at the injection site but above and below the site as well. The observation RN did an assessment and noticed that the attendee's tongue seemed to be swelling. Attendee did not complain anything; she was very stoic, did grimace x 1 with palpation of the arm. Attendee's skin was warm and dry. Attendee's respirations were not tachypneic or dyspneic. No difficulty with swallowing or speech. HR: Not done BP: 110/70 RR: Not done Temp: 98.3 10:12 – Benadryl 50 mg was administered orally. 10:15 - 911 was called. The mother seemed upset about 911 being called and so the EOA had the mother feel how firm the attendee's arm was and then the mother seemed to understand why the site team was so concerned about the attendee. The EOA was then informed that the attendee was a current participant in a medical study and received an injection of an unknown medication in the same arm, in the past 24 hours. Medical Group is where she is doing the clinical trial. Neither the parents or the attendee were able to tell the site staff what the study is about or what injection she might have been given in the same arm as the Pfizer vaccine site. 10:20 –EMS arrived and took over care of the attendee. Unsure of time – EMS left as the attendee was having no trouble breathing, swallowing, or speaking and the parents refused transport of the attendee to the emergency room. 10:45 - Care Practitioner educated on home discharge/adverse reaction instructions and attendee. Advised to check on her every 30 minutes and if she developed any other or further symptoms to take her to the emergency room. They were also advised that if she develops any difficulty in breathing to call 911 instead of attempting to transport the attendee to the emergency room. She was then discharged to home with her parents, were she will be monitored by the parents.

pt felt slight tightening of chest and throat- injected epinephrine- pt felt better after about 15 minutes and was released to her mother. After phone discussion on 6/13/21, mother said symptoms returned later in the day and she went to ER and received a steroid injection. Per mother on 6/13/21. pt was feeling fine

Fatigue - rapid heart rate when standing up, exceeds 120bpm when walking or standing and then goes down when lying, chest pain, severe headache, shortness of breath. All tests to rule out other causes negative

Patient returned after 15 minute observation with complaints of "chest pain"; denies pain radiating towards arm or having difficulty breathing; pain rated 3/10 on p.ain scale. RN and LPN assess vitals, provide water, extend observation time to 30 minutes, and assure pt sits upright. Vitals: B/P: 102/64; HR: 68; O2 Sats: 97% on room air; RR: 16; anterior lungs clear bilaterally. Pt spoke in full complete sentences without difficulty RN and LPN educated parent on high alert symptoms and when to call 911 or pediatrician. Pt vitals after 30 minute observation: BP: 110/72; HR: 72; O2 Sats: 98% on room air; RR: 16. Pt spoke clearly without difficulty and was alert and oriented to person, place, and time.

Patient received her 1st dose on 6/1, 9 hours later she fainted. She has no medical conditions and no history of fainting.

Patient experienced fever to 103 and seizure about 28 hours after vaccine administration. Also had some fatigue. Since vaccine notes ongoing fatigue and weakness. Having some chest discomfort without wheezing that has been responsive to albuterol.

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

PATIENT CAME TO PHARMACY TO RECEIVE FIRST DOSE OF PFIZER VACCINE. PATIENT CLAIMS TO NOT HAVE EATEN THAT MORNING AND WAS ANXIOUS OF RECEIVEING THE VACCINE. AFTER SHE RECEIVED THE VACCINE SHE SAT IN THE WAITING AREA AND IMMEDIATELY TOLD HER MOTHER AND FRIEND (WHO'S MOTHER WAS ALSO THERE) THAT SHE FELT NAUSEOUS. PATIENT BECAME CLAMMY AND FAINTED, THUS FALLING OUT OF THE CHAIR. SHE HIT HER HEAD AND HER MOTHER REPORTS "SEIZING LIKE MOVEMENTS FOR A BRIEF SECOND." THEY CALLED FOR HELP AND PATIENT DID NOT HAVE LABORED BREATHING AND WAS CONSCIOUS. WE WERE ABLE TO SIT HER UP, PUT A COLD TOWEL ON THE BACK OF HER NECK AND FOREHEAD AND SHE WAS ABLE TO DRINK SOME WATER AND A COKE. ADDITIONALLY, AFTER A FEW MINUTES SHE GOT BACK UP IN THE CHAIR AND ATE SOME GOLDFISH TO TRY AND CALM HER STOMACH. PATIENT THEN WAITED AROUND FOR 30 MINUTES BEFORE FEELING BETTER AND WAITING THE ALLOTTED TIME AFTER RECEIVING AN IMMUNIZATION. I CALLED MY DISTRICT MANAGER TO EXPLAIN THE SITUATION AND IT WILL BE REPORTED AS VASOVAGAL SYNCOPE. COUNSELED PATIENT AND MOTHER THEN THEY FELT COMFORTABLE LEAVING. STATED I WOULD FILL OUT INCIDENT REPORTS.

Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Additional Details: bp was 105/78 and hr was 85

Onset of diaphoresis, dizziness, and visual changes shortly after shot given. Dark vision described without tunnel vision. No nausea or LOC. Initial BP 95/60, Pulse 74, O2 sat 96%. BP consistently 103-112 systolic thereafter without orthostasis. Returned to feeling normal. Patient dismissed with father feeling well. She stood while father made off-site 2nd vaccination arrangements at exit desk. Walking out the door she had sudden classic tunnel vision, and brief LOC. She was eased to the ground by her brother and had no injury. Second stay in Observation was for 40 minutes with resolution of symptoms and consistently normal vital signs. No orthostasis.

I experienced fatigue upon waking up along with frequent heart palpitations. Heart was racing and then would come and go in fits.

patient received covid -19 vaccine at 1552 . patient stood and went with guardian to registration desk to schedule second dose appointment. shortly after mother and registration clerk called out for help. patient c/o dizziness and pale. mother assisting pt to floor and supporting her. patient assisted to chair. still responsive answering questions. reports not eating at all that day. pt provided with juice and snack. assisted to bed and observed for 30 mins.

After receiving first COVID vaccine, patient walked out of the immunization room and up towards the photo department where she reported tunnel vision then fainted into her mother's arms. Patient instantaneously recovered and sat on the floor. Technician was told about the incident where she gave her a bottle of water and a granola bar. Patient reported not having anything to eat or drink prior to the vaccine. Pharmacy manager called 911 for EMS to tend to patient. Patient did not go with ambulance.

shortness of breath; Chest pain; increased heart rate; This is a spontaneous report from a contactable consumer (patient). A 16-year-old female (not pregnant) patient received the second dose of BNT162B2 via an unspecified route of administration on the left arm on 06May2021 at 11:00 (Lot Number: Ew0153) at 16-year-old as single dose for COVID-19 immunization. Medical history was not reported. Prior to vaccination, the patient wasn't diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. Concomitant medication was not reported. The patient previously took the first dose of BNT162B2 via an unspecified route of administration on the left arm on 15Apr2021 at 11:00 (Lot Number: Er8731) at 16-year-old as single dose for COVID-19 immunization. On 09May2021 at 06:00, the patient experienced chest pain, increased heart rate, shortness of breath. The events result in emergency room visit. The test and medication were received as treatment. The outcome of events was recovered in 2021. No follow-up attempts are possible; no further information is expected.

felt exhausted; Blood pressure low, after the seizure: 73/49 and 68/42; skin pale and sweating, after the first vaccine; skin pale and sweating, after the first vaccine; Tired and weak, with some lightheadedness, after the first vaccine; Tired and weak, with some lightheadedness, after the first vaccine; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; Seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine.; felt funny; This is a spontaneous report from a contactable consumer(mother, a nursing assistant, years ago) reported for a patient(daughter). The 16-year-old female patient received bnt162b2 (BNT162B2, Pfizer vaccination, Covid vaccine) at the age of 16-year-old, dose 1 via an unspecified route of administration, administered in Arm Left on 28May2021 11:52 (Batch/Lot number was not reported) as 1st dose, single for covid-19 immunisation. Medical history included seizure from 28May2021 to an unknown date (doctor wants to schedule an EEG, for further evaluation of the seizure ,because they did not do that test in the hospital.), ongoing Feels down at times (Consumer states the doctor originally prescribed her daughter another medication. Because all the appointments were by video, Consumer felt the doctor was not understanding her daughter's issue. Consumer states the original medication for ADHD was helping her daughter, but it made her daughter uncomfortable, as her daughter had no problems with attention, or school. Caller states then the doctor changed the medication to Zoloft. Name of previous medication was Zenzedi.). No family Medical History. Concomitant medication included sertraline hydrochloride (ZOLOFT) taken for depressed mood from 19May2021 and ongoing. Consumer states that her daughter is not depressed, but just feels down at times, and it is not severe. Consumer states the doctor had her daughter on another medication before Zoloft, that is used for ADHD. Consumer states that her daughter has not been diagnosed with ADHD, and the doctor switched the medication once her issues were further understood, as clarified in later part of report. The patient experienced seizure: described as staring, passing out, stiffening of arms, talking like a toddler and giddy, after the first vaccine on 28May2021 with outcome of recovered, felt funny on 28May2021 with outcome of recovered , blood pressure low, after the seizure: 73/49 and 68/42 on 28May2021 11:52 with outcome of recovered , skin pale and sweating, after the first vaccine on 28May2021 with outcome of recovered , skin pale and sweating, after the first vaccine on 28May2021 with outcome of recovered, tired and weak, with some lightheadedness, after the first vaccine on 28May2021 with outcome of unknown, tired and weak, with some lightheadedness, after the first vaccine on 28May2021 with outcome of unknown, felt exhausted on an unspecified date with outcome of unknown. The patient underwent lab tests and procedures which included blood pressure measurement: 73/49 on 28May2021 low , blood pressure measurement: 68/42 on 28May2021 low , blood pressure measurement: normal on 28May2021, heart rate: 55 on 28May2021, heart rate: 70 on 28May2021. The clinical course was reported as follows: Consumer states she took her daughter Friday, to have her first Pfizer vaccination, later reclarified as the Covid vaccine. Consumer states her daughter had a seizure after the vaccine. Consumer states Height maybe 5'8" or 5'9". Consumer states her daughter was weighed at the hospital. Consumer states that the experience was terrifying for her, to watch her daughter have the seizure. Consumer states her husband got the vaccine, and was fine. Consumer reports that her daughter got the vaccine at 11:52 am and within 30 seconds, her daughter said she felt funny, and then rolled her eyes and passed out. Consumer states after a minute, her daughter was conscious and the staff was rushing to her aid, as the Consumer called 911. Consumer states that for the next 25 to 30 minutes, her daughter was talking like a toddler, and was pale and sweating. Consumer states that the paramedics, told her daughter that she had a seizure, as they took her to the hospital. Consumer reports her daughters blood pressure, around the time of the event. Consumer states the first blood pressure, when her daughter awakened, after the seizure about 2 minutes later was 73/49, pulse 55, and a few minutes after that it was 68/42 and her pulse was 70. Seizure: Time: 11:52 am, almost immediately after the vaccine. Outcome: caller answers as she is monitoring her daughter closely. Consumer states that during her seizure, her daughter started to stare, and then passed out. Consumer states her daughter did have some stiffening of the arms with the seizure. Blood pressure low: Consumer states he daughter's blood pressure, began to elevate, before they transported her to the emergency room. Time: 11:52 am, almost immediately after the vaccine. Outcome: Consumer answers as her daughter's blood pressure was stabilized enough by the time she was transferred to the hospital, where it normalized. Consumer reports later that her daughter's skin was pale and she was sweating, at this time. Reclarified, Consumer states that when her daughter was talking to the medical staff, she was talking like a toddler, and giddy. Consumer states she was trying to tell the staff that this is not normal for her daughter. Consumer reports her daughter feels tired and weak after all the events. Consumer states she signed up for VSafe. Time: Consumer states sometime, after the vaccine. End: Consumer answers as her daughter is not as tired and weak, as she was the first day the event happened. Caller states that the next day, her daughter relaxed all day, and the day after that, her daughter went to work and felt exhausted, but felt that she could still go to work. Consumer states that yesterday at work, her daughter said she felt weak, and lightheaded. Consumer states that after having a snack and a break, her daughter felt better and worked the rest of her shift. Outcome: Unknown. Reclarified, Caller states she does not want to assume anything, and is monitoring her daughter, and that this event may be due to another reason, as well. Consumer clarifies her daughter went to the emergency room and then was released. Vaccination Facility Type was pharmacy. No Vaccine Administered at Military Facility. No History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available).No additional Vaccines Administered on Same Date of the Pfizer Suspect. The event Seizure required a visit to Emergency Room, not Physician Office. Prior Vaccinations (within 4 weeks), list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine was none. No AE(s) following prior vaccinations. Caller reports some prior vaccinations that her daughter had without any events. Consumer states that her daughter is not going to get the second vaccination. Consumer states that she does not know the potential risk, if her daughter gets another vaccination. Information about lot/batch number has been requested.

Patient became nauseated and pale after receiving her first vaccine. Patients vital signs were evaluated and patient was kept for an extra 15 minutes. Patients mom was advised that if her symptoms continued to either take her to her family doctor or an urgent care or call EMS if her symptoms became worse. As her symptoms did not completely go away prior to leaving.

Chest pain, upset stomach, elevated heart rate and blood pressure Performed tests, gave them water and advised to drink electrolyte rich fluids and take Tylenol or Ibuprofen every 6 hours for discomfort.

Admitted to hospital 2 days after second Pfizer covid vaccine. Presented with abdominal/chest pain, found to have a small subsegmental pulmonary embolus on CT scan. No history of prior PE or clots.

Patient received first dose Pfizer Vaccine and developed a reaction about 5 minutes later. patient complained of "dizziness" and "weakness" . Vitals checked: BP 90/50, HR 72, O2 sat 88%. EMS was called. Five minutes later BP 90/60, HR 72, O2 Sat 98%. Patient was alert and oriented to time, place and person. Ten minutes later, BP 110/70, HR 80, O2 Sat 99%. Fully alert, oriented and stable. Patient said she had not eaten since morning. EMS arrived, checked Patient and declared patient ok. Patient was asked to go home in a very stable condition

Patient got her pfizer vaccine 1st dose and was fine. She went to sit on a chair for observation and was fainted a few minutes after. After that, the mother called 911 and ambulance came. By the time the ambulance came, patient already regained her consciousness.

Pt began to feel dizzy, warm and faint within 10 minutes of her second pfizer vaccine. Pt did not lose consciousness but was dizzy, clammy, sweaty, pale, faint feeling. Pt responded to commands but felt faint.

1604: 1st dose Pfizer vaccine administered 1609: Syncope episode- Client appeared limp and sliding out of chair. Pallor appearance. NP and MA witnessed event and placed client on floor before she fell out of chair. Did not hit head. Feet were immediately raised. Client was vocal but disorientated. ice packs used. Client A&Ox4 within seconds. Gatorade and water offered. 1611: BP: 122/ 68 HR: 94 RR: 18. After syncope episode, mother stated that client has history of vasovagal syncope with needles. Client still laying on floor with feet raised. NP sitting on floor with client and her mother for observation. 1645-Instructed mother to follow up with pediatrician. Complexion returned to normal. Client stated that she feels fine. Mother and client left site without no further incidents.

Approximately 20 minutes after vaccine patient passed out, became pale and sweaty. She lost consciousness briefly. I put her in a supine position on some chairs in waiting area. A technician called 911 while cool towels were applied and water was administered. She regained consciousness before EMTs arrived. She relayed while her that she disliked needles and did not eat breakfast that day.

16 y/o F with hx of autoimmune disorder and Tourette's syndrome BIB mom for dizziness s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses muscle pain, nausea, sinus pain, throat pain, and HA. Pt with fever (Tmax 100.2F) onset this AM. Denies chest pain and difficulty breathing. Pt reports she feels a little out of breath. Mom has a heart rate monitor at home and states pt's HR has been in the 140s. No medications taken. NKDA. Differential Diagnosis: vaccine reactions, myocarditis, pericarditis. After physical assessment and management, pt is well appearing, explained to mom on reassessment symptoms have improved, no longer dizzy or having trouble breathing. Pt still feels a little myalgia. Explained symptoms likely from vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and persistent fever.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: Within 5 minutes of received 2nd dose of Pfizer Covid-19 vaccine, patient became very dizzy and fainted. We layed her down and elevated her feet and she immediately regained consciousness. The patient was assessed by paramedics and they did not transport her to the emergency room and instructed her to drink lots of water over the next 24 hours.

The patient has a history of fainting after shots. She became warm and faint after receiving the injection. She was very weak and put her head on the table for about 10-15 minutes until she was feeling better.

woke with heart attack like pains in chest. Went to ER. had an EKG, chest x-rays and blood drawn and urine sample. Was told "slight" inflammation around heart.

Previously healthy 16-year-old female presents with syncope after COVID-19 vaccine. In vaccine clinic here. Soon after receiving vaccine, felt light headed and nauseous. Sat down and soon after had a syncopal episode. Quickly came back to. CART called and brought to the ED. On arrival to the ED, continued with some dizziness, but symptoms overall improving. By the time of evaluation, symptoms completely resolved, ambulating without difficulty. Denies other symptoms or complaints. No recent illness. Back to baseline without distress, nontoxic. Tolerating PO. Counseled on likely etiology, strict return precautions, and close outpatient followup. d/c'd home in good clinical condition.

Chest Pain started within 24 hours intesity of 4/10 with increases to 8/10 and lasted for 6 days. Had normal Troponin, crp and ECK on 6/16/2021

Sharp chest pain and left shoulder blade/back pain with difficulty taking deep breaths. Did not report initially because it went away after a few days, but after reading the studies wondering if she had the myocarditis/pericarditis side effects.

Passed out 12 hours after receiving the vaccine.; This is a spontaneous report from a contactable consumer(patient). This 16-year-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EW0175) at single dose via an unknown route in left arm on 04Jun2021 08:30 at 16-year-old for Covid-19 immunization. Medical history included Paramyotonia-congenita. Prior to vaccination, was the patient diagnosed with COVID-19. Patient had no known allergies. Concomitant drug included fluticasone propionate (FLONASE). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 04Jun2021 08:00 PM, patient passed out "12 hours" (as reported) after receiving the vaccine. No treatment was received. Outcome of the event was resolved. Since the vaccination, the had not patient been tested for COVID-19. The report was assessed as non-serious.

~4 weeks after the 2nd dose of Pfizer, patient presented to the hospital with chest pain; had pericardial effusion. Initially improved but then had decompensation, prolonged hospitalization. Diagnosed with hemophagocytic lymphohistocytosis (HLH) and ultimately died.

My daughter fainted immediately after receiving the vaccine. I was not there so I do not know all the details. My daughter does not have needle anxiety and has never had problems with vaccines before.

Patient became lethargic within 5 minutes. Within 10 minutes she developed tightness in the chest, difficulty breathing, and numbness in both hands. We administered an Epi-pen and symptoms began to improve in 10-15 seconds. She then was evaluated by emergency medical personnel and taken to a local hospital for follow up.

Patient reports having felt chest pain and shortness of breath the night she was vaccinated. She was taken to the hospital and had lab work done. Patient was discharged and had follow up visit the next day (6/4/21) with primary care physician, who ordered additional labs and EKG. D-dimer, troponin and EKG also came back unremarkable.

DIZZINESS, PALE, DIAPHORETIC, BLURRED VISION, LAUGHING AND CRYING AT SAME TIME. ICE PACK APPLIED AND PT WAS FEELING FINE AFTER SOMETIME.

Patient got the 1st dose of pfizer and was fine at the time of administration. However, as she sat down on the chair for observation, that was when she fainted and fell off but someone was there to catch her. After a minute, she regained her consciousness back. We took her BLOOD PRESSURE and it was normal. Ambulance came and took her to hospital. Yesterday, her sister came to pharmacy and asked if it was normal for her to keep having runny nose. We told her she might feel like flu-like symptom but to be safe, it's better she goes to see her primary doctor/urgent care.

Patient was fine when receiving vaccine,(350 pm) patient and parents were instructed to wait 30 and to stay close in case there was a reaction. after a few minutes parent and patient started to walk to a nearby park bench and when she was sitting she "Looked like something was wrong" per parents, they (Parents walked her back over to mobile unit and the Nurse immediately called 911 at 3:56pm. Patient was talking at this time, she stated she lost hearing, appeared pale and Diaphoretic, patient was sat down and given water, her color started to return to her lips and face, patient stated after a few minutes she started to feel better. the emergency squad arrived at roughly 4:05 pm. Patent walked to squad car and they took her vitals. Patient and family refused to go the hospital. After squad left patient stated that "She only had coffee all day"

patient was seated in waiting area when fainted and fell out of chair and hit head - was responsive - ems came and took to hospital to be checked out - Mom reported Doctor said normal reaction to teen receiving shot - mild concussion from hitting head

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Approxiamately 5 minutes after the vaccine the patient felt light headed and dizzy. She then fainted forward and her mom lifted her back and at that point she appeared to shake (2 jerking motions) and then became alert. The patient was instructed to lay down. Her blood pressure was taken and was normal. The ambulance was called due to the shaking motion which appeared to be a possible seizure. The patient and her mom did not wish to be taken to the hospital. Follow-up call not answered

Sore throat; Vomiting; Diarrhea; Anemia; This is a spontaneous report from non-contactable consumer (patient) via COVAES. This non-pregnant 16-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration in the left arm on 25May2021 at 10:45 (at the age of 16-years-old) as a single dose for COVID-19 immunisation. Medical history included lymphocytic colitis from an unknown date and unknown if ongoing. The patient had no known allergies, had not been diagnosed with COVID-19 prior to vaccination and had not received any other vaccines in four weeks. Concomitant medications included calcium supplements, macrogol 3350 (MIRALAX), and nutrition shakes, all from unknown dates for unknown indications. The patient previously received the first dose of BNT162B2 (lot number unknown) on 04May2021 at 10:00 (at the age of 16-years-old) for COVID-19 immunisation. On 26May2021 the patient experienced sore throat, vomiting, diarrhea, and anemia, which the patient reported was confirmed with labs. The events resulted in an emergency room visit; no treatment was received for the events. The clinical outcomes of sore throat, vomiting, diarrhea, and anemia were recovering. It was also reported that since vaccination the patient had not been tested for COVID-19. No follow-up attempts are possible; information about lot number cannot be obtained.

takes my breath away; Sharp pains in chest that come and go; This is a spontaneous report from a contactable consumer (patient). This 16-year-old female patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number EW0176) via an unspecified route of administration on 01May2021 at 17:00 (at the age of 16-years-old) as a single dose in the right arm for COVID-19 immunization. Medical history included asthma, migraines, lactose intolerant, and eczema. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. The patient was not diagnosed with COVID-19 prior to the vaccine. Concomitant medications included stool softener and nicotinamide, pyridoxine hydrochloride, riboflavin, thiamine (VITAMIN B-COMPLEX) from unknown dates for unknown indications. The patient did not have any known allergies. On 03May2021 the patient experienced sharp pains in chest that came and went. "Took her breath away." The patient did not receive any treatment for the events. The outcomes of sharp chest pains and took her breath away were not recovered. It was also reported that since the vaccination the patient had not been tested for COVID-19. The patient received dose 2 of BNT162B2 (lot number EW0180) on 22May2021 at 17:00 as a single dose in the right arm for COVID-19 immunization. No follow-up attempts are needed. No further information is expected.

2d post receiving the second dose developed a nose bleed - lasted 10 minutes 2d post had headache all day 3d post started her menses (would not have been typically due at that time)

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

Patient lost consciousness leaning against mother slowly rolling to the ground. Patient had slight convulsions for 3-5 seconds. Patient then regained consciousness after about 5 seconds looking pale with blue lips and eyes. Upon regaining consciousness patient was told to slightly elevate head and legs for increased blood flow. Upon arrival of paramedics patient had improvement in color. Patient vitals were within normal limits aside from reported hypotension per paramedics. Handed off patient to paramedics for transport to ER for further inspection at around 11:30 am.

PT WAS GIVEN FIRST DOSE OF PFIZER IM LEFT ARM. APPROXIMATELY 3-5 MIN AFTER ADMINISTRATION PATIENT PASSED OUT. 911 WAS CALLED, PT BECAME ALERT, NO EPI-PEN NEEDED, COMPLAINE DOF HEADACHE AND NAUSEA. SHE USED HER ALBUTEROL INHALER. BP TAKEN 101/67 PULSE 85. EMS ARRIVED AND TOOK MORE VITALS. PT IMPROVED ENOUGH TO WALK TO CAR TO GO HOME FOR OBSERVATION. MOM WAS PRESENT AND OPTED NOT TO GO TO ER

1455: Pt c/o of dizziness, diaphoresis with hx: of anxiety, NKA. Laid pt down to floor and elevated legs on chair. 1500 called EMS. 1st vitals: 102/60 02 99 HR 84. 1500 NP assess pt, she stated her face was pale. NP instructed her to deep breath and increase oral fluids. Pt states she was dizziness. Sat patient up 2nd vital 85/56 O2 97 HR92. 3 vital patient sitting on chair 101/66, O2 90, HR 92. NP assessed patient. Patient denies dizziness was able to stand and walk to car.

Blood clots on brain. Needed to be hospitalized for 5 days on blood thinners. Will Continues to self administer blood thinners for 3 more months

Vaccine administered without issue to pt (behavior & appearance normal, engaged in conversation). Pt agreed to wait 15 min. for observation and left vaccination area for monitoring area. Shortly thereafter, RPh heard what sounded like pt falling. RPh observed pt lying supine on tile floor of monitoring area. RPh assumed occurance of vasovagal syncope and went to aid pt; however, pt seemed to immediately (<1 sec.) regain consciousness, was breathing without difficulty and was able to shift to chair under own power. Tech who had been monitoring remarked pt had opted to stand rather than sit after exiting vaccination area and that she'd "hit her head" upon falling. RPh provided ice pack while pt's mother retrieved water bottle. Pt seemed alert and cognizant of situation (denied pain, was overheard saying to assumed male relative, "You didn't help me."). RPh strongly encouraged pt to wait 30 min. instead of 15 min. but family left after original time; mother remarked pt had vasovagal rxn after an unspecified vaccine in past (RX had not been previously made aware). About 1.5 hours later, RPh called mother to follow-up & advise on signs/symptoms of concussion. At the time, mother said she would monitor pt. Perhaps another half hour later, mother called RX to ask for advice: pt complaint of pain (took Tylenol) and tiredness (despite getting enough sleep the previous night & not usually tired around that time). RPh recommended taking pt to ER as soon as reasonably possible (mother denied any other S/S like uneven pupils, confusion or being difficult to rouse). Mother seemed receptive to that suggestion as well as warning staff of vasovagal syncope for all future vaccinations, though she could not be reached for confirmation of action the next morning.

18 hours after the 1st vaccine shot... healthy female while in the shower....blacked out, couldn't see, called for mother who she knew was not home, passed out, and was not coherent, felt dizzy, had a bad headache, and face was swollen, Called her doctor's office, told them about the vaccine and the incident, they said to go to the emergency room. Went to emergency room. She had a full list of tests. Was given a saline drip, hydration unit. Level V emergency code. Name vasovagal syncope, reaction to vaccine, electrolyte abnormalities, dehydration, dysthymia

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Vomiting-Mild, Additional Details: Approximately 5 minutes after administration, patient fainted while seated in chair. After awakening, patient reported feeling faint and tingling in her extremities. Patient was breathing heavily. After breathing normalized, patient reported severe menstral cramps. Patient was given Midol, water, and pretzles. Shortly after, patient stated that she was still light headed so she laid on the ground. Patient eventually recovered and left pharamcy.

15 seconds after given vaccine, patient lost consciousness and then woke up 3 times in a row, having maintained consciousness less that 30 seconds. Respirations were 16 and unlabored. Heart Rate 72. EMS called and responded within 5 minutes. Pt awake and alert when ambulance arrived. Pt stated that she had not eaten all day and had only drank 2 bottles of water. Heart rate 70's, B/P 111/73, Resp 16, and FSBS 80 per EMS. Ambulance personnel waited at scene for 10 minutes and family made decision to bring the patient home.

PATIENT RECEVIED VACCINES AT 1050 IN OUR OFFICE, PATIENT WAITED 30 MINUTES AFTER VACCINES WITH NO S/SX OF REACTIONS. AT 1220 DAD CAME IN WITH PATIENT WHO WAS REPORTING FEELING DIZZY, HEADACHE, FEELING LIGHT HEADED. PATIENT WAS HAVING A HARD TIME KEEPING EYES OPEN. CLOSE TO PASSING OUT. PATIENT WAS SHAKING AND PALE. ALSO C/O ARM PAIN

Patient was originally nervous about the vaccine to begin with. Patient was given the vaccination and sitting their 15 minutes in the waiting/observation area. Patient became nauseous and decided to go to the restroom to possibly throw up. Upon doing so, patient passed out and cracked chin open. Patient was treated by a paramedic already present, so ambulance wasn't called; the offer to call was given to parents. Parents took child to the emergency room of their own accord after patient was sitting up and feeling better, where she was treated and released.

Attendee became pale and momentarily lost consciousness - did not initially respond to verbal of tactile stimuli - required sternal rub, awakened after 1 minute. Vital signs normal. EMS were called. Glucose 86. No transport - mother of Attendee refused this.

16 yo F received vaccination had a syncopal event in observation. She recovered immediately. She has had a history of similar reactions in the past.

L distal internal jugular venous thrombus found on 6/29 after pt had three days of squeezing sensation on upper arm followed by acute pain on day of presentation to ED. In ED upper extremity Doppler demonstrated clot. Pt transferred to our hospital where she started on anticoagulation therapy for treatment.

extreme discomfort in her chest; liver enzyme that normal is 40 and it was 110; Dose Number : 1; Date of start of drug: 16Apr2021; Dose Number : 2; Date of start of drug: 28May2021; This is a spontaneous report from a contactable consumer (patient's mother). This is the second of two reported. This report concerns events occurred after the second dose. A 16-year-old female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EW0180), administered in left arm, on 28May2021 at 18:00 (at the age of 16-years-old) at dose 2, single for COVID-19 immunization. The patient was not pregnant. Medical history included ichthyosis vulgaris. No COVID prior vaccination and no COVID tested post vaccination. The patient had not known allergies. Concomitant medications were not reported. No other vaccines were received in four weeks and no other medications in two weeks. The patient received the first dose of BNT162b2 (lot number: EW0164) on 16Apr2021 at 13:30, at the age of 16-years-old, administered in right arm for COVID-19 immunization and experienced extreme radiating nerve pain in her arm to her fingertips. The reporter purposely waited 6 weeks for her second vaccine because she had adverse reactions to her first. The patient suffered extreme discomfort in her chest on 01Jun2021 at 03:00 AM. She described it as something sitting on her chest not allowing air in at a level 7 w 10 being dead. She had been taken to emergency room (ER) immediately. There she received an EKG, heart and lung scan and bloodwork on 01Jun2021. All that showed up was a liver enzyme that normal was 40 and it was 110, on 01Jun2021 at 03:00 AM. No treatment was administered in response to the events. The events were reported as non-serious and they required emergency room/department or urgent care visit. The patient had recovered from the events extreme discomfort in her chest and liver enzyme that normal is 40 and it was 110 in Jun2021, the outcome of the other event was unknown.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021669577 same patient/drug, different doses/events

patient returned to the lobby area and begin to turn pale and fainted briefly but came back to consciousness quickly and complained of blurred vision in the left eye and ringing in ears. patient was given cold water while awaiting service from EMS that was called by the pharmacy department. patients' color came back and EMS checked the patient vitals.

Systemic: Fainting / Unresponsive-Mild, Additional Details: After vaccination patient and mom were directed to the waiting area and asked to wait for 15 minutes. Mom and Pt decided to leave the waiting area and walk around. Shortly after pt fainted and hit her arm. She had mild scrapes on her arm. We had her lay on the pharmacy bench with her feet up for 30 minutes. We gave her apple juice to drink. After that she was fine

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was well during the 15 minute observation period and has no comorbidities according to health questionnaire. As she was exiting the store she felt faint and lost consciousness for 30 seconds and recovered consciousness. She fell backwards and bumped her head against the ground. Paramedics were called and patient BP and blood glucose was within normal limits. Patient was alert and sitting upright when paramedics arrived.

Received at ER at 2 am on June 6, 2021, then transferred to another ER at 9 am on June 6, 2021. Released from hospital at 4 pm that day with diagnosis of myocarditis.

Chest pain - went away and came back in the same area of the chest. Patient went to an urgent care facility were they refereed them to a nearby hospital. 2 EKGs were preformed, one at the urgent care and the other at the hospital.

After receiving vaccine, patient fainted. She recovered after about 10 seconds and immediately became sick to her stomach, shaky, and clammy.

Patient lost consciousness for about 1 minute, she was able to wake up with smell of alcohol swabs and water. Patient stayed in the store for 30 minutes following incident to monitor.

Fainting after administration, within minutes of receiving vaccine. Short episode, only fainted for a second.

On July 1, 2021, I felt chest pain around 6pm. 10 times, each lasting 1 second. My heart rate was 95, higher than my normal 75. On July 2, 2021, I felt chest pain 3 times around midnight, 2 times around 2am, 2 times around 7am, 1 time around 9:30am. The above chest pain each lasting 1 second. But at 6:10pm I felt chest pain once, lasting 2 seconds and more dull than previous ones. I have never had any chest pain before the Pfizer covid vaccine. I called my pediatrician's office in the evening of July 1 and was told to rest and observe. I saw my pediatrician at 10:30am on July 2. My blood pressure is normal and heart rate is above 90. My doctor told me it was obvious the side effects of covid vaccine.

Patients Mom states that after completing the COVID-19 series she has had a very irregular menstrual cycle, irregular hormone levels, and anemia. The patient has been hospitalized due to these issues

Patient's mother reports patient c/o of chest pain with inhalation, swollen/sore throat, weakness, and dizziness with change of position. Pt's mom was advised to take pt to ED or urgent care for evaluation.

Patient went to urgent care 1 day after vaccine for feeling tremors and pains in her lower extremities. She also began to feel shaking in her entire body and had lightheadness, shortness or breath, and nausea. She vomited one time. EKG showed Sinus Ventricular Tachycardia/Sinus Tachycardia and was sent to ER by EMS. In ER fluids were given and all further testing normal. Discharged and told symptoms due to dehydration.

She started her menstrual 10 days late with heavy clots and cramps which is abnormal. When she went to her 16 yr old well visit on 7/17 we informed her PCP of the concerns.

16 y/o patient fainted after receiving first COVID vaccine. Pt was in waiting area in front of pharmacy and all aid was managed there. Guardian helped me get pt on the ground, rolled to side w/ head supported, and tech helped provide icepack and fan to cool pt. Pt had strong pulse and breaths entire time. She came back around after about 10 min - was able to sit back in chair for another 10 min before ambulating out of store. Pt reported no hx of fainting or allergic reaction after a vaccine.

PT HAD BLACK OUT AFTER 10 MIN OF RECEIVING THE VACCIE FOR 1-2 SEC. PT LAID DOWN AND FEET UP. SHE WAS OKAY AFTER 5 MIN. CHECK THE BLOOD PRESSURE , WAS 130/68 AND PULSE 78. PARENTS WANTED TO CALL 911. PARAMEDIC CAME AND CHECK THE VITAL. PATINET LEFT AT 3:00 PM 7/9/21

Fatigue 6 days Fever about 12 hours after 2nd dose, then again 6 days later (chills, sweating, shaking) Racing heart, 6 days after 2nd dose. Shortness of breath, 6 days after 2nd dose. Acetaminophen and ibuprofen.

Patient fainted in her chair about 10 mins after vaccine was administered. Patient did not hit her head. Patient was given water, asked to lie down, and monitored for an additional 15 minutes until she felt better

Having a stabbing pain in the center of her chest, went on for a few days. Was taken to the dr whom advised them to take her to the ER.

While completing paperwork in immunization room, patient's mother stated she thought her daughter was starting to react to the vaccine. It appeared patient was starting to pass out so pharmacist and mother lowered her down from the chair to the floor to prevent injury. Patient's pulse was very faint to the touch and patient was difficult to arouse. Pharmacist delegated pharmacy technician to obtain AED. Patient's mother stated patient was beginning to shake and was becoming very hot and sweaty. 911 was dialed. No health conditions or medications were noted that would cause this reaction. Pharmacist was beginning to take BP when EMS arrived. EMS continued taking vitals. BP 100/65, HR 84, SPO2 96%. Patient started to become alert again as vitals were being taken.

Major reaction. Field vaccination by Strike Teams of Department of Public Health. At ~13:01, patient vaccinated with Pfizer COVID-19 vaccine. Within a few minutes of vaccination with Pfizer COVID-19 vaccine, patient showed urticaria + generalized chest pain (6/10) + postural weakness + convulsions. Field RN assessed an immediate, severe clinical deterioration. Epinephrine 0.3mg given by auto-injector to same left arm. Field RN summoned EMS. Field LVN provided postural support and second-eye VS measurement. EMS arrived at ~13:22. Taken by EMS to ED. VS: BP 90/40; HR 70; Pain 6/10 general chest. ? BP 110/60; HR 90. S/S: Physical weakness; ALOC. ? AOx4 upon EMS arrival. Current disposition unknown at time of this report. Department to attempt contact with family or admitting facility.

Systemic: Fainting / Unresponsive-Severe, Systemic: PT FELL AND HAD 2 LACERATION TO HEAD-Severe, Additional Details: PT WAS STILL IN IMMUNZATION CHAIR WITH FATHER AND IMMUNIZER PRESENT AND SUDDENLY FAINTED AND FELL OFF THE CHAIR AND HIT HER HEAD ON THE DR SCHOLLS FOOT SOLE END CAP BEHIND THE IMMUNIZATION SCREEN

Patient presented after syncopal episode and abdominal pain, was found to have profound thrombocytopenia. CT abdomen was done which was concerning for ruptured ovarian cyst. Hgb dropped to 5.8, plts at time of report were 13. Patient transferred to the ICU for further management

Patient felt light-headed, said she lost some sense of hearing, stomach was upset. Her blood pressure was 88/60, HR read irregular when measured manually. When EMTs arrived at 10:40 A.M., her BP was around 117/89, HR 91.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Mild, Additional Details: After injection was administered spoke with patient and mother about waiting the 15 minutes. Returned to pharmacist station, heard mother call out, patient was laying face first in floor, went to grab epi-pen. Mother said patient fainted, she said she thought it possibly could have been a seizure because her whole body shook before she fainted. Patient said she felt like she was going to vomit, grab a trash can and the patient dry heaved a few times. While this was going on tech called 911.

Migraine with aura; Burning pain along her right side; prolonged nosebleed; bruise developed under right eye; mouth ulcer; Joint pain; Stiffness; Stomach pain; headache; arm soreness; Severe fatigue; This is a spontaneous report from a contactable consumer, the patient. A 16-year-old non-pregnant female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Lot Number: EP7534) via an unspecified route of administration in the left arm on 20Mar2021 at 12:00 (at the age of 16-years-old) as a single dose for COVID-19 immunisation. The patients medical history included Bechet's disease. Concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination patient was not diagnosed with COVID-19. The patient was not tested for COVID-19 since having the vaccine. The patient experienced normal headache and arm soreness after 48 hours of vaccination and severe fatigue on 22Mar2021 and prolonged nosebleed, a bruise developed under her right eye, mouth ulcer, joint pain, stiffness, and stomach pain on 23Mar2021 and had another nose bleed on 24Mar2021 and migraine with aura and unusual burning pain along her right side on 25Mar2021. The patient did not receive any treatment for the reported events. The clinical outcome of the events headache, arm soreness, fatigue, nosebleed, bruising, mouth ulcer, joint pain, stiffness, stomach pain, migraine with aura and burning pain was not recovered. No follow-up attempts are needed. No further information is expected.

About 1 minute, or so, after her daughter received her COVID-19 Vaccine injection, her daughter passed out, and ended up in the ER; She said her daughter vomited twice after she passed out, and then vomited again in the Emergency Room; It was not normal for her daughter to gurgle like she was; Her daughter wet herself, clarifying her daughter involuntarily voided when she passed out.; Her daughter bit her lip really hard when she passed out; Her daughter had a really bad headache; Her daughter said she heard a nurse say as she was coming to that she was only breathing 6 breathes per minute; When her daughter received her 1st COVID-19 Vaccine, her daughter arched her back, and her daughter's arms drew in.; Her daughter may have been a little tired after getting her first COVID-19 Vaccine, but no more than normal; Her daughter said her throat was sore afterward (vomiting); This is a spontaneous report from a contactable Nurse. This Nurse (patients mother) reported for a female age 16 years old patient (reporters daughter) that patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number was EW0168), via unspecified route in right arm on 24Jun2021 13:21 as single dose for COVID-19 immunization. The patient medical history included mild asthma for a good 10 years. She did not even use an inhaler for the mild asthma, and the last time she used a rescue inhaler was in the last couple years and Dermatographia from 05Aug2020 and was ongoing she could be allergic to something, and then down the road, whether it be a few months or a few years, would not be allergic to it anymore. She had passed out from blood draws in the past, but that she would come to a few seconds afterwards. She would never get upset when she had blood draws. The patient concomitant medication included Cetirizine hydrochloride (ZYRTEC). On 24Jun2021 patient experienced for About 1 minute, or so, after she received her COVID-19 Vaccine injection, she passed out, and ended up in the Emergency Room and she vomited twice after, and then vomited again in the Emergency Room. It was not normal for her to gurgle like she was. She involuntarily voided and she bit her lip really hard when she passed out. She had a really bad headache. She heard a nurse say as she was coming to that she was only breathing 6 breathes per minute. When her daughter received her 1st COVID-19 Vaccine, she arched her back, and her daughter arms drew in. She might had been a little tired after getting her first COVID-19 Vaccine, but no more than normal and her throat was sore afterward. Patient was not given any treatment at the COVID-19 Vaccine facility but was taken by ambulance to the Emergency Room and the Emergency Room gave her daughter an Ativan 0.5mg tablet and placed an IV in her. An emergency Room ran an IV infusion of 999ml of Sodium Chloride 0.9%. On 24Jun2021 patient did an EKG, chest x-ray, urinalysis, and blood work and results of EKG, chest x-ray, urinalysis, and CBC were normal, but electrolytes were a little low. She had followed-up with her pediatrician after her Emergency Room visit. pediatrician scheduled an EEG for her daughter on 28Jul2021 because of her daughter losing her bladder control, and other things that happened when her daughter passed out. The outcome of event (sore throat, Fatigue) was unknown, event of (Passed out and bite wound) was unknown and event of (Dyskinesia, Respiratory rate decreased, Urinary incontinence and Abnormal behavior) was recovered on an unspecified date 2021 and event of (headache) was recovered on 25Jun2021.

Fainted; Mom thought maybe dehydration; This is a spontaneous report from a contactable consumer (patient). A 16-year-old female patient (not pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Leg Right on 06Jun2021 10:30 (at the age of 16 years old, not pregnant) (Lot Number: Ew0191) as single dose for covid-19 immunisation. Medical history was none. The patient's concomitant medications were not reported. No any other medications the patient received within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received the first dose of BNT162B2 (Lot number: Ew0185) in Right arm on 16May2021 10:30 (at the age of 15 years old) for Covid-19 immunization and no events reported. Facility where the most recent COVID-19 vaccine was administered in Pharmacy or Drug Store. On 08Jun2021 at 18:30, the patient fainted in kitchen at night on day 3 after second dose, over 48 hrs after shot. Mom and dad caught her and put her on floor until she came back. Mom thought maybe dehydration so gave pedialyte but didn't know if that was reason. She slowly felt better. No treatment for fainted. The reporter considered the report as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hadn't been tested for COVID-19. Outcome of the events was recovering. No follow-up attempts are needed. No further information is expected.

Received her 2nd shot at 16:00 yesterday (7/10/2021) *first shot was June 18, 2021 She started experiencing chest pain last night, also complained of shortness of breath when going up stairs She took 1/2 apap tab (strength not specified) for injection site pain (After first shot, she had anxious at the time of the shot; her BP was checked and was within normal limits. Only issue beyond that was redness of her arm). Follow Up call to parent on July 11, 2021: Spoke with mom. She took daughter to the emergency room last night. EKG and chest x ray were both normal, She was given a muscle relaxer in ER with improvement of pain. Child is sleeping but when mom checked on her she said her pain was minimal this morning.

Patient was given her second covid19 vaccine at approximately 1045. She stood up and walked to a chair in the waiting room. At 1048 she passed out and had a small seizure. Mom said she normally passes out after a shot for a short period of time but this was the first time she had a seizure. She was moved to the floor. She was sweating, eyes glossed over, said she felt like she couldn't breathe and couldn't feel her extremities. She stayed on the floor until EMS arrived approximately 10 minutes later. She was moved to a chair and once she tried to stand up she was moved back to the floor. She left in a wheelchair and was taken to her moms car.

16 yo F with no PMHx presents with mother to receieve 2nd dose of Pfizer vaccine. Pt denies no adverse reaction to 1st dose. 15 minutes after receiving 2nd dose, pt reports feeling dizzy, chest tightness and pain, rated 7/10 non radiating. Pt states chest tightness is constant with no relieving factors and feels as if "her throat is closing". Pt denies difficulty breathing, HA, dizziness, palpitations, diaphoresis, blurry vision, n/v, history of anxiety. Pt states she has experienced a similar feeling of chest tightness in the past but never to this extent and it resolved on its own. Initial vitals: BP 137/94, HR: 75, RR: 16, O2 sat: 100%. Repeat vitals 10 minutes later: BP 139/96, HR 99, RR 18, 02 sat 100%. PE: HEENT: AT/NC. Throat clear, no swelling. Lips no cyanosis, palor or swelling. Cardiac: r/r/r. no murmurs. Lungs: CTABL. non-labored breathing. no wheezing. Abd: No tenderness. Neuro: A & O x3. Patient had EKG performed : NSR. Given 100% O2. Transported via EMS to ED.

Patient received the dose at 5:15pm. I was alerted by father at 5:25 that she was not feeling well. I went to check on her and she had lost consciousness in her father's arms. I told the technician to call 911 at retrieved and epipen. I opened the epipen and checked the patient for response. She woke up and appeared very weak and confused. She responded that she could breathe. The epipen was not administered. EMS arrived and checked for vitals. Vitals were within normal range. The father decline transportation for further care. She remained sitting until 5:50 pm and she left on her own power with her family.

Three days after vaccine,case reported blurry vision, hands and legs numbness and tingling, near syncope. Ten days after vaccine case reported near syncope while riding bike.

She passed out for few seconds. Called 911 and paramedic. BP and glucose was normal. drank some water and laid down for 20 minutes till paramedic came.

PATIENT WAS PALE, CLAMMY, FELT HOT, NAUSEA, VISUAL AND AUDITORY DISTURBANCES--- PATIENT GIVEN COLD COMPRESS TO NECK, BP CHECKED TWICE AND INCREASED ON 2ND READING, PATIENT LAID ON BACK/FEET UP--- OVER 10 MINUTE PERIOD, PATIENT FELT BETTER AND WAS ABLE TO LEAVE ON OWN.

Pt reported hx of fainting to vaccines. Made sure she was comfortable sitting in her car. I attempted to distract her, but she still fainted. She was out for approximately 3 seconds before recovering spontaneously. I applied ammonia inhalants as she was awaking, and she immediately came to. Afterwards, she complained of HA, lightheadedness, + fatigue. On exam, lungs: CTA B/L; Cardio: normal RRR, no murmurs, gallops, rubs; HEENT: no erythema or edema of face or throat. Denied CP, palp, SOB, pruritis, dizzy Ammonia inhalant used. Post-vaccination wait for 30 mins. HA, lightheadedness, and fatigue resolved w/in 30 min wait. Pt went home.

Pt was fine for approximately one minute following vaccination. She then experienced syncope. She was examined by EMS and determined to not need additional care.

Patient felt uneasy and fainted shortly after dose. Her mother caught her from falling. She remained unresponsive for 1 hour. She was breathing, 911 was called. Blood pressure, breathing, pulse normal.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: IMMEDIATELY AFTER VACCINE ADMINISTRATION, PT FAINTED FOR A FEW SECONDS, STARTED JERKY MOVEMENT. WHEN CAME BACK SHE DID NOT REMEMBER ANYTHING. THEN AGAIN SHE FAINTED TURNED EXTREMELY PAIL WITH EXCESSIVE SWEATING AND FEELING HOT, SHE SEEMED STUNNED GAZING TO ONE POINT NOT ABLE TO TALK OR MOVE. RPH ASKED TO CALL 911 IMM. PT TURNED BLUE WITH VERY LOW PULSE AND SHALLOW BREATHING. RPH ADMINISTERED EPIPEN TO THE UPPER OUTER RIGHT THIGH TO HELP RAISE BP AND PULSE. PUT PT IN SUPINE POS W/ ELEVATED FEET

Patient fainted after receiving dose 2 in Pfizer covid-19 series. According to father, patient turned slightly green, then slid down to the floor from a standing position.

Fainted, flushed colored skin, breathing limited, tachycardic. EMS called and recommended a doctor visit for the day of. Was not transported to the hospital by EMS personnel.

Vaccinated on 05/22/21. On 06/10 patient woke up with unusually painful menstruated cramps. She proceeded to stand up and passed out hitting her head on wall. She went to er required stitches. Had full blood workout, ct scan , ekg, and chest X-ray. No abnormalities noted. Likely she passed out due to the pain reaction. Subsequent first day of. On July 27. Woke up with severe cramps and felt like passing out. Previous to first vaccination she had never had cramps this severe. Nor had never passed out her second vaccination was on June 16, 2021.

Approximately 15 minutes after vaccine administration, patient became nauseated and pale in the waiting area, asked to lay down. Patient was being escorted to a clinic exam table when she slowly collapsed while dad and technician were at her side and assisted her down. She did not hit head /body according to father and technician. She was assisted in to a laying position on floor with knees up. She was unresponsive to verbal stimuli at the time of event, but responded to sternal rub. Patient pale and bilateral hands and fingers slightly contracted. She became increasingly alert and oriented gradually over about 5 minutes when she was then A&O x4. Vital signs stable throughout. For next 20 minutes this NP and patients father encouraged deep breathing and calming techniques, patient regained color to face and lips, hand contractions released, grips 5/5 bilaterally. Patient was assisted to sit up for a few minutes, then to stand for a few minutes -- tolerated well, felt well. Father assisted patient out of clinic, patient with steady gate, vitals stable at time of exit, and verbally stated she was "feeling better".

difficulty breathing; strong internal chest pain that gradually subsided; chills; fever; body pain; exhaustion; This is a spontaneous report from a contactable health care professional (patient's mother). A 16-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number and expiration date were not reported) via intramuscular in the right arm on 14Jun2021 03:45 PM (at the age of 16-years-old) at single dose for covid-19 immunization. The patient medical history included that prior to vaccination, the patient was diagnosed with COVID-19. The patient was not pregnant. The patient was not pregnant at time of vaccination. There was no concomitant medication. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. The patient experienced approximately 24 hours of difficulty breathing and strong internal chest pain that gradually subsided, along with chills fever, body pain, and exhaustion on 15Jun2021 06:00 AM. No treatment was received for the events. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events was recovered in Jun2021. The report was reported as non-serious. Information on the lot/batch number has been requested.

Very high heart rate over 120 for 8 hours; Fever.; Chills; Sore muscles; Headache; Dizzy; Very high heart rate over 120 for 8 hours. Fever, chills, sore muscles, headache, dizzy, and tired.; This is a spontaneous report from a contactable consumer (patient). A 16-years-old non-pregnant female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left (at the age of 16 years old) on 12May2021 at 18:30 (Batch/Lot Number: EW0186) as DOSE 2, SINGLE for covid-19 immunization. Also reported 'Device Date:19May2021' no additional details provided. Facility where the most recent COVID-19 vaccine was administered was health facility. No other vaccines were given within 4 weeks. Prior to vaccination, was the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. Medical history included attention deficit hyperactivity disorder. Concomitant medication(s) included methylphenidate hydrochloride (CONCERTA) 54mg. Historical Vaccine includes BNT162B2 Dose 1 (at the age of 16 years old) on 21Apr2021 at 18:30 Batch/lot number ER8736, Left arm Covid-19 immunization and not events were reported. The patient previously took amoxicillin and experienced drug hypersensitivity. On 13May2021 at 02:00 The patient experienced Very high heart rate over 120 for 8 hours, Fever, chills, sore muscles, headache, dizzy, and tired. The event Very high heart rate over 120 for 8 hours was considered medically significant. The patient underwent lab tests and procedures which included heart rate: high on 13May2021 (Very high heart rate over 120 for 8 hours). No Treatment was given and No hospitalization was involved. The clinical outcome of the events was recovered May2021. Follow-up attempts completed. No further information expected.

patient experienced what appeared to be an anaphylactic reaction immediately after receiving the vaccine. Patient's chest became extremely red and splotchy. Patient's blood pressure was slightly elevated. Patient reported no difficulty breathing and no wheezing was witnessed. The doctor remained in the room with this patient and monitored her until emergency services arrived. Patient refused hospital transfer. Patient was alert and vocal during entire incident. Patients mother was shown how to enroll herself and her daughter in V-safe. Patient will remain in clinic for monitoring and will be followed-up with later this evening and tomorrow morning.

Per witness, patient was sitting in the waiting room post vaccination w/ Pfizer vaccine. Patient's mother got up and walked to counter to make 2nd dose appt. Patient started leaning over in chair and fell to the floor (witness reports patient bumped head). Per witness, mother ran to patient's side. This writer heard someone call for help. This writer was in the back assisting with immunization clinic. Patient was observed lying on the floor w/ mother at her side. Patient appeared confused and was actively trying to sit upright. This writer and patient's mother explained that she had experienced a vasovagal reaction after her COVID-19 vaccine. Patient was instructed to stay in lying position while vital signs were obtained. Patient was able to verbalize name, DOB, and place. Vital signs at 1040 (BP 98/55, HR 61, O2 98% on room air). Patient was diaphoretic and pale. Patient reported eating breakfast this morning. Patient was observed crying stating "I feel like I can't breathe." This writer continued to monitor vital signs (BP 120/72, HR 77, O2 99% on room air). Staff placed several ice packs on patient. She complained of headache and told staff that her head hurt. Mother of patient requested EMS to be called. Staff called EMS. Vital signs at 1050 (BP 101/64, HR 92, O2 98% on room air). Patient reported feeling better and was able to move to sitting upright position on the floor. Patient appeared less diaphoretic and color was returning to normal. Patient was moved to wheelchair w/ assistance from staff. Patient was provided with water and crackers. EMS arrived to the facility at 1050. EMS evaluated patient, but patient declined to be transported. V/S stable. Patient reports history of passing out unrelated to vaccine administration. Staff explained that mother/patient need to inform staff w/ the 2nd dose of vasovagal hx, so patient can receive vaccine lying down. Staff provided mother w/ concussion education and explained what S/S would indicate a need to go to the ER. Patient was also encouraged to f/u with pediatrician. Patient was taken out to car via wheelchair by staff at 1100.

Administered first dose of COVID19 vaccine at 1:29pm on 1/4/21. At approximately 11:00pm resident exhibited acute respiratory decompensation with very limited air entry and hypoxemia. Patient received Benadryl, steroids, epinephrine, and Duoneb without improvement. Resident was referred to the emergency room and found to be COVID positive. No fever or rash were reported.

She passed out.; This is a spontaneous report from a contactable consumer (parent). A 17-year-old female patient (daughter) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number= EL1284) on 22Jan2021 11:45 AM at left arm at single dose for COVID-19 immunisation. Medical history and concomitant medications were none. No known allergies. Patient was not pregnant. Patient did not have COVID prior vaccination, and did not have other vaccine in four weeks, did not other medications in two weeks. The patient experienced passed out on 22Jan2021 12:00 PM. Treatment included they had her lay on the ground with her knees up and cold compresses. Patient did not test COVID post vaccination. The outcome of event was recovering.

Per paramedic, "Pt's mother told staff "my daughter's not feeling well." Paramedic was notified and pt was unc when he arrived. Pt was taken to the medical tent via w/c. Pt regained consciousness and was placed supine with legs elevated." RN was present when pt transferred to cot without assist. Pt was talking, accompanied by mother who states this happens every time she gets blood drawn or has a vaccine. B/P at time of incident 119/77 HR 91, 98% O2 Sat, at 5min 114/76 HR 77 100% O2 sat, at 10min. standing B/P 110/73, HR 76, O2 sat 99%. A/O speaking in full sentences, sitting up drinking water. Skin color pink. Pt monitored for 45 min. Stable at d/c by paramedic. Post vaccination instructions given.

PATIENT BECAME DIZZY AND PASSED OUT ABOUT 10 MINUTES AFTER RECEIVING HER VACCINE. WHEN SHE REGAINED CONSCIOUSNESS, SHE SAID THAT SHE COULDN'T HEAR OR SEE ANYTHING AND SHE ALSO WANTED TO VOMIT. WE CALLED EMERGENCY SERVICES. EMERGENCY SERVICES CAME WITHIN 10 MINUTES AND SHE SAID THAT SHE WAS FEELING BETTER; BOTH SIGHT AND HEARING IS NORMAL AGAIN. THEY RECOMMENDED SHE REMAINED SEATED FOR A LITTLE BIT MORE BEFORE LEAVING, BUT DECLARED THAT SHE WAS OK.

Written by the patient and guardian: " 8-10 minutes after shot, complaints of light head an throat closing up. Removed mask for fresh air, no relief. Went to get up for water, immediately for light headed, pale face, checked-out look in eyes. Body went limp, set 17yo in chair, still was light headed and lethargic. Laid 17yo down on floor, administered water. Vision came back dizziness went away. remained seated for another 15minutes. Continued hydrating w/ water, other symptoms diminished." From Dr.: "Witnessed patient pass out in chair, within 10-20s was helping caregiver lower patient to the floor and patient had come to. Increasingly alert. Endorses above narrative, as well as not having eaten or drinking much today, "maybe an apple". She does not have a history of vasovagal syncope. Patient Pulse at 65, normal breathing, no distress, no signs of injury. Overall episode appears to be vasovagal syncope. Patient asked to drink water and remain at the vaccine center an additional 15-20 minutes for observation. After 15 min patient feeling back at baseline. No further medical intervention.

Fever of 103 F, received Tylenol, then developed tonic-clonic seizure activity for about 20 minutes (received 10mg intranasal midazolam and 0.5mg buccal clonazepam while awaiting EMS)

5 minutes after administration of vaccine, Patient had visual white-out of vision, diminished hearing, disoriented, severe pallor and then vomitted.

Within 2 minutes of vaccine developed dizziness, nausea, within 5 minutes developed mild tingling in her throat, felt cold and chest felt heavy. Lungs clear to auscultation, no rashes, no lip swelling. She received Benadryl 50 mg po at approx. 5-10 min post vaccine and was transferred to the ED. In the ED she had receive epinephrine im, Solumedrol iv and albuterol neb. Patient is still in the ED at 12:18 PM

Patient fainted roughly 5 minutes after receiving the vaccine. She was sitting down on a chair resting her head on a table in the waiting room. She felt lightheaded and then fell down to the ground. Her mom was with her at the time. We made sure she was not having an allergic reaction. Patient responded seconds after she was on the floor but was not coherent. EMS was called and arrived within minutes. Patient was accessed and transported to the hospital.

At 5AM a 17 year old female accompanied by her sister which is her legal guardian, received first dose of Pfizer. While patient was in observation she became dizzy, passed out, and fell on the floor and hit her forehead. Patient was immediately attended to by clinical staff. Within less then a minute patient was alert and oriented X3 but could not recall what happened. Ambulance was called, and site lead was made aware. Vital signs at the time were BP: 90/45, O2 100%, HR: 55. Ambulance arrived on scene and assessed patient. Vital signs upon transfer to hospital 111/56 HR78. Patient was transfer to hospital.

The day after the vaccine- chills and headaches-lasted for 3 days The symptoms worsened slowly & on 03/10/2021 presented: sore throat, cough, diarrhea, chest pains when coughing. Patient was tested for COVID-19 (PCR), for Strep (RST & THROAT CULTURE), Influenza A& B, EKG, CBC and Basic Metabolic. Patient was treated with AMOXICILLIN for possible Strep until culture was available, ALBUTEROL INHALER & DEXAMETHASONE for bronchitis. *** This patient was Positive for COVID-19 in August 2020. She had the same symptoms as in March.

EUA Pfizer-BioNtech vaccine reaction Patient was hesitant about vaccination because she is afraid of the needels. in observation room she had a syncopal episode lasting 10 min. she had a vaso-vagal reaction , she has history of similar episodes.

After first dose of Pfizer patient indicated bronchial spasm/tightness. Patient left her Albuterol inhaler at home. BP= 121/83, HR= 99, O2 sat= 98%. Patient's dad indicated home was "5 min" away, EMS declined. Dad indicated severity was 3-4 on a scale of 10. No medication provided. Patient walked out with both parents and one EMT unassisted.

after recieving the vaccine, patient turned very pale and appeared to lose conciousness as well as have convulsions. 911 was called. nurse had patient lie on the floor. o2 was measured to be 96 and bp was 103/74

Called to Pod 3 green chair 5 at 8:45. Pt awake leaning over feeling shaky and dizzy. pt cool and clamy to touch weak pulse. given water to drink. Denies eating breakfast. wheel chair transport to observation to stretcher. :Apple juice po. 8:55 BP 111/67 Pulse 67 Pulse Ox 86 Resp 24. Head of bed elevated. Apple juice po. 9:05 BP 109/76 Pulse 67 Pulse Ox 87 RR 20. 9:20 99/64 Pulse 83 Pulse ox 100 RR 22. Apple juice po. Pt sat on edge of bed and remains shaky and layed back for further observation. 9:30 pt reported feeling better sat on side of bed BP 103/68 Pulse 79 Pulse Ox 100 RR 24. feeling well enough to walk accompanied to exit with Nurse and mom. Discharge to home in care of mom

Anxious with injections, felt lightheaded, then near syncope, placed to floor by staff with recovery, BP 80/50 in OBS- felt better, BP 84/54 at time of discharge and normal condition

Patient received second dose of pfizer covid19 vaccine. Then while she was sitting during the 15 minutes after receiving the vaccine, she was found slipped out of her chair unconscious. 911 was called and her parents were called. After several minutes, she regained consciousness. When asked how she felt, she stated that she was hot and dizzy. Patient remained sitting on the floor, leaning against the wall. An ice pack and water was brought to her to help cool her down. Paramedics came and assessed her. Patient then left with her mother who said she was taking her to the doctor.

Almost immediately after receiving the vaccine the patient started feeling nauseous. Patient's mother then reported that she experiences the same side effects from blood draws from the doctors office. Patient then started to become pale and was clammy. The pharmacist then took action to lay the patient on the floor and prop up feet on chair and took the patient's BP 127/81 HR 97. No epinephrine was given or indicated. The patient had some vomiting about 15 minutes following the vaccine. Patient stated that she did not have any food or fluids prior to receiving vaccine. Fluids and food was not given to the patient. The patient's color returned at 25 minute post vaccination. At 30 minutes patient was feeling much better and was escorted by the pharmacist to the car to ensure safety and no other events or side effects occurred.

The patient received her COVID-vaccine and then told the immunizer she felt dizzy seconds afterward. She passed out for a few minutes and we were unable to wake her. We called 911 and she came back to consciousness after what felt to be several minutes.

Immediate vasovagal reaction. Recovered with supine positiion. Vital signs were monitored. Was able to sit after 15 minutes, then stand and walk after 15 more minutes of observation

Patient had initial dizziness and syncopal episode. Patient reported "vision went dark and felt heavy". Patient vomited x1. Patient given cold pack and water. After 10 minutes patient denies headache, dizziness, double vision, or ringing in ears. No report of difficulty breathing, SOB, numbness or tingling in extremities. Patient successfully discharged from observation at 4:05 pm.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt some lightheadness and felt she was having a panic attack. sje slumped but patient was responsive

Patient woke up in the middle of the night because her nose was spontaneously bleeding She had a slight headache the next day. She has never had a nosebleed before.

Pt had reaction in the waiting room. Pt became pale, diaphoretic, passed out and had brief seizure x 3-5 seconds. She suddenly became aware again with no recollection of what happened. She continued to be pale and diaphoretic and c/o confusion and blurry vision. Pulse ox 98-100, HR dropped to 40's and BP 90/60. Squad was called, they assumed care and transported pt to ER with her mother present.

5-10 minutes post vaccinating while waiting 30 minutes pt began hyperventilating with fluctuating LOC. Family member reported hx of allergies so she was waiting 30 minutes, EMS onsite, pt began drooling so EMS took her to local hospital. Nurse reports v/s remained stable. I have not heard back from pt or family as I attempted follow up calls and emails.

Following the vaccine admin patient felt a wave coming over her and passed out she experienced tunnel vision and was clammy. She was placed on the floor and was then placed on a back board and taken to medical observation, patient wears a continuous glucose monitor and her mom reported that her bld glucose was 129, patients vital signs upon arrival was 120/65, P 71, Ox 98% on room air @ 10:35, at 10:40 her blood presure was 120/78. she was then placed in a sitting position and bp was 119/79 and then standing after 1 minute was 121/74- patient was released from observation via wheelchair she was taken to the exit with her mom and she exited the building.

Fainted for 2 seconds. Sweating. Pale lips but the color got back on after few minutes. Tingling. Could not lift up her arm (but could feel squeezing thumb). Shaken hands and feet. Lied down on the ground around for 10 minutes and elevated feet. Had her to keep breathing in/out. Kept drinking water and gave orange juice. Called 911. EME arrived and took care of patent. Pt didn?t want to ride on the ambulance and said fine. Was able to walk in the end. Left the scene with her mom.

patient lost consciousness approximately 3 minutes after receiving vaccine, appeared to be fine immediately following vaccine, was speaking coherently to nurse, stood up under own power, became dizzy and lost consciousness

Presented at 0905 for vaccine. 0912: Staff were called to the patient vaccine area. Patient did seem vaso vagal post vaccine (loss of color and diaphoretic), patient then appeared to have a Grand Mal type seizure with arm contracture and vomiting x4. Patient was unresponsive for around a minute. Only meds patient: BCP Patient accompanied by her mother. o2 98% HR 81 BP taken at 920 130/80. 0935: Patient seemed post-dictal, very sensitive to touch and disconnected. As per Mother, the patient had a history of a prior Grand Mal seizure 4 years ago; that was never worked up. Patient complaining that she is "Very Lightheaded." Spoke with patients primary PCP MD, she stated that it was not likely a seizure and that it was extreme vaso-vagal response and that the patient could go home if now drinking and responsive. Patients mother also spoke with PCP and I gave her the option to decline EMS or to go be evaluated. Patients mother chose for her to be evaluated. EMS was contacted by the local police who were working the vaccine clinic. Vitals taken by EMS: BP 127/61 Blood Glucose 97 0955: EMS arrived / Patient transported to ED.

Within 5 minutes of receiving vaccine, patient became lightheaded and diaphoretic. Patient vasovagal. Feet were propped up, patient returned to baseline with 5 minutes of episode. Was released into the care of her boyfriend.

Syncopal episode within 1 minute of injection, seizure like active posturing, unresponsive. Alert and oriented by the time she was transferred to ER.

6 am following day (4/6) after injection on 4/5/21, my 17-year-old daughter complained of sore right arm (injection site), tinnitus, syncope, nausea, fever. Day before had also been treated for vaginal yeast infection. Treated with miconazole and fluconazole (tablet and vaginal cream). Also complained that her ovaries hurt. She self-administered Motrin and applied heat. Went back to bed. Has rested without waking, suspect fatigue as well.

Patient passed out. tingling in finger. light headedness. chest pain related to anxiety. occurred after about 15 minutes

At 1137am, 5 minutes after receiving Pfizer vaccine, pt c/o dizziness and lightheadedness. At 1139 pt became pale and diaphoretic, so EMT lifted her from chair, she then lost consciousness for approximately 30 seconds. Pt was placed on floor in trendelenburg position with her feet elevated on a chair. When she regained consciousness she did not recall being placed on the floor and stated she "blacked out" and was still dizzy. At 1138 EMT called 911. At 1145 EMT recorded the following vitals: BP 68/44, HR 58, and RR 16. At 1145 paramedics arrived and assumed care of pt. At 1150 paramedics took the following vitals: BP 70/50, HR 54, and blood glucose 95, and from these indications decided to start and IV and admininster a 500cc bolus. Pt O2 sat was 100% but she was placed on 2L O2 NC for comfort. At 1205 paramedics transported pt to Hospital for further evaluation.

Patient passed out, fell out of her chair and hit her head hard after receiving her shot. Once she went down, two nurses ran to her assistance where they propped the patient's feet up on a chair and got her some water. Patient reported blurred vision, had a goose egg on the back of her head but did not appear to be mentally foggy.

PER PT, FEELING DIZZY AND AS IF SHE WAS FAINTING - PT WAS RESPONSIVE TO QUESTIONS AND HAD NORMAL BREATHING. PT GIVEN 1 DOSE OF ADULT EPI (LOT 0FM501, EXP 05/22). PER EMT (ARRIVED WITHIN 10 MIN OF CALL), PT HAD NORMAL FAINTING SYMPTOMS OF HYPOTENSION AND LOOKING PALE

Patient experienced an episode of syncope almost immediately after her first dose of Pfizer covid vaccine. She was unresponsive for approximately 20-30 seconds. Her vaccinator held the patient steady until help was available. When the patient came to, her pupils were not of equal size, left being larger than right. Cap refill was about 5 seconds. She felt hazy/dizzy and was clammy. First pulse readings were 39-45 bpm. Vitals recorded 1545 BP 73/40, P 48, O sat 99 1558 BP 91/55, P 58, O sat 96 1607 BP 106/62, P 68, O sat 98 BP 111/70, P 57, O sat 100 At the time of dismissal, patient reported that she felt fully recovered. She was accompanied by her father who was her mode of transportation. It was recommended that she be scheduled for an appointment with her PCP for baseline/well visit as she had not been in some time.

Events happened about 5 mins after shot was given. Patient experienced lightheadedness, loss of consciousness for a couple seconds, uncontrolled urination, hot flashes, headache. Patient was given water and a snack to consume. After about 10 minutes of resting and consuming food, she feeling better afterwards, said it could have been to fear of getting injections, and was able to go home with her family.

Patient received dose 1 of Pfizer vaccine LOT ER8733 on 4/6/21 at 0955. Patient had witnessed seizure at 0957. EMS called at 1000. Seizure lasted 15 seconds. Patient alert after seizure. Appeared very pale. Advised patient mother that she needed to be seen at the ED for further evaluation. 1004 attempt made to call ED Lead but unable to reach. 1005 called House Supervisor to confirm correct number for ED Lead. 1007 EMS arrives. Pt mother declines transport to ED. EMS assists patient to car. Patient and mother sat in car for long period of time prior to leaving lot. Further follow up documents there is no documentation of visit to ED.

Patient had a reaction to the Pfizer Covid-19 vaccine. While waiting for 15 minutes after the shot, patient had a 'seizure' according to patient's mom. She was flapping her hands, staring, and sliding down the chair. 911 was called. Patient was pale and calm but responding to the immunizer (technician) and pharmacist. Patient said she was fine. EMS came and checked the patient and said patient is fine. Patient said she was fine again. EMS left without the patient since she was fine.

Patient fainted. She faints after all immunizations according to her and her father. She was fine, laid down, raised feet, ice pack on forehead/neck. She rested and left after 15 minutes

A few minutes after receiving the vaccine, the patient fainted in the pharmacy wait area. She woke up a few seconds later and was alert. She was able to answer questions like "what is your name?" "where are your?" " etc. She denied a history of fainting but did say she fainted once about 8 years ago. She remained seated in the pharmacy waiting area for another 30 minutes and said she felt fine. She denied feeling dizzy, short of breath, and any allergic reaction symptoms.

Per ER HPI on 3/19/2021: 03/19 21:19 This 17 yrs old - Female presents to ER via Private Vehicle with complaints of Allergic Reaction. 21:19 Patient is a 17-year-old female she presents to the clinic with mom, the concern is that the patient wonders if she is having an allergic reaction, she says she received a Covid vaccine on Wednesday and then today earlier received an HPV vaccine and another vaccine that she cannot remember the name of. She feels like there is a tight sensation in her throat. She denies any chest pain or shortness of breath. Patient denies any abdominal pain. Denies any swelling of her lips, tongue or cheek. Patient denies any other associated signs and symptoms.

The patient experienced the following reaction(s) during the immediate of observation: 1240- pt received first dose of Prizer vaccine at 1220. Pt was ready to leave and had a syncopal episode in her chair. Pt was lowered to the ground and was not alert or oriented. Mother was at the patient side. Pt was able to open her eyes and state her name. At this time the patient was placed into a wheelchair and during movement to post vac area, pt lost consciousness and had generalized muscle twitching resembling seizure like activity. At no time did patient have airway compromise. Pt was placed on the floor with feet up on the wheelchair. Vitals are as follows BP: 92/52 P: 72 R:18 99% sp02. Pt continued to answer questions appropriately with mother at her side. 1246: repeat vital signs BP: 118/64 P: 85 R:18 98% sp02 on RA Pt A&Ox4. Mother stated pt had same type episode 4 years ago while they were out of the country. EMS Was called to assess pt with possible transport to a higher level of care. 1259: BP: 110/72 P: 83 R:18 99% Sp02 Fire Department on scene speaking with mother and pt. All pt care given released at this time to FD. Mother spoke with FD and decided against transport to the hospital. Pt was observed 10 minutes longer and final set of vital signs done prior to pt leaving the facility. BP: 102/82 P: 75 R: 18 99% Sp02. Pt A&O x4, placed in a wheelchair and helped to vehicle. All questions answered prior to leaving the facility.

Systemic: Abdominal Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Patient lost of consciousness for a few second after received the vaccine. She was feeling better with taking rest and hydrating with water. Patient's father reports this has happened with vaccination in the past. Vitals signs@12:30pm: BP 110/60; HR 72; O2 Sat 99%. One tablet of 25mg Benadryl was given to patient.

Patient fainted within 5 minutes of administration. She came to very quickly and felt nauseous. We monitored and had her drink water. Advised mother to call PCP on Monday

Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Additional Details: After getting the shot in the 15 minutes of monitoring patient started to feel dizzy. Nurses from the minuteclinic monitored vitals and initial vitals were blood pressure 80/50 heart rate 48. After 5 minutes the vitals rose to blood pressure 92/60 and heart rate 72. Patient and parents said they were fine and no issues and were comfortable leaving.

PATIENT WAS SEATED AFTER VACCINATION FOR OBSERVATION PERIOD. PATIENT FAINTED IN HER CHAIR ABOUT 10 MINUTES AFTER VACCINE. SHE CAME TO AFTER ABOUT A MINUTE OR LESS. SHE LOOKED PALE, SHE WAS GIVEN ICE PACKS, WATER, AND ORANGE JUICE. 911 WAS CALLED, PATIENT WAS TAKEN AWAY VIA AMBULANCE ON A STRETCHER.

Systemic: Fainting / Unresponsive-Mild, Additional Details: pt passed out several minutes after recieving vaccine. BP was measured at 144/82 and the patients father stated she had passed out in the past when giving blood or seeing needles after a vaccine. no allergic response or history of allergy reported prior to administration outside of mild shellfish allergy. pt was monitored for 30 minutes before being allowed to leave with her father

less than 10 minutes after vaccine administration patient was kneeled over on floor bent over on chair . extremely pale, feeling lightheaded, head pounding, ears with sudden onset of lots of pressure. mother said never reacted to vaccine like this before. called EMTs they said her blood pressure was fairly low and wanted to take her to the ambulance for further evaluation.

At 12:20 p.m, patient began to experience dizziness and the eyes began to roll back into the head. Initial blood pressure reading was 80/160 with a heart rate of 60 and an O2 saturation of 100%. This patient has a history with passing out with shots. Patient was given juice and multiple blood pressure screenings were recorded with results being 100/80, 112/78 and 104/75. At 1300, patient's heart rate was 68 bpm while sitting. Once the patient stood, blood pressure went to 90/60 and heart rate went up to 115 bpm. Patient was pale. Over next 15 minutes blood pressure and heart rate were routinely taken until patient felt better. Patient entered the vehicle safely and left with parents at 1:15

Reportedly had some redness and blotchiness at the time but currently no signs of anaphylaxis with no urticaria, no respiratory involvement, no intraoral swelling or voice changes, no GI symptoms. He is warm and well-perfused although is slightly tachycardic but appears anxious. His reported inability to move her arms and legs does not seem consistent with a neurologic etiology of this complaint and more likely consistent with anxiety/conversion reaction in the setting of a vasovagal episode. Will give zyrtec at mother and patient's request, PO challenge and reassess.

Heavy sleeping, sore and stiffness in arm that was injected, chest pains and tightness of chest, nose bleeds and severe headaches

While waiting during the 15 minute monitoring period patient (17 year old female) fainted in her chair. Mom noticed that patient's arms went rigid right before she passed out. Patient was still breathing and was laid on the ground to her side and 911 was called immediately. Mom was massaging her thighs and arms to increase blood flow and she regained consciousness within a few minutes. She was very pale and felt weak. She was given water and remained laying on the ground for another 10 minutes before EMS arrived. She explained she gets anxiety about any medical procedure, has had history of fainting after shots/blood draw/blood pressure reading. EMS took fingerstick reading and gave her oxygen to ensure she doesn't faint again from blood glucose fingerstick. Vitals came out to be normal. Mom explained this is very normal and she doesn't see the need to take her to the hospital. EMS offered to have patient with them in the ambulance for another 15-20 minutes before she's free to leave.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: she was sitting for 15 minutes observation she fainted and fell from the chair. She wa unconsious for about few seconds. called 911 for her. she looked paled. paramedics took her in. checked all her vital sign she was fine , her dad took her home. Spoke to dad at 6 pm in the afternoon. she is home resting and having dinner.

patient fainted after receiving vaccine - her dad was with her here in the pharmacy and stated that this was typical of her when getting blood drawn/needles

She had COVID-19 infection on January 5. She received Pfizer vaccine 3.28.2021 - er8733 lot. she was feeling well prior to the vaccine with no seasonal allergy symptoms. No nasal congestion or itchy eyes. No NSAIDs the day of vaccine. Tired 20 minutes later. She woke up 4 hour later with fever 101. Took Tylenol 5-6 hours later. No ocular swelling at that time. had some nausea that evening and some abdominal pain. No muscle pain. Some chest tightness that evening. The next miring was very hot and nauseated and then vomited. Two days later swelling around eyes, not too itchy. Swelling was more severe in April 4. the swelling is slightly improved over the last week. On April 4, antecubutal fossa were itchy and red. lasted 1-2 days. No runny nose, sneezing or itching. Low grade fever lasted 1 hour. fatigue lasted a few days. No muscle or GI symptoms. No NSAIDs, but Tylenol initially. no sore throat. No mucous membrane involvement. No leg swelling. No change in urine output. No joint pain. No headache. No vision change. No bleeding gums. No hives. No enlarged lymph nodes. No SOB. No chest pain. No change in bowel habits. Energy level good. No night sweats. SAR symptoms well controlled. Mild swelling at left arm injection sight that lasted 1 day. swelling is worse in the AM when waking up; both upper and lower eyelids.

Pt with a history of asthma and anxiety started to c/o dizziness, tightness in the chest. VS were as follows: 1750 HR 79, O2 sat 97% on RA, BP 109/62 - 50mg of Benadryl given 1755 HR 74, O2 sat 99% on RA, BP 110/67 1800 HR 76, O2 sat 99% on RA, BP 115/72. At 1800 Patient reported that she was feeling much better, tightness in the chest had resolved and was not dizzy. Through out she was able to hold a conversation, no wheezing, and no SOB noted. Pt discharged home with father. Spoke to father to call PCP to advise on second dose.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Mild, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: symptoms started after they had waited the 15 min in store and were well on their way home. they included: speaking overly slow or oddly, left arm tingling, chest pain/SOB, developed into shooting pain down right leg. pt laid down for nap and awoke with swollen eyelids. pt still experiencing shortness of breath and having to limit activities

Patient arrived with mom for Covid vaccine at 12:48 pm. Mom reports a history of fainting so nurse decided to administer vaccine with client lying down. Vaccine was administered and client immediately stiffened arms and appeared to seize while her eyes rolled back. Nurse reported she turned the client onto her side and she "came to within 20-30 seconds." She reported blurry vision but could read when asked to do so. She quickly became alert and oriented. Her mother reported that she had a previous episode one time in the past year with painful menses. Her vitals remained stable but each time she attempted to stand up, she reported feeling "sick." She developed a headache within minutes of the vaccine and took 2 Tylenol while still there. Client left with parent to follow up at hospital.

Pt LOC. Patient denies thinners. No deformities /head trauma noted. VSS. Patient a&ox4 upon discharge. Pt received pfizer vaccine at 1:50 hours and discharged at 2:15. Patient stable and no complaints at discharge. Guardian- Father was present.

The shot was given on Friday around 1 pm. Blurry Vision immediately after vaccination, then felt fine until 7 pm. At 7 pm she fainted at Lacrosse practice. The following day, Saturday, she fainted at work and was sent home. Sunday, she slept most of the day. Monday, she fainted at school and was sent home. Symptoms have been feeling of her heart racing, blurry vision, fainting, weakness, and major fatigue. No fever.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient fainted in waiting are 5 minutes after shot. Patient's muscles stiffened up and she hit back of head on shelf. Pharmacists lowered patient to recovery position on floor, where pt recovered consciousness and relaxed. Patient's mother said that patient has vaso-vagal responses to shots and that she was having one of those. Patient was well and was able to leave without further assistance.

Immediately after receiving the vaccination, patient presented to be lightheaded and rested her head on the table. Upon assessment, patient states that she felt lightheaded, seeing orbs, dilated pupils. Upon arrival from EMS, patient did faint for no longer than 10 seconds and regain consciousness.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient was close to vomiting, benadryl was given, patient recovered.

Patient is a 17 year old female who has completed a 30-minute observation period with the following signs and symptoms of an adverse reaction: loss of consiousness. Pfizer-BioNTech COVID-19 vaccine # 1 in series administered. Parents states that patient become pale and dizzy 1 minute after she received covid vaccination , Patient had a syncopal episode in the hallway, unknown if patient hit her head against the floor, no bruises, soreness or redness notice Patient become alert and oriented x 4, pale, diaphoretic, Patient states that she didn't breakfast.Also Patient mentioned that she is afraid to needles. Action(s) taken: Vital sign at 0814: blood pressure ; 75/34, heart rate: 65, respiration ; 16, Spo2: 99 % Repeat Vital sign at 08:28: blood pressure ; 85/44, heart rate: 65, respiration ; 16, Spo2: 99 % Repeat Vital sign at 08:31: blood pressure ; 97/58, heart rate: 66, respiration ; 16, Spo2: 99 % - Patient denies chest pain ,shortness of breath, nausea vomiting, diarrhea, abdominal pain, difficulty swallow, headache, dizziness, or vision changes - Patient was able to tolerated fluids intake well. Action(s) taken: Transferred to higher level of care, ER Patient and parents advised to discuss second dose considerations with a clinician

Dizziness, mild sweating, and a temporary loss of hearing a few minutes after the shot before brief LOC. Mother reported "eyes rolling up" and a respiratory gasp. Rapid recovery with fully orientation on the floor. VS stable in observation. No nausea or visual changes reported by the patient. No orthostasis.

1705- Pt passed out right after vaccine. Pt regained consciousness about 3-5 seconds later, stated that she couldn't hear anything. Pt moved to the observation area in a wheel chair. 1715- Pt passed out again, ammonia inhalants used. Regained consciousness 3 seconds later. Pt sweaty. Ice placed to back of neck. Pt moved to cart. First set of vitals @ 1717: Spo2: 100% HR: 53 BP: 83/42 Water and snack given to pt. Second set of vitals @ 1720: Spo2: 95% HR: 54 BP: 88/48 Third set of vitals @ 1726: Spo2: 97% HR: 64 BP: 102/64 Pt sitting up and talking with staff an mother, color in face improving. Pt states she is starting to feel better. Fourth set of vitals @1732: Spo2: 99% HR: 67 BP: 103/66 Pt sitting at 90 degrees, eating and drinking. States she does not feel nauseous. Last set of vitals @ 1537: Spo2: 100% HR: 62 BP: 94/63 Per mother she normally faints with vaccines. Pt states she is feeling much better. Reminded pt and mother to keep up with fluids.

pt looked pale 10 minutes after vaccine went out to check on him he was getting faint and lips looked purple, was NOT having breathing problems and BP was normal at 104/54, called 911 patient was very clammy and sweaty, stayed with patient until paramedics arrived, patient was feeling much better a little before paramedics arrived, but they decided to take him to hospital

1325- Pt presented to observation room, mom was supporting her as she walked. I got to the patient and supported her to the ground as she started to fall. Pt did not lose consciousness, appeared diaphoretic and pale, stated nauseated and didn't feel good. Mom said she has done this in the past when has had injections or blood draws. Laid pt with feet up on a chair. Ice pack placed on forehead. Answering questions appropriately. 1328- BP 112/72, HR 68, RR 20 1330- pt stated feeling better and sat up slowly 1333- felt well enough to sit on the chair 1338- pt and mom opted to leave premises, pt appeared neurologically intact, stable and walking independently

immediately after vaccine patient asked if she "could sit for a minute"; became pale, diaphoretic and limp in the chair; responded immediately to spirits of ammonia and position change; patient given oral fluids and responded well; patient observed for 45 minutes before being allowed to leave vaccine clinic

3 episodes of vasovagal syncope this morning, clustered over approximately 1 hour, on the day following her second dose of Pfizer Covid-19 vaccine.

wheezing, chest tightness. Hx of asthma. Epi-pen, albuterol inhalers. Pt sent to Urgent Care, then ER

General fatigue, feeling slightly unable to speak or text in clear sentences (i.e., patient said she feels "loopy"), coughing for a little while, chest (lungs) feels heavy

After receiving the vaccination, patient was advised to sit for 15 minutes in the designated waiting area. Approximately 5 minutes while sitting in the waiting area, patient's father noticed his daughter was about to fall over but caught her without her falling to the floor. The patient was conscious, has a pulse and was breathing the whole time. Pharmacist on duty called 911 and within 10 minutes the paramedic arrived. They checked her BP, heart rate and blood sugar. Both her BP and blood sugar were within normal range, while her heart rate was out of range. The paramedics suggested to the parents that their daughter needs further monitoring. The parents agreed and left wit the Paramedics.

17 Y/O FEMALE UNRESPONSIVE POST VACCINATION. PT APPEARED COOK, PALE, PUPILS DILATED, NON REACTIVE PT ASSESSED BY EMS PLACE ON STRETCHER IN TRENDELENBURG POSITION. PT C/O VISION LOSS AND UNABLE TO HEAR. 02 SAT UNDETECTED THEN 98%. PT PLACED ON OXYGEN. BOTH PARENTS PRESENT AT TIME OF INCIDENT. PARENTS ALSO STATED PT HAD MENINGITIS VACCINE APPROX 2 WEEKS AGO. NO OTHER HX. PT REGAINED CONCIOUSNESS, HEARING AND VISION. TRANSPORTATION T(JFRD) ARRIVED. PATIENT DECLINED TRANSPORTATION TO ER. CLEARED BY EMS APPROX 9:50 A.M.

Nausea, dizziness and fainted for some few minutes. Paramedics were called, patient did not need any treatment and was able to go home.. Mom was counseled on signs and symptoms to watch out and if needed to seek medical care

Dizziness, Syncope; Cough abd pain, sweathing. BP 101/53, HR 60; RR 24 -- > 119/59, 67,20 -- > 94/67, 57. Given OJ and water, pt felt fine after drinking water and OJ. Patient stable and released from vaccination site.

Patient received vaccine at approx 7:38pm, immediately experienced a syncopal episode. She was placed in a wheel chair, brought to an observation area, placed on a cot with feet elevated. Patients color began to return, and she was answering all questions appropriately. Initial BP 90/52, HR 47. Patient began to feel better, sat up and drank 1 bottle of water, repeat BP 92/64 HR 67 then 115/72, HR 63. Patient stood and walked feeling back to baseline released home with father in stable condition.

Pt complained of Shortness of breath and chest tightness that started just a few minutes after vaccine administration. Pt has history of asthma. Exam done within normal limits. Pt given 2 puffs of albuterol. Symptoms remain mild after 45 min of observation. Pt discharged home with precautions.

I gave the patient the immunization. She seemed fine after getting the shot. I asked her to go outside the immunization room and wait 15 minutes for observation. Immediately upon leaving the room, she felt dizzy and made it to the chair to sit down, when she said she briefly blacked out. By that time, her father arrived, and gave her some orange juice to drink. She said she was starting to feel better, but that her stomach felt queasy. After15 minutes, the patient was feeling better and walked out with her father with no other reports of problems.

Syncope episode. EMS monitored, blood sugar taken resulted 97 after juice, declined transport after all s/s resolved (45 minutes)

The patient had her second Pfizer covid 19 vaccination at 1835. During sitting in observation area at 1845 the patient felt nauseated and faint. The patient went to ems room with staff to lay down and was given an ice pack and water. She felt ok at 1902 and left reporting no dizziness.

Patient experienced severe syncope episode. Monitored by onsite EMS - 45 minutes until symptoms resolved. Patient waited additional 45 minutes. Patient declined transport to ED.

Rashes all over the body with medium to large size blots, redness and raised. The skin has a rough texture to the touch. Headaches, tiredness, chills, and light nausea. Lack of air, and chest pressure, with difficulties to swallow.

One hour after returning home.Heaviness in limbs, unable to walk, shortness of breath, nausea, heaviness in chest. PCP provided oxygen, steroid shot, shot for nausea in office. Observed until symptoms subsided. Released with Rx for steroids and anti nausea medications

Felt dizzy at work the next day after the second shot. Passed out and then was sitting down and I felt nauseous. I threw up 5 times and my arms started to get numb. I had a fever when I got home and I couldn?t move because my body hurt so badly. Migraine and dizziness has been persistent ever since and is interfering with my daily life. Been treating with tylenol which helps a little but not completely. As soon as I stand up and move I feel like I?m going to pass out.

On 4/17/21 (ie within 48 hours of receiving COVID 19 Pfizer Shot #2 (4/15/21), my daughter began experiencing chest pain in the PM (PM of 4/17). It was initially mild so we did a watch and wait overnight but when it did not go away by morning of 4/18/21 we went to Urgent Care . Upon presentation at urgent care, she had an irregular EKG, we were advised to immediately do to a Hospital ER , upon arrival she presented with same EKG findings from urgent care, BW was run and her troponin level was a 7, this hospital recommended (after consultation with their cardiologist) that based on her age and urgency of the heart condition, we should be transported to a pediatric hospital with cardiology expertise. She was transported by ambulance to another Hospital, Cardiology Unit. . After a scary 24 hour overnight stay at the hospital she was released on 4/19/21.

Transient lightheadedness with brief syncope. Subsequent NV controlled with position of comfort. Patient had not eaten anything today and had only coffee so far. Pt was given fruit, muffin and water and was monitored for an additional 45 minutes with continued improvement and no other symptoms.

emale client received her first dose of Covid Vaccine (Pfizer, Lot # ER8729, Expiration date: 07/31/2021) at 1132. This minor client, accompanied by her mother proceeded to the observation room for her 15 minute wait period. Co-lead RN, was present in the observation room assessing another client. At 1137 this client's mother loudly voiced from the back of the room, "she's feeling dizzy" and co-lead observed client was hanging her head. Co-lead and EMT1 hurried to her side, and client stated she was feeling lightheaded and dizzy and was suddenly pale and diaphoretic. EMT1 immediately transferred her from chair to floor with full assistance to prevent a fall/injury. Client was placed in trendenlenburg position by elevating feet and placing them on the chair. Client was unresponsive for about 15 seconds until she regained consciousness and returned to baseline mentation. Client verbalized she "blacked out" and did not remember being placed on the floor. Client denied pain and respiratory distress. EMT1 called 911 at 1138. Client and her mother deny she has any medical issues, allergies, medications, or previous incidence of syncope. At 1145, first set of vitals taken by EMT1 indicate hypotension and bradycardia as follows: BP 68/44, HR 58, and RR 16. At 1145 paramedics arrived and assumed care after receiving report from EMT2. At 1150 medics took VS with BP 70/50, HR 54, and blood glucose 95, and determined they would start an IV to administer a 500cc bolus for dehydration and to improve BP. Client was also placed on 2L O2 for comfort, no desat noted. At 1200, medics advised client's mother and co-lead they would transport client to the Hospital for further evaluation. Medics departed at 1205 to transport client to the hospital.

Patient became dizzy and passed out after returning to her car. Guardian beeped horn and nurses evaluated patient. Patient aroused easily. Patient very pale. Patient vomited x 1. BP 88/50, P 53, R 14, Spo2 99%. 911 called, arrived within 15 minutes. Vitals and blood sugar stable. Patient denied any further dizziness and reported not eating prior to vaccination appointment. Patient also reported similar incident one other time after receiving a shot. Patient discharged home, no EMS transport. Follow up phone call revealed patient was feeling fine.

Per recovery RN notes: "At approximately 0841, patient stated feeling dizzy. Mother noted with patient. Patient anxious. Pt loss of consciousness for approximately 10 seconds. Rapid response called. Patient regained consciousness. Patient with emesis x1. Vital signs stable BP 109/70 HR 64. SpO2 at 99 on room air. Rapid response team arrived at scene. MD assessed patient. Per mother, patient has a history of syncope after vaccinations. Per MD, ok to go home once stable. Patient noted to leave facility at 0904, in stable condition.".

Lost consciousness approximately 3 minutes after receiving first dose of vaccine. was feeling fine after vaccine until they stood up.; This is a spontaneous report received from a contactable consumer (patient). A 17-year-old female patient (non-pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EW0153, expiration date unknown), via unspecified route of administration in left arm on 05Apr2021 at 11:30 AM at a single dose for COVID-19 immunization. The medical history was not reported. Patient did not receive any other vaccine in four weeks. No allergies to medications, food, or other products No known allergies. Concomitant medications included birth control pills (other medications in two weeks). On 05Apr2021 at 11:30 AM, the patient lost consciousness approximately 3 minutes after receiving first dose of vaccine and was feeling fine after vaccine until they stood up. Treatment included the emergency room/department or urgent care, treatment was EKG, concussion test. No covid prior vaccination. There was no covid test performed post vaccination. The patient considered the event as non-serious. The patient recovered from the event on 05Apr2021. Information on Lot/Batch number was available. Additional information has been requested.

Patient became pale and unresponsive in post vaccine waiting area within 3 or 4 minutes while waiting 15 minutes with mother. When assessed patient was breathing and had pulse but was only responding partially to verbal stimuli. Placed cold compress on neck and once alert and fully responsive gave glucose tablets. EMS responded and checked vitals but did not share results. Patient fully recovered and left with mother after we verified contact info.

Less than 24 hours after receiving first shot, my 17 year old daughter started experiencing heart palpitations. Her resting heart rate is 63. She has an Apple Watch and was able to track her rate. Highest was 123, then fluctuated between high 100s and low 110s. It lasted until Tuesday (and slowly lowered). By Wednesday morning it returned to normal. It frightened her and kept her awake at night.

04/21/2021 11:48 AM Patient says she was lighted headed and dizziness. wasnt speaking dropped her phone and was not aware. BP WAS 79/37 Pupils were fixed with some movement.. mother was outside, called in. mother had stated earlier that she was afraid of needles. felt clamy and sweaty. patient taken to ER in wheelchair with mother for evaluation

Fell to floor from chair in observation area. OC related to vaccine administration. Pain in right cheek. Pain level 2.5/10. Vaso-vagal response post vaccine injection. Vital Signs: BP 100/60 HR 85 Resp 20 O2Sat 98 , Skin Signs: Cool and dry, Clammy, Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally, Initial Treatment: Water/observation/elevated les bilateral. Assessed/evaluation by Dr. 10:25 AM, Vital Signs: BP 100/72 HR 85 Resp 20 O2Sat 72, Skin Signs: Cool and dry, clammy, Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally Follow up Treatment: Mask Oxygen administration for 10 min. 10:25-10:35 AM. Ice pack to right cheek, approx. 4 L and reduced to 2 L/min\, 10:35 AM\, Vital Signs: HR 98 Resp 20 O2sat 99, Skin Signs: Cool and dry, clammy, diaphoretic Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally 10:45 AM, Vital Signs: BP 120/82 HR 76 Resp 20 O2Sat 97, Follow up Treatment: 10:45 skin warm and dry, alert and oriented x3. Cap refill <2sec ,Notes: Recommended parent to contact peds office for injury to right cheek. Continue to maintain good hydration at home the rest of the day. Home with father at 10:55 AM

Patient received her 2nd dose of COVID (Pfizer). She walked out of the immunization room to wait in the store, made it about 2 aisles over, and fainted. Patient's father and the Pharmacist immediately got to her side. She came to within less than 1 minute. In the meantime EMS was called and the Pharmacist waited with the patient until they arrived. EMS looked over the patient and patient was able to leave on her own after waiting out the nausea and dizziness that had occurred. Patient also reported a headache which was most likely from hitting her head on the way down.

Moments after receiving vaccine patient passed out. Mom and Dad were with her. Pharmacist had dad lay her on the floor, pharmacist lifted legs and patient immediately regained consciousness. Pharmacist asked patient to stay in the waiting area until she felt better. Patient was given frozen water bottle wrapped in paper towel (store was out of immediately cold ice packs). When patient indicated she was ready to leave, pharmacist instructed parents to walk near in case she felt faint again. Pharmacist called patient a few hours later to check but no answer. Left message but no return call.

about 5 minutes after administration, patient became unresponsive and was going in and out of consciousness. Her pupils became dilated and she would not respond to stimuli. Her respiratory status was unclear. No hives or rash could be observed. Patient became pale in the face. An allergic reaction could not be ruled out and the patient became less responsive so an EpiPen 0.3mg was administered in the left thigh. Patient was placed on her back on the ground. She became more alert and seemed to have normal breathing. EMS arrived and took vitals. Blood pressure was 138/77 with a heart rate of 88 bpm. Patient's father is taking her to her PCP for follow up this afternoon.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Headache-Mild, Systemic: Hyperventilation-Medium, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Mild

COLD SWEATS, DIZZINESS, DROWSINESS, BP WAS TAKEN 74/44, THEN 5 MINS LATER 99/60, PT WAS LAID DOWN TO PREVENT FALLING, PT WAS NERVOUS AND ANXIOUS

After receiving vaccine, patient became light headed and passed out sitting in chair. diaphoretic and clammy. Heartrate 60, BP 60/29,SPO2 100%. Medical response called, patient taken to ER, accompanied by mother

At 1143 - 17 year old female was sitting with her mom, pt advised staff that she was feeling dizzy. Pt states the room was spinning. Pt was assisted to wheelchair and escorted to designated private patient area. Pt was pale and diaphoretic but was alert and talking to staff, pt was assisted to remove her sweatshirt and assisted to lay down. Pt instantly stated she felt better after laying down. Pt provided wet cloth for comfort and skin color return to WNL . Pt had small sip of water and stated she felt much better. Pt advised she had only eaten two small donut holes and did not drink water prior to arrival at the clinic. Pt skin returned to normal warm and dry, VSS, AOx4 and pt stated she felt much better and was ready to go home. Pt mother will continue to monitor pt and ensure she continues to hydrate and eat after leaving the site. 1145 VS Bp 94/60 HR 51, 16RR 100% 1150 VS Bp 102/64 HR 60, 16RR 98% 1155 VS Bp 102/68 HR 69, 16RR 98% 1200 VS Bp 104/68 HR 73, 16RR 99% sitting

Fainted, BP 89/59, O2 sat 99%. Patient fell and hit her head under the chin. Patient has a history of low BP with shots. Sent to ED.

She became very red; Dizziness; Vomiting; Diarrhea; Hypotension; This is a spontaneous report from a contactable healthcare professional. A 17-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0158), intramuscular, administered in left arm on 09Apr2021 16:30 as single dose for COVID-19 immunization. Medical history included 3 weeks of urticaria prior to vaccination. The patient has had no COVID history prior vaccination. The patient has not been tested for COVID post vaccination. Concomitant medications included fish oil; diphenhydramine hydrochloride (BENADRYL); cetirizine hydrochloride (ZYRTEC); ibuprofen (MOTRIN), and an unspecified multivitamin. The patient previously took Amoxicillin and experienced drug allergies. After vaccine, the patient became very red, had dizziness, vomiting and diarrhea and hypotension on 09Apr2021. The events resulted in an emergency room/department or urgent care visit and hospitalization for 1 day. Treatment included epi, Benadryl, steroids, Pepcid, and fluid boluses. The outcome of the events was not resolved.

Fainted; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in Arm Left on 07Apr2021 15:30 (at the age of 17years) as single dose for Covid-19 immunization. The patient is not pregnant at the time of vaccination. Medical history included asthma, pediatric Kawasaki disease from 2006 to an unknown date, known allergies: Sulfa drugs, and Covid-19 from an unknown date and unknown if ongoing (Covid prior vaccination: Yes). Concomitant medications included sertraline hydrochloride (ZOLOFT) and ethinylestradiol, ferrous fumarate, norethisterone acetate (BLISOVI FE 1/20), both taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that the patient fainted the following morning on 08Apr2021 10:00. There was no treatment received for the adverse event. The patient has not been tested for COVID-19 since the vaccination. The outcome of event was recovering. Information on the lot/batch number has been requested.

C/O dizzy, syncope x1, less than 5 seconds, patient reports similar problem with all other vaccinations and injections. Father reports daughter ate dinner last night . Did not eat breakfast before coming to site. Patient alert and oriented x4 after incident.

Patient had flushing/sweating, dizziness, anxious, sweating. Low BP 84/46 -- > 116/75 -- > 121/82. Patient stated did not eat since 4/24/21 6PM. Patient stable, released from vaccination site.

pt has a history of fainting almost every time she has a needle stick , she did again. Patient was faint and light headed for 20-30 minutes at 30 minutes her bp was 96/69 63 pulse. she left on her own feet with mother at her side.

ON 4/21/21, SHE BEGAN TO EXPERIENCE SHORTNESS OF BREATH, COUGHING, CONGESTION, SEVERE BACK ACHE, WEAKNESS, FATIGUE, FEVER, CHILLS, VOMITING, DIARRHEA. I TOOK HER TO THE HOSPITAL WHERE WE WERE TOLD THAT IT WAS DUE TO VACCINE AND SHE WAS SENT HOME WITHOUT MEDS. SHE BECAME WORSE AND WORSE AND DEVELOPED HEART ATTACK SYMPTOMS: CHEST PAIN, WHEEZING, TIGHTNESS AND HEAVINESS IN CHEST, INTENSE BACK PAIN. WE RETURNED TO THE ER AND SHE WAS DIAGNOSED WITH PERICARDITIS. WE WERE ALSO TOLD THAT HER HEART WAS SLIGHTLY ENLARGED.

Reported sudden "fast heartbeats with mild chest pain" lasted less than 2 mins with tingling of L arm where she received the injection. Stable, released from vaccination site.

At 2am 4/22 patient started to feel sick and sent a text that I didn't read until 630 as I was asleep. She had severe muscle aches, hurt to move, hurt to breathe and felt like she was having a heart attack. She felt like she might pass out and had some blurred vision. At 630am, I saw her texts and immediately brought her 2 tylenol and a large glass of water. She went back to bed. She woke up around 10:45 and was feeling decent except for a headache but no fever or anything so we went to try on some Prom dresses. At the dress shop, she collapsed and had a seizure lasting around a minute. She lost her bladder and was completely confused and incoherent. She's never had a seizure before. I scooped her up, brought her to the ER where they ran every test and scan imagineable. Full blood work up and cultures, a chest xray, a CT scan of her brain and lungs. Her temp was high 103-104 and she had full body chills and a pounding headache. Her BP kept dropping and got as low as 81/36. They threw 2 bags of IV fluids into her and admitted her to the hospital. She had also developed a heart murmur. Over the course of the night, her BP stabilized but her temp continued to spike and come back down with Tylenol/Ibuprofen. She also had IV Tordahl for the headache. Her inflammatory markers were high at 15.3 which we were told should be less than 1. They reran labs in the morning but everything can back really low which they felt was a dilution effect from all the fluids so wanted us to follow up with her primary care on Monday. On Saturday night, he lymph nodes were swollen to the size of ping pong balls but have since slowly reduced in size although still there. Her labs were better from discharge and her white blood cell count was within range and her inflammatory marker was down to 1.7. Her blood sugar was a little low. She did pass out and have seizure like response to giving blood in the doctors office, lost bladder control again, shot pupils, etc. She is still stuttering over words, has some short term memory retention and has some motor function issues which they think is a result of the initial seizure and should resolve itself over time. Her liver function tests were totally normal in the hospital but are a high now so they will be checking her out again next week.

Pt had an episode of syncope for 10 seconds after getting vaccinated . Blood pressure dropped to 90/50, Hr 48. After repositioning the pt and giving some fluid Blood pressure raised to 113/96 Hr 72.

patient became very diaphoretic in the observation area, her head went back, eyes closed, extremities became very rigid and patient appeared to have lost consciousness for a brief moment. RN was present at side of patient, patient was hypotensive, vitals checked BP 71/48 and pulse 54. Patient states she felt like she went to sleep, started to feel better several minutes later. EMS was contacted to evaluate and transport patient to ED.

passing out; Vomiting; diarrhea; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 13Apr2021 at 13:45 (Batch/Lot Number: Ew0161) at 17-years-old as a single dose for COVID-19 immunization. The patient did not receive any other vaccine within four weeks of the suspect vaccine. The patient's medical history was reported as none (no known allergies). The patient did not have COVID prior to the vaccination. Concomitant medications included ethinylestradiol, ferrous fumarate, norethisterone acetate (LO LOESTRIN FE) taken for an unspecified indication, start and stop date were not reported. On 14Apr2021 at 13:15, the patient experienced passing out (medically significant), vomiting (non-serious), and diarrhea (non-serious). The clinical outcome of the events was recovering. The patient was not tested for COVID post vaccination.

Pt received Pfizer COVID vaccine, was walking with father next to her, felt faint, and father eased her to the floor, no head or body injury. Positive pallor and diaphoresis noted, legs elevated and pt color improved with pt now alert and oriented. Assisted to upright position, onto stretcher, given 1 small bottle water po, BP: 108/68, HR: 87, RR: 16 nonlabored, SaO2: 100% on RA. Pt currently has menses. 1023: drank 1 apple juice, feeling better. 1038: BP: 94/53, HR: 64, RR: 16 nonlabored, Sa02: 100% on RA. Sat upright on stretcher, legs dangling. 1044: BP 91/58, HR: 70, RR: 16 nonlabored, SaO2: 100% on RA, feeling well, drank 2 apple juice cups, standing up. 1049: standing up BP: 84/46, HR: 62, RR: 16 nonlabored, SaO2: 100% on RA. 1100: Pt feeling well, no c/o, escorted to front door of hospital, father at side. Pt aware to drink fluids today and especially during menses. Pt is also a dancer and practices every day. Discussed hydration needs prior to discharge from vaccine clinic. Pt aware to discuss vasovagal response from this injection at next visit so pt can lay down.

Patient fainted after vaccine, had patient lay down, called 911, Fire and Rescue responded, patient left with father.

Pt. had first vaccine at 14:55. Pt. walked to observation one where she fainted upon arrival. Pt. was CAOx3 after she was laid down. Pt. was transferred to the back via wheelchair where she was observed for 15 minutes without any further complications. After 15 minutes patient walked out without any obvious difficulties.

Recipient is a 17yo who presented for second dose of COVID-19 vaccine. She reported some anxiety related to receiving dose #2, and had some nausea after dose #1. She was alone as a driver of her own POV. Consent was obtained from the recipient and her custodial grandparent by phone, witnessed by doctor. She initially did well after the vaccine, but after approximately 5 minutes began to complain of feeling nauseated, lightheaded, and tingling extremities (hands and feet). She was noted to be hyperventilating, and was placed in a supine position but continued to feel some lightheadedness and difficulty breathing. Breath sounds were clear without wheezing noted, HR 70s with RRR. She was noted to have ongoing anxiety, nausea and symptoms progressed and although she remained normotensive to hypertensive (initial BP 128/74), she had repeated episodes of syncope. She was transferred to the ambulance and further vitals and EKG were obtained. She had some confusion after episodes of syncope and some seizure-like activity with syncope, with very brief episodes of LOC, with noted tachycardia with HR up to the 140s during episodes of syncope. BP ranged 129/86 to 140/84. IV access obtained and she was given NS and started on oxygen at 2 liters, but saturations remained in the 98-99% range. She was ultimately transferred to the local ER for further evaluation and management given ongoing symptoms, evaluated at hospital.

Passed out right after vaccine; muscle aches; tired; chills; migraine; This is a spontaneous report from a non-contactable consumer (patient). A 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in the left arm on 14Apr2021 at 14:15 (Batch/Lot number was not reported) as single dose for covid-19 immunization, administered at the Pharmacy or Drug store. The patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on 17Mar2021 at 14:15 in the left arm for covid-19 immunisation. The patient's medical history was not reported. There were no concomitant medications. The patient was not pregnant at the time of report and vaccination. The patient did not receive other vaccines in four weeks. The patient had no COVID prior to vaccination and was not tested for COVID post vaccination. The patient passed out right after vaccine, also experienced muscle aches, tired, chills, and migraine; all on 14Apr2021 with outcome of unknown. No follow-up attempts are possible, information about batch number cannot be obtained. No further information is expected.

Syncope. BPs 85/43 (pulse 43), 95/57 (pulse 86). Found slumped in chair and placed in Trend. Position. Given water, juice.

Arm pain, slight swelling in injection site area. Swollen lymph nodes on both sides of neck, overall malaise/body aches, fatigue, light-headedness resulting in fainting episode, headache

After receiving the vaccine on 4/26, she developed headache and temperature to max 99-100 as well as muscle pain in the arm where she received the vaccine. Progressed to diffuse myalgias on 4/27 and 4/28. Was having a slight cough that is typical for her during this time of year due to allergies, no other respiratory symptoms. Then acutely developed severe jaw pain that radiated to the throat and into her chest when she woke up on 4/29 in the morning. She had 10 out of 10 crushing chest pain.

patient felt dizzy, lightheaded, nauseous after receiving pfizer covid-19 vaccine. I checked her blood pressure, it was normal 127/96; pulse was 87. I gave patient ice pack and she said she was feeling numbness in her left arm and fingers. After 5 minutes she was feeling some chest pain and wanted me to call 911. She said she was feeling anxious and hadn't eaten all day. patient takes weekly methotrexate injections.

Fainted- Started feeling sick and other common side effects after 7 hours continuing throughout the next day, and passed out at 8pm about 30 hours after the shot. And continuing to feel common side effects throughout night 2 and next day (aprox. 48 hours after shot)

Near syncopal episode, revived with smelling salt. Water and snacks offered. Patient has history of fainting with needles. After laying down for several minutes she was able to sit up to eat and drink. Patient able to walk out, father at her side for assistance.

on the same day as first dose of covid vaccine, several hours later, patient had first episode of supraventricular tachycardia. Required vagal maneuvers in ambulance to resolve. No longterm sequelae.

Not sleeping well at night due to pressure feeling in her chest up; Not sleeping well at night due to pressure feeling in her chest up; shivers; jaw got paralyzed; she got shaky; feeling bad/ brain fog; burning sensation in her body; She couldn't talk; slight elevated temp (99.7F max); She has been off balance this week since getting her vaccine; This is a spontaneous report from a contactable physician. A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12Apr2021 (batch/lot number was not reported) as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome, panic attacks, migraines and acne. The patient was not pregnant at the time of vaccination. It was unknown if there were other vaccines in four weeks. The patient did not have Covid prior to vaccination and was not Covid tested post vaccination. Concomitant medications in two weeks included ondansetron hydrochloride (ZOFRAN) taken for anti-nausea, start and stop date were not reported; doxycycline taken for acne, start and stop date were not reported. The patient previously took glycerol (GLYCERIN) and experienced allergies. The patient got her vaccine on 12Apr2021. Two nights after her vaccine (14Apr2021), she got shaky and feeling bad and burning sensation in her body. No fever at that time, but slight elevated temp (99.7F max) the day after the vaccine (13Apr2021). Mother gave her anti-nausea medication (ondansetron hydrochloride 2 mg) and within 5 minutes her jaw got paralyzed. She couldn't talk. It lasted about 30 min. Mother called ambulance and patient was brought to ER. ER didn't do bloodwork or any evaluation. ER didn't know what happened per mother. She has been off balance this week since getting her vaccine (Apr2021). She feels better this morning but she still feels off balance. Not sleeping well at night due to pressure feeling in her chest up and she shivers to get the feeling away per patient (unspecified date). Slept better last night as of 17Apr2021. No facial drooping. She can smile and lift her eyebrows. Patient had "brain fog" this week as well after the vaccine. The adverse events "she got shaky", "feeling bad", "burning sensation in her body", "jaw got paralyzed" and "she couldn't talk" resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care visit. There was no treatment received for the adverse events. The outcome was recovered on an unspecified date for the events "jaw got paralyzed" and "she couldn't talk"; recovering for the event "not sleeping well at night"; not recovered for the event "off balance"; and unknown for the rest of the events. Information on the lot/batch number has been requested.; Sender's Comments: Based from temporal relation of event and vaccine administration, Trismus as an event in relation to suspected drug BNT162B2 cannot be totally excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate

fever 100.9; nausea; back pain; sleepiness; chills; fast heartbeat; This is a spontaneous report from a contactable consumer (parent) reporting for his daughter. A 17-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as single dose and had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as single dose for covid-19 immunization and stated was fine after the first dose. Patient was 17-years-old at the time of vaccination. The patient medical history and concomitant medications were not reported. The patient experienced fever 100.9, nausea, back pain, sleepiness, chills, fast heartbeat on an unspecified date. The outcome of event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Immediately after administration of vaccine, patient fainted. Patient assisted in to wheelchair and wheeled to private observation area. Patient assisted to gurney. Patient has cool compress to forehead. Patient also nauseous, pale, and sweaty. Patient mother reports patient did not eat today. Given water and apple juice. Patient declined granola bar. Vital signs as follows: 0950-BP 88/59, P 86, RR 20, 95% RA, no pain. 0955-BP 92/60, P 69, 99% RA. 1000-BP 96/67, P 75, 100% RA. Education given to patient and mother regarding eating/drinking before next dose and to tell the vaccinator that patient passed out at last vaccine and to lay on gurney before second dose is given. Patient and mother acknowledged understanding. Patient back to baseline at 1010.

Within a couple of minutes of receiving the shot, my daughter felt hotness running down the length of her vaccinated arm and into her hand. Started feeling hot and started to produce a small patch of hives on the outside of the throat and chest. Did vigorous windmill motions with vaccinated arm. She had a feeling of slight unwellness that was followed by a rush of energy. As we leave the store and start to drive home her hives are a little bit worse and she says she feels a little lightheaded and has some heart palpations. But is still reporting a rush of energy. By the time we get home 10 minutes later hives, lightheadedness, and heart palpations have resolved. She feels great the rest of the day. Next day slight redness around the injection site and arm a bit sore. The following day redness is gone but a slight rash is starting to show up around the neck. 5 days later, the rash becomes inflamed, sore, hot and itchy, hives are full upper-body flareups. She takes Allegra 24 for hives control. Rash comes and goes daily. Acts more like hives. Allegra 24 controls hives mostly along with icing. After a few days, the effectiveness of the Allegra 24 is not as efficient with the neck rash. Switches to Zyrtec 24 which seems to provide better relief from both hives and rash around the neck. Sees Dr. April 29th. He advises not to take a second dose of Pfizer at this time and prescribes her an EpiPen.

Fainting; syncope Emergency room visit: low blood pressure, high heart rate, administered a bag of fluids to hydrate High fever, chills and lightheadedness

Sudden sweatiness, nausea and tunnel vision. Very brief LOC. Immediately better when placed supine. More scarred than anything else. No fall or injury. BP/pulse/O2 saturation all Normal Initial 126/89, 69, 100%. No orthostasis. Classic vasovagal reaction. Resolved.

Patient become unresponsive and faint approximately 5-10 minutes after receiving dose 2 of the covid vaccine. After consuming some water patient vomited and remained unresponsive. Pharmacist went to get epi-pen to administer but upon returning with it the patient was responsive again and reported no difficulty breathing. Epi-pen was not administered.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Medium, Systemic: Vomiting-Mild

acute myocarditis; acute onset chest pain; admitted to the pediatric intensive care unit; about to receive IVIG. Chest pain started 5/1/20 about 2 days after her 2nd Pfizer COVID-19 vaccination

left-side facial drop with left mouth corner; stroke symptoms; transient mild headache; blurry vision; left side of tongue affected; slurring speech; felt confused; drowsy; This is a spontaneous report from a contactable consumer (patient). This 17-year-old female patient received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: ER8734), via an unspecified route of administration in the right arm at 17 years old on 30Mar2021 at single dose for COVID-19 immunization. Medical history included acquired brain injury (C-PVL) from pneumococcal strep infection, hypoxic ischemic encephalopathy, premature birth, quadriplegic dyskinetic cerebral palsy. Concomitant medications were none. The patient was not pregnant at time of vaccination. The patient previously received T-Dap vaccine at 10 years old and had prolonged migraine reaction. 12 days after, the patient developed stroke symptoms with transient mild headache, blurry vision, and left-side facial drop with left mouth corner and left side of tongue affected causing slurring speech also felt confused and drowsy which lasted for 8 hours. Events were started on 11Apr2021 at 03:30 PM. Events resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The patient went to ER, they did stroke work-up. No evidence of stroke. The patient received treatment including CT scan, MRI, EKG, labs. The patient had no covid prior vaccination, no covid tested post vaccination. Outcome of the events was recovering.

chest pain and chills 2 days after vaccination. seen in ED 2 days after for chest pain. normal labs and EKG. seen 6 days later in this office for continued chest pain and chills. no previous history of chest pain

This is a spontaneous report from a contactable pharmacist. A 17-years-old female patient received second dose of BNT162B2 (PFIZER BIONTECH COVID VACCINE, Solution for injection, Lot number was ER8731), via an unspecified route of administration on 15Apr2021 as single dose for COVID-19 immunization. The patient medical history and concomitant was not reported. Historical vaccine included BNT162B2 for COVID-19 immunization. It was reported that 48 hours after receiving the 2nd Pfizer Biontech COVID vaccine she woke up with chest pains and the next morning went to urgent care where she had an irregular EKG. The sent her to the local hospital where her troponin was 7. The patient underwent lab tests and procedures which included electrocardiogram irregular on 18Apr2021, troponin was 7. Event took place after use of product. The outcome of the events was unknown.; Sender's Comments: Based on the information available and a close temporal association, a possible contributory role of the suspect BNT162B2 cannot be excluded for the reported events of Chest pain.The case will be reassessed once new information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate

Pt experienced full vaso vagal reaction post COVID vaccine. Cold packs were administered to back of neck and forehead. Pt sweating resolved and color came back. Aided pt to stand until feeling came back in legs/feet. Called Dad into room. He stated he was a nurse and understood the situation. Everyone was calm. Had pt stay for additional time and offered snack once feeling better. Pt was not thirsty so allowed sip on water and gave reese cup. Dad walked around store for a bit before getting into the car.

Site: Pain at Injection Site-Mild, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Medium, Systemic: Headache-Severe, Systemic: Unable to Sleep-Mild, Additional Details: mom called to report adverse reaction to 2nd dose of pfizer vaccine. pt had chills on monday, fever on tuesday, wed morning child passed out in the kitchen mom heard her fall, she did call 911. child was transported via ambulance to strong ER. pt was diagnosied with syncope. pt is now home with mild headache/lethargy and recovering. mom has called pcp waiting to talk to her.

Patient describes feeling nauseated, lightheaded, and dizzy about 20 minutes after vaccine while in waiting observation area. Mom states she looked over, patient's eyes were rolled back, she was shaking, and not responding to mom. Patient does not remember this part. She states the next thing she remembers is looking up at nurses looking down on her. Mom thinks she was out for a few minutes. Of note, patient had not had anything to eat or drink on day of vaccination. She also has a history of syncopal episode after a toradol injection, and with illness.

Client was lightheaded post vaccine--breathing was not in distress. Client was diaphoretic and pale. Raised clients legs , propped her head up and applied ice packs to her neck. Client recovered in 10 minutes. No 911 call or meds received. Client walked out of clinic feeling "normal".

Pre-syncope while at restraint approximately 45 minutes after vaccine. She slumped to the ground and lost muscle tone before being caught by her grandparents.

Client received her second dose of the Pfizer COVID-19 vaccine (Lot #EW0179 Exp. 8/2021) at 10:03 AM. EMT saw client stand in observation area. Client appeared "unsteady on her feet". EMT rushed to patient and guided her slowly to the ground while protecting her head. Patient then fainted. EMTs assisted patient to gravity bed where patient regained consciousness. Patient was alert and oriented to person, place, time, and event (AAO x 4) immediately following the incident. Client's vitals were assessed every 5 minutes. They were recorded as follows 10:19- Blood Pressure (BP) 100/74, Heart Rate (HR) 86, Oxygen Saturation (SPO2) 99%, and Respiratory Rate (RR) 18; 10:24- BP 100/72, HR 81, SPO2 99% RR 18; 10:29- BP 100/76, HR 82, SPO2 99% RR 16; 10:34- BP 102/74, HR 84, SPO2 99% RR 18; 10:39- BP 100/72, HR 82, SPO2 99% RR 18; 10:44- BP 110/76, HR 86, SPO2 99% RR 18. Client was given a bottle of water and instructed to remain in a semi-fowler's (45 degree) position until vitals stabilized. Patient remained on vaccination site for 30 minutes following the episode of fainting. EMT obtained orthostatic vital signs (vital trend from lying down, to sitting, to standing). Patient was negative for orthostatic hypotension. Symptoms resolved as indicated above in vital signs. Patient stated she was "feeling better" and declined EMS transport. Patient and father were educated by RN on home care (rest and fluids) and to seek emergency medical attention if symptoms persisted or worsened. Patient left the vaccination site at 10:45 with father and sister with steady gait and in no change in status.

Immediately after giving the injection, patient felt lightheaded, nauseated, had a decrease in her hearing and became pale. She slumped down in her chair and became limp and was carried to a reclining chair where her legs were elevated. Ice packs were placed on her neck. Her pulse was 70 and a few minutes after this her BP was 100/60. Dr. and an EMT were onsite and did help to monitor her status.She drank water and ate some food and by 10:25 was feeling well enough to return to her classes. She was escorted to class by a teachers aide.

Within a minute of administration, patient became diaphoretic, pale, vomited. Chair reclined. After vomiting, she immediately felt better. She was given water and monitored for 30 minutes. Upon assessment, it appeared as though patient was having a significant amount of anxiety at the time of injection, possibly causing aforementioned events.

The day after vaccine patient developed fever, myalgias, sore throat. Fever persisted 4-5 days. She developed rash on 4/30. Labs done showed low platelets (64k), low WBC with neutropenia. Fever resolved by 4/30 and rash resolved by 5/1/21. Platelets and WBC are recovering.

Patient had syncope event following first shot. Father was in room with pharmacist. She also stated she had no eaten anything prior. After event, she claimed this had happened prior BUT SHE DID NOT make aware that this previously occurred on form.

This writer received the following report: Adverse Event: Guest reports that she passed out and this was her first time. (Vital Signs: SPO2-99%, P-60) Treatment: AID called - Juice and water provided - EMT's arrived and assessed. (Vital Signs: SPO2-100%, P-60, B/P-90/54). No further treatment indicated. Outcomes: EMT's assessed no further treatment indicated and they released guest to the care of her mother. Guest and her mother were informed if this event occurs to go to the nearest emergency room and report to her PCP.

Syncope following vaccination. Patient reported blurry vision, dizziness. Had patient rest with feet elevated and gave patient bottle of water. Observed patient for 30 minutes. After 30 minutes patient reported feeling back to normal.

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

Patient presented for second dose of Pfizer COVID vaccine. Per mom, patient had anxiety attack after first dose last approximately 45-60 minutes. Patient transferred from vaccine clinic to private room with stretcher prior to vaccine administration. Post vaccine administration, patient exhibiting typical symptoms of panic attack per mom (seizure-like activity, unable to respond to verbal stimuli, sternal rub or fingernail pressure). EMS arrived at 0925. Patient regained consciousness after EMS arrived, back to baseline at 0940. Patient and mother declined EMS transfer to ED for further evaluation. Patient and mother informed to seek medical attention immediately for any worsening/concerning symptoms. Patient discharged via wheelchair with mother.

Dizziness, followed by brief syncope, all resolved within 2 minutes. She fell out of chair on to ground and immediately woke. Sweaty and pale, placed cool compress on back of neck and gave her a cold water to drink. She remained upright on the floor for approximately 5 minutes until she felt like she was fully recovered. Her father was present the entire time. She stated that she had no injuries or pain from falling out of chair. No rashes, bruising or bleeding observed. Mgr came over and patient's father declined to file a report for injury.

Pt felt like she was going to vomit 2 mins after administration, then fainted as being assisted to gurney to lie down.

Pt felt dizzy after the 1st dose of Pfizer vaccination. As I was walking out to check on her, she fainted. She regained conscious immediately. I gave a small soda to drink and she threw up after but she didn't faint again. She felt better right after she threw up and stated that this never happened before. After about 45 minutes, pt stated that she felt much better and wanted to leave with her dad.

Immediate sever pain at injection site, immediately followed by flushed face, racing heartbeat, tingling and inching of face, watering eyes, itchy throat that felt like it was closing in, lump in throat, difficulty breathing, unable to speak. Was able to speak after a couple minutes and the other symptoms started to gradually improve at that point. Most of the above symptoms subsided within around forty minutes. The lump in the throat remained for weeks eventually coming and going.

Patient complained of tingling/numbness in her hands. She became dizzy and needed to sit down. Symptoms progressed to what the nurse practitioner called "strokelike symptoms". She was conscious but could not respond to requests such as smile or say your name. Her blood pressure was high when taken. It was probably 30 minutes before the EMTs took her to the hospital.

While in observation, patient reports being lightheaded and hot. Patient became diaphoretic and pale. Mother and patient state she does this after every injection. Ice pack, cold water, and snack provided. Pt feet propped on chair. Pt. waited additional 15 minutes and states she was feeling better and ready to go. ER/UC precautions given.

Pt rec'd Pfizer vaccine, completed 15 minute observation period without complaint, then returned to clinic around 10:30am reporting numbness in entire left arm. Pt states she was not able to move fingers in left arm. Upon initial evaluation by nurse left arm was pale and cold to the touch. Paleness and coldness resolved within a few minutes. There was slight weakness in left hand when patient was asked to squeeze nurses hands. Right Arm- b/p: 112/82, O2: 99%, heart rate: 91 BPM. Left Arm- b/p: 98/77, O2: 98%, BPM: 87. Pt was asked again to squeeze nurses hands, pt was able to squeeze slightly harder, however slight weakness compared to right arm was still noted. Pt verbalized improvement in feeling and movement, however states still did not have full feeling or movement back. Advised to stay with school nurse for 1 hour and re-evaluate weakness. If weakness persisted, advised to call physician. Upon f/up from school RN, pt remained in clinic until 11:40am when student stated she felt "much better" and strength of left hand was almost that of the right. School nurse states "vitals remained good".

Per parent report: Friday 4-30-21. Vaccine was given at 1500, at 1730 client displayed a rash on face and chest with extreme fatigue and chills. client took Benadryl. Saturday 5-1-21. Rash gone, but extreme fatigue, crushing pain on chest and pain in arm. continued to take Benadryl. Sunday 5-2-21. Extreme fatigue. continued to take Benadryl. Monday 5-3-21. Still extremely fatigue, DC'd Benadryl. Tuesday 5-4-21. some improvement in fatigue, but experienced some brain fog. Wednesday 5-5-21. attended school where she presented to the health office with medical concerns, see quote taken from an email with the school nurse: "She missed school on Monday and Tuesday due to the reaction. On Wednesday, she presented to the health office with extreme redness to the face and chest. Emergency services was called and she was transported to the hospital. Benadryl was given in the rig to which she responded to well." parent reported that ER doctor ran many tests but did not determine cause. Tuesday 5-11-21. saw Primary Care provider. client is still having significant "brain fog". she is very confused more than half the day, not remembering things or events, and will zone out or fall asleep in inappropriate places with out realizing it.

Patient was in recommended observation and was on the phone with her father and told him she began to feel nauseous. Shortly after she leaned forward from the chair and fell to the ground passed out. Her blood pressure was checked immediately and found to be 121/81. She was immediately responsive and said she still felt nauseous and light headed. EMT was called and they arrived within 10 minutes. Her father also arrived on scene. EMT determined that no serious medical treatment was required and patient left with her father to drive her home.

lIght headed, tingling of fingers, pale, diaphoretic, c/o tingling of the throat briefly. sips of gatorade. hypotensive: 80/40, 88; placed on stretcher semi-trendelenberg . BP: 120/P, No LOC.

Approximately 5 minutes after receiving vaccine client became quiet, clenching fists, and started crying. RN asked if she was okay, stated she was scared and that her arms felt weird and her chest was tight. RN asked some questions about her health history, she then offered a granola bar and water. Client drank some water, declined snack. Clients hand began to shake, RN offered to lay client on a cot but client declined. Her dad came to check on her, she broke down saying that her arms were numb and chest was tight. The 15 vaccine minute timer went off, client stood but legs were week. She sat down and then slid herself onto the floor. She at first went into a fetal position then laid out flat on the floor. Client began acting more panicked and frantic with short quick breaths and her hands appeared to be contracting some. Clinic team made the decision to call 911 and administer 0.50 mg epinephrine. Ambulance arrived quickly and client was taken to the Medical Center via ambulance.

school nurse filled out incident report per their policies. Incident highlights: "Pt got her mom?s attention and started to slump down, Mom and volunteer? Were able to assist her to the floor. No injuries during the episode, did not hit her head. She has twitching of her extremities which appeared to be a seizure. Mom stated there was no seizure history. EMS was called. Pt was alert when EMS arrived, they assessed her and it was determined that she should get an evaluation but EMS gave the option to transport themselves for follow up as she appeared stable." unable to contact mother, no additional information available.

Patient was sitting in observation for about 10 minutes and complained of feeling dizzy and fuzzy. Pt was pale and sweating. This RN assisted patient to wheelchair and escorted patient to EMS room. Pt was lying on the cot; ice pack was applied to Pt forehead and neck. BP 102/60, P 80. Pt refused drink and snacks when RN offered. Pt reported of feeling better after 15 minutes. Patient's mother was with Pt at all times. Pt and her mother left at 15:30 without any complications.

Episode of syncope in observation area. No s/sx of distress. AOx3. Given water, assisted to stretcher & sx resolved (BP 118/75; HR 71; RR 16; O2 sat 100%). No health hx or medications. Released from vaccine site with mother

Patient given dose @ 6:00 pm, mother stated prior that she had passed out with HPV vaccine in past. Had patient lay back while giving vaccine and after 5 minutes she stated she felt fine and proceeded to waiting area. After sitting in chair in waiting room, patient fainted, return to previous state by 6:20.

Patient got vaccinated at 4:03 p.m. At 4:10 p.m., patient had involuntary muscle movements and lost consciousness. Per parent, patient has history of panic attacks presenting like same symptoms observed., vital signs taken: BP 154/89 and 120/77, PR: 138; blood glucose: 124, EKG: sinus tachycardia; oxygen given at 4:26 p.m. and discontinued at 4:37p.m.; patient transported to hospital at 4:45 p.m.

pt was very scared before vaccine, after vaccine passed out, i suspect syncope , came back fast sat and was fine

Approx 2 minutes after receiving dose, patient became dizzy. Per pt's father, patient became stiff and tremored some. He lowered patient to the floor at which time there was LOC. Reaction clinician used smelling salts which brought patient to (pt was out for approx 1 min per staff) No loss of bowel/bladder. Pt was brought to med obs 1 via stretcher. Vitals taken, water and crackers given Pt feeling well and discharged to home with father and sister Vitals: 11:46 HR 82, Resp 16, BP 109/70, O2 100 12:02 HR 86, Rep 16 BP 102/70, O2 100

faint; Fever; chills; body ache; diahhrhea; nausea; light headed ness; unable to move cause in so much pain- arms felt like lead weights; unable to move cause in so much pain- arms felt like lead weights; ring in ears; lethargic; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration administered in left arm on 29Apr2021 13:00 (at the age of 17-year-old) (Batch/Lot Number: EW0172) as 2ND DOSE, SINGLE for COVID-19 immunisation. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination and has not been tested for COVID-19 since the vaccination. Medical history included seasonal allergies and known allergies to non-steroidal inflammatory drugs (NSAIDs), tree nuts, and pitted fruit. Concomitant medications included cetirizine hydrochloride (ZYRTEC ALLERGY) and mometasone furoate (ASMANEX). Historical vaccine includes first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, batch/lot number: EW0150), administered in left arm on 08Apr2021 at 01:00 PM for COVID-19 immunization and experienced foggy head and sore arm which was treated with Tylenol. On 29Apr2021 at 23:30, the patient experienced fever, chills, body ache, diarrhea, nausea, light headedness/faint, unable to move cause in so much pain- arms felt like lead weights, ring in ears, and lethargic. Therapeutic measures were taken as a result of all events. On an unspecified date, the patient recovered from all events.

While sitting in class, suddenly passed out and vomited at the same time. Came to about 30 seconds later. No additional adverse affects after the episode.

Patient felt light headed and fainted. Patient was alert and aware immediately and did not sustain injury. Ambulance was called but patient did not end up needing.

Patient received first COVID19 Pfizer vaccine on 4/18. At that time, had about 3 days of cough and chest tightness. Subsequently began having neck pain on 5/8 and received second Pfizer vaccine on 5/9. Then began having fevers (Tmax 103F), cough. Admitted to Hospital on 5/15 with respiratory failure and shock. Unclear etiology of pneumonia vs multisystem inflammatory syndrome in children (MIS-C). Did not initially respond to antibiotics so treatment for MIS-C was initiated. Now slowly improving but still hospitalized.

PATIENT PASSED OUT IN DAD'S ARMS, CAME TO WHEN WE LAID HER DOWN SWEATINESS AND DIZZINESS RESOLVED ON ITS OWN

THE PATIENT, AFTER RECEIVING ONE DOSE OF VACCINE, PASSED OUT AND WAS HAVING DIFFICULTY BREATHING, SHORTNESS OF BREATH, SWEATING. SHE WAS CONSCIOUS AT THE TIME THE EMS ARRIVED.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient waited 15 minutes after receiveing vaccine and felt fine, on the drive home the patient says she had some difficulty swallowing water that caused pain in her chest, then passed out momentarily, patient returned to the pharmacy where we checked her BP which was 107-67, patient mom was on the phone with her physician, monitored the patient for additional 10 minutes and patient said she felt well enough to return home. Gave patient chocolate bar since she had not eaten anything.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: syncope/seizure like activity-Medium, Systemic: Hypotension-Medium, Additional Details: Patient experienced a syncope/fainting/hypotensive event immediately post vaccination that had characteristics of possible seizure activity. Patient regained consciousness after a few minutes and seemed disoriented but stable (still hypotensive). Transported to reading hospital (tower health) emergency room for evaluation

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was administered the Pfizer Covid Vaccine. A few minutes later, while watching her mom receive the vaccine she fainted. Patient was unresponsive for less than a minute. Upon regaining consciousness patient seemed to recover fully after resting and drinking some water.

about 5 minutes after receiving injection, patient's BP dropped. She was sitting when it happened and we rushed over to put feet up. She was non-responsive for about a minute and then started to come back for syncope episode. Water was provided until ambulance arrived to check on patient.

Patient passed out as soon as she got to the waiting area post-vaccination. She was unresponsive for less than 15 seconds before waking up. She was breathing the whole time. We moved her to the ground to avoid any injury if she was to pass out again. We called paramedics who were at the pharmacy within 5 minutes. They checked vital signs and deemed she was ok. Patient walked out of the store on her own with her mother.

on 5/14 developed severe bilateral pulmonary embolism with severe right ventricular hypertension and heart failure. Progressed to cardiac arrest requiring mechanical circulatory support (ECMO) in PICU. Managed in the Cardiac ICU

patient fainted five minutes after receiving vaccine. regained consciousness and emts evaluated but did not have to go to hospital

Fainting/syncope; high fever; lightheadedness; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 29Apr2021 at 14:30 (at the age of 17 years old) (Lot Number: EW0171, unknown expiration) as 2nd dose, single for COVID-19 immunization. Medical history reported as none. No known allergies. The patient's concomitant medications were not reported. The patient also received first dose of BNT162B2 on 08Apr2021 at 16:30 in the left arm (at the age of 16 years old; Lot number: EW0150, unknown expiration) for COVID-19 immunization. The patient experienced fainting/syncope, high fever, and lightheadedness on 30Apr2021 at 06:45 AM. The events resulted in emergency room/department or urgent care visit. The patient received IV fluids as treatment for the events. No COVID prior to vaccination and was not tested for COVID post vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient is recovering from the events. Information on lot/batch number was available. Additional information has been requested.

17 year old patient with no known allergies who was given 1st dose of Pfizer vaccine at 1655. At 1700 during observation patient mentioned to the mother that she was not feeling well, was slumped over. The RN on observation noticed that she was apneic, whole body was rigid. Vital signs at 1701: BP 153/88, HR: 64. Oxygen saturation 99%. After 5 minutes a recheck of the vital signs: BP 115/74, HR: 64. Oxygen 97%. Patient did state that she gets anxious when she gets shots.The paramedics were called. Vital signs on arrival: 117/83, HR: 58, Oxygen saturation 100%. Blood sugar 70. After a few minutes patient stated that she was feeling a little better. Patient was able to walk to the ambulance for them to perform an EKG: Results were normal sinus bradycardia.(Patient is an athlete). Patient's mother declined further treated and signed AMA form.

patient experience dizziness after receiving immunization and later fainted . Patient sat on ground before completely fainting to floor with help of mother and regained consciousness about 1 minute later. patient complained of muffled voices and trouble hearing for about 4 minutes, sweating , dizziness and shakiness. patient received water and Gatorade and cool cloth behind neck area. patient able to leave after approximately 20minutes in care of mother feeling better.

About 5 minutes after shot, the patient's mother alerted us to her daughter being unconscious. She was sitting in a chair slumped forward, we pushed her back in the chair. The patient was tensed up, sweaty, with labored breathing. She was assessed to not to be in respiratory distress and held so she wouldn't slide out of the chair she was sitting in. She began to return to consciousness and pulse seemed relatively normal with breathing returning to normal after 3 minutes. Local EMS was activated. The patient was given cold water to hold on her neck and was alert. Local EMS assessed she was ok and the patient's mother refused transport to the ED. The patient left on her own.

Patient began to feel faint within 2 minutes after receiving vaccine. Became pale and diaphoretic. Patient was brought to floor and began to show improvement immediately. Patient remained in observation until 9:05 AM (25 minutes after vaccine administration) and was cleared to discharge home with father at that time.

Client received 1st COVID vaccine of Pfizer (Lot# EW0185 expiration 05/23/2021). At 1347, RN assisted Client to stand up from vaccination chair. Client began to have unsteady gate. Both RN and RN assisted Client back to the gravity chair. At 1348, RN and PHN responded to the event. At 1348, vital signs are blood pressure 116/72, heart rate 64, oxygen saturation 100%. Client reported no blurry vision no headache, appearance is pale. Client is accompanied by mother. Per client's mother, Client has no medical history, allergies to dogs, and a history of syncope and lightheaded with needles/vaccines. At 1352, vital signs are blood pressure 118/82, heart rate 62, oxygen saturation 100%. Client reports lightheaded, feels tired, no shortness of breath, no headache. Supplemental nutrition and fluids provided to Client . Client accepted. At 1357, vital signs are blood pressure 116/76, heart rate 63, oxygen saturation 100%. Client reports no headache, no blurred vision, lightheaded improving, feels "sleepy", and skin tone returning to appropriate ethnicity. PHN educated client and mother ED precautions, common adverse effects of COVID vaccine, and emphasize a follow up with primary care provider. At 1400, vital signs are blood pressure 118/72, heart rate 63, oxygen saturation 100%. At 1402 Client stood up with no complains. At 1403 Client walked out of vaccination facility with a steady gait accompanied by mother.

2nd dose Pfizer vaccine administered patient was in Observation Area and c/o of sweating and dizziness. Patient fainted for about 2 seconds. Patient arousable and VS were within normal ranges, blood sugar was 68 when being cared for by EMS. Pt states she has had this history of reaction before to vaccines. She had not eaten or drank anything since around 8pm the night before. Patient given water and a food and stated she felt better. Patient remined in Obs area for an additional 40 minutes with EMT, RN and Physician oversight.

Patient experienced syncope shortly after receiving vaccine while standing. Patient fell and remained on ground per advice of EMTs who arrived and escorted via ambulance for evaluation due to the patient experiencing nausea and vomiting upon rising back up.

Patient's sister came over to get RN and said patients throat was closing up. RN Grabbed doctor on site to assess. MD and RN auscultated with stethoscope; good air movement and color. Alert, oriented, speaking full sentences. The patient had a potential reaction to COVID-19 vaccine. Many co-morbidities and previous reaction noted. Rn and MD evaluated. Despite good air flow, patient reports throat closing up. Patient self-dosed Benadryl (50mg) with no improvement. 911 called. Mom Called. RN gave report to EMS, EMS took over care and consulted mom who denied transport and with patient. Patient's blood glucose also read "high" on meter x2 times.

Passed out; Vasovagal reaction; Dizzy; Skin was sweaty; Pale; This is a spontaneous report from contactable Pharmacist. A 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 06May2021 10:15 am (Lot Number: EW0171) at the age of 17-year-old as single dose for covid-19 immunisation. Medical history reported as none. No known allergies. The patient was not pregnant. The patient's concomitant medications were not reported. Vaccine was given, patient was sitting with her mother. Approximately 10 minutes after vaccine, she slumped to the side and passed out. When the reporter got to her she was just waking up. She still felt dizzy, skin was sweaty and pale. Paramedics arrived within 5-10 minutes to evaluate. They said they had seen this vasovagal reaction with the covid vaccine. Patient left on gurney with the paramedics. Adverse events start date was 06May2021. Events resulted in Emergency room/department or urgent care. The outcome of the events was unknown. The patient had no covid prior vaccination, no Covid tested post vaccination.; Sender's Comments: Based on a positive temporal association, a possible contributory role of the suspect BNT162B2 cannot be excluded for the reported event of Loss of consciousness. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Blurry vision, near syncope after receiving vaccine. Onset of symptoms was 3-4mins after vaccine administration. Did not eat breakfast this morning Given juice and crackers Exam was normal Discharged to home

While waiting for 15 mins monitoring after getting Pfizer covid vaccine, she fainted and fell off the chair. She fell on the ground and hit her head. Nurse and pharmacy staff rushed to her aid. She appeared to have convulsions for about a couple seconds but regained conciousness right away. We checked vital signs : low blood pressure but high heart rate, oxygen level was good. We placed ice pack on her head where said was hurting. She and her mother refused to call 911. She felt better, however we recommended her mom to take her to urgent care for further evaluations

17 y/o female received 1st dose of Pfizer and was sitting in the observation area. She had a witnessed syncopal episode, lasting approx. 45-60 secs. When pt. regained consciousness she was placed in a wheelchair and moved to a private area. VSS at that time. Pt. was given some water to sip on and stated she was feeling better. Pt. denied any other complaints at that time. Pt. denied any PMH/ Meds./Allergies. Pt?s grandmother is with her and states pt. appears to be back to baseline. Approx. 30mins. after syncopal episode, pt. stated ?my heart is racing and my throat feels dry?. VS reevaulated, pt?s HR was 122, BP 130/66. Pt. stated she wanted to go to the ER. She was t/p BLS to ER. See PCR for further.

Patient lost conscious and fell to the ground. hit back of head. Patient is alert and oriented. Brought to ED.

Pt received vaccine and was walking around the store and passed out. Pt was responsive , alert and oriented. 911 was called. Paramedics arrived and was checked out. They released her to go home without additional followup.

Chest pains, difficulty breathing, outcome: diagnosed with myopericarditis and costochondritis as well as inflammation in joints. Was in the hospital for 7 days and was on IV, morphine and then switched to hydro-morph for severe pain. Was given ketorlax via Iv for inflammation as well and steroids. Has been put on steroids for 1 month, Colchicine for 3 months, naproxen for inflammation.

(Vasovagal Response) Felt tired and ?felt like fainting? immediately after shot. Pt laid down and elevated feet. No additional treatment needed. (Initial BP 87/58)

Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt fainted after vaccine, hit head on nearby object. sustained approx 2 cm laceration to scalp with moderate bleeding. applied saline wound wash and gauze. bleeding stopped. VS normal BP110/72, P90,RR14,O297%RA. Pt revived after1-2 min. She sat up and was able to walk. Mom at work. Mom called neighbor to pick up pt. Mom agreed to have FM take pt to ER/urgent care.

Immediately after the receiving dose #1 of Pfizer COVID-19 immunization the patient fainted. Patient remained seated until she came back to after 2 mins. Patient's mother was in the room, and stated this happens every-time she gets a shot. VAR stated no history of fainting or reaction after any vaccinations. Patient remained seated for 15 minutes while being monitored. After she stated she felt normal and left in her mothers care. No medication was administered.

Tachycardia began at 27 hours after vaccine with hear rate up to the 160s . Fever developed after the tachycardia 31 hours after vaccine. Patient was monitored in the hospital on propranolol and was sent home on propranolol.

Received dose #1 on the 17th, about 3-4 days later noticed having chest pain, described as a "pressure" that is worse with deep breathing and lying down. This was a telemedicine visit. She was well appearing, but sent her to urgent care for further eval.

Systemic: Chills-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Weakness-Medium, Additional Details: patient was feeling cold, hot, shaky, weak, a heavy chest feeling, numbness in extremities a few minutes after her vaccine. Her pulse went from 80, 99, to 110 after 3 readings. Her BP was normal. Her brother said she just had a unspecified chest procedure. It wans't noted on her intake. She wasn't feeling after lying down for 30 minutes with legs propped up and wanted to paramedics to come. They sent her home after another 30 min. She doing well before she left.She went to school day after.

Patient developed chest tightness during soccer tournament the day after receiving first dose of COVID vaccine and then subsequently developed abdominal pain with several episodes of hematochezia which self resolved. Upon arrival to the ED pt had elevated troponin which downtrended. EKG and ECHO were normal and symptoms resolved without intervention.

Syncopal episode resulting in 911 response. Pt became lightheaded then lost consciousness for approximately 30 seconds. Pt did not fall and no trauma was sustained. She was taken to a private recovery area where she was placed in trendellenburg?s. Vitals signs monitored every 5 minutes. Upon EMS arrival, pt was assessed with findings unremarkable. Pt refused transport by EMS and was released from the clinic after she displayed no symptoms for 10 minutes.

Patient was extremely nervous prior to vaccine. Got shot, walked out of room to waiting area. about 2-3 minutes post vaccine, realized did not feel well. Passed out. Mom said patient felt a touch rigid and twitched a couple times, then came too. Did hit head when patient fell to floor, although was not a major hit. Patient was worked up after coming to.

Patient developed substernal chest pain that began about 3 days after her first Pfizer Covid shot. It was worsened by laying flat and relieved somewhat by sitting upright or forward. NSAIDS were slightly effective at improving the pain. It took about a week to totally resolve. The patient went to a walk-in clinic initially and they noticed right-axis deviation on an EKG and sent her to the Hospital for further workup. She was discharged from the ER several hours later with no clear diagnosis but a suggestion that it sounded clinically like a viral pericarditis.

After receiving dose, pt experienced Vasovagal response which she never had before when receiving a shot. When they woke her she had a lot of jerky arm movement. About half an hour to 1hr after injection she said she had an odd taste in her mouth and her tongue was numb. Her chest felt tight but was not wheezing. About an hour later when she was home (~6pm) gave her "click it albuterol" and it relieved the tightness in the chest. She had pain in her left breast area. Around 6:30pm she continued to comment about her tongue being numb and pain in her breasts. She fell asleep right away and the next afternoon around 1pm she had a temperature of 99F. After motrin the temperature went back to normal and she felt better. No further chest tightness after that and she is feeling normal.

The day after the vaccine, she had an episode of syncope while in the bathroom. She does not remember the event, but was at a friend's house and was found in the bathroom after they heard a bang and was noted to be shaking. She then passed out again and continued shaking. She texted her mom and was given a cold rag on her forehead but has no recollection of any of that. Afterwards, she returned to normal.

Patient became light headed and fainted from a seated position about 10 minutes after her first Pfizer COVID-19 vaccination. She doesn't think she lost consciousness. Her skin was quite warm and sweaty after this event. I had her remain laying down on the ground while she recovered and I assessed her symptoms. She felt better almost immediately so I had her move to the pharmacy office for observation for an additional 15-20 minutes. She then reported that she has fainted with shots before and she hadn't eaten anything today. Her mother said this has happened before and drove her home once she felt well again.

My 17 year old daughter had her second Pfizer shot on Sunday, May 16 at 10AM. On Wednesday, May 19the she woke up and said that she had a terrible time in the middle of the night with a tight chest and she couldn't catch her breath. She wouldn't go to Urgent Care with me so I told her that we had to call the 24 hour nurse line (on the back of the insurance card). I called and she spoke with a nurse, then spoke with a doctor on the phone who told her to go the doctor if her symptoms got any worse.

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

Pt was swimming and started to cough (felt swallowed water) and upon getting out of water - collapsed and lost consciousness for a few seconds

Patient passed out after receiving her 2nd dose of the Pfizer COVID19 vaccine. Patient was sitting in waiting area after receiving the dose when she passed out and her mother was holding on to her. Patient came back after a few seconds and was laid to the ground. Her BP read at 107/68 and then later at 101/71. Mom stated that patient has history of passing out before. She stayed with us until she felt better until her mom took her home.

PATEINT RECEIVED INJECTION AND ABOUT 6 MIN LATER SHE FAINTED AND HAD A 5 SEC SEIZURE. WOKE UP ON HER OWN

Patient fainted within 15 minutes of vaccination. She had not eaten that day. Given some food; no treatment needed and she was released to home with a parent.

Pt felt lightheaded and sweaty and heart rate dropped to 50 and blood pressure dropped to 70/30. Paramedics were called 911 and arrived at 12:32 the episode happened at 12:30 by the time the paramedics arrived she was feeling better she had been put on the floor with her legs elevated on a chair and her blood pressure has come up since then she had refused to go to the hospital because she fell back to her normal.

Fever of 103; chills; sweating; body ache; nausea; vomiting; diarrhea; headache; couch; chest pain; This is a spontaneous report from a contactable consumer for herself. A 17-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 07May2021 17:00 (Lot Number: EW0176) at single dose for COVID-19 immunisation. Medical history was none. No allergies to medications, food, or other products. The patient's concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was not pregnant at the time of vaccination. The patient previously received first dose of BNT162B2 (lot number=EW0153) in left arm on 15Apr2021 04:00 PM for COVID-19 immunisation. The patient experienced fever of 103, chills, sweating, body aches, nausea, vomiting, diarrhea, headache, couch, chest pain on 08May2021 13:00 with outcome of not recovered. Events were resulted in doctor or other healthcare professional office/clinic visit. No treatment received. Patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, patient had not been tested for COVID-19.

On 5/19 she got her first Covid Vacc (Pfizer). The following day she had mild fatigue and chills, but it did not interfere with activity. Then 5/21 PM she noted a discomfort in her chest. By yesterday she had marked chills, felt burning hot, c/o a mild ST and mild nausea and abd pain. Her chest discomfort (poorly characterized in location) worsened and she was brought to ER with concerns that she had another effusion. At the hospital, she had 24 hours of fever and hypotension.

Pt fainted several minutes following vaccination. Pt's mother was vaccinated, then patient, then patient's sister. Pt left vaccination chair following vaccination to allow her younger sister to sit. She stood for several minutes, leaning against wall/counter but immediately after her sister's vaccine she fainted. She slid down the counter but her mother and the vaccination caught her before she landed on the floor. She lost consciousness for approx. 30 seconds, regaining it slowly. While no health conditions were reported on the VAR form the pt appeared to possess traits of a developmental difficult such as Down's syndrome. While she awoke she didn't want to speak and appeared nervous. After approx. 2 min the patient spoke voluntarily. After several more minutes of deep breaths, patient sat up and answer questions regarding the time and place and personal history. She moved to another area to sit, was given water, and after approx. 25 min, left with her family.

Passing out POT syndrome has occurred 10 times since initial vaccine; Passing out POT syndrome has occurred 10 times since initial vaccine; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 07Apr2021 15:15 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE for covid-19 immunization. Medical history included history of migraines from an unknown date and unknown if ongoing. Concomitant medication included vitamin d3 taken for an unspecified indication, start and stop date were not reported. Passing out POT syndrome has occurred 10 times since initial vaccine worsening post second vaccine on 13Apr2021 12:00. The patient experienced "passing out POT syndrome has occurred 10 times since initial vaccine" and was reported as worsening post second vaccine. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. Therapeutic measures taken as a result of the event included a Heart monitor (as reported). Outcome of events was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Pt diaphoretic, pale, nauseas, blurred vision, difficulty hearing, lightheaded, SOB, 10 minutes after receiving pfizer. Given water, vital signs obtained. HR low into the 50s, O2 sat 93-94%. Placed on a stretcher. After vitals obtained pt color returned and she stated she started feeling better. HR improved to 70s, O2 sat 97% on RA. BP stable throughout.

Two days after receiving the vaccine, the patient fainted at the home. Has had intermittent shortness of breath, and dizziness

Less than 1 minute after received the shot, patient became clammy and pale while sitting in chair. Her eyes rolled back in her head and her body went slack. Myself (parent) and the nurse who had given the shot braced her on either side while she appeared to fade in and out of consciousness for several minutes (she seemed to occasionally interact with us, mumbling responses to 'yes' or 'no' questions). The nurse did not want to lower her to the floor, but wanted to keep her propped on the chair. Her head kept rolling to the side. At one point, she began to jerk rhythmically. Just as I was about to bring this to the attention of the nurse, the patient returned to consciousness. Patient was moved to a rolling recliner chair and taken to a recovery area where I (parent) did not see her for another 30 minutes as I was receiving my own shot. The chair she had sat in was wet, but it was assumed this was due to sweat (patient had sweated profusely). On the way out of the clinic, noticing a wet stain on the back side of patient's pants, I asked if she had wet her pants (quietly) two separate times. Patient denied it both times. However, upon returning home, patient confirmed that she had wet her pants. Patient was monitored during the evening for similar adverse events ; none noted. Patient ate lunch approximately 1 hour before receiving shot and was given crackers while at clinic. Patient is a well-hydrated individual, and also drank water while on-site. No fever either before or after shot. A slightly elevated BP the next day (135/83). However, patient complained of headache, fatigue, and pain at injection location; elevated BP may be related to headache and/or ordeal from day of the shot.

Site: Pain at Injection Site-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: BP 103/65 Pulse 62-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: EMS was called but she went home with her mother and slept the rest of the day, she had a sore arm on Tuesday but was otherwise fine per mom.

Patient upon seated for the 15 minutes post-vaccination fainted. When she was coming through, she started shaking as if she was having a seizure. When I reached the patient, she was shaking and then came through and stopped shaking. Patient was still pale, sweating, and didn't feel okay. 911 was already called once the patient was shaking. As I am checking in on the patient, the mom discloses that she has fainted at least twice before and when she comes through she shakes but it is not seizures. However, during the screening process, patient and mom stated the patient never had any problems when getting vaccinated. I got her BP checked and it was 102/61 and HR of 92. We had the patient sit still and drink water. When EMS arrived within 5-10 mins, they took her vitals and it was 112/70s and HR of 84 with 98% O2 sat. Patient and mom decided to be taken to the ED to make sure she is okay.

Patient began to sweat, complained of blurred vision, and turned very pale in the face. We called 911 and I stayed with the patient monitoring heart rate and symptoms. Patient was slightly tachycardic upon initial assessment. Once EMS arrived, patient had had resolution of blurred vision and the sweating. Her vitals were normal. Her mom refused further treatment to the hospital. I recommended to follow up with pediatrician.

Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Fever-Medium, Systemic: JAW AND THROAT PAIN-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient recovered in about 20 to 25 minutes.

An attendee fainted after receiving vaccine Pfizer 1st dose. She didn?t lose her airway. The business called 911 they assessed the situation and said she was ok. Patient up walking around.

Patient fainted in a chair in the waiting area during observation period (~10 minutes after vaccination). Patients guardian said the patient has a history of vasovagal syncope in medical environments. Patient recovered in a few minutes. Patient remained in the chair for 15 minutes until her guardian and her were able to leave the store on their own accord.

Patient fainted and felt hot. Patient fainted within 10 seconds of receiving vaccine. Once patient came to, she sat down for about 15 minutes and felt better. Patient stated she did not eat anything before.

Patient felt like she was having trouble breathing, stated it felt like someone was sitting on her chest. didn't feel like throat was closing, but felt anxious. asked patient if she would like benadryl, she stated yes. sat for 20 minutes after receiving benadryl and felt okay, felt like her trouble breathing went away.

at 2:30pm pt had temporary loss of consciousness for approx. 15 seconds pt. was safely assisted to gurney and placed in supine position with BLE elevated. vitals monitored VS BP 97/67 P-65 RR-17 o2SAT 97% RA pt offered fluids and snacks pt refused snacks pt had water. 230pm pt denies dizziness no headache no SOB no lightheadness vitals BP80-/50 17,69, 98%RA 245pm pt bp still cont. to be below normal. bp 87/57 P-63 RR-18 o2SAT 97% RA pt was recommended to sent to hospital for further eval. 255pm 911 came and elaluated pt per paramedics based in theri eval. pt. &mother was made to choose to go to the hospital or go home pt. and mom choose to go home. #23 Syncope #21 went home against med advice

Passed out/ got chills and sweats after receiving vaccine at the Pharmacy. Proceeding the vaccine she had headaches and still gets them and it?s currently 05/27/2021 which it?s been 9 days since also for 3 days after vaccine was extremely exhausted.

She had been bleeding since May 2. We took her to Hospital Pediatric ER on Thursday, the ambulance took her in because she had a seizure on Wednesday (the Ambulance - they stabilized her that day and took her vitals and was sure she was okay - they knew we had an appt to go in the next day at 10:00 am for tests (previously scheduled); Thursday morning she had another seizure - we gave her seizure meds and she came out that - she ate breakfast after and then took her regular meds and the next thing we know ,50 minutes later, her head drop forward and her arms go completely limp and there was no response. She was breathing but she was out. I called the ambulance. And they took her in to ER. What they put in the paperwork was that she had a seizure and they wrote that she had had syncope episode - it took 20 minutes to come out of it. Which she has never had anything like that. We were in the ER for 7 hours. Was admitted to Hospital -from 24th -28th.

I saw and evaluated the patient. I agree with the findings and the plan of care as documented in the Fellow note. Of note patient is a 17yo male with no significant past medical history who received the second dose of his Pfizer COVID19 vaccine on 5/25/21. This morning he woke up with chest pressure and eventually was seen at an outside hospital ED. EKG was concerning for possible myocarditis and he was transferred further work-up of myocarditis. On arrival, echocardiogram was performed demonstrating grossly normal LV function with some suggestion of apex hypokinesis. EKG was repeated and showed ST elevation in lead I and V1. Troponin was elevated at 1.11. On exam, no murmurs rubs or gallops. No known family history cardiomyopathy. I personally reviewed the echocardiogram. Overall, patient is a 17yo male with what appears to be myocarditis that is temporally associated with the second dose of the MRNA Pfizer COVID19 vaccine. We have seen several of these patients with similar presentations over the past few weeks and most seem to respond well to treatment with IVIG and steroids. We will confer with our Rheumatology and ID colleagues. Plan will be to obtain cardiac MRI in the next 24 hrs. Ibuprofen PRN for pain. Will trend troponin and EKG.

passed out; vomited; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm left on 03May2021 15:30 (Batch/Lot Number: EW0153) as 2nd dose, single for COVID-19 immunisation. The patient had no relevant medical history. She had no allergies to medications, food, or other products. Concomitant medication included fluoxetine taken for an unspecified indication within 2 weeks of vaccination. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in right arm on 12Apr2021, 03:30 PM (Batch/Lot Number: EW0153) as 1st dose, single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. She was not diagnosed with COVID-19 prior to vaccination. On 04May2021 12:00, the patient passed out and vomited at the same time while in a sitting position. The were no additional side affects once the episode passed. The event resulted in doctor or other healthcare professional office/clinic visit. Events were reported as non-serious. No treatment was received. Outcome of the events was recovered in May2021. The patient had not been tested for COVID-19 since the vaccination. Information on Lot/Batch number was available. Additional information has been requested.

Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium

She fainted and collapsed about 18 hours after receiving the second dose (6:30 am). She was confused for about an hour after she fainted. She was on ibuprofen (400 mg taken at 5:30 am). Other than weakness, headache, and fever, she has had no other adverse reactions so far besides the single fainting episode.

Syncapal event. Patient was found lying on the ground after being vaccinated with Pfizer first does. Pt had prior history of fainting, and was vaccinated in a supine possition. Pt stayed in a supine possition for about 7 minutes and walked to the observation area with her mom. Patient was assed by parametics and myself. She regained consiousness approximately 10 seconds after even or less. Initial BP 121/83, HR 64, O2 100% room air. Pt vitals retaken at 10:37 BP 110/74, HR 72, O2 100% room air. Pt was advised to stay for an aditional 15 minutes and reassessed. Patient left in stable condition with mom.

Syncope approximately 3 minutes after shot with resulting head injury. Pt conscious on paramedic evaluation with hematoma on forehead. Unable to walk without assistance. Pt's mother chose to drive her for follow up at ED against recommendations of reporter. Fire Department wheeled pt to personal vehicle. Unknown dispositions/outcome.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Headache-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: Patient was given Pfizer vaccine, told to remain in waiting area for 15 minutes. Immediately after shot she seemed and and was conversing with me normally. 2-3 minutes later her dad noticed that she was tipping over and called for help. When I rushed over, pt was moved to the floor, close to passing out, very weak and shaky. We called 911 - she was responsive. she laid on the floor until ems arrived at which point they took over and took patient to get further checked out.

Patient was asymptomatic 4 hours after vaccination given at 10a, then in the evening started to develop chest pain, shortness of breath, nausea, and abdominal pain. Patient came to ED for evaluation. She received epinephrine IM 0.3 mg, Benadryl 25 mg, Pepcid 20 mg, 1 L NS bolus, Toradol and PO Tylenol for pain management. Patient is now feeling better.

PATIENT FAINTED IMMEDIATELY AFTER VACCINE ADMINISTRATION. PATIENT DID NOT INJURE HERSELF, WAS CAUGHT IN MOM'S ARMS. PATIENT WAS EXTREMELY WARM AND CLAMMY AND SHAKY. SHE KEPT SEATED, FAN BLOWING, PROVIDED WITH GATORADE AND FELT NORMAL AFTER 10 MINUTES. PATIENT ADMITTED TO NOT EATING PRIOR TO VACCINE.

Chest Pains Shortness of Breath Costochondritis - Per the Doctor These conditions were present after the first vaccine shot on April 6th and then again after the second shot on April 27th. Doctor initially thought it could be a simple case of Acid Reflux and gave her Nexium. Once that didn't work, she had her Chest X Ray done that came back all clear. She then had her blood tests done and that too came all clear except for Vitamin D3 that came in at 15 so doctor gave her a 50,000 unit Vitamin D3 dose. That also didn't do much to relieve the chest pains and shortness of breath so he had her EKG and Echo done and those were all clear as well. Finally, he gave her a day steroid course of Prednisone at 40 mg/day which is where she is currently. It is helping her a bit but she is still complaining of original two issues - chest pain and shortness of breath. She is also doing cold and warm compressions throughout the day that helps her temporarily.

The patient felt dizzy and weak then fainted while her mom was holding her . Her mom gradually led her to the floor from a sitting position. She felt nauseous and dizzy. I laid her on floor with her feet elevated on a chair with her head to the side so she would not aspirate if she vomitted.. She felt better after a while and wanted to sit. When she was sitting in the armchair she vomitted and said she felt worse, so I then called 911. They evaluated her and her blood pressure was very low and they gave her iv fluids and took her to the emergency room

received the Covid 19 Pfizer vaccine and passed out approximately 2 minutes after the vaccine. Was seated at the time. Physical support until patient regained consciousness approximately 30 seconds after. Assisted via wheelchair to cot to lay down and water provided. Mother with. Instructed to lay down for second dose of vaccine when receiving it. Left with mother ambulatory in stable condition approximately 30 minutes after dose administered.

FELT DIZZY AND HAD A WITNESSED SYNCOPAL EPISODE, TRANSPORTED TO COT, APPEARED DIAPHORETIC AND PALE. PARAMEDIC CAME, BP 86/51, HR 49, OFFERED HYDRATION, SX RESOLVED, NO TRANSPORT, AMA SIGNED.

Patient was very anxious and breathing heavy. About 5 minutes after the vaccination they started to hyperventilate and ended up throwing up. After letting them sit and relax for 5 minutes, the patient then had to throw up again and told their mother they felt like they were going to faint. Mother and myself stood by, while patient did end up fainting. We slowly lowered them to the ground, and on the way down their body got stiff and patient had uncontrollable movements and was hardly responsive. Mother and myself finally got her safely to the floor as they came to and was responding to verbal ques and stimulation from mother. Mother went to get water and i stayed with the patient to ensure no other things happen. Patient ended up doing alright after relaxing for a few and then i walked them and mother to their car and ensured they were feeling good enough to go home. I then advised the mother to seek medical attention.

First on Saturday May 22 had sore arm, then pain that thought was possibly heartburn/indigestion, fever over 100. Took acetaminophen and tried Tums. Then on Sunday May 23 chest pain that didn't feel quite like indigestion and fever over 100. Continued acetaminophen and Tums. Monday May 24 felt like heart was fast, hot flash type feeling like could faint and some light headedness/off feeling, continued chest pain. Pediatrician prescribed omeprazole to see if helped, did EKG. Checked in on Wed May 26, no change except no fever and light headedness improving. Referred to cardiology.

Follow up report - The symptoms - severe headaches; shortness of breath; difficulty breathing; chest pain and throat pain with activities - even if he walked across the room he had this pain along with the shortness of breath; body aches and fatigue. He is an athlete and not able to do any of the sports - he starts breathing heavily when he walks across the room. He couldn't attend school for over a month. Has been to several physicians - a pulmonologist several times; cardiologist; gastroenterologist; his pediatrician. He got a steroid shot - 24th, given to him for the headaches. Last Monday, the 24th of May (the pulmonologist gave this to him). It (the headaches pain) was really bad on Tuesday, Wed, Thursday and he started feeling better with the headaches on Friday. He has been given an inhaler and Pepcid for acid reflux (gastroenterologist). These have given him a little relief - but he don't know if it's the steroid shot or the inhaler that is helping. Yesterday he tried to go to his Sports class and he couldn't do it - there was a problem with breathing; a lot of shortness of breath. The headaches and the breathing issues are still what are debilitating him the most.

Roughly 2 minutes after receiving her I am Pfizer vaccine, patient told mother that she was feeling slightly lightheaded. She proceeded to lose consciousness. Mother honk the horn and alerted staff to come to help. Patient was in the car on the passenger side, patient was fully sitting up. I reclined her all the way down in her passenger seat, she was slightly gasping for air, Ambulance was called for evaluation. She had loss of consciousness for approximately 30 seconds. She regained consciousness and said she was feeling confused as to what it happened. Denies any feelings of needing to vomit, Or post ictal symptoms. EMS and fire we?re on scene by then, report given to paramedics on site. Patient declined further medical treatment and Ian made with the ambulance. after this stating she was a little tired. She continue to wait for 30 minutes, she had 1 episode of emesis and felt better. At the site with no issues.

Patient developed warmth, clamminess, nausea and lightheadedness shortly after her shot. She admitted to near syncope, but there was no LOC. No tunnel vision. Symptoms resolved on their own. VVS throughout. No orthostasis.

My daughter has had a full body rash, that nobody can identify, since the shot. They start as little dots and change into circles after a while. She had had chest pains and pressure and is very uncomfortable

Patient presented for second vocid-19 vaccine. after receiving vaccine, mother reported that patient had chest pain and grabbed chest and was experiencing leg numbness. Patient's parent reports that prior to receiving vaccine, aptietn has had history of one sided flank pain and tardive dsykinesia induced by medication. After vaccine mother reports patient is experiencing flank pain on opposite side. Mother wanting patient to be seen by provider so patient taken to hospital ED

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Patient received 1st dose of pfizer vaccine. Less than 1 minute later patients mother alerted us that the patient had lost consciousness. She was immediately laid down and gained consciousness within 10 seconds. She stated feeling lightheaded, sweaty, looked pale and felt like she was in a trance. 1st BP reading (111/67), 2nd BP reading done 15 min later (106/59 & HR 65). After 30 min of monitoring patient was able to leave.

Patient experiences blurred vision, hot, dizziness at the observation area after the vaccination. Her pupils were dilated and her lip was pale. She felt better after zip of water and felt normal after few minutes.

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

Pt w/ Syncope and dizziness. BP 115/71, HR 65, RR 12 -- > 115/68, 73. Pt stable and released from the vaccination site.

PT FAINTED AFTER COVID VACCINE. PT WAS FINE AFTER A FEW MINUTES AND DRINKING GATORADE. MOTHER WAS PRESENT.

Patient was waiting for her family members to get vaccinated after she received hers. She was standing by her father and passed out.

8 hours post vaccination, developed subjective fever, chills, headache, malaise 6/2: Around 32 hours post vaccination, developed acute chest pain, shortness of breath, difficulty breathing when laying flat. Required ibuprofen. 6/3: felt better, required ibuprofen. Presented to ED on 6/4 with continued symptoms (chest pain, shortness of breath), noted to have elevated troponins. Transferred to Hospital on 6/4 to ICU for monitoring. To the floor on 6/5. Clinically doing well just on NSAIDs with slowly decreasing troponins. Dx: probable acute myocarditis per cardiology based on clinical symptoms and troponin leak

myocarditis with ekg changes and severe chest pain requiring pediatric ICU stay. Treated with scheduled Motrin and cardiology follow up

patient was nervous/anxious about the shot. Sat in chair and received shot in the left deltoid with no issue. Stood up to leave a minute later and told her mom that she felt dizzy and nauseous. We had her sit back down and she got a little shaky. Face seemed to loose all its color. she said everything went black and she was dizzy. she closed her eyes and laid her head back against the wall. I left the vaccine room to alert my pharmacist and as I walked out the door the patients brother said that she had started shaking like she was having a seizure and she passed out. She was seated and mom was supporting her while we called 911. patient came to within 30 seconds or so and was lethargic and dizzy still. Pharmacist too her blood pressure while waiting on emt and it was 102/52, heart rate 64. emt arrived and took over. emt was with the patient for about 10 minutes then left with her on a stretcher. emt left notes that her vitals while sitting were 93/56, heart rate 66, o2 100%. standing 80/50

After receiving the vaccine we moved to waiting area. Within minutes she told me she was not feeling well she began sweating profusely, her skin became pale and clammy, her eyes rolled back she lost consciousness and began convulsing. She came to and said she could not hear well. She was taken to ED for observation and testing.

Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: Following 2nd covid-19 vaccination, patient became very lightheaded and fainted while seated in chair. After coming to again, she was very pale, having a hard time controlling her breathing and stated she couldnt see. 911 was called and upon the paramedics arriving, blood pressures both sitting and standing were taken, as well as a blood glucose reading. The patients blood pressure was low but stable, and her blood glucose reading was normal. Patient walked out of store with paramedics and Mom.

Patient told us that she has passed out and vomited after receiving vaccines in the past. After getting the vaccine, she didn't feel well. We monitored her in the vaccine room for about 5 minutes. She had a drink of water, then when she was ready, her family helped her into the lobby I returned to the pharmacy, and continued to watch her. The patient's mom came to the window and said patient had fainted. I went to her, and said we need to lower her to the floor. At that point, mom said patient was not breathing I quickly lowered her to the floor, while dad supported her head. I didn't have time to verify that she wasn't breathing, because as soon as she touched the floor, she began convulsing, then sat up and w was immediately awake. She sat up, and we explained that she had passed out and I had her lie down. I stayed with her for a few minutes, asking if they wanted an ambulance (which mom and dad declined) while making sure she was ok. She was just resting at this point, so I returned to the pharmacy, and ask them to let me know if anything changed I continued to watch her from the pharmacy window, and the patient said she was nauseated. We gave mom a bag, and patient vomited in the bag. After a couple more minutes, she seemed to be recovering, and mom and dad helped her out of the store. I followed up with mom at 4:15pm, and mom said patient was still nauseated and had vomited a couple more times. I followed up one last time at 4:45pm, and patient was feeling a bit better, but mom was going to keep an eye on her I recommended that mom take her to a doctor to be evaluated, but mom said she would just keep an eye on her through the night. I told mom that I would follow up again in the morning.

Patient having pain 7am 6/8 upon awakening. Sharp, heavy 10/10 left sided chest pain radiated to L arm. Shortness of breath. pain worse with inspiration, no positional changes. Similar to previous myocarditis episode in 2019 (thought to be 2/2 virus as had fevers, fully resolved). No recent URI, last sick 1 year ago, no covid per knowledge. Had COVID vaccine week prior without side effects. Presented to hospital. Initial troponin 0.819> 4.43. CK-MB 42.8, CK 471. BMP, CBC, CRP within normal limits. ECG non ischemic however mild j-point elevation in anterior leads consistent with myocarditis. POCT echo normal. Patient admitted for IVIG, steroids, viral panel and monitoring.

The day after the second dose of the vaccine she started to have pains in all of her joints. Her chest felt painful and even her finger joints. It was a constant pain that got worse with movement. The pain scale without the medication was an 8 but with the medication a 5 on the scale of 1-10. Ibuprofen and Hydrocodone helped control the pain but it did not make it totally go away. The joint pain lasted for three weeks to date but the chest pain has improved. Heat pads also help. She has never experienced these symptoms before. There were similar symptoms after the first vaccine but it is much more intense after the second dose. It has been consistent since the second dose of the vaccine but the medication and heat application does seem to help. Hospital after the first dose for chest pain.

Dose 1, headache. DOSE 2 Five hours later severe headache, extensive heat being generated from head, body not, then followed by high fever 101.8 with heart rate going up to 155, followed by twelve hour later breaking fever. Extensive headache continues. At 24 hour mark hives on face under eyes, big welts and red. Continued migraine. This is not safe!!!!!! I will sue the agency for this product, emergence use yet mandate by colleges and employers. SOMEONE NEEDS TO PAY FOR THIS!!!!! I WILL CONTACT A LAWYER.

Patient exhibited a seizure like episode that lasted approximately 15 seconds. Patient was placed on the ground in a supine position where she regained consciousness. 911 was notified at 1401. Patient with clammy and pale skin. At 1405 BP was 122/69, HR 100, RR 18. Attempted to put patient in chair, once in chair she began to feel dizzy and was placed back on the ground in a supine position.. At 1410 BP was 122/58, RR 20. Blood sugar at 1413 was 92. Patient was able to sit up on the ground and was given juice and crackers. Patient continued to have pale and clammy skin. Alert and oriented x 3. EMS arrived and patient transported to hospital.

Day after vaccination, patient reports intermittent fevers (Tmax 104F), neck pain that radiates down her back, and is interacting a lot less than usual, The following day, she was unable to walk at all and required being carried to use the bathroom. Patient denies and fevers, cough, gi distress. She does states that she is not feeling short of breath at this time, but is having weakness in her hands as well as her legs. Additionally patient states that she has been having chest pain today that comes and goes. On neuro exam Mental status: Appears to be distressed due to photophobia. Lethargy, however easily arousable, able to have a conversation, attention intact to spelling "globe" backwards, intact to high and low frequency words. Able to name and repeat. Speech: Mild dysphonia Cranial Nerves: II: Pupils equal, round reactive III/IV/VI: EOMI. Pupils move in all four cardinal directions VII: Face symmetric when talking, however limited effort to excursion on command VIII: Responds to voice IX/X: Voice normal XI: Turns head side-to-side XII: Tongue midline Motor: Normal bulk and tone. Resistance met to passive motion of BLE RUE/LUE: shoulder abduction 4/5, elbow flexion/extension 5/5, wrist flexion/extension with give-way weakness up to 4+/5, finger flexor 4/4 RLE/LLE: On command, 0/5 -however able to support her legs in a flexed position bilaterally, with encouragement 5/5 on dorsiflexion. Able to support her weight on her legs, however does not walk slowly sits back on the bed. Sensory: Intact to light touch, proprioception intact Coordination: No obvious dysmetria on FNF testing DTR: 2+ brachioradialis, bicep, patellar, ankle b/l. Plantars mute. Absent pathological reflexes: Hoffman, cross adductor

Client Received the 2nd dose of Pfizer COVID vaccine lot #ER8735 and expiration date 07/04/21 at 1:34pm. At 1:34pm, client reports to vaccinator that she feels dizzy. Vaccinator offer client water and client starts drinking it. PHN 1 & PHN 2 arrive client reports she "feels weird" PHN asks client to explain and client is unable to describe. Client is alert and oriented X 4 and is already seated in zero gravity chair due to reporting history of syncope. Vaccinator offered client water and client starts drinking it. Client reports no headache, no shortness of breath, no blurred vision, no chest pain, just dizziness. At 1:34PM vitals heart rate taken manually by PHN :72 and blood pressure: 128/74, unable to get oxygenation due to long acrylic nails. PHN gets report from mother that client reports with the first dose something similar happened that she experienced dizziness after vaccine. Client was kept in observation and symptoms resolved prior to client going home. Clients mother reports no medical history, no medications and no history of allergies. At 1:36PM PHN gets called away for another adverse reaction and PHN stays with client. At 1:39pm client reports dizziness is resolving but still "feels weird", PHN asks client to clarify what weird means and she says "it feels like my heart is slower." At 1:40pm client reports she is feeling sleepy, PHN attempts to call 911 and gets disconnected. At 1:41pm vitals: blood pressure: 130/82 and pulse:134. At 1:42pm PHN calls 911 again to reconnect and observes clients lips look purple, closed eyes but able to answer questions and speak in complete sentences. Ask RN to get AED as instructed by 911 dispatcher. At 1:45pm, client reports having trouble breathing and RN placed zero gravity chair to laying position and assist client with coaching her to take slow deep breaths. Fire department paramedics arrived at 1:47pm and assumed care. Client was wheeled out on a gurney at 1:50pm.

Patient had immunization was given at 3:15pm, about 2 minutes later patient began to loose consciousness. She appeared semi-alert but not fully conscious. After3 minutes, patient was alert enough to speak and drink water. Local EMS was activated and arrived at 3:35pm. EMS did vitals as said the patient had no immediate emergency. The patient's mother refused transport but said she would take her daughter to the local emergency department. The patient left on her own power. The same reaction/situation happened when the patient got her first shot on 5/19-2021.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PT fainted several minutes after vaccination and fell out of the chair. Pt regained conciousness immediatly after fall but suffered minor injuries to the face and knee (rug burn). She felt nauseous, light headed, dizzy and was pale and had cold clammy skin. She regained her complexion after 15 minutes and rested for 45 minutes before leaving.

received the first dose of the Pfizer COVID-19 vaccine and also recently started taking Depo-Provera. After receiving the first dose of the Pfizer COVID-19 vaccine her daughter developed a blood clot; tired and frail; feels lost and light headed; cramping pain; This is a spontaneous report from a contactable consumer (Patient's mother). A 17-year-old female patient received first dose of BNT162B2 (BNT162B2) via an unspecified route of administration, administered in Arm Right on 03May2021 15:00 (Batch/Lot number was not reported) as 1ST DOSE SINGLE for covid-19 immunization and medroxyprogesterone acetate (DEPO-PROVERA), route of administration, start and stop date, batch/lot number and dose were not reported for contraception. The patient's medical history and concomitant medications were not reported. The patient experienced received the first dose of the pfizer covid-19 vaccine and also recently started taking depo-provera. after receiving the first dose of the pfizer covid-19 vaccine her daughter developed a blood clot, tired and frail, feels lost and light headed and had cramping pain all on unspecified dates. It was reported that after receiving the first dose of the Pfizer COVID-19 vaccine her daughter developed a blood clot. Her daughter, who is currently on Depo Provera got her first dose of the Covid 19 vaccine. The daughter has been experiencing blood clotting and would like to further document this experience. Is also seeking medical advice to inform her daughter. Her daughter Has been on Depo Provera for 4 to 5 months. Since she had the Covid vaccine, she has been having bad blood clotting and has been having a continuous period. When she got the shot, she has been getting blood clots straight for three weeks. Patient is Tired and frail: She is a waitress, so all of this has made it hard. It started right when she got the shot and has pretty much stayed the same. She will feel like she is lost when she wakes up and is light headed from the loss of blood. It occurs when she is doing activities, like working. Patient took some Midol one day for cramping pain but it barely did anything. The action taken for medroxyprogesterone acetate was unknown. Outcome of tired and frail was not recovered. Outcome of all the other events was unknown. Information on Lot/Batch number was not available. Additional information has been requested.

Patient had massive acute intracranial hemorrhage. Was found down in bathroom. In ED CT scan showed large intraventricular hemorrhage, EVD placed, patient progressed to massive brain swelling and infarctions, decompressive craniectomy, unable to control intracranial pressure, parents agreed to DNR status and patient is not expected to survive.

Patient has NOT been seen in the office for side effects, but reports nose bleeds starting a few hours after receiving her first dose.

Syncope with possible seizure-like activity immediately following vaccine administration. Patient was observed, and transported to the ED by EMS.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PT fainted and fell out of the chair several minutes after administration of vaccine. Pt regained conciousness immediately after fall. Suffered minor injuries to the face and knee (rug burn) and felt dizzy, lightheaded, and nauseas for at least 15 minutes before regaining complexion. PT discloses after incident that she has issues fainting with blood draw and some injections. PT rested for 45 minutes in the store before leaving. Vitals reviewed are normal before leaving the store

Patient with significant right leg DVT requiring thrombolysis by vascular surgery. She will need to continue on anticoaggulants outpatient.

Within seconds of receiving the 2nd PFizer covid vaccine, the patient slumped over sideways in her chair, losing consciousness. Next, her arms went straight and locked, both her hands locked in a curled position. I looked up at her face and her eyes had rolled back into her head and her body started jerking. Shortly after, she sat upright in chair with her eyes open and didn't realize what had happened. She said a tingling sensation had gone up her arm. She was extremely pale. My tech called 911. I took her blood pressure which was 88/46 with a pulse of 45. As we were waiting for paramedics, she said she was sweaty and started getting abdominal cramps. Paramedics arrived and took over her care.

Patient became dizzy, had heaviness in her limbs, was pale,had blurred vision - none of these symptoms improved, so 911 was called.

PT WAS SITTING IN WAITING AREA, WAITING THE REQUIRED 15 MIN POST-VAX, JUST A FEW MIN AFTER ADMIN, PT STARTED TO FEEL FAINT, LOOSE COLOR IN FACE AND BREAK OUT IN SWEAT. NO S/SX OF ANAPHYLAXIS. LOWERED PT TO THE FLOOR AND ELEVATED FEET. COLOR IMMEDIATELY RETURNED TO FACE AND PT REPORTED FEELING BETTER IMMEDIATELY. PT REMAINED CONSCIOUS THROUGHOUT. CHECKED BP 113/79 PULSE 69. HAD PT WAIT ANOTHER 15 MIN THEN LEFT WITH NO FURTHER COMPLAINTS.

Passing out; Feeling very faint; high fever (103 degrees Fahrenheit); Body aches; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient (not pregnant at the time of vaccination) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 27May2021 16:00 (at the age of 17years) (Batch/Lot number was not reported) as unknown, single for Covid-19 immunization. Medical history included ADHD (attention deficit hyperactivity disorder) and known allergies to Sulfate. Concomitant medication included tilactase (LACTAID) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 28May2021 12:00, the patient experienced very high fever (103 degrees Fahrenheit) for at least more than 2 days, body aches, feeling very faint, passing out whenever she stands up for more than a couple of minutes. There was no treatment received for the adverse event. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. The outcome of events was not recovered. Information on the lot/batch number has been requested.

She has fainted and pass out; She has fainted and pass out; She fell down and hit her head and all of her left eye; She fell down and hit her head and all of her left eye; she was like in pain; she needs help with her balance, walking; This is a spontaneous report from a contactable consumer (patient's grandfather). A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) (at 17 years of age), dose 1 via an unspecified route of administration, administered in arm right on 27May2021 17:15 (Batch/Lot Number: EW0187) as 1ST DOSE, SINGLE for COVID-19 immunisation. Medical history was none. Family history included her grandmother had diabetes. The patient's concomitant medications were not reported. It was unknown if the patient was pregnant. The patient did not have any prior vaccines. It was reported that the patient received Pfizer vaccine. She was under 18, she was 17 and she had a very bad side effect from it. She got her first dose yesterday (27May2021) and she had a bad reaction and was rushed to the emergency room. She fainted and passed out and she was like in pain and she was out like about four minutes. Just all of a sudden and then after she got out of it and then they needed to rush into the emergency room. She fell down and hit her head and all of her left eye. They took her to the emergency room. They did every test, they checked everything, and they said it was a bad side effect from the vaccine. She got her vaccine around, it was like about 5:15 pm in the afternoon and the incident happened like about 7:20, 7:30. She was trying to recover, she needed help with her balance, walking. She was trying to rest. The doctor in emergency room said that she had to rest, if side effects continue or happen again then she had to go back to the emergency room. Not really. They did some lab tests yesterday (27May2021) in the hospital. They don't know what they did. There was complete blood, there was CBC done. They did CT scan of her head, X-rays for her arm. They have here PMP, the reporter was not sure as they have different kind of blood test. They have calcium level 1, glucose level, there are so many different test names such as WBC and RBC. When asked about treatment it was reported that 'No, they did not prescribe her any medicine'. They told her for any pain, from the fall she found hit her head she could take Tylenol regular'. The events occurred on 27May2021. The outcome of 'fainted and pass out' was recovered on 27May2021 (she was out like about four minutes); 'she needs help with her balance, walking' was not recovered; while outcome of other events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Patient had syncopal episode within 4 minutes of vaccination and felt to floor. Hit head. Regained consciousness and was transported to ER by EMS.

Patient received the pfizer vaccine at 03:18 PM and at 03:22 PM as the patient was walking into the waiting room passed out on the floor. The mother of the patient caught the patient before she hit the floor and therefore the patient did not hit her head. Patient lost consciousness for about 30 seconds before regaining consciousness. Upon regaining consciousness the patient proceeded to vomit about 2 ounces of clear to yellowish emesis. Patient was given water and her vitals were taken. Her vitals are as follows: blood pressure 110/80 Heart rate 82 and oxygen level was 96. Patient is currently alert. The patient recovered well and is able to answer questions asked of her. The patient waited in the observation room from 03:22 PM-03:50 PM.

Approximately a minute and a half after the show was administered my daughter passed out and started convulsing for approximately 2 minutes.

About 10 minutes after vaccination, patient felt lightheaded, nausea and appeared to be pale. She was nervous and felt scare at the time of vaccination. We found out patient didn't eat and wasn't hydrated. We provided water, orange juice and father approved for us to call paramedics. Paramedics didn't take her away. We were informed that patient had low blood pressure but did not go to the hospital. I followed up with patient and she said she was okay and she had food to eat. I informed patient to try to reach out to the family physician for follow up and discussion about the vaccine.

Systemic: Tachycardia-Mild, Additional Details: patient reported having rapid heart beat as she was checking out. Had her sit, checked pulse, it was 73 but could feel full pressure of beat. She said she was feeling pouding. Had her sit another 15 min, she was feeling a little 'out of it', rechecked pulse and rhythem felt irregular. NO other symptoms. Mom was going to call PCP right away or go to Urgent Care. Did not want us to call an ambulance

PT with chest pain and SOB since the day of vaccination; this was the 2nd COVID vaccine. First dose 22May2021 with no reactions.

Mother of PT states her daughter experienced as diagnosed a sinus tachycardia, her heart rate elevated at 136bpm, it took awhile to come down at resting rate. Mother of PT experienced nausea, heart palpitations. Her daughter is now taking Metoprolol medication and is also now seeing a cardiologist. Mother of PT states her daughter's appetite is also gone since receiving the Pfizer vaccine.

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

At around 9:25 am on Thursday, June 17th, 2021, seventeen-year-old patient walked into the vaccination site. She was accompanied by two guardians, along with 14 other minors. The minors came in for their 2nd shot of Pfizer Covid-19 vaccines. Patient signed all necessary consent forms and pre-vaccination checklist requirements with guardian and entered the vaccination section at around 9:35 am. The Pfizer vaccine was administered at 9:39 am. Observation nurse reported that around 10:06 am the patient complained about having a severe headache, ?seeing stars?, feeling very dizzy, and not feeling well. Nurse assisted patient to lay down on the mat in case the patient may faint. Charge nurse obtained a pulse oximetry reading of 95% and a pulse of 96. Charge nurse checked if the patient experienced any symptoms of hives/redness, shortness of breath, or any difficulty breathing or swallowing. The patient complained to observation nurse that she was having a hard time breathing, severe headache, and chest pain. Observation nurse instructed patient to be calm and to relax. Charge nurse instructed the patient to take deep slow breaths to help increase O2 levels but the patient complained to the observation nurse that she cannot breathe through her nose. At 10:15 am charge nurse continuously monitored the patient?s B/P, pulse, and O2 level readings. The BP reading was 117/64 with a pulse of 78 and an O2 level of 100%. At approximately 10:16 am, patient started showing signs of change in LOC and lost consciousness for a few seconds. First responder paramedics from the first minor incident were still at the scene waiting for the 2nd ambulance to arrive. The first responder paramedic did a sternum rub using his knuckles with a closed fist to the center of the patient?s chest and immediately after the patient gasped for air and regained consciousness. The patient remained in a sitting position on the floor to be able to breathe easier. At approximately, 10:18 am charge nurse took another BP reading of 121/76, a pulse of 96, and O2 level of 99%. At approximately 10:20 am, patient started exhibiting a change in LOC and was very disoriented again. Observation nurse kept calling the patient?s name but did not get a response. This lasted for around 30 seconds while the patient gasped for air before becoming responsive again. At this time observation nurse observed that patient could not recall her name and did not know how she got there. At approximately 10:22 am, charge nurse took another BP reading of 165/133, a pulse of 122, and an O2 level of 96%. At around 10:24 am, the charge nurse took another BP reading of 112/78 and pulse of 112 with an O2 level of 96%. The second ambulance arrived at approximately 10:26 am and took over. The second ambulance?s first responder paramedics left with patient at approx. 10:29 am and took her to hospital for further observation.

At around 9:25 am on Thursday, June 17th, 2021, a seventeen-year-old Foreign-speaking patient walked into the vaccination site. She was accompanied by two guardians, along with 14 other minors. The minors came in for their 2nd shot of Pfizer Covid-19 vaccines. Patient signed all necessary consent forms and pre-vaccination checklist requirements with guardian and entered the vaccination section at around 9:30 am. The Pfizer vaccine was administered at 9:37 am. Observation nurse reported that around 10:04 am the patient complained about having a severe headache. The observation nurse notified charge nurse that she needs assistance. The charge nurse immediately obtained a pulse oximetry reading of 99% and a pulse of 88. The charge nurse assessed if the patient is experiencing any symptoms of hives or redness, shortness of breath, or any difficulty breathing or swallowing. The patient stated to the observation nurse that she was having difficulty breathing. At 10:06 am the charge nurse called 911. While the charge nurse was standing and speaking with the 911 operator, the patient started to faint and laid her head on charge nurse's stomach while she was sitting. The patient looked like she was sleeping and making some whimpering sounds for about 2 minutes. At the same time, these events were taking place, observation nurse reported that another 17-year-old minor started complaining of a severe headache and ?seeing stars?. First responder paramedics came on the scene at around 10:09 am and took over care of the patient. At that point charge nurse attended to another patient, 17-year-old minor. Patient was also exhibiting a reaction to the Pfizer Covid-19 vaccine. First responder paramedics left with patient at around 10:15 am and she was taken to hospital for further observation.

Within minutes of receiving first dose of Pfizer vaccine, pt had a vasovagal episode and fainted. Vital signs were obtained; pulse was 40. Pt's lower extremities were elevated and pt was given juice and crackers. Within several minutes, pt verbalized feeling good and left facility with her attendant/grandfather.

Patient was given the second dose of Pfizer brand Covid-19 vaccine by our immunizing tech. and said patient was ok until she stood up to leave the immunization room and that is when she immediately fainted and slumped back into the chair. Within a few seconds she regained consciousness. Mom said she had not eaten anything before coming and has fainted before when having blood drawn. (patient does have a fear of needles) We had the patient sit the immunization room for around 20 minutes. We got her some juice and a wet cloth upon moms request as she was sweating and shaky feeling. After sitting for a while she said she was feeling better and mom declined further care and we advised she follow up with her PCP

around 7:00 pm in the evening, she had a syncope episode. Video footage shows she is standing in line with other children, and just faints and falls to the floor. Initially she was not responding much to EMS and to FNP that received her, EKG was completed, and VS were within normal limits. She received lab work, UA, and CT of Head as she appeared to have hurt her head at time of fall. Few hours later, when FNP checked on her again, about 9:50 pm, she was more responsive, answering his questions and doing much better than when she initially arrived to hospital around 8 pm. She was verbal, and VS were within normal limits during my time with her at the hospital

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Tachycardia-Mild, Additional Details: EVENT OCCURED WITHIN 5 MINUTES OF ADMINISTRATION. DURATION OF LOSS OF CONCIOUSNESS LESS THAN 10-15 SECONDS. PULSE PRESENT AT WRIST IMMEDIATELY FOLLOWING REGAIN OF CONCIOUSNESS. PER PATIENT AND CAREGIVER, PATIENT HAS HISTORY OF SYNCOPE WITH IMMUNIZATION/BLOOD DRAWS. PATIENT ABLE TO WALK OUT OF BUILDING FOLLOWING 30 MINUTES OF OBSERVATION INCLUDING ELEVATION OF FEET, EVALUATION OF BP/PULSE (104/60 MMHG/87 BPM), AND INGESTION OF WATER AND CRACKERS.

17 year old female received Pfizer COVID vaccine and was told to sit and wait 15 minutes for monitoring after the shot. Patient attempted to leave before the time elapsed with her father and collapsed in the aisle. She was able to be assisted to a nearby chair and 911 was called. I was told she did not hit her head or any other part of her body when she fell. I attempted to take her blood pressure, but it was too low. Patient appeared very pale and was responsive but stated she was seeing black and couldn't hear properly. She did not eat anything that morning. Patient continued to talk and answer questions updating me on her improvements but still appeared very lethargic and eyes were not focused. EMTs arrived and her BP was 81/46. EMTs, store management and health care ambassador remained with patient. Patient began to feel better and did not go to the hospital. EMTs left and management and associate remained with patient. Once patient felt better, she walked out of the pharmacy/store with her father.

Bilateral knee swelling and pain (severely limiting mobility to the point of being unable to walk due to pain/swelling), rash (c/f erythema nodosum) for 2-3 weeks (presented on 6/18/21). Concerning for flare of JIA vs other autoimmune etiology (infectious studies mostly negative, though some studies pending). Diagnostics ongoing.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient nervous/anxiety about shot, patient received shot. Approximately 5 min after vaccine, during patient's 15 min, patient became lightheaded, then fainted. Patient then became responsive less than a minute after fainting. 911 was called at 6:58pm. EMT arrived, took over and patient/mother declined to hospital transportation. Patient left pharmacy on own.

Immediately after receiving the last vaccine patient had an episode of syncope. She regained consciousness quickly and was moved to our Trendelenburg chair. Vitals were checked within a few minutes (BP 108/62 P 70) and she was given water as well. She was accompanied by her mother and was able to leave after about 15 minutes.

Patient received her first COVID Vaccine on 6/4/2021 and on 6/5/2021, 6/6/2021, 6/7/2021, and 6/8/2021, she experienced chest pain and shortness of breath. She experienced shortness of breath even when ascending the staircase in our home. She felt chest pain and tightness in her chest for 4 days after receiving her vaccine.

Client received the Pfizer COVID vaccine (lot #EW0187 and expiration date 7/15/21) at approximately 3:30pm. Client came in for first dose Covid-19 vaccine and PHN submitted medical consult regarding concerns from mother due to client having a reaction to a vaccine at the age of 7 where she broke out in a rash and then had to go to the hospital. Mother of client reports she has no allergies and they never figured out what caused the reaction. When she was younger she had asthma and used an inhaler. Per Mother client has not needed an inhaler or had any asthma symptoms for a long time. Client reports she is just getting over a mild cold (runny nose) because her sister is a doctor and said it was not COVID and she's on antibiotics. Client states she "feels fine" today. Per Supervisor, client approved to receive first dose with 15 minute observation. Prior to arriving to the observation area client reports feeling a little nervous due to nearby emergency with another client. PHN walked client over to observation area and client reports "feeling fine." At 3:35PM EMT alerts PHN and PHN client is having reaction. PHN and PHN arrive at 3:38pm. Client reports headache 7/10, nausea and chest pressure. Client denies feeling throat closing, chest pain or shortness of breath. At 3:38 pm, pulse 75 and oxygen sat 95%. PHN calls 911 at 3:38pm. Current medications: ampicilina 500mg, guaifenesina clorfenamina metamizol 250mg. Vitals by EMT at 3:41pm: blood pressure 160/82, pulse 66, oxygen sat 98%. At 3:42pm client reports headache on temples. At 3:44 client reports headache radiating from temples to occipital area and pain level 7/10. Vitals at 3:45pm: blood pressure 140/70, pulse 66, oxygen sat: 98%. Client reports feeling a "pinching feeling in throat". PHN clarified with client if she felt swelling, closing of throat, itchiness or shortness of breath. Client denied all, stated just "pinching feeling". During assessment, mother of client reports client is allergic to nuts. At 3:47pm Fire department arrived and assumed care. Blood pressure done by paramedics at 3:50pm 165/108. Client transported to hospital via ambulance. Client left facility with paramedics at 4:01PM.

About 5 minutes after shot, pt felt extremely unwell, really hot, pale, blurry vision, confusion, and feeling of fainting. After an ice pack , and Gatorade pt felt well enough to go home approx. 30 minutes after shot

Developed pin dot rash on arms that was noticeable on 06/06/2021. Sought medical treatment with doctor on 06/10/2021. Labs drawn and rash identified as Petechiae. Labs showed very low platelets and WBC. Spent day in ED on 06/11/2021 based on lab results. Labs were redrawn evening of 06/10/2021 to confirm initial lab results. Labs repeated on 06/11/2021 in ED. Another set of labs drawn on 06/14/2021. Appt with Outpatient Hematology on 06/16/2021 and more labs drawn. This is an ongoing issue and I am not sure if related to vaccine, but timing seems concerning. New labs drawn today and awaiting those results. She is still under medical care.

Patient developed syncope about 10 minutes after receiving the Pfizer vaccine. She had normal breathing and mild sweating and lost consciousness for a brief moment. Patient was evaluated by EMT.

About 5 minutes after receiving the Covid vaccine patient fainted, she was pale and reported feeling very tired and had tingling in her hands. After drinking water. Patient was feeling better but still felt tired. After 10 minutes paramedics arrived and took her vitals. Her blood pressure and pulse were normal.

Within 13 hours of the second dose of the covid 19 vaccine, patient started to have tachycardia. She got a notification from her watch that her heart rate was elevated for an extended period of time. Patient states it has gotten over 200 at times. Heart rate can increase with walking or going up stairs. Patient unable to do normal activities due to this. This does seem to be improving, but still present four weeks after the second vaccine.

Patient's maternal aunt reports that about 2 weeks after her second covid vaccine she began having shortness of breath and chest pain. Patient went to local ED and was seen to have a left sided pleural effusion (same side she has a ventriculoplueral shunt). Patient continues to struggle with shortness of breath and chest pain and left sided pleural effusion since and has visited multiple emergency rooms. Most recently patient was admitted to hospital on 6/23 and was seen to have a worsened pleural effusion and lab work that were positive for Lupus.

Upon walking to recovery area patient went pale and fainted. Witnessed fall, fell and hit head on the floor. Vital signs taken: BP:110/60 HR:70 SpO2: 98% in RA. Pt initially did not recall receiving vaccine but when asked orientation questions, she answered all appropriately (A&Ox4). Within five minutes EMS on scene to assess pt. Pt could not recall last meal, BG checked and was 91. Upon sitting up pt was nauseated and dizzy. Pt transferred to ED for follow up care.