Pfizer

Pt states got Covid vaccine today ay 730am, shortly after started feeling dizzy and scratchy throat. She was sent to the ED. ED treated as follows: Solu-Medrol, Benadryl and Pepcid given intravenously. Patient was monitored in the emergency department for improvement of symptoms. Her throat fullness and pruritus resolved. She feels well and wishes to be discharged home. Pepcid, Benadryl and prednisone prescribed for treatment of any recurrence of allergic reaction symptoms that might occur when she is discharged. She will return to the hospital should symptoms worsen. She returned to the ED the next day and these are notes from that visit: 26-year-old female, past medical history significant for asthma and irritable bowel syndrome presents to the emergency department with complaint of allergic reaction. Patient states she took the Covid vaccine yesterday and with 8 minutes developed tightening in her throat and rash. She presented to the emergency department yesterday and was treated with Solumedrol, Pepcid and Benadryl which relieved her symptoms. She was discharged home with Pepcid Benadryl and prednisone however she has not taken the prednisone because she does not like how it makes her feel. She states this morning she developed tightness in her throat, nausea and felt as if she were going to pass out. She states when her symptoms began she took Pepcid and Benadryl but did not take any prednisone. Upon arrival she is very anxious, talking in complete sentences, no drooling noted 1241: EKG sinus tachycardia rate 111, PR 0.14, QRS 0.08, QT 0.30, no acute changes. Initial read by Dr. at 1243   1 L normal saline IV, Solu-Medrol 125 mg IV, Benadryl 25 mg IV and Ativan 1 mg IV for relief of symptoms. Patient verbalized that she felt her symptoms were combination of allergies uric reaction and anxiety. I have encouraged her to take the prescriptions as directed at her ER visit yesterday. Procedures   MDM   Return the emergency department new symptoms or concerns worsening of current condition.1241: EKG sinus tachycardia rate 111, PR 0.14, QRS 0.08, QT 0.30, no acute changes. Initial read by Dr. at 1243   1 L normal saline IV, Solu-Medrol 125 mg IV, Benadryl 25 mg IV and Ativan 1 mg IV for relief of symptoms. Patient verbalized that she felt her symptoms were combination of allergies uric reaction and anxiety. I have encouraged her to take the prescriptions as directed at her ER visit yesterday.  

Pale and light headed. Given water, ice pack for neck. Rested and monitored for 30 minutes and left walking and without symptoms.

At 2:56pm, associate complained of nausea, lightheadness. Blood pressure was elevated; 165/102; heart rate 98bpm; SPO2 99% on room air; Placed in supine position in observation area. Administered Benedryl 50mg oral at 3:25pm; Blood pressure was rechecked at 3:40pm; 141/91; heart rate 88; associated states she felt improved of all symptoms; associate has been cleared to return home; husband will transport

increased (rapid) heartrate at rest, an hour following administration of vaccine. Symptom persisted for half an hour, followed by flushing of the face and slight nausea.

On 12/24 at around 10 PM, circulation to my 4th left digit significantly decreased after being outside of my car for around 15 minutes during a temperature of about 50 degrees. I realized when sharp pain was felt at the digit. After about 5 minutes the digit felt numb. I got in my car, turned on the heater, and massaged my finger. Sharp pain was felt again as circulation returned to the digit. The event last approximately 10 minutes from the moment I realized the finger was pale until color returned. This occurred again on 12/27 at around 2 PM as I walked from my car into a store at a temperature of about 40 degrees. This time, discoloration occurred bilaterally on my left 3rd, 4th, and 5th digits and my right 2nd, 3rd, 4th, and 5th digits. The event lasted more than 15 minutes with constant massaging. This has occurred two more times since then, both times occurring bilaterally with minimal exposure to cold.

Severe headache, fever, and blood pressure drop leading to fainting starting the day after receiving the Pfizer-BioNTech COVID-19 Vaccine EUA.

Patient began having flushing and hives, chest tightness, shortness of breath, voice changes - began ~20 minutes after occurrence. Given IV benadryl 50 mg immediately - noted some improvement of symptoms. Symptoms persisted, arrived in ER, given IM epi 0.3 mg, PO prednisone 50 mg, and PO pepcid 20 mg approximately 1 hour after administration

Shortness of breath; chest pain; body aches; joint pain; headache; nausea; congestion; This is a spontaneous report received from a non-contactable nurse (who is also the patient). A 26-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: El0140), intramuscular in right arm, on 29Dec2020 17:30, at single dose, for COVID-19 immunization. Medical history included spontaneous pneumothorax x2 on the right with VATS surgery on an unspecified date and multiple food allergies. The patient is not pregnant. Concomitant medication included montelukast sodium (SINGULAIR) and loratadine (CLARITIN). The patient experienced shortness of breath, chest pain, body aches, joint pain, headache, nausea and congestion, all on 30Dec2020 at 05:00. The patient did not receive treatment for the events. The patent did not receive any other vaccines within 4 weeks prior to BNT162B2. Prior to vaccination, it was unknown if the patient was diagnosed with COVID-19. Since vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovering. The reporter assessed the case as non-serious. No follow-up attempts are possible. No further information is expected.

Pt states feeling flushed, lightheaded, tingling in hands, chest and feet, and heart racing/palpitations.

Pt experienced a pre-syncopal/vasovagal episode. She was laid supine and observed for 25-30 minutes. She began to feel better and was able to sit and then stand with no symptoms. She felt able to leave the clinic on her own and was advised to seek medical attention should symptoms return or worsen.

Initial reaction (within 5 min) was minor chest tightening and at the 15 min mark I started to get hives, I let the nurses know of my reaction and they provided me with Benadryl, I then stayed for about an hour after. It has now been about a week, hives still present and starting to present as a rash.

Headache Body ache Fatigue Painful soreness at the injection site Swollen lymph nodes on arm of injection site - painful sore ness Chest pain

drop in blood pressure resulting in fainting; drop in blood pressure resulting in fainting; Severe headache; fever; This is a spontaneous report from a contactable other healthcare professional (patient). A 26-year-old female patient (non-pregnant) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EK9231), via an unspecified route of administration on 03Jan2021 at single dose at left arm for immunization. Medical history included allergies to Penicillins. The patient's concomitant medications within 2 weeks of vaccination included birth control pill, prenatal vitamin. Patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. The patient experienced severe headache, fever, and drop in blood pressure resulting in fainting the morning following receiving the vaccine on 04Jan2021 with outcome of recovering. Patient didn't receive treatment for events. Adverse events resulted in doctor or other healthcare professional office/clinic visit. This report is considered non-serious. No follow-up attempts are possible. Information about Batch number cannot be obtained. No further information is expected.; Sender's Comments: Based on the close temporal relationship, the association between the event fainting with BNT162b2 can not be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Allergic reaction to covid shot on 11/8 Around 11:20am I got the shot by 11:25am i was dizzy my throat started to hurt, and my chest started to hurt. I was a shot of EpiPen and benadryl before I was wheeled down to the ED and was given dexAMETHasone at 1:02pm and ibuprofen at 2:36pm cause my head started to hurt more . Arm is till hurting at the injection site

Patient received vaccine at 7:31 am. At 7:37 am patient reported burning at injection site/right arm. Minutes later started complaining of burning in her throat. Bloor pressure 138/80 Pulse 142 Oxygen 100 Temperature 98.2. Lungs sounded clear. No wheezes. At 7:47, patient reports tightness in throat has subsided but feels swollen, tightness in chest. Is still able to drink water. Blood pressure 140/90 HR 120 Oxygen 100. Called 911. Patient had many questions about receiving Epi Pen. Denies heart conditions, reports has a history increased heart rate. At 7:49 am Epi pen given left lateral thigh. BP 142/78.100% Oxygen, Pulse 129. EMS arrived few minutes after. Blood noted on left lateral thigh at Epi injection site. 2x2 applied with pressure. Report off to EMS.

States she became tachycardic on 1/5/2021 while at work. State HR 105-153 x 1 hour while at work. State she was at rest when this happened. She also had CP and SOB. Later on same day, employee had fever T100 F and body aches.

About 30 minutes after vaccination, patient notiched itchiness which progressed to hives on her bilateral arms and face. Around two hours after the vaccination while on the phone with our covid vaccine team, she developed tachycardia and shortness of breath. She called EMS and was evaluated at home at which time her symptoms were improving. They advised that she was not having anaphylaxis and could stay at home. She went to urgent care and received PO Benadryl.

Within seconds increased heart rate shortness of breath light headedness and dizziness but thought it could have been anxiety. Did not say anything and sat there for the 15 minutes with continued shortness of breath and high rate think it was anxiety. When the time was up I continued to stay at the hospital for an hour due to fear of bad reaction. Started to become extremely nauseous within 30 minutes and loss of appetite. Went to bed and woke up with a terrible headache, body aches, extreme fatigue and a 100.3 degree fever. Slept for 8 hours during the day waking up due to the pain in my body and chills but the symptoms went away by 5 pm the following day of the shot.

Approximately 15 min after vaccination began to experience tingling sensation under tongue. It was not bothersome so I proceeded to go home. At 2:04 pm, approximately 40 minutes after vaccination was driving home and began to experience an elevated HR, shortness of breath/difficulty breathing and throat tightness. Proceeded to pull over to a gas station and felt extremely weak when trying to walk and a tingling sensation all over. Took 25 mg of Benadryl tablets and symptoms began to subside within about 10 minutes or so. Proceeded to continue driving home and had another episode at 2:49 pm, experienced significant shortness of breath and tingling sensation in mouth spread to back of tongue and it felt swollen. I bought liquid Benadryl instead and took ~20 mL. This episode resolved within 10-20 minutes as well and was okay for the rest of the evening.

Tachycardia- occurred about 14 hours after the vaccine, and lasted for about 12 hours. Resting heart rate is usually 70 and was 100. Any activity it would climb to the 120-130s.

Patient presented to clinic RN in observation room 5 minutes post COVID-19 vaccination. Patient visibly diaphoretic while sitting in chair and reporting dizziness/feeling like she "is going to faint." Patient walked with 2 RNs to stretcher. Patient was alert, then laid down on stretcher and given water. Emergency response team called and team arrived on unit within 10 minutes. Vitals taken and follow: BP: 94/50 HR: 49, spO2: 100%. Patientt reports low BP and HR at baseline. Vitals recheck: BP: 100/59, HR: 67, spO2: 100%. Patient reporting feeling "back to normal" after a total time of 25 minutes. Denies pain, itching, SOB, difficulty breathing, or dizziness. BG: 109. Emergency rsponse physician cleared patient. Patient walked around clinic with RN prior to exiting. Denied any distress. Independently exited clinic.

Vaccine Dose 1 12/17/2020: I received the vaccine and within 5 minutes I experienced dizziness, sweating and was flushed. After 15 minutes the dizziness did not go away and my vitals were checked. My BP was elevated 136/106 and HR 105, I was taken to the ED after repeated BP readings continued to show increased diastolic pressure. I was observed in ED for a period of almost 6 hours. Within an 1.5 hours after receiving vaccine, I had right neck stiffness, headache, and some weakness to the right side as well along with the dizziness and high BP. I received a 1L bolus of NS, 2 doses of antivert, Toradol, Zofran and Lidocaine patches. 24 hours after receiving vaccines, I was having pain at the insertion site, headache, neck stiffness and occasional dizziness. After 36 hours my symptoms subsided and I felt back to baseline. Vaccine Dose 2 01/07/2020: I received my second dose of the COVID vaccine and within the first 15 minutes I experienced dizziness, nausea, flashing spots in vision, right sided weakness, increased BP & HR, redness and sweating. After 30 minutes the symptoms did not subsided and I was taken to the ED. An hour after receiving the vaccine, I had right sided weakness to arm and legs with no numbness, dizziness, R. sided neck stiffness, right sided headache, nausea and flashing spots. I received Ativan, Reglan, Tylenol, Toradol and Benadryl in the ED. I was in ED for 3.5 hours after vaccines was administered and was able to ambulate to the car independently. 16 hours after receiving vaccine, I had muscle weakness to bilateral lower extremities and was unable to ambulate independently along with dizziness, headache, arm soreness, cough, congestion, neck stiffness and fatigue. 36 hours after vaccine I regained movement to bilateral lower extremities however still was experiencing fatigue, occasional dizziness, intermittent neck stiffness and headache, body aches and some shakiness to lower extremities. 55 hours after receiving vaccine I was still fatigued and experiencing intermittent headache and neck stiffness. 72 hours after vaccine I was still fatigued and having occasional headaches but feeling much much better from initial reaction. 96 hours after receiving vaccine I experienced occasional headache, woke up with neck stiffness and was finally able to drive a car without any dizziness or nausea. 144 hours after vaccine I am not completely back to baseline still fatigued with occasional neck stiffness and headache but able to go back to work.

Low grade temperature; myalgias; fatigue; neck pain; injection site tenderness; This is a spontaneous report from a contactable physician (patient herself). A 26-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date were unknown) intramuscular (right arm), on 05Jan2021 at 16:00, at a single dose, for COVID-19 immunization. The patient has no relevant medical history and has no known allergies. Concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscular (left arm), on 17Dec2020, for COVID-19 immunization. The patient is not pregnant at the time of vaccination. The patient was not diagnosed with COVID prior vaccination. The patient did not receive other vaccines within four weeks prior to COVID vaccination. The vaccine was administered in the hospital. On 05Jan2021 at 21:00, the patient experienced low-grade temperature, myalgias, fatigue, neck pain, and injection site tenderness. The patient did not receive treatment for the events. Outcome of the events was not recovered. Information on the lot/batch number has been requested.

Within fifteen minutes of the vaccine became itchy all over and pharmacy administered Benadryl. This morning she developed a temp of 99.4, shaking all over, chest hurts, cough and aching

Became Faint, hypotensive and Diaphoretic. Right arm injection site clear. no redness or swelling. Initial BP 82/53 Pulse rate 147. Ate a granola bar and water. BP take again 124/80 Pulse rate 120. Patient became fatigued. Mom or dad picking up

Patient presented to clinic RN in observation room 5 minutes post COVID-19 vaccination. Was visibly diaphoretic while sitting in chair and reporting dizziness/feeling like she "is going to faint." Patient walked with 2 RNs to stretcher. Patient was alert, then laid down on stretcher and given water. Emergency response team was called and team arrived on unit within 10 minutes. Vitals on arrival include BP: 94/50 HR: 49, spO2: 100%. Patient reports low BP and HR at baseline. Vitals recheck: BP: 100/59, HR: 67, spO2: 100%. Patient reporting feeling "back to normal" after total time of 25 minutes. Denies pain, itching, SOB, difficulty breathing, or dizziness. BG: 109. Emergency response physician cleared patient. Patient walked with around with clinic RN prior to leaving. Denies any distress. Independently exited clinic.

Onset of tachycardia was 8:30pm on 1/12/21 with a noted HR of 164 and SR. Went to ER and had HR of 171 upon arriving to triage window. EKG said Sinus Tachycardia. Admitted to observation station with telemetry to monitor HR. HR normalized around 100 when up and walking at 10:45am on 1/13/21.

Per pt, sx onset began at 1520 with pruritus/hives of the scalp. She was in the post vaccine observation area at this time. At 1530, EE returned to vaccination room to alert staff of her reaction. Upon hearing her new onset cough, an assessment was performed immediately. Reported tingling and swelling of her lips, cough, minor difficulty breathing with mask on, facial flushing and feeling hot, and severe pruritus, especially on the scalp. 50 mg IM Benadryl administered and was taken to ED via wheelchair which is 7 minutes away. Epi Pen administered in ED and admitted overnight for observation d/t irregular HR and ST depression on monitor.

Patient reported feeling like her heart was racing approximately 5 minutes after receiving the injection and feeling dizzy as well. Heart rate and blood pressure were elevated with normal pulse ox. After approximately an hour pulse ox remained normal, but heart rate and blood pressure remained elevated. Patient was referred to emergency department for further evaluation.

About 16 hours after second dose of the Pfizer COVID-19 vaccination: - Fever of 101-102F - Chills - Body aches - Joint aches - Headache About 40 hours after time of vaccine: - Fainting spells x2 (shakiness, blurry vision, ringing in ears, loss of balance)

I got my vaccine at 5:15pm on 1/14/2021. At 5:20pm on 1/14/2021 my heart started racing. My heart rate went up to 124 beats per minute. I was having flushing, tingling through my whole body. My blood pressure went up to 139/96. I was having itching and blotchiness on my chest, neck, left arm and thighs.This lasted for 3 hours with my heart rate going up and down. I was sent to the ER by the nurses who gave my vaccine. There they gave me Benadryl. 2 tablets of 25mg each. This helped and I was sent home.

Symptoms starts 9am with headache. For 3 times panadol q 4 hours 500mg. At 8pm start fever (40.2 C), nauseas, dizzines, shaking chills and lost smell. Vomiting starts at 9:25 pm end 2:00 am. 01/08/2021 at 2:26 am visit Emergency Room, in clinic fainted and present high blood pressure 155/99. In hospital medication administred: Zofran, pepcid, .45 NSS and Phenergan IM at 01-08-2021.

11:01 blotchy rash on L neck w/ pulsing sensation L neck. Anxiety, sense of impending doom. BP 167/98. Cap refill slow (recorded at 45 seconds). 11:05 25mg benadryl PO 11:09 mild chest pressure without SOB, no throat tightening or difficulty swallowing. 11:25 new R neck itching/rash and chest rash 11:30 another 25mg benadryl PO 12:00 increased rash across torso and back, BP 173/80 Presented to urgent care by 1:00PM, BP 157/96, increasing chest pressure, rash improving. EKG 12-lead completed (NSR w/ sinus arrhythmia). Instructed to take PO Benadryl 50mg every 4hrs.

Received second dose of vaccination at approximately 4:50 PM. Awoke at 2:30 AM with mild fever, body aches, chills, and nausea. Got out of bed for to drink fluids; after walking around for approximately 10 to 15 minutes I experienced a blood pressure drop resulting in me passing out on my bathroom floor. Prior to passing out attempts to regulate breathing and placing head between my legs failed to keep me conscious. Unknown duration of time spent passed out on floor; eventually was able to walk back to bed upon waking and lying on floor for additional 5 minutes (conscious). Awoke again at 8 AM with mild fever, chills, and body aches, while experiencing mild drops in blood pressure (no nausea). Symptoms ceased the following day of 1/16/2020.

6 minutes after receiving vaccination, patient felt dizzy/lightheaded and had heart palpitations. Clinic facility monitored patient for over an hour following vaccine. Dizziness lasted an hour, then subsided. However, dizziness returned later in the afternoon of the day of vaccination (around 6 hours after) and lasted a few hours,

Tachycardia up to 150 resting; Nausea; Vomiting; Diarrhea; Headache; Migraine; Body aches; Chills; Fever up to 102; This is a spontaneous report from a contactable nurse (patient). This 26-year-old female patient (pregnant: no) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL3248), intramuscular on 08Jan2021 at 07:45 AM at single dose on right arm for COVID-19 immunisation. Medical history included anxiety and depression. No known allergies. Concomitant medication included fluoxetine hydrochloride (PROZAC), bupropion hydrochloride (WELLBUTRIN), diphenhydramine hydrochloride (ZZZQUIL). No other-vaccine-in-four weeks. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EK5730), intramuscular on 22Dec2020 at 08:00 PM on right arm for COVID-19 immunisation. The patient experienced tachycardia up to 150 resting, nausea, vomiting, diarrhea, headache, migraine, body aches, chills and fever up to 102. Symptom onset around 7PM on 08Jan2021 and stopped around 12PM 09Jan2021 except for headache which was still persisting as of 9PM 09Jan2021. No treatment was received for the events. The outcome of headache was not recovered. The outcome of other events was recovered on 09Jan2021 at 12PM. The patient did not have COVID-prior-vaccination. The patient did not have COVID tested post vaccination.; Sender's Comments: The reported tachycardia was probably related to the use of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) due to temporal relationship. 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.

I experienced chest pain or discomfort intermittently mid-day and afternoon. It subsided after this point. The night of 1/13/21, I fell asleep but awoke multiple times cold. I experienced the chills through about midnight. The next morning, 1/14/21, I woke up with a headache at about 5:30am. I took a dose of Aleve and the symptoms had subsided by about 6:30am

At 1 AM on 1/19/21, I awoke with chills, a fever of 101, neck pain, muscle pain, joint pain, and a severe headache. This persisted throughout the night and I did not sleep. Took 1000 mg of Acetaminophen at 5:30 and slept until 7 AM. By 8 AM, my temperature was back down to 98 F. Took 500 mg of Acetaminophen at 10 AM with food. Headache, muscle pain, and joint pain persisted. Moderate to severe chest pain began 15 mins after eating at 4 PM. Waited 30 mins to see if it resolved; it did not. Went to the urgent care. Chest x-ray and EKG was performed, no issues found. Was diagnosed with costochondritis and was given a steroid shot and ibuprofen, which reduced the pain significantly within 30 mins later.

Pt received the vaccine dose 2 and was sitting in the observation area when she stated that she was feeling lightheaded and felt like she was going to pass out. This reaction occurred within 15 minutes of receiving the vaccine. Pt was pale, sweaty, diaphoretic, hypotensive and had bradycardia. Pt's systolic BP was in the 60s and her diastolic was in the 30s. Pt was offered food but refused. Pt was immediately brought to the ER where her care was transferred to an ER nurse.

Started with nausea, racing heart, and dizziness. Within a few minutes scratchy throat and Epi was administered along with O2 at that time. Sent to ER.

First vaccine increased asthma symptoms saw PCP. Second vaccine, chest tightness, productive cough, chills, fatigue, congestion

Pfizer COVID Vaccine; ADR developed after 5 min. Patient became lightheaded and developed tunnel vision. Had a witnessed syncopal event in her car. Unconcious x1 min, had urinary incontinence, and vomited; Not postictal; developed episode of tunnel vision few hours after 1st dose as well

Pfizer-BioNTech COVID-19 Vaccine EUA: One day after vaccination, patient presented to the emergency department with substernal chest pain and shortness of breath. History significant for COVID-19 "a few months ago". Initialy patient felt fatigued with muscle aches and fevers that were "worse than COVID itself". No cough, nausea, vomiting, abdominal pain, or rash reported. Initial vital signs: pulse 81 beats per minute, blood pressure 117/82 mmHg, temperature 36.7 degrees celsius, respiratory rate 18 breaths per minute, and oxygen saturation 97%. Patient observed, administered potassium and ketorolac, and symptoms resolved. Vitals remained within normal ranges and patient discharged home ambulatory and stable.

3 hours following vaccine: nausea, dizziness, and irritability 6 hours following vaccine: previous symptoms + headache (5 out of 10) and cold sweats 8 hours following vaccine: previous symptoms + widespread body aches (6 out of 10) Restless sleep punctuated by waking up with cold sweats or overheating. 24 hours following vaccine: previous symptoms persist. Headache and body aches have worsened in severity. Unable to work for the morning but was able to go in the afternoon for a short time period. Lower body aches are particularly severe. Fatigue is noticeable. Mental health conditions have worsened but that may be due to lack of sleep. 30 hours following the vaccine: chills, nausea, and dizziness have dissipated completely. They were slowly improving throughout the day. Body aches and headache still severe but lessened with marijuana use. 48 hours following the vaccine: all symptom seemed to have subsided during the night. Sleep was much better quality. Only remaining symptom is an ache on the right side of my chest towards my ribs.

Within five minutes I felt very faint and dizzy along with nausea. Then came the shortness of breath and the feeling of pins and needles which also brought itching and some minor hives with it. The dizziness, nausea, and feeling of fainting went away after about 10 minutes and I had to go to the Emergency Department to take care of the shortness of breath and hive like reaction. I was given some medications and they diagnosed it as a moderate allergic reaction to the vaccine. I was completely fine with the first one.

Within minutes of injection dizziness, increased heartrate, increased blood pressure, flushed color, feeling of weakness in limbs, and shakey hands and feet. This was treated by reclining with feet up, sitting in a dark room, and drinking cold water while monitoring symptoms. Symptoms resolved within minutes. About an hour after injection lethargy, feeling chilled, in particular hands were very cold, mental fog, and slurred speech. This resolved without intervention within a couple of hours.

Dose Number:1/ Date of start of drug:22Dec2020 / Dose Number:2/ Date of start of drug: 08Jan2021; Serious chills to the point of physical shaking; serious chills to the point of physical shaking; Nausea; Vomiting; Dry heaving; Significant body aches, especially pronounced in lower back region occurred; Significant body aches, especially pronounced in lower back region occurred; Headache; Having sweats; Possible fever (didn't have thermometer to accurately verify this though); My average HR is usually 70's. For about 36 hours, it ran 100-130's; Dehydration; Feeling fatigued/Excessive fatigue; Had some general arm soreness; This is a spontaneous report from a contactable nurse (patient). A 26-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number: EJ 1686, unknown expiration), intramuscular in right arm on 08Jan2021 at 13:30 at a single dose for COVID-19 immunization in a hospital. The patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EJ 1685, unknown expiration) via intramuscular in right arm on 22Dec2020 at 12:30 PM for COVID-19 immunization in a hospital. Concomitant medications included ibuprofen (MOTRIN) as needed and unspecified birth control. The patient has no known allergies. The patient started feeling fatigued about 1900 hours (07:00 PM) on 08Jan2021 and only had some general arm soreness. She woke up on 09Jan2021, with serious chills to the point of physical shaking; nausea started soon after and around 0300, began vomiting and dry heaving. The patient also experienced significant body aches, especially pronounced in lower back region occurred. Headache also present at this time (09Jan2021). She began having sweats and possible fever (didn't have thermometer to accurately verify this though). The patient's average HR is usually 70s. For about 36 hours (09Jan2021), it ran 100-130s. Vomiting episodes continued and for all of 09Jan2021, the patient did absolutely nothing. The patient described her body ached like it had been beaten by a baseball bat. On 10Jan2021, her HR at rest back in 70s, but with minimal exertion, will go to 110-120s. She had to call out of work from 11Jan2021 and 12Jan2021 due to continued nausea, dehydration and excessive fatigue. The patient did not receive other vaccine in four weeks. The patient did not have COVID prior to vaccination and was not tested for COVID post vaccination. The patient's symptoms still persisting at the time she is reporting this event. The patient did not receive treatment for the events. The outcome of the event "having sweats" was unknown, while the patient is recovering for the remaining events.; Sender's Comments: The reported serious chill was likely related to the BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) due to plausible temporal relationship and known safety profile of this product.

Fatigue/severe body aches Fever of 100-101 degrees Chills/sweating Headaches Intermittent sore throat Intermittent nausea Elevated HR Has lasted two days after vaccination and caused me to miss work

After receiving the second dose of the covid 19 vaccine, as I was walking to the elevator, my vision started to become blurred and I began to see stars. I walked over to a nearby chair and as I sat down it felt as if my throat was closing. I began sweating profusely and my whole body was flushed. My heart rate was tachycardic and my blood pressure was hypertensive when checked in the ED. When I got to the ED, my vitals were obtained like I described but my heart rate had slowed down by time I got there. A nurse passing by explained that my heart was tachycardia when he assessed me in the chair. The ED did an EKG of my heart that determined my heart rate was normal sinus rhythm in the 70s. They observed me for roughly an hour and let me go home. My discharge papers explain I had a vagal response.

syncope; Fever; Joint pain; Weakness; Dizziness; Tachycardia; Fatigue; This is a spontaneous report from a contactable nurse (patient). A 26-year-old female patient (not pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number EL3302 via an unspecified route of administration in left arm, on 12Jan2021 17:00 at single dose for covid-19 immunisation. Previously the patient received the first dose of BNT162B2 on 22Dec2020 at 17:00, lot number EJ1685, in left arm, for covid-19 immunisation. The vaccine was administered at Hospital Facility. No other vaccine was administered in four weeks. No COVID prior vaccination. COVID was not tested post vaccination. No known allergies. Medical history included asthma and postural orthostatic tachycardia syndrome, from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On 12Jan2021 the patient experienced syncope, fever, joint pain, weakness, dizziness, tachycardia, fatigue. The events required Physician Office visit. The patient was not treated for the events. The outcome of the events was resolving.; Sender's Comments: A possible contributory effect of suspect BNT162B2 on reported syncope cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Pfizer-BioNTech COVID-19 Vaccine 17 hours post-vaccine: a brief moment of dizziness before waking and weakness upon waking but subsiding immediately. Upon waking: left sided neck pain, and left sided chest pain aggravated only by extending left arm forward. 24 hours post-vaccine: fatigue and brain foggyness 30 hours post-vaccine: aforementioned joint pain relieves 48 hours post-vaccine: relief of most symptoms

lip swelling/tingling/numbness, tongue numbness, tightness in throat, tightness in chest Symptoms started around 5-10 mins after the injection in the initial 15 min observation. Was observed for additional 15-20 mins, on-site nurse took vitals. Blood pressure was a little high, heart rate a little escalated, but oxygen saturation 99%. After the total 45-60 mins, symptoms did not lessen, but did not get much worse. Opted to take Benadryl tablet over epinephrine. Patient found some relief of symptoms from the Benadryl.

Immediately after vaccine administration, Patient reported feeling warm and requested for a chair to elevate her legs. Patient was provided with a chair and elevated her legs with assistance. While elevating legs, patient began leaning to the side and sliding down in the chair. RN held patient to prevent a fall and called for help. We tried communicating with patient but she only produced humming sounds. Approximately 10 seconds later patient verbalized her name upon questioning. Patient reported later that she "blacked out" while her eyes were open. Patient verbalized that she has a history of sweating and vaso-vagal response to blood draws and vaccine administrations.

Had a cold sweat; Rapid heartrate; Went to ER on Jan 2 - decreased magnesium; IV therapy - magnesium infusion (January 2st) - ER - Put me on a magnesium supplement; the symptoms resolved a few days later; Saw Dr on January 5th After 2nd dose of - had rapid heartrate for second dose but it was only periodically for two days and I didn't seek medical care

Patient received 2nd dose of COVID vaccine (Pfizer) 24 hours before adverse reaction began. Patient was originally having fever, muscle aches, and fatigue. Patient began having sharp, non radiating pain to substernal area and began feeling short of breath which brought her to the hospital.

Pfizer COVID-19 Vaccine EUA Student here for first dose of Pfizer Covid vaccine. Lot EL3249. States she waited in waiting area for 30 minutes post vaccine and that 15 minutes into the wait her throat started feeling scratch. She decided to leave without informing anyone of her symptoms and began walking home. On the walk home her throat began to get sore and she found it hard to swallow. She reported back to clinic with her s/s at ~1350. She was given Benadryl 25 mg, Pepcid 20 mg and Zyrtec po at 1400. BP-162/77, P-96, 98%. At 1420, BP-143/87, P75, 100%. Patient was instructed to consulted with an allergist before booster dose of Covid vaccine. At 1435 she reported her throat felt normal again.

Arm pain, left leg pain, back pain, neck pain, shooting pain on side, chest pain when breathing, fever, headache

Following 1st COVID-19 vaccination she began having generalized fever, body aches, fatigue, and near syncope prompting her to go to the ED, 2 days after the vaccine. She also began having diffuse swelling of the LUE and L chest wall. Swelling down to elbow prior with erythema and mild rash, which I visualized in a photo. Unsure if blanched. Resolved over several days and was without symptoms when I saw her. Had IV in AC area for IVFs on impacted side but denied symptoms of infiltration.

Blisters around hips, thighs, and elbows.; Intermittent chest pain and tightness; Intermittent chest pain and tightness; shortness of breath; Swollen lymph nodes under bilateral arms that have not decreased; Chills; sweating; Headache; This is a spontaneous report from a contactable nurse (patient). A 26-year-old female patient (not pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number= ELO140), via an unspecified route of administration at left arm on 14Jan2021 12:00 at single dose for covid-19 immunization. Medical history included known allergies: cephalosporins, coconut. Other medical history was none. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 15Jan2021 at time of 05:00 AM, the patient experienced blisters around hips, thighs, and elbows; Intermittent chest pain and tightness with shortness of breath beginning one day after vaccine and continuing into day 4 DOST vaccine, swollen lymph nodes under bilateral arms that had not decreased, chills and sweating, headache. No treatment received for the events. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient underwent lab tests and procedures post vaccination which included COVID nasal swab test and COVID PCR test, both were negative on 14Jan2021. The outcome of events was not recovered.; Sender's Comments: The reported blisters around hips, thighs, and elbows; Intermittent chest pain and tightness with shortness of breath beginning one day after vaccine was probably related to the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) due to temporal relationship. 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.

I am a pharmacist for pharmacy and received my first dose of Pfizer Covid-19 vaccine while at work by another pharmacist. Vaccine given around 2:15 PM on 2/2/21 Less than 5 minutes after vaccine - arm tingling at site of injection, arm tingling spread from injection site to fingers, tingling and pins/needles traveled through underarm area and moved across left side of chest, slight chest pain on left side, whole body started tingling, dizziness, racing heart. While experiencing all of these symptoms, I sat on the ground, took two tablets of 25mg Benadryl, drank water, and tried to breath steady to make dizziness go away. Working in this healthcare setting, I was aware I was having an adverse reaction to the vaccine and was prepared with an epi-pen in case of any severe anaphylaxis shock - I did NOT have to use the epi-pen. Less than 15 minutes after vaccine - the chest pain, arm pins/needles stopped, I felt lightheaded still, another co-worker checked my blood pressure which had risen to 178/120 and pulse of 120. About 1 hour after vaccine - still felt light headed, blood pressure still elevated at 158/107, pulse of 107. Around 5:45 PM - After consulting personal friend physicians, I was instructed to go to ER and have an EKG of my heart since my blood pressure and pulse had spiked so high and suddenly. I was able to find coverage at work so that I could leave my shift and get a ride to the emergency room. After 6 PM (admitted into ER) - upon admission blood pressure of 176/117 and pulse of 113

About 2 minutes after injection, I had a sudden rush of warmth throughout my body starting in my abdomen then causing my pulse to feel like it was pounding out of my neck. Got light headed. EMS came and my blood pressure raised to 155/95 and my pulse was up in the 150s and I was shaking. Started to go down but felt crappy for over 2 hours. Happened again 30seconds after the second injection. Pulse up to almost 160. 02 stats stayed normal. Post first injection had sore arm and lots of fatigue and brain fog. Following the second injection 12 hours post started having nausea, and diarrhea. Continued to have joint pain, muscle aches, headaches for days, and my lymph nodes swelled up and were extremely painful.

Employee got 2nd dose of pfizer vaccine on 1/12/21 and on 1/13/21 she started having tachycardia resting 120, walking 150. she did not have this at the time of her first dose. She also feels warm, chills and fatigue but those are improving. She was urged to go to urgent care to get evaluated.

Went to ED on 1/14/21. emailed caregiver for information. As far as what happened, I received my 2nd dose of Pfizer on Jan. 13th @ 05:15 at hospital and started feeling symptoms roughly six hours later, symptoms being nausea, chills, splitting headaches, muscle fatigue, feeling tired and joint pain. I had understood that these side effects were common and not to worry, however, the next day on Jan. 14th around 11:00am, I blacked out at home. Luckily, my partner had caught me before I feel to the ground, but he stated that my eyes had glazed over, my breathing was shallow, and I hardly had a pulse. He was getting ready to do chest compressions, but I had come out of whatever fog that had knocked me down and became responsive. Around 12:00 pm I had arrived at the ED where they had given me a bag on NS, Zofran for the nausea and Toradol for some inflammation management. I believe I discharged from the ED around 15:20.

hard large lump that hurts at the injection site /Left arm has a knot in it from injection site; hard large lump that hurts at the injection site; chest pain; shortness of breath; This is a spontaneous report from contactable consumer (patient). A 26-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231), via an unspecified route of administration into the upper left arm on 05Jan2021 at single dose as a precaution because she works in nursing home (COVID-19 immunisation). Medical history included Covid positive back in Oct2020. Concomitant medication included biotin and one a day women's vitamin. Family members have medical issues. Dad has heart tumors, seizure, sleep apnea and osteoporosis. Mom has asthma, diabetes, has had cancer, neuropathy and macular degeneration. The patient received first dose of the covid vaccine on 05Jan2021 and had some symptoms after the vaccine. On unspecified date in Jan2021, the patient hard large lump that hurts at the injection site, chest pain and shortness of breath; similar to when she had Covid positive back in October. She still has a lump at the injection side which has gotten smaller in size but still hurts to touch. Left arm has a knot in it from injection site; does not reuired ER or visit to physician's office. It feels like a bump with something in her arm. She doubts that is the case. She wanted to see if that was normal and when it might go away, especially since she should be getting second dose on 26Jan2021. She is a speech therapist. There is no prescriber. They came and gave to everyone all at once. It was really big at first. It felt like someone punched her. It was a big giant lump, but it is getting better. The injection was given in the upper left arm and it felt like it went into the muscle. The outcome of the event vaccination site mass was recovering, and the outcome of the remaining events was unknown.

Hives all over body, facial swelling, rapid heart rate, itching. Reaction lasted 20-30 minutes. Flu-like symptoms (fatigue, chills, runny nose) followed.

The vaccine was inadequately administered, too deep and too high, into the shoulder bursa. The patient developed sharp pain soon after which persisted for two days. Soon after she started with neurological symptoms including increased sweating in the affected arm, pain in the branchial plexus region, including arm and forearm, paresthesias in arm, forearm, and fingers, sensation of scapula being dislocated, and tightening sensation in the lateral aspect of the chest. Symptoms are worsening every day. There is a high suspicion that she is developing Parsonage-Turner syndrome.

Event #1: I experienced a small outbreak of hives on my left cheekbone within 15 minutes of receiving the vaccine. The staff gave me an injection of Benadryl into my right arm. The spot reduced in size over the duration of an hour and I was sent home with instructions to take OTC Benadryl until the swelling disappeared completely later that evening. Event #2: Shortness of breath and chest tightness beginning exactly 74hrs after the vaccination (Sunday, 01/31/2021 at 2:15pm). This side-effect continues to persist and is not due to a true Covid-19 infection.

Chills; heart racing; Vomiting; This is a spontaneous report from a contactable healthcare professional (patient). A 26-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date: not known), via an unspecified route of administration in the left arm on 23Jan2021 15:15 at single dose for COVID-19 immunization. The patient's medical history was not reported. There were no concomitant medications. No known allergies. The patient is not pregnant. No other vaccine in four weeks and no other medications in two weeks. The patient had no COVID prior vaccination and not tested with COVID test post vaccination. The patient experienced chills, heart racing, and vomiting, 4 hours after vaccination on 23Jan2021 19:15. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Patient had long hauler symptoms after a previous presumed COVID-19 infection beginning March/April 2020. Symptoms of severe exertional tachycardia, fatigue, shortness of breath, dizziness, and brain fog had improved and the patient was back to full duty at work October-December 2020 with mild-moderate exertional tachycardia and shortness of breath remaining. After vaccine given on 12/21/2020 the patient the next day had sweating, fatigue, dizziness, tachycardia, and mild shortness of breath. Was seen by PCP and an allergist that recommended premedication with Xyzal prior to second vaccine which resulted with no worsening symptoms after second vaccine. Relapse-like symptoms remain into February but are improving.

Persistent migraine. My headache began about 3 hours after and stayed mild until about 30 hours later where it grew to a migraine. It is not day 8 since the vaccine and it has not gone away. In addition to the migraine I am experiencing light sensitivity, blurred vision, and yesterday I experienced some heart palpitations. I went to urgent care on 2/8 and was prescribed IC Butalb-Acetamin-Caff for the migraine symptom. In addition I have been taking tylenol and advil which are not helping. My injection site pain and brain fog have resolved while the headache has persisted.

Syncope; Passed out within minutes of second dose.; Urination and emesis upon waking up; Urination and emesis upon waking up; This is a spontaneous report from a contactable Pharmacist (patient). A 26-year-old female patient not pregnant received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Left arm (at age of 26-year-old) on 17Jan2021 at 09:30 AM as a single dose for COVID-19 immunisation, lot number: EL1283. Medical history was not provided. Patient had no known allergies. Patient received first vaccine dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 27Dec2020 at 09:30 AM via an unspecified route of administration in Left arm (at age of 26-year-old) for COVID-19 immunisation, lot number: EH9899. Patient did not receive any other medications within two weeks prior to the vaccination. Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19. On 17Jan2021 at 09:45 AM patient experienced syncope. Passed out within minutes of second dose. Urination and emesis upon waking up. Brought to hospital, given 1L nacl and 1 dose of ondansetron (ZOFRAN). Events considered serious due to hospitalization. Events resulted in Emergency room/ department or urgent care. Patient was treated with fluids and ondansetron (ZOFRAN). Patient was not tested for Covid post vaccination. Patient recovered from the events on unknown date.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a temporal relation. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Spike in blood pressure - BP 178/120; Spike in pulse 120; Dizziness; slight chest pains; Arm tingling, turned into full arm pins/needles/Tingling spread through my left underarm and across left side of chest; This is a spontaneous report from a contactable pharmacist (patient). A 26-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EL3302), via an unspecified route of administration into the left arm on 02Feb2021 14:15 at a single dose for covid-19 immunisation. Medical history included allergies to penicillin and mushrooms. Patient was not pregnant. Concomitant medication included desogestrel, ethinylestradiol (APRI) for birth control. The patient previously took azithromycin and experienced drug allergy. On 02Feb2021 14:15, patient experienced spike in blood pressure (BP) 178/120 (unit unspecified), spike in pulse 120 (unit unspecified), dizziness, slight chest pains and arm tingling, turned into full arm pins/needles then tingling spread through her left underarm and across the left side of chest. The patient was treated with potassium tablets in the emergency room. Outcome of events was recovered on an unspecified date.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the event blood pressure increased cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

neurological symptoms most consistent with Parsonage-Turner syndrome.; neurological symptoms most consistent with Parsonage-Turner syndrome.; Worsening including increasing pain extending to all the arm; paresthesias throughout arm and hand,; feeling of dislocated scapula; tightening of the lateral aspect of the chest; sharp pain; The injection was incorrectly done too high and too deep into the joint/bursa. She developed sharp pain; This is a spontaneous report from a contactable physician. A 26-year-old female patient (daughter) (not preganent) received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Lot Number EL3302 and Expiration Date unknown) via Intramuscular on 18Jan2021 (vaccine location: Right arm) at single dose for COVID-19 immunisation. Previous vaccine included first dose of bnt162b2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Lot Number EH9899 and Expiration Date unknown) via Intramuscular on 30Dec2020 (vaccine location: Left arm) at single dose for COVID-19 immunisation. The patient's medical history was reported as none. The concomitant medications were not reported. No other vaccine in four weeks. The injection was incorrectly done too high and too deep into the joint/bursa. She developed sharp pain and started with neurological symptoms most consistent with Parsonage-Turner syndrome, which includes pain in the brachial plexus with weakness, paresthesia which might never resolve. This is an autoimmune disorder. Patient was worsening including increasing pain extending to all the arm, paresthesias throughout arm and hand, feeling of dislocated scapula, tightening of the lateral aspect of the chest. Onset date for all events was 18Jan2021 and resulted in Doctor or other healthcare professional office/clinic visit. The outcome of events was not recovered with treatment of oral steroids and nonsteroidal anti-inflammatory drugs (NSAID). No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the neurological symptoms, Parsonage-Turner syndrome and other reported events in the clinical context of wrong injection technique due to temporal relationship. There is limited information provided in this report. Additional information is needed to better assess the case, including complete medical history, diagnostics, counteractive treatment measures and concomitant medications. This case will be reassessed once additional 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.

Patient had received vaccine on 2/20 and started to have extreme fatigue the night of the 20th. patient states on Sunday 2/21 she was very short of breath and had some chest heaviness. Was taken to the ER where she was diagnosed with a vaccine reaction.

Anaphylaxis - tachycardia, palpitations, shortness of breath, skin itching. Received epi pen and ER transport. Now undergoing allergy testing.

Patient presented for second dose of covid vaccine. She was administered Pfizer vaccine. Patient fainted approximately 1 minute after administration of vaccine. Started as syncopal episode then patient started seizing - tonic/clonic. Patient was still seated in chair and seizing lasted about 1 minutes. 911 called. BP 138/78. P 115. Patient moved to cot after she was alert and oriented. By the time paramedics arrived patient was awake and oriented. She refused transport by EMS. She left with fiancé who was driving patient.

"Staff member received 2nd dose Covid vaccine at 1355, began experiencing what she described as "similar to first dose"" (unreported) tingling in left arm approx. 10 minutes after receiving vaccine in Left arm. This progressed to tingling in her left leg/foot and 'weakened' left arm and left chest tightness 25 minutes after receiving vaccine. She reported s/s to IOH Lead at that time and monitoring began, Benadryl 25mg given P.O. BP at 1435 135/84, HR 90, Pox 100%, At 1445 Staff members reported improved s/s in arm, but right foot tingling. BP 124/79, HR 90, Pox 100%. At 1455 No s/s left arm or leg, no further chest tightness. BP 123/83, HR 95, Pox 100%. 1500 After standing for 5 minutes, BP 126/90, HR 96, Po 99%. Staff member stated she was ready to return to work. She will call fiancé to pick her up from work."

I waited my 15 minutes after getting the shot and then spent maybe another 10 finding my car and leaving the lot. I had only been driving for a few minutes, maybe less than five when I felt like my arm I got the shot in started to go numb and soon followed a feeling of lightheadness. I thought about pulling off to the side but didn't make it in time because the next thing I knew I woke up pressed against the median on the other side of the freeway I was driving on. I completely blacked out while driving. I had to call an ambulance because I was freaked out and wanted to be looked at and my car needed to be towed.

26 Y female who presents with a chief complaint of syncope. Pt says that pta, she passed out shortly after she got her covid vaccine. Says she received the vaccine, and stood up to go to the observation area. Was walking through the doorway when she started to get lightheaded. Says she grabbed ahold of the door frame, and slid down to the ground. Denies injury. Denies any prodromal symptoms, no sob, chest pain, rash, abd pain, back pain. No leg swelling or calf muscle pain. No other complaints. History/exam more consistent with vasovagal syncope as opposed to reaction from the vaccine. Canadian syncope rule puts her at very low risk (-3 points, 0.4% risk of 30-day serious adverse event). Pt without ectopy on ED monitoring during observation period. F/u with pmd in 3 days for recheck, pt agrees to return for any further concerning symptoms

Starting later in the day of the injection she began having chills, fatigue, body aches and chest pain/tightness. The chest symptoms are more on the right side than the left. She does have some mild shortness of breath with significant exertion. She has not taken any pain relievers.

Severe injection site swelling (grapefruit size); Nose bleed; Fever of 102; Lethargy; Tachycardia; Shortness of Breath; Severe joint pain; Migraine; Muscle pain; This is a spontaneous report from a contactable other healthcare professional (HCP reporting for self). A 26-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, lot number and expiry date not reported), via an unspecified route of administration on 27Jan2021 11:30 at a single dose in the right arm for COVID-19 immunization. Other medical history and known allergies were reported as none. The patient had no COVID prior vaccination. The patient was not pregnant at the time of the report and vaccination. Concomitant medications included zinc, ascorbic acid (VIT C), ergocalciferol (VIT D) and an unspecified birth control medication. The first dose of BNT162B2 (brand: Pfizer as reported) was received on 06Jan2021 12:00 PM in the left arm for COVID-19 immunization. The patient had no other vaccine in the four weeks prior to second dose vaccination. On 27Jan2021 23:00, the patient experienced nose bleed, fever of 102, severe injection site swelling (grapefruit size), lethargy, tachycardia, shortness of breath, severe joint pain, migraine and muscle pain. The patient did not receive treatments for the reported adverse events. Patient had COVID test post vaccination specified as nasal swab on 27Jan2021 with test result as negative. The events were reported as recovered with lasting effects. Information on the Lot/Batch number has been requested.; Sender's Comments: Considering the close drug-event temporal association and the location, the reasonable possibility that the reported severe injection site swelling is related to BNT162B2 seems likely.

High blood pressure of 150/100; Arm swelling; Arm swelling/The swelling has gone down, but it is still swollen. It is still hurting.; Tenderness; Feeling faint/Felt dizzy; Some trouble breathing; disoriented; Fatigue; Chills; Nausea; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 26-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EN5318), via an unspecified route of administration at left arm on 28Jan2021 at 16:55 (reported as 4:55 PM) at SINGLE DOSE for COVID-19 immunisation. It was given at a vaccination clinic. The patient had no prior vaccination within 4 weeks and had no adverse events following prior vaccinations and that was why she thought she would be fine. The patient had no additional vaccines administered on same date of bnt162b2. Medical history included anxiety, peanut allergy, tree nut allergy, and has had anaphylactic reaction in the past. Family history included her dad has heart disease and her half sister has heart disease. There were no concomitant medications. Historical vaccine included flu vaccine on an unspecified date for immunization. The patient stated, "You kind of feel yucky after the flu vaccine, but she has never had this with a flu shot." The patient stated that she hasn't had a flu shot in years. The patient asked if arm swelling was a normal occurrence after vaccination and if side effects can last for 4 days. The patient reported that she received the first dose of the COVID vaccine on 28Jan and afterwards experienced, arm swelling, and tenderness that has last for 4 days. She also reported experiencing feeling faint, high blood pressure of 150/100 and some trouble breathing on an unspecified date and nausea. The patient further reported that she was calling because she got her first dose of Pfizer's vaccine and she was curious if this was normal and if she needs to go see her doctor and she wants to report the symptoms. After she got the injection she felt super faint and got really high blood pressure on an unspecified date. She was not sure if it was because she had anxiety, but she had trouble breathing on an unspecified date. She got nauseated afterwards. Her arm swelled up really big and the swelling has stayed there for four days. Her arm was still swollen on an unspecified date. She has allergies and has had anaphylactic reaction in the past. She was still nauseated and feels super tired. The patient asked how long do the symptoms last. The patient's weight was reported between 122 to 123 pounds. The patient clarified that the nausea started 15 minutes after she got the shot on 28Jan2021. The nausea has lasted through this. She got chills the next day (29Jan2021) after the shot. She has felt super fatigue. The swelling has gone down, but it was still swollen. It was still hurting. She has no idea if that was normal. She also felt dizzy and disoriented after getting the shot. She was not sure if it was because her blood pressure was so high. It was high for her because her blood pressure was normally low. She thinks her blood pressure 150/100 after she got the vaccine. The outcome of all the events was unknown.

Within 10 minutes of receiving the vaccine I had a flushed/hot/sun burned looking face. Within 15 minutes I had hives on my chest in back. I had high blood pressure 180/120, facial puffiness and mild bottom lip swelling. I developed an onset of increased mucus in my throat causing me to clear my throat frequently. RN on site reported no throat swelling, but increased thickness due to mucus. I received a Benadryl injection on site within 30 minutes and almost immediately symptoms began to lessen. The next day I had mild bottom lip swelling, body itchiness, chest rash, headache and fatigue. Today (24 hours after vaccine) I have a headache, fatigue and body itchiness.

PATIENT EXPERIENCED SYNCOPE IN OBSERVATION AREA AFTER VACCINATION. WAS TREATED BY EMS ON SITE BUT NOT TRANSPORTED

Systemic: Lost consciousness-Medium, Systemic: Shakiness-Mild, Additional Details: After receiving vaccine, patient lost consciousness briefly while sitting in a chair. Per a witness, the patient slowly fell onto the ground, but did not hit her head against floor or any other surfaces. She regained consciousness after a couple minutes. After resting for about half an hour, the patient was able to stand and leave the pharmacy. I escorted her to her husband's car.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Tachycardia-Mild, Additional Details: patient is able to swallow and drink water .Just complained of sore throat,. Called 911 , assessed patient \"Anxiety Reaction\".\r\n

pt became tachy to 160's and felt palpitations upon rising from chair after 15min waiting period; ST on monitor, pt denies additional symptoms, afebrile, 100% RA, 16RR, 140's SBP;

5:28pm received 1st Covid-19 vaccine. At 5:40 c/o slight throat tightness. O2 sat 99, Pulse 100, B/P 128/80. At 5:45pm c/o tongue tingling. 5:49pm hives on chest and c/o chest tightness. Denies SOB. O2 sat 99, pulse 130, B/P 124/72. 5:50pm 0.5 mg Epi administered IM left thigh and EMS activated. 5:50pm pulse 110, B/P 130/82, O2 sat 98%. Transported to hospital at 6:02pm per ambulance.

STARTED HAVING HEART PALPITATIONS A FEW HOURS AFTER GETTING THE FIRST SHOT. the HEART PALPITATIONS WOULD HAPPEN EVERY FEW MINUTES, THEY FINALLY CLEARED UP AFTER 4 DAYS

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patient went to sit at observation area for 15 minutes.Observer noticed pt was pale and called over pharmacists.Patient was on the verge of passing out then vomited. We put cold compress on her neck and gave her water. Patient appeared better but then voseemed like she was going to pass out again. We called 911.EMT came, patient vomited again and seemed like she was going to pass out again. EMT took patient to ER. Patient was later discharged that night.

Patient was 18 min post vaccination when she fainted in the observation area. Nursing staff and EMS on site attended to the patient. Nurse reports "patient was sitting in observation. Patine rolled out of her chair on to her stomach on the floor. Patient was unresponsive. Time was 16:50. Patient was rolled onto her back. Patient was sternal rubbed. Patient came to 16:52. She was oriented to person, place, and time." Carotid pulse strong and palpable, spontaneous breathing. EMS vital signs; BP 100/80, HR 92, O2 sat 97%. Pt assisted to wheelchair and taken to private EMS area where she was observed, called family for a ride home. Patient refused EMS transport to hospital.

Patient stated that she received her vaccine in her left shoulder and then noticed a tingling of her left arm. Patient remained seated and then states that the next thing she noticed that she was being woken up by bystanders. Bystanders stated that she lost consciousness fell forward and hit her head on the floor followed by a few shaking/jerking motions and then regained consciousness after approximately 10-15 seconds. Patient denied any prodromal symptoms leading to her fall such as headaches, vision changes, lightheadedness/dizziness, nausea/vomiting, warmth, chest pain or shortness of breath. States that after waking up she noticed pain on the left side of her head where she hit her head. States that after her fall she felt fully aware denies any confused/disoriented state, tongue biting, urination or any other symptoms. Pt had a 4 x 5 cm scalp hematoma on left forehead and tachycardia. Pt was A&Ox3, was able to ambulate, and was discharged from the Emergency Department.

Stayed 30 minutes after vaccine at vaccination clinic to be safe in case of a reaction. About 5 minutes after leaving 11:30 I could taste the vaccine in my mouth. I immediately felt intense sharp tingling in my lower lip, it felt hot and swollen (upper lip never had a reaction). I instantly felt a lump in my throat and had a hard time swallowing. I started with chest pain that resolved itself in a minute or two. A few minutes later a family member noticed my face was red and flushed and said I looked like I had a sun burn. Swelling in throat resolved within an hour. Lip never visually looked swollen but I could feel the tightness, burning and tingling that resolved within the hour. Redness on face resolved within a couple hours. Had tiny blisters about 3 show up above upper lip I still have them the next day with a couple more but they aren't causing problems. My airway was never blocked I never had a hard time breathing. I did have a sore throat this morning March 25 day after vaccine. All other symptoms seem normal.

1/15 vaccination Early afternoon, fatigue set in. That night i spiked fever over 100 and chills fever broke 1/16 pre syncopal episodes. Did pass out while sitting down. By noon, I had fever and chills, fatigue. broke that afternoon. By 7pm I got another fever, chills, and had abdominal pain with GERD. Was not due to food as hadn't ate. Couldn't speak due to the pain. No medication taken. Husband called PCM worried about hydration. Took Tylenol and kept fluid down. Big inflammatory response. Symptoms lasted for 48 hours

She fainted, employee stated she saw her seize, EMS called and she was transfered. Intial reactiom 15:37 pm.

As soon as the vaccine was injected my arm hurt through my neck to the back of my shoulder blade. I was immediately feeling woozy and dizzy. I sat for 20 minutes and took a Tylenol. I left the site and about 30 minutes later I was feeling extremely tired, and out of breath. Talking was difficult and taking too much energy, my shortness of breath was alarming. It went away within 4 hours. 2 days later I was feeling fine, and was sitting having a coffee. Out of nowhere I had a rapid heartbeat and started feeling woozy and light headed again. I didn't have as much shortness of breath but it felt like if I were to try and do anything it would exhaust me. I took Tylenol again and things calmed down in about 2-3 hours.

Patient reports feeling like she is going to vomit. Patient appears pale and sweaty. Placed patient into w/c and took her to private area. Patient is dry heaving. Gave patient a granola bar and apple juice at 1535. Within 5 minutes, patient reports feeling back to baseline. Patient's husband, escorted patient to car and will drive her home. Instructed to call PCP if symptoms worsen or new symptoms occur.

Less than 3 minutes after administration, I began having tingling in my throat. My heart began to race. I grabbed a medically professional who assessed me, she stated I was beginning to flush and then had EMS respond. Vital signs indicated a peak heart rate in the 160?s, O2 Sats were in the 80?s. I also had a metallic taste in my mouth and a tightness in my airway. Later in my hour observation I had a period of facial flushing and itching. I had ice packs placed on my skin, given a fluid bolus and monitored by an RN and EMS personal. A Doctor assessed me and contemplated transporting to the ED for management but I was slowly feeling improvement. I was monitored for an hour and felt okay when I left the clinic.

Patient became dizzy approximately 10 minutes after vaccine. She had a syncopic episode accompanied by seizure like activity that lasted about 10 seconds. Once she regained consciousness, she was disoriented for about 1 minute. Within 3 minutes of regaining consciousness she had nausea and subsequent vomiting X2. HR 63, BP 117/70, O2 SAT 96% on room air. Zofran 4mg SL was administered. Patient evaluated by the Mass Vax Site physician. Patient recovered quickly, refused further medical treatment and was accompanied home by her mother who was with her during the event.

27 YEAR FEMALE WITH DIZZINESS AND SHAKINESS FOR 10 MINUTES. SECOND DOSE GIVEN TODAY. 1ST DOSE GIVEN WITHOUT ADVERSE REACTION. PATIENT HAD NOT EATEN SINCE LAST EVENING. DR ONSITE. PATIENT GIVEN WATER 17 OUNCES WHICH SHE CONSUMED. VS: 144/93 HEART RATE 103, BG 322. 135/91 HEART RATE 107 RELEASED AT 10:05 DR REINFORCED NEED TO MAKE WISE DIETARY CHOICES AND INCREASE HYDRATION.

Shortness of breath; chest tightness; stated that she got the first shot in her left hip; soreness to left hip; burning at her left hip; This is a spontaneous report from a contactable consumer (patient). A 26-years-old female patient received BNT162B2 first dose (BNT162B2, Formulation: Solution for injection), via an unspecified route of administration on 14Jan2021 at 16:20 (Batch/Lot Number: EL3249) as single dose, then via an unspecified route of administration on 04Feb2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included rotator cuff injury from 2020, unknown injury from 2018 to 2019 and repeated injuries to her shoulder (occurred before the vaccine) from an unknown date and unknown if ongoing. The concomitant medication was not reported. The reporter stated that she is a healthcare worker with repeated injuries to her shoulder that occurred before the vaccine. Stated that she had rotator cuff surgery in 2020 and the another injury 1-2 years prior to that one. Stated that the first booster that she received was three weeks ago in her hip on 14Jan2021 16:20. Stated that she went to get the second dose today in her thigh. Stated that she was told that it was being given in her thigh because it was conclusive to being effective. Stated that she was told that the first dose may not be effective. Wanted to know the current information where it should be administered. Wanted to know if she should get first dose again. Clarified that the booster is for the Pfizer Covid 19 vaccine. Stated that she got the first one on 14Jan2021. Stated that she gets repeat vaccines every year and had a declination to IM sites to the shoulder/arm area due to her injuries. No further details provided. Later clarified first booster was to her left hip. The reporter stated that with the first shot that she had soreness to left hip and burning at her left hip on 14Jan2021 16:20. Stated four days after the vaccine that she did a lot of cardio and had chest tightness and shortness of breath on 17Jan2021 16:00 within 10 minutes after that lasted for an hour. Stated burning only lasted 15 minutes. The outcome of the events the first dose may not be effective due to being given in her left hip was reported as unknown. The outcome of the events stated that she got the first shot in her left hip and burning at her left hip reported as recovered 14Jan2021. The outcome of the events soreness to left hip, Shortness of breath and chest tightness was reported as recovered 17Jan2021.

Rapid heart rate and lightheadedness occurred 25 minutes after the vaccine. An ambulance was called and the symptoms subsided after about five minutes.

Friend in vehicle stated participant briefly lost consciousness, when awoke was lethargic; incontinent of urine; B/P 90/60, pulse ox 98% Denise hx. of seizures ; EMS assessed participant; participant refused to go to E.D. with EMS, however, stated would have boyfriend take her to E.D. In f/u phone call, stated had lab work done on E.D. and fluids administered, and released home with no further issues.

Patient was administered vaccine around 1PM and was being observed as required after the dose. At around 1:05PM the patient began to convulse (which lasted about 15 seconds) I immediately had my technician call 911 as I tended to the patient. She was in and out of consciousness, as I grabbed our emergency kit to bring out she became conscious. She stated she was ok, but I still insisted on waiting for an ambulance and her husband agreed. I spoke more with her husband to see if the patient had any type of seizure condition and he said she did not. By that time the patient was able to drink water and seemed to stabilize. The EMS personnel arrived around 1:20PM and took over after that.

14 post vaccination client had nausea and vomiting x 1 episode, was pale, vital signs observed 1345 BP 95/72 pulse 77 O2 sats 96 %, was observed for additional 15 mins, per client, she vomits when receiving a shot, client now stable and was discharged with family. Client sitting at back of vehicle with family member driving the car. signed medical release.

Fever 101.9°F, began around 12:00PM Nausea, moderate, began around 9:00AM Resting Tachycardia, 125-145bpm, began around 12:00PM Headache, moderate, began around 9AM Fatigue, severe, began around 9AM Called virtual doctor, was advised to see an urgent care. Urgent Care confirmed tachycardia and fever, EKG returned sinus tachycardia. Given 1g of acetaminophen and told to rest, take 1g every 4-6 hours. As of 4:30PM on 4/3, patient still feels feverish and tachycardic. doctor expects patient to make full recovery, but advises emergency department visit if heart rate raises to 150bpm and does not lower.

Patient, received immunization, proceeded to post-immunization section for 15 minute observation. RN and EMT personnel noticed that individual appeared to lean in chair and then leaned forward as if experiencing dizziness. RN approached individual at which time she appeared to be on verge of fainting, and sounded incoherent, her pulse was at 45, and she was dizzy, at which time an Epinephrine pen was utilized. As patient became more coherent she indicated she felt nauseous and proceeded to vomit. She was monitored by EMT and RN for about 30 minutes and was offered further medical assistance which she declined. Patient indicated that she had history of experiencing dizziness after a previous TB immunization.

elevated HR, palpitations overnight and into 4/3/21, max 170bpm evening of 4/3/21 , tightness in chest, concern for SVT. Pt took Metoprolol, with improvement in symptoms. also temp 99-100.4

I was fine until Sunday. I started to feel like I had heartburn; chest pain in general. It isn't something that happens to me. I took some meds, but it gradually got worse. When I got home, my heart rate was all over the place. I went to the ER and they diagnosed me with general chest pain. I was given meds and discharged. After that, I was fine.

Pt reported feeling faint and nauseous to administering RN immediately after vaccination. Pt was still seated at vaxxing table. Pt vomited x 1 mod amt, x1 sm amt into basket provided by nurse. Her appearance was pale and she was visibly shaky and reported feeling weak. Pt did not lose consciousness and denied SOB. Pt was advised by nurse to stay seated w/ head down. An ice pack was applied to the back of pt's neck. Pt reported having similar syncopal episodes when she gets blood drawn. She was transferred to wheelchair with assistance frm administering nurse and on-site EMT team and moved to a quiet observation area. Pt was observed for 30 min while on continuous VS monitoring - all were stable and WNL. Pt's color returned and she stopped shaking w/in 10 min. Pt drank some water and had a hard candy. After 30 min pt reported feeling "fine", was up and ambulatory, alert and oriented, and stated she felt fine to drive home. Charge nurse and EMTs felt comfortable that pt was back to baseline and able to drive herself. Pt was advised to seek emergent care if sx returned/worsened, if she experienced any s/s of anaphylaxis or for any other concerning sx.

Less than five minutes of receiving vaccine: Eyes rolling back, feeling of fainting, tinnitus, blue lips, blue fingers, really hot, Thirty minutes after receiving the vaccine: bad chills/shakes/shivers/teeth chattering, diarrhea, confusion

The night after I got the shot, I woke up enough (around 1am) to feel that my nose felt weird but didn't think much of it. In the morning (around 6:15am) I realized that I had had a bloody nose in the night. There was enough blood that some was dried on my face and my hand as well as in my nose. I called my pharmacy around 6:30am and he said to report the incident just to be sure.

Otherwise healthy 26 yo female presented to observation area after her first vaccine dose. Within first 5 mins she experienced some flushing and was lightheaded. She elected to walk to first aid bay, but then had a syncopal episode with +LOC for about 10 seconds. She was diaphoretic. She was not post ictal. She recovered and was alert and oriented x 3. BP 114/80, HR 58 with repeat 10 mins later 120/80, 71. She denies chest pain, shortness of breath, chest tightness, feelings of throat closure, or itching. She had no rashes.

Nurse administered vaccination 1 min. later or less, client had face in steering wheel, passed out and urinating on herself. Client stated she thinks this happened because of the anxiety of getting vaccine. Client given ammonia inhaler and stabilized awaiting EMS arrival.

patient felt lightheaded and nauseated. Had a little emesis and then felt better. Mild vagal response resolved

Patient received first dose Pfizer covid without incident. Upon sitting in waiting area post vaccination, patient experienced syncope and fell off chair to floor. Patient regained consciousness within moments and was verbally conversing with staff. EMS was called and responded. Patient was given blood pressure check. patient declined any other medical treatment. Patient left without further incident.

Patient immediately had a syncope episode after injection. Patient tensed up and made grunting sounds. Episode lasted 10-15 seconds. EMS was called and assessed patient. Patient refused further medical services.

tightness in chest and throat, itching in chest, flushing, tachycardia, febrile. Shaking, facial itching.

26-year-old female with past medical history of asthma and anxiety, and syncopal episode after her first Covid vaccination, presents to the emergency department after syncopal episode after her second Covid vaccination. Patient states she received her shot, and about 45 seconds later started feeling similar to the way she felt during the first syncopal episode. She started having tunnel vision, and her mom who is with her this time, notes that she was getting more pale. Mom notes that patient was talking about what she was feeling and was slowing down, until she passed out for about 30 seconds. During her LOC, she was shrugging her shoulders repeatedly, and after she awoke, she returned to her baseline mental status after about a minute or 2. As she was returning to her baseline mental status, she was talking about how she was feeling and it was appropriate. No urinary incontinence or tongue biting. Denies any recent chest pain, shortness of breath, other episodes of lightheadedness or syncope. She is not had syncopal episodes after shots before. After her last injection, she had a syncopal episode and fell flat on her face, thus had a CT head. At the time her CT head is negative, she had a D-dimer that was also negative. Her labs at the time were notable for hypokalemia 3.3, and in preparation for that she states she has been eating a lot of bananas this week. At this time she does not want any lab work, and feels as if this was a similar vasovagal episode similar to last time. syncopal episode right after a COVID vax. Same thing happened with the first dose. Prior to passing out felt sweaty, lightheaded, body tingling then passed out. Didn't fall this time as she was expecting it. Never had fear of needles before. No abd pain, back pain, chest pain. No h/o PE, DVT, OCPs, calf pain, SOB. No cough, SOB, palpit, diaph, chest pain/pressure, headache. No abd pain, no back pain, no vomit, no diar. No urinary complaints. No rash. No numb/weakness. No URI Sx. Mom noted a few shoulder twitches but not GTC type symptoms. rapid response called, pt went to emergency department

Patient passed out, states it happens on occasion. BP 114/73 HR71 RR16, then 5 minutes later 124/75, HR72, RR16. Patient came up to provider, asked to lay down, then passed out. States she has fainted in the past when she saw others past out. Left in stable condition

pt fainted shortly after the vaccine was given, we tapped her shoulder and called her name and she came to and she was given water.. called 911 she denied going to the hospital...her friend drove her home after 30 minutes.

Pt reported "pain in chest like you just run" @ 1130 VS OxSat 98%, HR 82, BP 120/82. Pt was monitored for 30 min. Pt stated she felt better, pt was D/C

lost consciousness; Standing and suddenly felt hot; lightheaded/dizzy; This is a spontaneous report from a contactable consumer (patient). A 26-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733), via an unspecified route of administration in the left arm on 30Mar2021 at 07:00 as a single dose for COVID-19 vaccination. The patient's medical history included anxiety, Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Concomitant medications were not reported. The patient had taken other medication in two weeks are Prozac, Taytulla. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 30Mar2021 at 18:00 patient experienced standing and suddenly felt hot, lightheaded, dizzy and lost consciousness. The patient did not receive any treatment for the events. The outcome of the events was recovering. Follow up information has been requested.

Pt fainted after receiving Pfizer COVID vaccine. It was standing and began swaying and not verbally responding to pharmacist. Pharmacist was able to catch her before she fell and he slowly lowered her to the ground. Pharmacist had her lay on her back. Another Pharmacist assisted and had pt put her feet up on a chair to improve blood flow to pts head. PT laid on the ground for about 10 minutes and was conversing with Pharmacist. She was able to sit in a chair and stated she was feeling better, but had a warm sensation. We provided her with an orange juice and she had her own water. Pt hadn't eaten for a few hours and had a history of fainting after giving blood. Her dad came and drove her home after 45 minutes as a safety precaution.

Dizziness and fainting for few seconds Provided support so that patient does not fall. Monitored airway and breathing. Once patient got conscious , provided water and gatorade. Monitored her for 45 minutes and kept checking how alert and oriented she was.

At the 15 minute mark post-vaccine, patient attempted to get up from chair and fell out. She was face down on stomach, clenching teeth, hands were slightly bowled up. She became conscious a under 2 minutes. She remained alert and responsive until the paramedics arrived. She did express failure to eat all day and feeling faint. We verbally obtained consent and verified the answers to the VARs. Patient has no reactions/health conditions listed. She ensured the immunizer that she felt fine and was ready to be vaccinated. At the 15 minute mark, the immunizer checked in with her and again she said she was fine.

Client experienced seizure-like activity immediately following receipt of the first dose of Pfizer vaccine. Client reaction lasted for approximately 45 seconds while inside of the vehicle. Vehicle was in park during the reaction. Client regained consciousness and was then moved from the vehicle onto a stretcher by EMS team. EMS team provided treatment onsite including starting an IV, checking blood sugar, and checking vital signs. Blood sugar was 103 and BP 92/53. Client was transported to Hospital by EMS.

Rush throughout body, then passed out. Immediate recovery. Paramedics @ side. Refused transport to hospital.

Vasovagal syncope after three minutes of receiving first vaccine dose. Paleness, nausea, sweating, dizziness, and vision blackout. Treated by lying down, applying ice packs, and hydrating with water. Symptoms subsided within five minutes.

tingling tongue, tachycardia, flushing Tx: Vital signs, monitored for 90 min 1/25/ allergy evaluation -> Recommended hydration administer 2ND dose in reclined position observe for 60 min 1/27 2nd dose c adverse reaction

APPROXIMATELY 12 MINUTES AFTER THE VACCINE WAS GIVEN THE PATIENT STARTED TO COMPLAIN OF FEELING LIGHTHEADED AND HAVING BLURRED VISION ALSO ASSOCIATED NAUSEA. SHE WAS BROUGHT BACK TO A STRETCHER AND VITALS WERE TAKEN AND STABLE. SHE SUBSEQUENTLY STARTED TO HAVE SOME DRY HEAVES AND FEELING OF ITCHING IN THROAT WITH PROGRESSION OF HER SYMPTOMS. HER PULSE OX WAS 93-98%, bp 110/82 AND HR 67. iT WAS DECIDED TO ADMINISTER AN EPIPEN AND SHE HAD AN INCREASE OF HR TO 102; AT THIS POINT EMS WAS CALLED. SHE DID START TO DEVELOP THROAT TIGHTNESS, ITCHING, AND COUGH AT WHICH TIME OXYGEN WAS ADMINISTERED. SHE WAS TRANSFERRED TO ER AT THE MEDICAL CENTER FOR FURTHER EVALUATION. REPORT FROM ER NOTES SHE DID HAVE SEIZURE WHILE ENROUTE WHICH WAS TREATED. THE PATIENT WAS KNOWN TO HAVE UNDERLYING SEIZURE DISORDER.

High heart rate notifications from 11:00 PM until 5:00 AM while I was trying to sleep, as well as chills, fever, and body aches.

Patient has history of anemia and vasovagal syncope. She had a witnessed syncopal episode 10 min after vaccine admin. Patient fell from chair to ground. Staff responded immediately. She was positioned supine on the ground. She was pale and diaphoretic. v/s were assessed. She spontaneously regained consciousness and was maintained on the ground. She denies neck pain, back pain, headache, numbness, weakness, tingling, changes in vision and was A&Ox3. No stair stepping palpated on neck no ecchymosis noted eyes PEARL. She was repositioned to trendelenburg and was given a gatorade. When BP was stable she was return to her chair. She was kept for an additional 20 minutes and provided crackers. She stated she felt much better and felt safe to go home with a plan of calling a friend to speak to during the drive. She was advised to call 911 if she has another episode or develops severe headache or changes in vision.

I was given my second shot yesterday and at first I had a mild headache and then it got worse and I was very tired. My arm was sore and I could not lift it. Waking up this morning and my chest hurts and is getting tight. I have a bad headache. And I am very irritable. My arm at the injection site still hurts a bit.

IMMEDIATELY AFTER VACCINATION PT FELT HER HEART RACING AND LIGHTHEADEDNESS. STAFF ASSISTED PT TO FLOOR. TRANSPORTED TO MED OBS AT 0823 VIA WC. VITALS OBTAINED AND MONITORED. VITALS REMAINED STABLE. SYMPTOMS RESOLVED. PT CALLED FOR RIDE FROM PARENTS. PT RELEASED TO HOME AND ESCORTED TO EXIT AT 0858 BY STAFF WITH NO FURTHER ISSUES. VITALS AS FOLLOWS: INITIAL BP 155/99 HR 75 SPO2 97 SITTING BP 135/89 HR 80 STANDING BP 141/98 HR 80

Received the 1st COVID vaccine Pfizer EW0171 Expiration date 04/17/21 at 5:51pm. Client reported to EMT that she was experiencing "pins and needles sensation throughout her entire body" at 12:43pm. RN responded. Client sitting in chair complaining of "pins and needles sensation in her legs and arms". Client denies experiencing itchiness, shortness of breath, flushing of face, head, palms, hives, pruritus of legs/hand/arms/or palms, urticaria, dizziness, GI symptoms, swelling, or chest pain at this time. Client reports she began to experience the pins and needles sensation about 1 minutes after receiving the vaccine, but decided not to say anything during her 30 min observation period until 2 minutes prior to her 30 min observation period ending. She reports experiencing a non-radiating left sided chest tightness which lasted one minute which occurred a few minutes after receiving the vaccine. Client reports medical history Raynaud's Syndrome. Client reports receiving approval from PCP to receive this vaccine. Client reports history of intermittent chest pains/tightness which has been evaluated multiple times. Client report this incident of chest pain felt similar. Client notes she was prescribed Aspirin 81 mg by her Rheumatologist and she usually takes the Aspirin when she has chest pains or arm pains. Per Client, she has experienced pins and needles sensation in the past. She reports the last time she experienced a pins and needles sensation was after drinking. She denies similar incident with other vaccines. Client was placed in semi-fowlers position, offered water. Client is a/o x4. RN offered client activation of 911. Client denied. RN gave pt strong recommendation for activation of 911 or further evaluation given symptoms reported. Client verbalized understanding and reported she does not want activation of 911. Client was observed for an additional 45 minutes. VS at 1244 BP 11/78 HR 82 RR18, VS at 1255 BP 114/76 HR 76 RR 14, VS at 1303 116/74 HR 72 RR 14, VS 1315 BP 114/72 HR 76 RR 15, VS 1335 BP 116/76 HR 74 RR 14. Symptoms resolved at 1328. Client notes Fiance is driving client home. At this time, RN offered EMS activation for transport to the hospital x2. Client denied. bRN provided client with ER precautions. RN walked client to Fiance's car. Client walking with steady gait. No additional concerns reported. RN provided client with education on F/U with PCP regarding current situation provided, importance of reporting symptoms as soon as they occur, and s/s concerning symptoms of anaphylaxis and allergic reaction. Client verbalized understanding. No further RN interventions required at this time. RN

Had tingling maybe like pins & needles throughout whole body: Mainly Arms, Legs & Face. This was almost immediate or started a couple minutes after shot. This was not my only symptom, but the symptom that lasted the longest. I felt weak and heart racing within the first 15 minutes after the shot. Then I had a short period (under 2 minutes) of left chest tightness. The chest tightness happened around 12:25 pm which was about 14 min after the shot. The chest tightness did not last and never came back after that. The main symptom was tingling pins and needles throughout body. I was escorted to my car around 1:45 pm or 2:00 pm and right as I got in car I started to have left wrist pain similar to the chest pain I had earlier. The wrist pain was off and on for about 30 min and then never came back. I would say all symptoms went 100% away after 3 hours. Besides the sore arm.

16 MINUTES AFTER VACCINATION PT WAS WALKING TO EXIT AND EXPERIENCED A FLUSHED FEELING, LIGHTHEADEDNESS AND HEART RACING. SYMPTOMS RESOLVED IMMEDIATELY. PT CONTINUED TO EXIT AND EXPERIENCED SIMILIAR SYMPTOMS AGAIN. PT ESCORTED TO MED OBS BY STAFF. SIGNIFICANT OTHER AT BEDSIDE. VITALS OBTAINED AND MONITORED. VSS. WATER GIVEN. SYMPTOMS RESOLVED. PT RELEASED TO HOME WITH SIGNIFICANT OTHER DRIVING AT 0851. PT ESCORTED BY STAFF TO EXIT WITH NO FURTHER ISSUES. VITALS AS FOLLOWS: 0842 LYING BP 140/94 HR 78 SPO2 99 0848 SITTING BP 128/83 HR 76 SPO2 100 0849 STANDING BP 132/84 HR 78 SPO2 100

Shortly after vaccine was administered member began to feel weak and heavy. Reports losing feeling in her extremities and having a hard time breathing, felt like heart was racing. Pt was slumped over in her chair but conscious and coherent with staff supporting her upright in chair. A wheelchair was brought and pt assisted in transfer to the wheelchair. Pt was taken to a private observation area. Vital signs were checked and were stable. Pt reported feeling cold and weak. Pt was transferred by staff to a cot and her legs were elevated. She was covered with her jacket and 2 blankets as she began to shiver. Reported tingling and numbness in extremities but had adequate color, good radial and pedal pulses. Reported numbness but able to feel with touched and able to move on command. Spouse was present during evaluation. When pt reported feeling difficulty with breathing but O2 sats were stable at 98-99%. Member was given directions on how to slow her breathing and engaged in conversation. Spouse stated she has a history of syncope and that this happens regularly. Member was brought back at 1021 and by 1051 she was able to sit independently and drink water. She sat in Cot for another 5 minutes and requested to leave. Member was able to stand independently and stably. She walked around observation area and again requested to go home. ER precautions were given to spouse. Spouse stated he would drive her home and in the event of another episode would go to emergency room. Member walked out of facility independently with spouse near by. Member began to feel weak outside facility and dropped to her knees. She remained conscious. Pt refused to return for evaluation and asked to be wheeled to her car. She was breathing at a normal rate and rhythm. No signs of distress. Spouse reported this was not out of the ordinary for her condition and would also like to be released home. Pt was offered several times evaluation which she declined. She was assisted to personal vehicle and left the site.

Syncope. Patient passed out 5 min after injection - has phobia of needles. No Resp disestress VSS, A&Ox4. Pt given juice and crackers. Pt left w/ mother in stable condition under her own power. Refused wheelchair.

Employee had a seizure and LOC approx. 2 hrs post second vaccine. EMS was called and employee was transported to the hospital. Employee was hospitalized for observation. Discharged home after 2 days. Employee still reports feeling weak. Following up with primary care MD.

Pt stated she faints when she gets shots, but still wanted to get the coronavirus shot. She fainted in the chair a couple of minutes after receiving the shot and came to in less than a minute. She seemed okay until she started thinking about the shot. I had the patient sit in the chair until she felt okay and she declined to have an ambulance check her out. Recommended that the patient eat some food and have something to drink.

Acute DVT of the left lower extremity extending from the proximal femoral vein and proximal deep femoral vein to the popliteal vein and into the gastrocnemius veins.

Dizziness, syncope. Blood pressure 121/77 Vital signs were monitored, hydration was encouraged. The patient was instructed to go to the nearest ER or call 911 for signs and symptoms of hives or shortness of breath.

arm was starting to go numb/get heavy; tingling/pins and needles type feeling start migrating to and from my toes, up both of my legs, through my torso, and then into my finger tips and arms; then that my vision started getting blurry; heart rate started elevating to a point where I even had to put my bf's hand on my chest to show him; lightheaded feeling; This is a spontaneous report from a contactable consumer or other non hcp reporting for herself. A 26-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 02Apr2021 12:15 (Batch/Lot Number: EW 0150) as single dose for covid-19 immunisation . Medical history included attention deficit hyperactivity disorder (ADHD). Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) taken for an unspecified indication, start and stop date were not reported. The patient previously took vicodin and experienced drug hypersensitivity, morphine and experienced drug hypersensitivity. The patient experienced arm was starting to go numb/get heavy on 08Apr2021 23:45 with outcome of not recovered , tingling/pins and needles type feeling start migrating to and from my toes, up both of my legs, through my torso, and then into my finger tips and arms on 08Apr2021 23:45 with outcome of not recovered , then that my vision started getting blurry on 08Apr2021 23:45 with outcome of not recovered , heart rate started elevating to a point where i even had to put my bf's hand on my chest to show him on 08Apr2021 23:45 with outcome of not recovered , lightheaded feeling on 08Apr2021 23:45 with outcome of not recovered. All the reported events were considered serious because Important Medical Events. The patient underwent lab tests and procedures which included heart rate: started elevating on 08Apr2021 , sars-cov-2 test: negative on 06Apr2021 (covid test name post vaccination: Sofia SARS Antigen FIA). The patient visited her PCP and a Bloodwork was scheduled. Follow up information has been requested.

patient fainted after vaccination maybe due to anxiety. pt was ok after 30 minutes and drank orange juice.

Patient fainted. Awoke and was shaking , fingers and hands rigid and claw-like in a spasm. Rigidity lasted about 20 minutes. Advised patient to lie on floor, took deep breaths. Moved to chair after about 20 minutes. Drank gatorade. rested in chair until fingers relaxed. Walked about store. Left at about 40 minutes after fainting.

Brain fog, dizziness, headaches, pain and numbness to left side of head, chills, body aches, trouble breathing, heart arrhythmia, anxiety, left breast pain, upper left arm pain, confusion, trouble concentrating and focusing eyes. All these symptoms began 5-10min after shot was administered and have continued for 2 weeks off and on.

Patient received first dose of Pfizer Covid-19 Vaccine. Patient has a history of allergies to shrimp. Patient was directed to observation for a 30 minute waiting period. Patient stated that she was feeling constriction in her throat, SOB, chest tightness. Patient presented as anxious and having trouble breathing. Patient was assessed by RN, vitals were taken and recorded upon further exam, patient presented with more symptoms of anaphylaxis. ED proceed out was called. RN administered epinephrine to the L lateral thigh. ED team arrived and patient was evaluated and patient was taken to ED with ED team. In ED patient received diphenhydramine oral tablets and was observed for few hours. No further complaint was reported. Patient was discharged home afterwards.

Awoke from sleep at approx 1:50 am , ambulated to bathroom for water, returned to bed, began to experience severe chills and muscle shaking. Stated loss of conciouness for approx 10 second intervals with return to normal conciousness after 2 minutes with resolve of shaking During 2 minutes timeframe -Observed convulsions by partener with tonic extension of limbs and flexion of wrists. Partener also observed pale skin and "purple" tone to lips during 2 min time period. Took temperature approx 4 am. Was 99.3 degrees Farenheit. Client stated weakness for approx 2 hours after episode and return to baseline after 6 hours. Self administerd ibuprofen at 8:00 am. Currently experiencing muscle soreness.

pt says she has blue circle around the injection area that it is lumpy and has been there about 5 days.

Patient received the vaccine and felt fine. Had indicated no hx of fainting or dizziness, but felt nervous. Patient thought it wasn't as bad afterwards and indicated they felt fine. Patient had a seat in front of the pharmacy, started to feel dizzy but didn't tell anyone. Put her head between her knees, that didn't help and she figured she'd splash some water on her face, went to the bathroom and felt like she maybe needed to throw up, knelt over the toilet and next thing she knew she woke up on the floor.

Client was vaccinated around 1710, fainted at 1715 and hit posterior aspect of her head. One small approximately 1cm laceration present on posterior head. Client placed supine, BP at 1716 was 100/64, improved to 110/78 after 5 minutes. Advised client and mother to go to the ER but refused due to lack of insurance. approximately 1730 client felt nauseous and 911 was called and client was transported to the hospital.

1-2 minutes after injection had a metallic taste in mouth. Noticed about 5 min after injection noticed numbness in my left injection arm that spread through all my limbs. Alerted personnel- I became light headed and let them know i was about to faint. Blood pressure raised and heart rate increased rapidly. A rash appeared on my neck and white welts on my face. Was rushed to ER and administered Benadryl, Pepcid, and Prednisone. Confusion and trouble speaking following event. Continued confusion and headache

every 15-30 minutes, patient's heart seems to flutter and feel almost like jello, almost like a hiccup or something; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 10Apr2021 at 12:00 (Lot Number: ER8730) as single dose for covid-19 immunisation. Medical history included known allergies to drugs: sulfa drugs and food: hazelnut, apple, peach. The patient was not pregnant at the time of report and vaccination. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL); ethinylestradiol, norgestimate (TRI-SPRINTEC); colecalciferol (VIT D3); and cobamamide (VITAMIN B12 [COBAMAMIDE]). Patient had no COVID prior to vaccination and was not tested for COVID post vaccination. It was reported that every 15-30 minutes, patient's heart seems to flutter and feel almost like jello, almost like a hiccup or something. Patient began to notice this on Sunday, the day after she was vaccinated, but it's possible that it could have been happening on Saturday as well. The patient did not receive treatment for the event. Event start date was reported as 11Apr2021 at 12:00. Outcome of the event was not recovered.

26 y/o female with no PMH c/o mild dizziness and nausea 13 min post pfizer covid-19 vaccine 1st dose. Pt reports no similar prior experiences including syncope, seizures, dizziness, nausea and vomiting with needles, blood draws or vaccines. Pt was given oral fluids and laid down on a cot, she reported mild improvement after laying down ~5 min. Pt then reported a worsening of nausea and then began gagging and spitting up saliva into an emesis bag for ~15min. Pt did not vomit. Pt suddenly placed emesis bag on the cot and lost postural tone, losing consciousness laying backwards onto the cot. Patient did not hit her head. Pt VS remained stable throughout the entire encounter, she was not able to follow commands. Additional information for Item 18: EMS was called, pt was stretcher and attached to monitor. Pt was transferred to hospital via EMS because she was unable to follow commands and has no history of seizures or syncope. Denies: history of similar prior experiences or syncope, HA, SOB, CP, itchiness, rash, respiratory distress, facial/extremity swelling, paresthesias, numbness Vaccine administered @9:03am in left deltoid. Symptoms began @9:16am. Pt ate bread and had coffee for breakfast. PMH: none Meds: none Allergies: NKDA, NKFA, NKEA @9:37am: BP: 112/65, HR: 105 bpm, SPO2: 100% @9:45am: BP: 116/70, HR: 97, SPO2: 99% General: well appearing, obese female Eyes: unable to assess bc pt was closing her eyes and refused to open them Cardiac: normal S1S2, sinus tachycardia, normal rhythm Lung: clear to auscultation b/l, no respiratory distress, no rales Neuro: unable to assess bc pt was not following commands

Patient describes loss of consciousness and seizure like episode witnessed by her husband and lasting 10 minutes on the evening of the day she received the vaccine. EMS was called by husband, she declined transport to ER at that time and presented to a walk-in Express clinic 3 days later.

Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Additional Details: PT FAINTED AFTER FEW MINUTES IN OBSERVATION AREA. LOST CONSCIOUS AND SEEMED TO BE HAVING A SEIZURE, LASTING A FEW SECONDS. SHE REGAINED CONSCIOUSNESS AND STATED SHE HAS HISTORY OF VASOVAGAL RESPONSES/FAINTING. PARAMEDICS WERE CALLED AND UPON ARRIVAL, SHE BEGAN TO HAVE ANOTHER SEIZURE. GIVEN IV FLUIDS/MEDS AND TRANSPORTED OUT OF PHARMACY IN AMBULANCE.

Client noticed increased heart rate and light headed. Taken to lay down on cot. b/p 148/96 heart rate 100 1404 heart rate 86/ b/p 120/88 1410 feels pressure in her chest and stomach, sitting up on cot. Reports that she is suffering from insomnia currently. Given snack and water stated she has only had ensure today. PC Dr., 1418; States she is doing better heart rate 106, SPO2 100% is opting to go to ER at this time. Taken via wheel chair.

Full arm to fingertip numbness in left arm, extreme dizziness, shortness of breath, fainting, low fever (for 1 day) and fatigue, all from 4/16 - 4/23.

Vasovagal syncope starting at 10 hours post vaccination- lightheadedness, fainting, urge to vomit upon standing. Resolved by laying back down and not standing up.

Fainting; Fever of 103; Vomiting Green Fluid; Nausea; Body Aches; Shortness of breath; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date unspecified), via an unspecified route of administration, administered in left arm on 03Apr2021 15:00 as single dose for COVID-19 immunisation. Medical history included psoriasis. The patient was not pregnant and had no known allergies. There were no concomitant medications. The patient received first dose of bnt162b2 on 13Mar2021, 14:30 for COVID-19 immunisation. On 04Apr2021 03:45, the patient experienced fainting, fever of 103, vomiting green fluid, nausea, body aches and shortness of breath that lasted 7 days after the second dose. There was no therapy for the events. There was no other vaccine in four weeks and no other medications in two weeks. The patient did not have Covid prior vaccination and was not covid tested post vaccination. Outcome of the events was recovered on an unspecified date. Information on the lot/batch number has been requested.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the event syncope cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Immediate pain in left arm, sudden dizziness, increased heartbeat, and nausea with the first 5 minutes of administration. After waiting ~30 min felt less dizzy and went home. Took a Tylenol and just had weakness and severe pain in the left arm. Next day around 9 pm had severe chills, fever, nausea, and a panic attack. Continued pain in left arm for another 2 days and continued feeling of weakness and fatigue until today. Have suffered shortness of breath and randomly increased heartbeat and feeling hot last week. This week is just continued fatigue and increased anxiety.

The day after receiving the first dose of the Pfizer COVID-19 vaccine, the patient began to experience heavier than normal menstrual blood loss and blood clots. The patient returned in 21 days and received her 2nd dose of the vaccine and began to experience heavy clots and blood loss again along with headaches, paleness, and weakness. The patient saw a physician and was given medroxyprogesterone to decrease the bleeding on 4/15/2021. On 4/28/2021 the patient reported to an ER and was given a transfusion due to low iron levels.

Felt dizzy stopped car, could not drive home. Reported immediately to the VSAFE app my symptoms. Later that day headaches and fever. in the upcoming weeks, dizziness, faint feeling, dizzy spell. 5 days after when drinking 1 cup of beer very very dizzy in a way i was never before, held onto the bar so i won't fall. On the April 27 - 18 days after first shot - was so dizzy and racing heart beat, went to ER. Reported dizziness since the first vaccine, doctors claims it has nothing to do with the Vaccine. Reported 5 times on the Vsafe app that i am feeling dizzy and that it keeps me from performing daily activities such as driving, haven't heard from anyone.

Patient got light headed while waiting in the waiting room and collapsed from her chair. Another customer caught her. She was alert within a few seconds and said she was feeling light headed, chills and sweaty. Patient claimed she hadn't eaten this morning and had a fear of needles and shots. Patient blood pressure was monitored and given water while we waited for the paramedics and her father to arrive. Paramedics assessed the patient and advised her to come with them to be checked by a provider. Patient refused and went with her dad to the ER.

Pt began to feel very dizzy at 1044 approx. 4 min after first dose pfizer vaccine then pt began to feel nauseated zofran 4 mg given with no relief pt began feeling chest pressure MD notified EKG x2 performed pt has no relief of symptoms per provider pt will go via ambulance to nearest ED for further evaluation. Pt was A&Ox4 at time of departure family notified of pt condition all nursing notes completed per policy.

13 weeks pregnant, recently diagnosed low platelet count Sudden fever, stomach ache, Dizziness, feeling faint, diarrhea, nausea (unrelated to pregnancy symptoms)

Pfizer-BioNTech COVID-19 Vaccine EUA from 10 am Friday, April 30: Fever, headache from 4 pm Friday, April 30: Upper back pain (in one particular spot) spreading out to chest and teeth from 8 am Saturday, May 1: Skin rash on neck and chest

Received her first dose Pfizer vaccine (LOT#: EW0179 EXP: 8/2021) at 0949 on 4/28/21. Patient alerted, EMT that she was feeling lightheaded and felt like she had very heavy eyes. Patient also started feeling increasing chest pain deep in sternal region. EMT alerted, PHN and another PHN. PHN's arrived on scene. PHN asked EMT to take vital signs at 0955. BP: 68/40, pulse: 61, O2:98%. Patient stated that her chest was increasingly hurting and quickly became a 10/10. Patient became ANOX1 quickly. PHN activated EMS. EMS arrived on scene at 1010. Paramedics started treatment. Patient received IV, EKG, blood/glucose test). Patient was routinely assessed by paramedics. Paramedics took the patients BP. BP: 95/50 and then 88/53. Patient left vaccination site on gurney with paramedics at 1028.

lost vision; migraine; unable to lift head; chest pain; nausea; This is a spontaneous report from a non-contactable consumer (patient). A 26-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date not reported), via an unspecified route of administration, administered at the right arm on 07Apr2021 10:45 (age at vaccination was 26 years) as single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. 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 pharmacy or drugstore. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient had been tested for COVID-19. The patient experienced lost vision on 07Apr2021 with outcome of recovered on an unspecified date, migraine on 07Apr2021 with outcome of recovered on an unspecified date, was unable to lift head on 07Apr2021 with outcome of recovered on an unspecified date, chest pain on 07Apr2021 with outcome of recovered on an unspecified date, and nausea on 07Apr2021 with outcome of recovered on an unspecified date. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on an unspecified date. Therapeutic measures were taken as a result of lost vision, migraine, unable to lift head, chest pain, nausea that included migraine medication, ibuprofen, and nausea medication. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Patient was sitting in the 30 minute waiting area when she started to feel lightheaded and shakey. Patient assisted to wheelchair and wheeled back to private observation and assisted to gurney. Patient suddenly had a fixed gaze and became pale. This episode lasted for about one minute. Patient then came to and reports a migraine and shakiness. Patient given apple juice and snack. Vital signs at 1019 were BP 134/84, P 75, 96% on RA. Pharmacist came and spoke with patient and mother and advised patient not get the second dose due to her history of anaphylaxis with TDAP and this reaction. This RN informed patient of possible delayed anaphylactic reactions. Patient driven home by mother. Patient back to baseline at 1045.

Patient received first dose of Pfizer vaccine and was waiting in the observation area when she fainted, fell from the chair, and hit her head. Patient was awakened with the ammonia inhalant. Patient tried to sit up and fainted a second time. Patient was assessed by an RN. Patient began to develop a hematoma to the left side of the forehead and some bruising to the left side of the face. Patient refused EMS and called her father to pick her up. Patient stated that feeling dizzy and fainting was a common occurrence after she received injections. Patient?s father arrived at 1500. Patient continued to refuse EMS, but both patient and her father were strongly advised to go to the ED to have her assessed further. Patient was helped to wheelchair and accompanied by security and RN to the car at 1507.

Cough starting an hour after injection. Feeling of heart racing (unverified, no oximider available), feeling of 2 heart palpitations, and shortness of breath around 1hr and 20 minutes after injection.

Patient was in observation, second floor after receiving second dose of Pfizer vaccination. Patient reported feeling nausea and had an itchy throat. Patient fainted from standing position to floor. patient placed in side-lying position and began seizure-like activity for one minute. 10:47 AM vitals- BP 126/67, HR 91, 100% 02 sat RA. Patient became responsive, sat up then proceeded with seizure-like activity for second time less than one minute. 10:50 AM Vitals- BP 113/38, HR 60, 100% 02 sat RA. Patient remained in side-lying position, head protected and EMS in route. 10:55 AM -patient responsive and mother present when transported by EMS to ED. 1100- patient left observation room alert and oriented.

Clientreceived vaccine, became progressively light headed, had approximately 10 second Loss Of Consciousness. Awoke and was able to ambulate to wheel chair without difficulty or residual light headedness. Brought immediately to treatment area by wheel chair and recovered fully

12h - 17h after injection: arm pain, headache,nausea, chill, back pain. fever to 101.8F. Take 2 tablets of Tylenol. Body temperature decreases to normal. 24h after injection: back pain. Headache.chill. nausea, fever again. 100.7 F. Take 2 tablets of Tylenol. Body temperature decreases to normal during sleep. 34h after injection: back pain. nausea, headache. Fever again. 100.5F. Take 1 tablet of Tylenol. 48h - 72 h. Normal temperature (below 100 F). Strong headache with vomiting. Vomited for several times. Fatigue.

Symptoms began 2/5 which initially started with high blood pressure. Dizziness, motion sickness, migraines, vertigo, impaired balance followed. Diagnosis was Vestibular neuritis related to inflammation from vaccine.

26 y/o female hx fragile x syndrome, ADHD, anxiety who presents with syncope after receiving her first covid vaccine. She reports a similar episode in 2019 after a flu shot where she fainted. This episode was witnessed by her mother, as well as several others. A Rapid response was called, she was unrespsive for about 1 minute and required sternal rub. She was mildly hypotensive at the time, IV was placed and given 500 cc bolus, cart team took her to the ED. Since then she has been asymptomatic, only complaining of hunger. She denies dizziness upon standing, no chest pain or dyspnea. No known hx of anemia.

I had a couple of bruises to pop up but I didn't known if I hit my leg on something or not. Still this is the longest I've ever had bruises to last on my leg. It feels over worked. Also, my body feels shaky sometimes. I'm not sure if it's my nerves since I just lost someone close to me or from this shot. I've never felt shaky at random like this. It feels like my heart races when that occurs, too. It never last long, either.

Within minutes of vaccine, had syncopal episode for approx. 30 seconds. When she regained consciousness, c/o nausea and had emesis. Vital Signs WNL

Tightness in my chest and lack of appetite. The pressure is the strongest in the center of my sternum. The best way to explain it ? it feels like there in a grape stuck in my lower trachea.

Patient complaint of dizziness and anxiety. Patient noted to be pale. Legs elevated. Patient provided with water and powerade . EMS called and evaluated patient. Patient requested to lay down. Patient assisted to stretcher to lay down. Patient began to feel better after laying down. Color noted back on patient . Patients stated that she is feeling better.

Patient with a moderate vasovagal episode and full syncope. The patient improved rapidly with hydration and repositioning and was returned home with a driver at baseline.

Shortness of breath; Weakness; Fatigue; palpitations; Myalgias at injection site; This is a spontaneous report from a contactable Other healthcare professional, the patient. A 26-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, lot number: EL1283), via an unspecified route of administration on 20Jan2021 at left arm as a single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EL9231) on 30Dec2020 11:13 pm and experienced myalgias, diffuse, causal relationship was reported as related; on 31Dec2020 16:33 experienced fatigue and causal Relationship was reported as unknown; On 31Dec2020 16:33 experienced weakness and causal Relationship was reported as unknown; and on 31Dec2020 16:33 experienced sore throat and causal Relationship was reported as unknown. The patient was not admitted to hospital. One second dose the patient experienced weakness, fatigue, palpitations, and shortness of breath on 22Jan2021 and myalgias at injection site on an unknown date in Jan2021. The outcome of the events was unknown.

After the first vaccine, at 5am the next morning, my blood pressure dropped to 90/65 causing my vision to blackout/feel like I was going to faint, and feel like I was going to throw up when standing. I stayed flat in bed the whole day and the second day after (4/8/21), it subsided. After the second vaccine on 4/27/21, it was a much more significant response. This occurred again at about 5am the morning after the vaccine (4/28, less than 12 hours after), my blood pressure began to fall and I was experiencing orthostatic hypotension again. On 4/29 significant body aches and pains (flu like symptoms set in). On Friday 4/30/21, I woke up, and without moving, the room was spinning, I felt like I was going to throw up, had bad headaches, and I was extremely dizzy. I took my blood pressure at it was 80/50. I could not stand or sit up, I had to lay flat with my legs propped up to keep blood flow to my head. I missed work from 4/28-5/1 as I was so hypotensive and symptomatic. I called my cardiologists office on the afternoon of 4/30 to get their advice and confirm that I should NOT take my hypertension and tachycardia medications that night (verapamil and metoprolol). The nurse advised me not to take them that day and to go to the hospital since I was so symptomatic. My mom, a cardiac care nurse, was with me at home, so I decided to stay home and only go in if it dropped any lower. The next day (Saturday) it began to normalize to around 110/70 and Sunday I was 120/80. I did not take any medication Saturday or Sunday, because I did not want my pressure to go low again. Monday I contacted my cardiologists office again, because I was still reading normal with no meds in my system, but was beginning to get chest pains related to the withdrawal from metoprolol, so they had me take the verapamil and metoprolol in normal doses Monday afternoon. Tuesday, I woke up low again (100/60) and had to call off work again. I contacted my cardiologist again, and he advised me to stop verapamil until my pressure got more high and I needed it again and called in a lower dose of my metoprolol (half the strength of what I was taking). It is now 5/9/21 and my pressure is still about 125/85, so I have not been able to resume the verapamil and am still on the half strength metoprolol.

Immediately after vaccine administration, patient lost consciousness and postured in decerebratic position for about 30 seconds and then woke and felt "out of it" for about 1 minute. Paramedics arrived and patient evaluated and patient monitored for about 20 minutes. Monitored by RN for additional 20 minutes.

Hives within inches of injection site after 24 hours. Headache and rapid heartbeat within 10 hours. Sharp and dull muscle spasms and tightness. Soreness in the injection arm.

After receiving the vaccine about five minutes later my Chest became very heavy and painful my throat felt like I?m knot closing and I passed out I was woken up at the site but I was unresponsive all I remember was them telling me to stay awake the ambulance is on the way I became very nauseous

I got my period and released a blood clot the size of a large date. I typically release very small blood clots during my period but never the size of the what I released yesterday

Patient received first dose of pfizer vaccine, after about 5 minutes she came to the consult window saying she felt dizzy and asked if she could sit down. We asked her to sit down and grabbed her a water and asked what she was feeling. She stated at that time she had a history of fainting with vaccines, but did not state that on her questionnaire or before getting the vaccine. I could tell patient was about to lose consciousness, and she fainted. She gained consciousness after a minute and we gave her a banana, chocolate and some water as she stated she had not had anything to eat today. I began to check her vitals, her BP was 108/76. EMS was called and patient was evaluated by them and never returned.

near syncopal episode, abdominal cramps and nausea. called EMSA who arrived and took her to the hospital

Anaphylaxis 2 hours after vaccine. Extreme swelling/tightening of throat, difficulty breathing, talking, dizziness and feeling faint, spots in vision, choking, coughing, chest tightness.

Pfzier second dose on 5/4/2021 few days later on Thursday night I got rapid heart rate with shortness of breath and cold/shivers and continued to get rapid heart rate every night sometimes around 8-9pm sometimes waking me up at 1am or 4-5am for the next 2 weeks or so

26 y/o female with no past medical history who presents with headache, heavy eyes and palpitations post vaccination. Patients states that this is her 2nd vaccine in the two-dose series. Patient states that with the 1st vaccination patient experienced similar symptoms but worse. Patient denies nausea, throat pain, shortness of breath and chest pain. NP and Paramedics at patient side. Patient vitals were all within normal limits (137/85 BP, 66 HR, 97% and Resp 12). Patient monitored for 15 mins with resolution of symptoms. Patient cleared for discharge home.

Patient fainted about 10 minutes after receiving vaccine. Upon regaining consciousness patient was pale, sweating, and light headed. After about 30 minutes the patient was feeling well enough to leave with her sister.

Sharp left-sided chest pain 3-5 hours after injection, felt on "full breaths," felt similar to a pulled muscle, on the same side as my cardiac pacemaker- subsided after 24 hours Fever of 100-101 degrees F beginning within 2 hours of injection, intense and severe body aches and chills for 24 hours, nausea and upset stomach for 24 hours, Extreme fatigue for 24 hours - moderate for the next 5-7 days Arm swollen and stiff at injection site (despite heavy arm movement while in 15 min. waiting area) Mild dizziness and lightheadedness for first 5 minutes immediately after injection Severe headache for 48-72 hours

THE VACCINE WAS ADMINISTERED TO PT,PRIOR TO VACCINATION SHE CONFIRMED THAT SHE HAD NEVER FAINTED AFTER VACCINES AND THAT SHE HAD NO ALLERGIES AND PT WAS ADVISED TO WAIT IN THE PHARMACY AND WALKED TO THE WAITING AREA AND ENSURED THAT SHE REMAINED SEATED FOR 15 MINUTES.A FEW MINUTES LATER, ANOTHER CUSTOMER CALLED OUT FOR HELP AND STATED THAT SHE WAS HAVING SEIZURES, PHARMACY STAFF IMMEDIATELY NOTIFIED THE EMERGENCY DEPARTMENT, WHICH ARRIVED WITHIN MINUTES, ACCORDING TO PATIENT SHE PASSED OUT BRIEFLY AND FELL OFF THE CHAIR, SHE DESCRIBED HER SYMPTOM AS "LIGHT-HEADED AND DIZZY,"SHE WAS ABLE TO SPEAK AND STATED THAT SHE HAS IRON DEFICIENCY ANEMIA. SHE ASKED FOR WATER AND WAS PROVIDED WITH SOME.APPROX. 15 MIN LATER SHE WAS EXAMINED BY ER CREW AND LEFT THE PHARMACY SAFELY.

Facial numbness, tingling, difficulty swallowing. Flu like symptoms lasting 10 days, residual tachycardia

Site: Pain at Injection Site-Mild, Systemic: Bell's Palsy-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Shakiness-Medium

Jaundice of skin and eyes, symptoms of anemia (shortness of breath, extremity tingling, difficulty exercising), dark urine, yellow tinged stool, yellow tinged body fluids, shortened menstruation. Physically noticed symptoms in early February 2021. Symptoms did not improve so scheduled a clinic visit. Lab tests revealed critical low H&H with no signs of hepatic malfunction or disease. ER visit and consultation with hematologist pointed to diagnosis of Warm Autoimmune Hemolytic Anemia. No family history of autoimmune disease, no previous history of condition, no previous cancer, no prescription medication. Suspect that the vaccine caused condition. Current treatment is high dose prednisone. Treatment ongoing.

Quickly after receiving the vaccine I started with a bad head ache, fever, chills, achy, tired, sore and weak. I tried to sleep it off, I did maintain a bad head ache for about 3 weeks after. I did not feel 100% for a few days. I then started with "allergies" - sinus pressure, stuffy nose. After a week I went to Minute clinic who diagnosed me with severe allergies and a sinus infection and put me on 7 days of Augmentin. Day 5 I was feeling worse (shortness of breath, tightness in chest, low energy) and called my primary dr asking for a change of medication. Out of protocol, my primary saw me outside and covid tested me, and prescribed z pack. The next day, I received the lab results that I tested positive for covid. At this point, it was day 15 since my "allergies" started which was discovered to have been covid the entire time. When the state called me for contact tracing they determined that I was at the end of having covid and was only contagious the first 6 days. I went for a new covid test 4 days later and it was negative. Around day 22 - 25 my headaches finally stopped, I started being able to catch my breath more and was getting more energy. I waited until 5/12 for second covid dose as primary care dr said to wait a month from testing positive. I had another head ache and soreness.

Heart pounding. Could not sleep because of heart pounding as well. The next day, I played tennis, and for the first time, I felt shortness of breath and accelerated heart beat / tachycardia. These seem very unusual given I have no pre-existing condition or other health conditions/ illness

RN note: Patient received vaccine at 1615, at 1620 patient stated she was dizzy and seeing stars, quickly after patient was unresponsive and eyes rolled back and patient postured and was shaking slightly. Patient remained in chair and did not fall, RRT and emergency responders notified. Patient recovered in under 1 minute. Initial vitals signs at 1622 BP: 98/64, HR 101, Respirations 34, SpO2 99%. Paramedics arrived at 1630 and BP at that time was 113/72, HR 114, Respirations 30, SpO2 99%. Patient stated no current medications or medical history. Patient handoff given to Paramedics and she left with them per our recommendation. Also reviewed that patient should follow up with her doctor regarding getting the second dose of the vaccine.

PATIENT REPORTED THAT SHE WAS FEELING DIZZY AND WARM ABOUT 10 MINUTES AFTER HER SHOT (NO PREVIOUS VACCINE REACTION REPORTED), SHE LOST CONSCIOUSNESS SECONDS LATER. ELEVATED FEET AND MONITORED BP OVER NEXT 20 MINUTES, FIRST 95/66, PATIENT REGAINED CONSCIOUSNESS SECONDS LATER AND SECOND BP AFTER ELEVATING FEET 98/67 LESS THAN 1 MINUTE AFTER FIRST, THIRD BP 100/67 AFTER 5 MINUTES, FOURTH BP 135/90 (PATIENT WAS TALKING AND MOVING), MOVED PATIENT TO SITTING POSITION IN CHAIR AND CHECKED AGAIN AFTER 5 MINUTES MORE 112/88, PATIENT GIVEN ORANGE JUICE AND WAS SIPPING AND REPORTING FEELING BETTER, WAITED ANOTHER 5 MINUTES AND BP WAS 105/85 PULSE 77. PATIENT REPORTED FEELING RECOVERED AND EXPRESSED CONFIDENCE IN LEAVING TO GO HOME (5 MINUTES FROM STORE). WILL CHECK IN WITH HER LATER TODAY TO SEE IF SHE IS FEELING OKAY.

Heart palpitations, chest pain, chest tightness. Started to go away within two weeks without medication. Visited urgent care, primary care and cardiologist

was feeling as though as she was going to faint; Her heart was beating fast soon; She also developed a rash to her arm and elbow.; was normally on time with cycle, and it had been off; This is a spontaneous report from a contactable consumer (patient's mother). A 26-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) at the age of 26 years old, dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 1st dose, single, dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 2nd dose, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Mother was calling on behalf of her 26 years old daughter who had received both doses of the Pfizer Covid vaccine. A couple of weeks after the vaccine her daughter while in the shower, was feeling as though as she was going to faint, she was normally on time with cycle, and it had been off, her heart was beating fast soon after she got the vaccine, but it went away. she also developed a rash to her arm and elbow. The reporter asked if an abnormal cycle which has never had was part of the Pfizer Covid vaccine and what about infertility if there were any reports on whether the vaccine would cause infertility. The outcome of the event "Her heart was beating fast soon" was recovered on an unspecified date, of the other events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Syncope (lost consciousness) in the morning after the vaccine. Accompanied by fever, chills, dizziness/presyncope, nausea, headache, body ache, stiff neck on same side as vaccinated arm, sore throat and excessive saliva production

After standing up from the toilet early in the morning, fainted and fell on bathroom floor. No injuries were sustained. After regaining consciousness less than 1 minute later, sat up and breathed and focused for about 2 minutes until mentally clear. Relocated with assistance to couch, drank water, ate a slice of toast.

Immediate numbness following injection. Later that evening ~7:00 p.m. joints and muscles in left arm/shoulder curled and seized-up. Tingling pins and needles with loss of sensation and dexterity. At bed time May 20th - continued pain, stiffness and swelling accompanied by high fever, chills, excessive sweating, and muscle convulsions. Intense ringing in ears. Next morning (May 21st) I had to miss work. Continued fever, chills, loss of appetite, mild nausea, nerve spasms and locked joints throughout entire body. I felt as though my body was poisoned. The weekend consisted of major fatigue and falling asleep during the day intermittently. Numb arms, weakened grip - could barely make a fist, and had a loss of coordination. Brain fog, delayed thoughts and physical responses. CONTINUED MUSCLE WEAKNESS AND NERVE SPASMS. I contacted doctor for help since my PCP's office was not open until Monday. I began taking Magnesium and B vitamins. I was drinking 1.5 gallons of water daily and still feeling thirsty. Called Doctor on the 24th to report involuntary muscle spasms in neck shoulders and lower back, joint stiffness, numbness, slowed circulation (pins and needles), and a vertigo-like falling sensation at bedtime. Cannot get to sleep comfortably without the spasms and my head rolling. He recommended Benadryl and Tylenol which I began taking which helped the numbness but not the shakiness and nerve spasms. He also offered a muscle relaxer, but I was concerned about waking up and driving to work in the early mornings so I declined since having trouble waking up with all the fatigue. It didn't matter anyway because since then I have missed work due to the sudden weakness, head fog, indigestion, and nerve tremors. Wednesday, I needed assistance going up and down stairs because my limbs felt limp like rubber bands. My joints are unusually cracking while my breathing is more labored. My resting heart rate was elevated and I could feel it beating harder than normal. Thursday, I drove myself to the E.R. because I feel as if I have aged 30 years in under a week. Their blood tests, EKG, and x-rays found nothing abnormal and I received fluids through an IV. However my nervous system feels absolutely shot. THIS IS NOT NORMAL. I WAS INCREDIBLY HEALTHY BEFORE THE SHOT. I WAS NOT INFORMED OF THESE RISKS. I LIVE A CLEAN, ACTIVE LIFESTYLE WITH REGULAR DIET AND EXERCISE. I HAVE NEVER NOT BEEN ABLE TO ARTICULATE MY BODY MOVEMENTS FLUIDLY AND PRECISELY. my doctor suspected I previously had an asymptomatic case of Covid, and that I had an allergic reaction directly related to the vaccine that attacked my nervous system. I FEEL SO MISERABLE AND WRONG. I worry about my quality of life from here on out even though I'm told these symptoms will pass. Today, over a week post my first shot, I have loss of sensation in my arms, tingling in my extremities and base of skull, neck, and lower back (worse at night and when resting). My nerves are still randomly firing and I feel shaky. My body feels as if it has slowed down its automatic functions.

10 minutes after vaccine patient stated she felt warm and clammy, gave her sip of water and cold rag, after 25 minutes she stated she felt a little better and wanted to go to bathroom, had syncope event on way to bathroom and passed out. 10 minutes vomitted. did not want to go to er and mom did not want her to. mom took her home.

PATIENT HAD REACTION WITHIN ABOUT 10 MINUTES AFTER RECIEVING THE FIRST PFIZER DOSE. 911 WAS CALLED. PT WAS AMBULATORY AND WAS ABLE TO WALK TO GET ON THE STRETCHER TO BE TAKEN AWAY BY AMBULANCE. REACTIONS WERE: DIZZINESS, NAUSEA, HEADACHE, MUSCLE CRAMPS, CHILLS, COLD SWEAT, TINGLING SENSATION IN MOUTH, LIPS WERE VISIBLY SLIGHTLY SWOLLEN, BLOOD PRESSURE DROPPED 107/59 HR 84, THEN 99/54 HR 88, WEAKNESS/FATIGUE AND DIFFICULTY BREATHING. BLOOD PRESSURE WAS MEASURED BEFORE SHE WALKED TO THE STRETCHER, IT IMPROVED TO 124/80. PT WAS NOT TREATED BY EMS AT THE PHARMACY, PT WAS AMBULATORY, AWAKE AND ALERT AND COHERENT.

States received first covid vaccine early 4/2021 and soon afterwards developed chest pain. She went to her PCP at that time and he treated her for possible anxiety related to insomnia. She went to ER on 5/5/21 with negative workup and was told that it was likely anxiety related. She presented to my office on 6/1/21 for second opinion for continued chest pain. CT PE study was done finding multiple PEs.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: The patient fainted roughly 5 min after vaccine administration and became responsive again in less than a minute. She was monitored for 30 min with frequent blood pressure checks and took two glucose tablets while drinking plenty of water.

Patient presented to the ED on 5/1/2021 with subarachnoid hemorrhage and was subsequently hospitalized. This was within 6 weeks of receiving COVID vaccination.

After receiving the vaccine I passed out. Waited the 15 minutes then got into my vehicle. At that time my entire body felt as though it was on fire and I broke out in hives. Had trouble breathing. Went home, took Benadryl and waited it out. Breathing went away a few minutes later but hives stayed for 3 days. My arm was swollen and tender the next day and stayed swollen for 4 days.

Extreme chest burning/pain/tightness, shortness of breath, pressure in my neck around my throat. Persistent nearly 7 days after 2nd vaccine.

in the pt's words received my 1st (5/5/21) and 2nd (5/26/21) doses of Pfizer at County Fairgrounds. I want to document my experience as I had some pretty severe reactions to my second dose. Evening of the 26th I got chills and a fever of 102.9F. I took one ibuprofen and the fever went away. The next morning I had a slight headache. Around noon I got intense chest pains/pressure that lasted 30 minutes. I could not take a full breath as it was very painful. On the 28th, I woke up with a terrible headache for no apparent reason. Some ibuprofen helped. After a few hours it was gone. At 2am on the 29th, I woke up with very intense stomach cramps. I went to the bathroom and was able to pass out some stool over the course of about 30 minutes in the bathroom, and the cramps went away. On May 31st, I got what seemed to be a blood clot in my left index finger. It went away after about 20 minutes but still felt sore the rest of the day.

bleeding; Vaginal spotting and some discomfort (cramping); Vaginal spotting and some discomfort (cramping); Vaginal spotting and some discomfort (cramping); This is a spontaneous report from a contactable consumer (patient). A 26-years-old female patient (not pregnant) received bnt162b2, dose 1 via an unspecified route of administration on Mar2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunization at the age of 26 years old. The patient received bnt162b2, dose 2 via an unspecified route of administration on 19Apr2021 13:00 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunization The patient medical history was not reported. No known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication(s) included drospirenone, ethinylestradiol betadex clathrate (YAZ) taken for birth control. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced bleeding, vaginal spotting and some discomfort (cramping) on 05Apr2021. Reported as: Vaginal spotting and some discomfort (cramping). Its has been occurring since the fist dose in March. I am on the birth control Yaz but I am regular with taking it and it has been the same birth control for over a year. I have not had regular spotting before and I went to an OBGYN on 5/12 and there were no abnormalities that would indicate another cause of the bleeding. It's not serious but I'm reporting in the hope that your studies begin including effects on things like menstrual cycle because it sounds like there are effects like this happening.The adverse event result Doctor or other healthcare professional office/clinic visit. No treatment received. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was not recovered. Information about lot/batch number cannot be obtained. No further information expected.

Vasovagal syncope after roughly 13 minutes post-injection. Syncope lasted a few seconds (roughly 10 seconds) according to family that helped me. Head went backwards and eyes rolled back in head and then head/body slowly moved forward/sideways. Treatment or follow-up was not provided by anyone at pharmacy location even though family asked for assistance. I left after the 15 minute mark that I was required to stay for. My head felt very tight for the rest of the day, like a rubber band was squeezing my head around both temples.

Pt received Pfizer vaccine and was sitting outside for the 15 minute observation period when she had a syncope episode about 5 minutes after the vacciine. Patient was on the chair and her head tilted back and her fiancé called for help. I went and as I was adjusting her she woke up and was completely alert. We called Ems and they came and assessed patient and she was ok to go home. Her vitals were stable and they ruled it was a syncope episode.

Patient came into the store with her mother to get her firs Covid 19 vaccination. At we carry Pfizer brand. She received the vaccination and was walking around the store she passed out and hit her lip on way to floor. Upon seeing the patient on the floor I came over to the mom to provide assistance. She was awake, however, very lethargic. I was very concerned that the patient was not coming out of the syncope fast enough. Therefore, I called 911. The fire dept. was first to arrive. They checked her vitals and asked her many questions. All vitals were in normal limits and she correctly answered their questions. The EMTs arrived and re checked vitals. All vitals still showing normal limits. They are to put her in the ambulance and take her to hospital. The patient refused and the EMTS walked the patient to her car and I returned to the pharmacy. I called patient at 6:00pm that night and mom informs me that did go the ER later because of a rash all over body. Mom states that is feeling better after hospital visit.

Patient had syncopal episode followed by vomiting within 15 minutes of vaccination. Patient continued to feel "sleepy" and first refused to go to ER, then agreed to be transported to the ER by EMS.

Vasovagal response - Faint, dizzy, weakness, started immediately after immunization. Patient was given a snack and water, and monitored for 30 minutes post vaccination. No further side effects noted.

slight "numbness and tingling" in bilateral arms and legs; slight "numbness and tingling" in bilateral arms and legs; they punctured her vessel with the vaccine with some heavy bleeding; slight chest tightness; This is a spontaneous report from a contactable other health care professional. A 26-year-old (non-pregnant) female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot Number: EW0217, brand: Pfizer), via intramuscular route of administration, administered in arm right on 12Jun2021 14:00 (at the age of 26-year-old) at 1st dose, single dose for covid-19 immunization. Medical history included Autoimmune disorder (Sjorgen), Boils, GERD (Gastrooesophageal reflux disease). Patient was allergic to Sulfa drugs, Latex, Bactrim, Environmental. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications (which the patient received within 2 weeks of vaccination) included pantoprazole; cetirizine; xylometazoline hydrochloride (NASAL SPRAY II); aluminium hydroxide, magnesium hydroxide (MYLANTA SIMPLE); dupilumab (DUPIXENT); doxycycline. The patient received their first vaccine on 12Jun2021 at name. The patient stated they punctured her vessel with the vaccine with some heavy bleeding that resolved after several minutes. Then after 10 minutes complained of slight chest tightness but after 30 minutes symptoms subsided. The patient stated that at 4 am on 13Jun2021, experienced slight "numbness and tingling" in bilateral arms and legs. States it feels like when your feet just waking up. Patient did not receive treatment for the adverse event. Outcome of the events slight "numbness and tingling" in bilateral arms and legs was resolving and the events punctured her vessel with the vaccine with some heavy bleeding, slight chest tightness was resolved on 12Jun2021. Information on Lot/Batch number is available; Further information has been requested.

Patient is pregnant; Low blood pressure; Headache; Fever up to 102; High heart rate; Nausea; Chills; Muscle aches; Dizziness; This is a spontaneous report from a non-contactable consumer. A 26-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 05May2021 (Batch/Lot Number: EW0168) as single dose for covid-19 immunization. The patient medical history was not reported. Concomitant medication(s) included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]); ascorbic acid, betacarotene, calcium sulfate, colecalciferol, cyanocobalamin, ferrous fumarate, folic acid, nicotinamide, pyridoxine hydrochloride, retinol acetate, riboflavin, thiamine mononitrate, tocopheryl acetate, zinc oxide (PRENATAL VITAMINS). The patient previously took ceclor and experienced drug hypersensitivity. The patient is pregnant with gestation period of 27 weeks. The patient is pregnant on an unspecified date with outcome of unknown, experienced fever up to 102, low blood pressure, high heart rate, nausea, chills, muscle aches, dizziness, headache all on 05May2021 with outcome of recovered. Ae resulted in doctor or other healthcare professional office/clinic visit emergency room/department or urgent care. No treatment. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 05May2021. No covid prior vaccination. No follow-up attempts are possible. No further information is expected.

Ten minutes after the shot I either fainted or had a seizure. I was unconscious for less than a minute, but my arms jerked and stiffened while I was unconscious. I do not have any recollection of the event, but was with a friend who is an ER nurse, and was able to hold my head and move my feet up into the seat next to me. The staff at pharmacy ignored the event, and could not even take my blood pressure as my nurse friend was requesting. The staff did give me a cold bottle of water at my friends request, but otherwise completely ignored the event. A woman standing by offered to call 911 (I was unconscious so only know about this from my friend) but my friend, being an ER nurse took my pulse and told her to wait to see if I wake up in under a minute (which I did.) I woke up only with a headache and extreme tiredness.

Shortly after administering the patient's 1st dose of Pfizer, the patient fainted. I laid her on the floor and a gentleman helped me call 911. When the patient awoke, the store manger and I helped her get up and moved her to seats to lie down and gave her water. The EMS arrived 15 minutes after the call and stayed with the patient until 7:18pm after she refused going to the ambulance/hospital several times, saying she needed fluids and iron. The patient left the store alone without informing pharmacy staff around 7:22pm even though she told us someone was coming to pick her up.

Patient states that she received her 1st dose of COVID-19 vaccination roughly 1.5 hours ago and roughly 20 minutes later was driving her car home when she began experiencing central chest pressure and tightness which occasionally radiates into her abdomen. She states that she was shaking all over, experience blurred vision, vertigo, and numbness to the bilateral legs. Symptoms resolved in 2 hours. Patient discharged from the ED. Patient given Tylenol prior to discharge and to follow up with PCP.

A few minutes after taking the 2nd dose, I developed a fever. I was dizzy and had a headache. My blood pressure was high. I had to lay on a cot and had to be monitored. Two hours later, I was allowed to leave. After 4 hours of the shot, I started to feel better.

I have had muscle inflammation and wide spread pain throughout my body. It started as a pain in my left chest on May 29th, then by June 10th my body is on fire, I cannot use my left arm due to my sore joint. The muscle inflammation has spread throughout most of my body. My appetite has been non existent, and I have swollen lymphnodes in my arms and chest. It started off on one side and eventually spread to both sides of my body. My lymph nodes are still swollen and my body pain and muscle weakness are still here.

The day after the second vaccine, I experienced elevated morning heart rate (HR) and lowered heart rate variability (HRV). Initially, this was not unexpected; however, my HR and HRV remained abnormally high and low, respectively, with no clear cause. I am an athlete, so I pay very close to these metrics on a daily basis. My mean morning heart measurements 40 days prior to the second vaccine: HR = 68.5 bpm, HRV= 8.0 . Mean Morning heart measurements 30 days post vaccine: HR = 82.7, HRV = 7.2

Noticeable fluttering heart beat, stronger than normal, causes a tightness and some pain in the chest. Occurs on and off all through out the day, every day

I have been experiencing ongoing side effects since I got the 2nd dose of the vaccine. I am having fever-like symptoms including fatigue, dizziness, a lot of tension/pressure in my head, difficulty breathing and abnormal heart rate, etc, every single day since I got the vaccine. These symptoms have persisted for nearly TWO months now, and are not going away. These side effects have a big impact on my daily life, make it difficult for me to perform daily activities.

Bad Shortness of Breath; Severe asthma exacerbation; Elevated D-Dimer; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot Number: EW0185) at the age of 26 years old, as DOSE 2, SINGLE for COVID-19 immunisation. Medical history included ongoing asthma (she has had this condition her whole life) and ongoing allergy to polysorbate. There were no concomitant medications. Historical vaccination included bnt162b2 for COVID-19 immunization received on unspecified date (Dose number: 1 and Lot Number: EW0183). The patient wanted to make sure that Pfizer is aware about her reaction that she was in the hospital for. The patient had severe asthma. After her second dose of the vaccine she developed bad shortness of breath. She used her regular asthma treatments. She ended up in the hospital for severe asthma exacerbation due to the inflammatory response of the vaccine. Stated that maybe Pfizer needs to look into more studies with asthmatics. The patient stated that her symptoms started the same day as her second dose of the vaccine. She was admitted to the hospital this past Tuesday, 08Jun2021 and was discharged last night (09Jun2021). She stated that she was pretty sure that it is the vaccine that caused these events. She states she had an elevated D-Dimer on Jun2021; she believes this was related to the vaccine also. The event bad shortness of breath required emergency room visit. The patient was hospitalized due to bad shortness of breath and severe asthma exacerbation from 08Jun2021 to 09Jun2021. Outcome of the events was unknown. No other vaccines received 4 weeks prior to first COVID vaccination. No follow-up attempts are possible. No further information is expected.

Diagnosed with Myocarditis; administration_date=13/Apr/2021/number=1/vaccine_date=13/Apr/2021/number=2; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient (non-pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular at the age of 26-year-old administered in arm left on 13Apr2021 14:00 (Lot Number: 6314) at single dose, dose 2 via an unspecified route of administration at the age of 26-year-old administered in arm left on 13Apr2021 14:00 (Lot Number: 6314) single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. Relevant past drug history was reported as cillins (unspecified). The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient didn't received any other medications within 2 weeks of vaccination. The patient diagnosed with myocarditis on 05May2021. The adverse event result in Doctor or other healthcare professional office/clinic visit. The event was serious for being medical significant. Since the vaccination, the patient hasn't been tested for COVID-19. The patient was received the anti inflammatory and steroid for adverse events. The outcome of event was recovering.

Tachycardia (115-123 bpm via pulse oximeter) even at rest that started about three hours following inoculation of the second Pfizer COVID-19 vaccine that persisted for about 16-18 hours. It did cause some sleep disturbance in the middle of the night about 15-16 hrs post-inoculation at approximately 3-4:00 a.m. that woke me up in my sleep secondary to feelings of palpitations. This kind of resting tachycardia has resolved spontaneously without any treatments. No fever, chest pain, shortness of breath, extremity swelling, rash. I did have body aches for about three days following inoculation, but that is normal with this vaccine. However, I cannot say my tachycardia has fully resolved yet. It is complicated by the fact that I developed tachycardia following my orthognathic surgery in November 2020, which I have never experienced before in my life as I am generally healthy without any past medical history. This appeared to have went away temporarily a week before I had this second COVID-19 vaccine (roughly six months post-op) and then came back three hours after being inoculated. It made sense in the beginning as I was hypovolemic and dehydrated and could not eat or drink anything that well, but it still did not go away months after the procedure with increased fluid intake (averaging 2-3 L/day) and eating normally overall. I did speak to my surgeon about this in April 2021, where I did mention that my tachycardia appeared to be worsened with transitioning, suggestive of orthostasis, but upon further observation, it is worsened with just daily/strenuous activities (e.g. short walking distances, lifting and moving a small table, anything strenuous really). His assessment and plan in his chart notes was as follows: "A/p Doing well from an orthognathic surgical standpoint. She has recovered as expected and the result is optimal. With respect to her tachycardia, this sounds like orthostasis, although she is adamant that she is well hydrated. Other things on the differential would include cardiac (unlikely, she is young and healthy and doesn't have any other symptoms), adrenal insufficiency (she did receive corticosteroids immediately after surgery, but this should not have been enough to cause insufficiency), infection (no signs or symptoms), medication related (unlikely, no new meds), or neurogenic causes (also unlikely). As all of these are unlikely, and it is unlikely to be associated with the surgery, I am at a loss as to what might be the cause. I advised she establish care with a PCP and get this worked up, should it continue. She agrees."

Woke up with burning sensation and pressure in my heart, felt like a heart attack and was treated with Myocarditis, treated with metoprolol succinate to help heal the inflammation of my heart.

Patient called pharmacy 6-29-21 at 2:15PM. Patient states she has been having chest pain. difficulty concentrating, and dizziness today. Advised patient to go to the Emergency Room due to chest pain.

Patient got the 1st shot of Pfizer at 6:00 pm. While She was waiting for 15 minutes time, she pass out around 6:05 pm. Call 911 and they took her.

Severe Heart ache, Left arm severe pain. Swelling, shortness of breath, hearing loss, low blood pressure, rapid heart rate.

Full body hives spread out only about 10 in total lasting more then 24 hours. Red blotchy non bumpy rash on both arms lasting more then 24 hours. Heavy feeling in chest lasting more then 24 hours. Severe muscle and joint aches lasting more then 24 hours. Extreme tiredness lasting more then 24 hours. Brain fog lasted less then 24 hours.

joint pain; arm pain; swollen lymph nodes; chills; headache; rapid heart beat; trouble swallowing; This is a spontaneous report from a contactable consumer, the patient. A 26-years-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6207) via an unspecified route of administration in left arm on 17Mar2021 at 08:30 (at the age of 26-years-old) as a single dose for COVID-19 immunisation. Medical history included asthma and penicillin allergy. Concomitant medications included daily vitamins (unspecified) and unspecified allergy medicines. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 17Mar2021 at 09:00, the patient experienced joint pain, arm pain, swollen lymph nodes, chills, headache, rapid heartbeat, and trouble swallowing for a short period of time. No therapeutic measures were taken for the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events joint pain, arm pain, swollen lymph nodes, chills, headache, heartbeat increased and trouble swallowing was recovered on an unknown date in Mar2021. No follow-up attempts are needed. No further information is expected.

patient slumped sideways in chair a few minutes after receiving covid vaccine due to fear of needles. she was only out 15-20 seconds. no injuries.

Near syncope following vaccination followed by 2 days of HA, elevated HR and blurry vision. March 8th, symptoms worsened. Went to ED and was told she had a fib. 3/25- reported to clinic for continued fevers, blurry vision, poor appetite, HA, dizziness, body aches and increased HR. Returned to clinic on 3/29, 4/8 and 4/15 with a similar constellation of symptoms. 5/11- seen in the ED for migraine. 5/12- Seen again in the clinic with autoimmune panel run. Seen again on 5/17 in the clinic and in the ED on 5/30 for ongoing tachycardia and dizziness that worsens throughout the day. Additional neuro and cardiology work ups requested.

Patient received vaccine and seemed fine. Had a seat in the waiting area. About 5 minutes later the patient stood up to tell the staff that she felt dizzy. She then collapsed. A by-standing patient protected her head from the floor. Patient laid down on the floor and remained there until she felt better. She had some water and crackers and slowly felt better. Patients dad picked her up from the pharmacy and no other events were reported.

She presents emergency department with chest pain that started 24 hours ago. She states that when she woke up yesterday she was experiencing central chest pain, no radiation. She states that if she applies pressure to her right anterior intercostal muscles with her hand, the pain is alleviated. The pain is worsened if the patient leans forward, alleviated by leaning back. Pericarditis Diagnosis management comments: Chest pain, story is concerning for pericarditis. Cardiac workup is negative and given it has been 24 hours since onset of chest pain, a single cardiac workup is sufficient rule out cardiac disease. D-dimer is negative. Chest x-ray, no acute cardiopulmonary abnormalities. Patient feels significantly improved after Toradol. Story remains consistent pericarditis, patient is given outpatient NSAIDs, I advised follow-up with primary care provider within the next week as may need further testing. Advised good return precautions in case of worsening chest pain, difficulty breathing, any worsening condition. Patient discharged in stable condition.

After receiving the second dose, around May 8th, I started developing symptoms of seeing stars in my vision and I had lower extremity edema. On May 18th, I went to a regular prenatal appt and I had 2 blood pressure readings. Both readings were around 150/90. I also had hand and facial swelling and still had pitting edema in my lower extremities. When I was sent to triage, they ran standard tests and found that from the urinalysis, there was protein in my urine. I was diagnosed with pre-eclampsia without severe features and was sent home to monitor myself. On 05/26, I had a headache that would not resolve with Tylenol so I had to go back to triage. I was given a fluid bolus and the headache went away and was sent back home. On 05/28, the headache returned and would not resolve with Tylenol. I went back to triage and the midwife there decided that I was going to be induced to deliver. I had a vaginal delivery, 5 weeks early . My son weighed 6bs 8.5oz. I do not have any other children and I did not have any miscarriages. There was a threat in the early stages of my pregnancy of a miscarriage. My son had to be in the NICU for 2 weeks. When he was born he had respiratory distress, low sugar levels and that resolved within 48 hours. Then he developed jaundice and he had poor feeding. As of today, we are doing great.

I had Covid-19 within a week of my first dose in May of 2021. Two days after the vaccine I woke up with chest pain. I was sweating and I felt really tired. I had an uncomfortable feeling in my chest. On 6/25/2021 I went to the ER at Hospital and I was diagnosed with Myocarditis. My Troponin level was 109. I was admitted to the hospital for three days. I was transported to another Hospital. I was still having chest pain when I was discharged, and I still had some chest discomfort and exhausted. By 06/02/2021 I felt better. I was advised to consult a cardiologist within the next couple of months.

dizziness, syncope, pale complexion, sob/difficulty breathing/ gasping for air, nausea after about 5-10 minutes after vaccine given. EpiPen given by pharmacist, fluids given by rescue. breathing improved, Vitals were stable upon transport to hospital

Sudden onset of symptoms on 5/11/2021. Symptoms include dyspnea, dizziness, fatigue, brain fog, and high heart rate. Symptoms are episodic and last an hour or so at a time. Dyspnea gives a feeling of not having enough air flowing to the belly. Patient attempts to take fuller breaths and complains of not achieving a satisfying full breath every time during these episodes. Patient complains of dizziness and having a difficult time keeping the head and neck up. High heart rate and palpitations are often the worst after getting out of bed in the morning, with bpm hitting 135. Patient complains of a racing heart upon waking up. Patient's resting heart rate is consistently 85-100 bpm. Oxygen saturation always above 95%. Patient has experienced these episodes previously for a few days at a time but these incidents self-resolved after a few days. No headaches. Sharp chest pain experienced twice, both times under the left breast. First time while running on the treadmill, the second time the chest pains awoke patient from sleep. Negative Covid test as of 5/14/2021. Second Covid vaccine (Pfizer) administered 5/4/2021, may be mild myocarditis. Patient recovering but not back to normal yet.

Symptoms within 24 hours after injection: headache, nausea, jaw pain, chills, tightness in chest Symptoms between 24-48 hours after injection: tingling in left hand, blurry vision, light-headed

After getting the 2nd shot, I had no issues other than arm pain. On the 3rd of May, about 3 days later, I started feeling a burning sensation in my chest. The sensation could be felt on the top left of my chest. It was an ongoing feeling. At times I also felt the same sensation at the injection sight. Sometimes there was an achy feeling but the burning was more prominent. On that wednesday, I decided to go to Urgent care as the symptoms did not stop. They had me do a chest xray but did not see any cause for concern and so I was sent home and told to keep an eye on it and that if I had any difficulty breathing or terrible pain in my chest, I should go to the ER. That Saturday, May 8, I went to my doctor's office because I was getting worried and the sensation was not going away. I had begun to feel some chest tightness every now and again. It had now been a week. I was seen by a doctor who said that the vaccine can cause lymph node swelling and that was probably what was happening to me. She felt my chest and arm and said that she could feel swelling. I could feel a bit of swelling in my arm but nowhere else. There were no visible lumps or anything like that. But she said not to worry about it and that it will go away. After another week, I went to my actual doctor for a check up (May 15). After explaining to her what was happening and the anxiety it was causing me, she did an EKG. Results of that were normal and she also did not see any cause for concern. By this time, the sensation had begun to subside. After that day, I did not feel the sensation any more. All and all, the whole ordeal lasted about 2 weeks after getting my second shot

So April 23rd during the day I felt a weird numbness in my tongue on the right side. I thought that maybe I burned it or bit it or something similar. Then I went to work that night because I worked over nights(it was a very stressful night). About halfway through the night into the early morning may be about 3:00 a.m. I started to feel we are numbness on the right side of my face I cannot just chalked it up to stress. When I left in the morning if I like it wasn't really moving right, just felt a little off. It was about 7:00 a.m. At this point I still thought I was just overly stressed I told my husband when I got home and just tried to lay down to relax. I had had a slight ear ache for about 3 days but at this point it became more uncomfortable than it had been and my face felt like It was getting worse and it really started to worry me. So I decided to go to the walk in at Medical group. I saw the nurse practitioner. At this point my face wasn't doing everything it was supposed to be doing but it wasn't fully numb yet. She said it could be due to an ear infection so she checked my ears but she said that it was weird because it was just slightly red. She wanted to transfer me over to the emergency Room is so that I could get a cat scan done. The doctor at the ER said that she wouldn't do a cat scan at this point she would just treat the ear infection so there was no point in moving me over to the ER. So the nurse practitioner prescribed a couple different medications and suggested that I follow up as soon as possible with my primary. Throughout the rest the day on April 24th ,when I saw the nurse practitioner, my face got progressively worse and wasn't moving very much closer to the end of the night. By the next day my right side of my face was not moving at all and that was April 25th. April 26th As soon as possible in the morning I called my primary care doctor and they got me in immediately to see her. She was unsure it was due to the ear infection and wanted to get more tests done to make sure that something else wasn't causing it and it could get worse. In at this point there was pain slightly so I had taken some time off from work to get the test done. The tests were an MRI scan and some blood work. Then I had a follow up appointment with her right after. With in a couple days after first seeing my primary I had so much pain that I couldn't even get out of bed. It hurt to even slightly touch that side of my face or neck. They said with it being nerve pain there wasn't much that they could give me or do to get that would help it go away. I ended up having about 2 weeks off from work before I went back not sure if I was fully ready with of the pain that I was having in my face still was not working but I could not afford not to. All the medication and everything that I was on during the 1st 2 weeks had caused my palpitations to act up so I ended up having to get more tests on top of it to make sure that it was not negatively affecting my heart. It's been over 2 months closer to almost 3 months and my face is now slightly working not all the way though but it is getting there. so not fully recovered. and having to watch my heart rate and thyroid levels (since i had been having good levels for two years she was worried it would make it act up or cause a problem with the nodules i have on thyroid. ) hopefully I haven't missed any information. Just hoping there is no perminent damage or side effects and that after some more time it fully goes away.

had very heavy legs; a sharp and constant pain in my chest; my arms, legs and mouth have gone numb; my arms, legs and mouth have gone numb; had a very bad headache; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EW0196 and expiration date: not reported), via an unspecified route of administration, in Left arm, on 28Jun2021 at 11:30 (at the age of 26-year-old), as DOSE 1, SINGLE for covid-19 immunization at Pharmacy or Drug Store. Medical history included penicillin allergy. The patient's concomitant medications were not reported however it reported that the patient received an unspecified antibiotic within 2 weeks of vaccination. The patient was not pregnant at time of vaccination. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. After the vaccination patient has not been tested for COVID-19. On 08Jul2021, the patient had very heavy legs, a sharp and constant pain in chest, her arms, legs and mouth have gone numb and have had a very bad headache. No treatment was taken as a result of events. It was reported that events result in doctor or other healthcare professional office/clinic visit. The outcome of the events was not recovered at time of report.

Initial Pfizer injection: resulted in no symptoms except slight fatigue and soreness at injection site. Day 1 after second dose: Two brief periods of chest pain. Day 2 after second dose: Upon waking up the next day from receiving my second dose, I had extreme chest pain, but no difficulty breathing. This was exacerbated when bending down (producing an almost nauseating feeling) and/or lifting my arms. Sitting up without support increased discomfort while laying down made things more tolerable. After home testing: my blood pressure, it ranged from 103/70 to 108/70; temperature never reached over 98; and oxygen levels were 96-98. I felt as though I could feel my heart beating against my chest and generalized pain as though there was a heavy weight directly under my sternum. After napping, the pain subsided, but would always return. After activity as small as making lunch, the pain returned in full. Pa Day 3 after second dose: Woke up to chest feeling tired, as though strained and the pain could return at any moment. Still a constant dull ache. Blood pressure came in at 111/65 and resting heart rate at a range of 73-83 thus far. Trying to take it easy today so as not to cause the pain to return. General notes: I've been taking Ibuprofen and later Naproxen Sodium (ran out of the former) for pain up until day 3 (testing to see if the pain returns in full) and Zyrtec for general/pet allergies. Have taken Olly Goodbye Stress gummies up until day 3 in case of anxiety/stress worsening my condition.

The patient got the vaccine was advised to stay for 15 minutes so that if needed we can provide medical attention. The patient felt anxiety prior to receiving the vaccine, she felt lightheadedness right after getting the vaccine. Then she proceeded to faint within the next 15 minutes. EMS was activated, store first aid team was called, 911 was called and paramedics was dispatched. The paramedics arrived and the patient was ok. The patient refused to go to the hospital and was fine after. The patient had some water and communicative afterward.

Asthma exacerbation. Difficulty breathing, dyspnea at rest, chest pressure and chest congestion, feeling of throat closing up. Symptoms started approximately 36hrs after vaccine was given. Was taking albuterol inhaler every 4hrs. After 1 week of no improvement, was treated with PO prednisone and a new long-acting, everyday inhaler.

very high fever (105.8), shortness of breath, throbbing headache, body aches, chills, excessive sweating, chest pain --- received care at ER; given IV fluids

I started having chest pain and pressure on my chest.; I started having chest pain and pressure on my chest.; I went to the emergency room and got admitted for having a high level of troponin level.; This is a spontaneous report from a contactable consumer. A non-pregnant 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in left arm on 21May2021 16:30 (Batch/Lot Number: Ew0172) as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in left arm on 21May2021 16:30 (Batch/Lot Number: Ew0179) for COVID-19 immunisation. The patient stated, "after receiving the second dose of my vaccine, I started having chest pain and pressure on my chest. I went to the emergency room and got admitted for having a high level of troponin level. I got transferred to the hospital and an echo of my heart and CT scan of my heart. After 4 days I was able to be released". The patient was not diagnosed and has not been tested with COVID. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Fast Heartbeat; Have difficulty with my chest pain and irritation; Difficulty breathing; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 26 year old female patient received bnt162b2 (BNT162B2, solution for injection, Batch/Lot Number: EW0168), dose 1 via an unspecified route of administration, administered in Arm Left on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. No any prior vaccination and no any family event history. The patient experienced increased heartbeat rate, had difficulty with chest pain and irritation, difficulty breathing on 10Jul2021. Patient stated she just had first Pfizer shot (Covid-19 Vaccine) she had very fast heartbeat few hours later and yesterday she felt like she have almost difficulty with my chest pain and irritation may be. she was not quite sure. Last night she had difficulty with her chest pain and difficulty in breathing. When probed if still having the problem (event) patient stated Last night she experienced again. Therapeutic measures were taken as a result of these events with one pill of Advil. The patient is scheduled for the second shot of covid-19 vaccination on 31Jul2021. The outcome of all events was recovering. No follow-up attempts are possible. No further information is expected.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Headache-Severe, Systemic: Hypertension-Severe, Systemic: Visual Changes/Disturbances-Severe

Sore from arm to chest, tingling/sensitive skin, chills, swollen /painful arm pit on arm were vaccine was received.

Chills; Muscle pain; Chest pressure; Fatigue; Loss of apetite; Shortness of breath; Joint pain; Headache; Fever; This is a spontaneous report from a contactable consumer, the patient. A 26-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: unknown) via an unspecified route of administration in the left arm on 24Mar2021 at 12:00 (at the age of 26-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 24Mar2021 at 20:00 the patient experienced chills, muscle pain, chest pressure, fatigue, loss of apatite, shortness of breath, joint pain, headache and fever. On 30Mar2021, the patient underwent lab test which included COVID-19 virus test (nasal swab) and the result was found to be negative. The events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. No therapeutic measures were taken as a result of the reported events. The clinical outcome of the events chills, muscle pain, chest pressure, fatigue, loss of apatite, shortness of breath, joint pain, headache and fever was recovered with sequelae on an unknown date in 2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

her heart is racing and feels like it is going to beat out of her chest. Her nerves are so bad right now she is about to have a heart attack; weird bumps, explained as one red spot in right upper arm; weird bumps, explained as one red spot in right upper arm; Her nerves are so bad; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: FA6780) via an unspecified route of administration in right upper arm on 15Jul2021 at around 09:00 (at the age of 26-year-old) as DOSE 1, SINGLE for COVID-19 immunization. The patient had no medical history (none) and no relevant family medical history. Concomitant medications were not reported. Patient had no vaccines within four weeks of COVID-19 vaccine. Patient had no history of adverse event following vaccination. On 15Jul2021, after receiving first dose of vaccination, patient was breaking out in weird bumps and had one red spot in her right upper arm. She reported that about an hour after the shot she took a magnet and put it to her arm at the place she got the shot and it stuck, the magnet did not move. On 15Jul2021, patient experienced her heart was racing and felt like it was going to beat out of her chest. Her nerves were so bad, she was about to have a heart attack. Patient asked what she should do, should she go to the doctor or the emergency room. Patient did not receive any treatment in response to the event. Outcome of the events were unknown. Follow-up attempts are completed. No further information was expected.

Pt reports she has had an increased heart rate in the 110-120s for the past three days after receiving the COVID19 vaccination. Pt reports increased dizziness today, nausea, and in the past hour some chest tightness. Pt also reported recent travel to and from out of town, about 14 hours travel time in the past week and half. Pt given fluids, ruled out for illness and PE. Pt improved with fluids.

Pfizer-BioNTech COVID-19 Vaccine EUA - Patient witnessed another patient with syncope prior to her injection. She was already anxious about receiving vaccination and this increased her anxiety, though she proceeded with immunization. Patient was in 15 min observation window in a chair and began to feel light-headed like she may pass out. A SWAT was called. With RN assistance, patient was lowered to the floor, with no loss of consciousness. Patient was pale and reported anxiety, racing /pounding heart, and felt hot with facial flushing. Patient was transferred to ED and was noted to be tachycardic (120s), but dropped to 80s. She noted that this episode felt different than her prior syncopal episodes associated with anemia. Patient was observed for 5 hours and discharged to home. Patient returned to ED roughly 2.5 hours later complaining of continued dizziness and unsteady gate. Patient was pale and anxious. Patient reported had not eaten/drank enough during her shift and received vaccine immediately post a stressful shift. Additionally, patient witnessed another patient have syncopal episode prior to her receiving her vaccine which made her anxious. Patient was given IV fluids and had electrolytes replacement. Patient additionally received diazepam. Patient was discharged at 2358 on 12/23. Patient returned to ED on 12/24 at 0239 complaining of near syncope and lightheadedness. Patient had tachycardia and self-reported palpitations. Received IV fluids and observation on telemetry with no rhythm disturbance. Patient discharged 1428 on 12/24. On 12/29, patient returned to ED at 0326 for continued dizziness, fatigue and near syncope. Was admitted for cardiac evaluation. Noted to have unprovoked tachycardia and was discharged with a Halter Monitor to evaluate cardiac symptoms. patient was discharged 12/31 at 1619

Delayed Moderate. Myalgias several hours later, worsened myalgias in the Evening, Shivering, "burning up" no fever, headache, back pain, palpitations, left axillary lymph node (peach pit size) bilateral inguinal pain next day. Symptoms improved

Rapid heart rate ten minutes after administration, anxiety attack and a hot face. Lasted 25 minutes in total.

Saturday night headache took Tylenol, Sunday body aches chills headache dizzy nauseous weak, Monday vomiting headache dizzy heart palpitations body aches, Tuesday continued headache body aches

12/18/20- reports suddenly got sweaty, hands felt cold, then got nauseous. Reports vomitted x 1. Reports the rest of the day felt tachycardiac for a few hours (HR 120-140) and dizzy. Started getting muscle aches/joint aches. Denies any recent COVID exposure. Tested positive for COVID In 8/2020. Reports hips/knees are throbbing today; Heart rate WNL. /// Presenting today due to intermittent presyncope and palpitations. Also notes generalized weakness. Patient evaluate 2 L of fluid given her Mirena IUD D-dimer was sent which was negative patient with no pleuritic symptoms or dyspnea to suggest pulmonary embolism. Otherwise hemodynamically stable on exam ambulates with no difficulty no focal neurologic deficits. Patient did describe on her initial presentation that she noted some weakness of her bilateral legs. Given her possible viral reaction and description of weakness it is possible the patient is developing an early autoimmune reaction however she has no evidence of GuillainBarré or transverse myelitis on my exam. We will plan to discharge with neurology follow-up as outpatient.

15 minutes after administration: began experiencing light headedness, nausea, and tightness in chest 1 hour after administration: began experiencing tightness in throat, irregular heart beat, and hypertension, anxiety/feeling of impending doom

Patient was given second Pfizer vaccine at 8:19. About 11 minutes after receiving the vaccine patient complained of chest pain. 911 was called, nasal 02 was administered. BP 150/90, P103. Patient was taken by ambulance to the ED. She stated her chest pain was an 8 out of 10.

Approximately 24 hours after receiving dose 1 of the Pfizer vaccine, I began having chills and vomited. My fatigue became more severe as well. Later that evening my fatigue persisted and I noticed a rapid heart rate via my Watch. My resting heart rate which usually is about 80 BPM was at 100 while laying down and not engaged in any physical activity. When I stood I was dizzy and had poor balance. While my entire arm no longer hurt, the injection site showed a bump as well. When I awoke the next day my heart rate appeared normal again, and I wasn't especially fatigued compared to before I got the vaccine. I did experience another minor gastro-intestinal episode later that afternoon, but otherwise my symptoms appeared to have passed aside from the fatigue. By the end of my work day I was very tired again, although it is uncertain if this is due to the vaccine or from my continued recovery from Covid and adjusting to the physical demands of going back to my job in-person. Because I received my vaccine on the same day as my first day back to work, I have no experience working post-covid before having the vaccine to compare my current state of fatigue to. On the evening of 01/07 I noted that fatigue was slightly less pronounced. I do not currently have a primary care doctor but will be calling to try to gain an appointment so that my second dose can be monitored.

Dizziness elevated heart rate HA . Dizziness and elevated HR resolved later per the patient nad did not feel like her MS

lymphadenopathy; chills; tachycardia; weakness; feeling unwell; injection site was red, swollen, painful, and hot to the touch with a diameter of about 2inches; injection site was red, swollen, painful, and hot to the touch with a diameter of about 2inches; injection site was red, swollen, painful, and hot to the touch with a diameter of about 2inches; fever that reach 101.5F; injection site pain; myalgia in the entire left arm; This is a spontaneous report from a contactable healthcare professional (patient). A 27-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date were unknown), via an unspecified route of administration on the left arm on 30Dec2020 18:00 at single dose for COVID-19 immunization. Medical history included polycystic ovarian syndrome (PCOS). Patient was diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. Patient was not pregnant at the time for vaccination. Concomitant medication included metformin, ergocalciferol (VIT D), and tretinoin cream. Right after injection, the patient had injection site pain and myalgia in the entire left arm on 30Dec2020. The second day, 31Dec2020, about 19 hours after receiving the vaccine, patient started feeling unwell. The injection site was red, swollen, painful, and hot to the touch with a diameter of about 2inches on 30Dec2020. Patient developed a fever that reach 101.5F on 30Dec2020. She also experienced chills, tachycardia, and weakness about 24hours after injection on 31Dec2020. Patient experienced lymphadenopathy during the 3rd (01Jan2021) and 4th day (02Jan2021). Patient recovered with lasting effects (recovered with sequel). TYLENOL was received as treatment for the events except for lymphadenopathy. The reporter considered the events non-serious. Information on the Lot/Batch Number has been requested.

chills, muscle pain, join aches, elevated heart rate, weakness, headache @ 12 hours after injection took 650mg tylenol, able to fall asleep awoke again with sweats (did not take temperature) able to fall asleep, slept a total of 18 hours still with headache, weakness, fatigue on wakening, took 325 mg tylenol and 200 mg advil symptoms resolved approximately 25 hours after injection

Headache, nausea, diarrhea, hot flashes, mild fever, loss of concentration/focus, fatigue, muscle aches. 12/23-1/9 (present) 2 virtual dr visits, recommended Tylenol and rest

Fever and chills began about 1 hours after vaccine, about 18 hours after vaccine I was getting up to take more Tylenol and did not feel well, I had a syncope episode in the bathroom (no issues as I sat on the floor before hand). I was unconscious for about 1-2 minutes. My blood pressure several minutes later was low (about 90/50 but I took it myself so may not be exactly accurate)

Tachycardia and palpitations within 5 minutes of administration. Lasted for about 5 minutes then resolved. Approximately 20 mins after administration of vaccine minor swelling of the throat and limited rash on the throat present. 50 mg oral Benadryl taken an hour after vaccination.

Vaccine: 12/30/2020 0900 AM Symptoms started: 12/30/2020 0925 AM Symptoms: tachycardia 150s, weakness, feeling extremely hot, lip and facial numbness, tightness on throat, difficulty swallowing, shortness of breath Duration: 1 hour Frequency post vaccination: QDAY but less severe ED Visit: 12/31/2020 prescribed Zyrtec and Pepcid Symptoms still occurring going on week two post vaccination

Had chest pressure after vaccination- Bendryl was given. She stayed for 1 hour afterwards and was fine to leave. She carries and EPI Pen for allergies.

At 2am that next morning January 8th (almost 12 hours post vaccine) I woke up out of my sleep delirious, light headed, heart was racing, diarrhea, and felt like I was falling in and out of almost passing out, hot flashes, couldn't think straight. It wasa very scary experience for me. This lasted about 15 or 20 minutes I'm guessing (hard to say for sure because I was too worked up to watch the clock) but I ended up making myself fall back asleep. The next day January 8th I had diarrhea multiple times in theafternoon and felt strange, somewhat lightheaded and some what felt like anxiety.

muscle and joint pains that got progressively worse over the next 24 hours; muscle and joint pains that got progressively worse over the next 24 hours; body pain/body aches; I also have shaking chills; throbbing headache; tender anterior cervical lymphadenopathy; runny nose; dry cough; chest tightness; First dose of bnt162b2 on 18Dec2020/ second dose on 04Jan2021; This is a spontaneous report from a contactable physician (patient). A 27-year-old female patient (pregnant: No) received of bnt162b2 (Pfizer), via an unspecified route of administration in left arm on 04Jan2021 07:15 at single dose (second dose), via an unspecified route of administration in left arm on 18Dec2020 12:30 at single dose (first dose dose) for COVID-19 immunization. Medical history included asthma, allergies from an unknown date and unknown if ongoing. Allergies to medications, food, or other products was none. The patient's concomitant medications were not reported. Around 12 hours after the second dose, the patient started feeling muscle and joint pains that got progressively worse over the next 24 hours. She had to miss 1 work day so far due to body pain despite alternating taking ibuprofen and paracetamol (APAP) around the clock. It was now 48 hours after the vaccine, and she still have severe body aches. She also had shaking chills, throbbing headache, tender anterior cervical lymphadenopathy, runny nose, dry cough and chest tightness. Of note, she was a healthcare worker and tested negative for COVID PCR immediately after she received my second dose of the vaccine. She was tested due to a low-suspicion possible workplace exposure 5 days prior. She had no symptoms before the vaccine. The patient underwent lab tests and procedures which included nasal swab test: negative on 04Jan2021. The events were reported as non-serious. The adverse event didn't result in emergency room visit or physician office visit. No treatment received for the adverse event. Facility where the most recent COVID-19 vaccine was administered: Workplace clinic. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. List of any other medications the patient received within 2 weeks of vaccination: Birth control pills. Prior to vaccination, the patient wasn't diagnosed with COVID-19. Since the vaccination, the had patient been tested for COVID-19. The outcome of events was resolving. Information about lot/batch number has been requested.

IMMEDIATE PALPITATIONS RATE 140 TO 160, CHEST PAIN. TREATED WITH BENADRLY, GLUCOCROTICOIDS AND PEPCI

Immediately after I got it I started feeling flush and hot in my face, I got dizzy and lightheaded, my HR went to 180, my legs felt weak, I was having chest palpitations and chest pain. I felt really dizzy and nauseated, I felt like I could not walk. I felt like I hit by a bus. The next day I had heavy flu symptoms, high fever, continuous chest pain and high HR, at the ER they gave me a high dose of Benadryl, steroids and fluids. I took Benadryl for about 7 days and I still felt light headed palpitations and fever for almost 2 weeks. I also was tested for COVID and it was negative. I was advised to not take the second vaccine. I still have a really bad fatigue. It is the symptom that is still on and off.

Reported decreased sensitivity to touch in mouth and on face, mixing heat and cold (hot shower felt cold, cold raindrops felt scalding, trouble thermoregulating) couldn't tell where arms were, dizziness, passed out.

When I received my first dose of the Pfizer COVID shot I had no issues. When I received the second dose I had the vaccine injected and then I got up and walked to the monitoring room where we sit for 15 minutes. Immediately upon sitting down in that room I felt very woozy, lightheaded, and my heart was beating out of my chest. I checked my pulse on my smart watch and it was in the 80s but my resting HR is normally in the 60s or 70s. I got nervous at that point so I took some deep breaths and tried to relax and my symptoms improved within a minute. I sat for the remainder of the monitoring period and right at my 15 minute mark all of my symptoms returned. HR in the 100s, lightheaded like I was going to pass out, chest heaviness, and shortness of breath. I alerted the nurse in the monitoring room and she took my BP and HR and they have me a bottle of water. My throat felt a little weird too and I was worried that it was starting to close up, but I was able to swallow water normally. I remained in the monitoring room for about 15 more minutes and at that point my symptoms mostly resolved and I felt well enough to leave. For the next approx 48 hours I have had some mild- moderate chest heaviness. More worse in the initial 24-36 hours after the vaccination.

Sudden severe arm and shoulder pain (left side) along with severe neck pain. I was unable to move my neck for about an hour. As well as left sided facial pain. Worst migraine of my life. Right leg/foot spasms. Heart palpitations, difficulty catching breath, Following day-moderate neck pain, headache, and very sore left arm, nausea, left shoulder pain

Headaches, heart palpitations, dizziness, fatigue, weakness, lightheaded, and seeing dark spots (date/time of onset symptoms 1/13/2021 at 3:00PM) Headaches, heart palpitations, dizziness, fatigue, weakness, lightheaded, swollen lymph nodes, and hard to swallow ( date/time of onset symptoms 1/13/2021 at 4pm and still ongoing).

fever and chills; fever and chills; blood pressure was low, about 90/50; did not feel well; syncope episode; unconscious; This is a spontaneous report from a contactable other health professional. A 27-year-old non-pregnant female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EH9899), via an unspecified route of administration in the left arm on 08Jan2021 at 12:00 at a single dose for COVID-19 immunization; received at a nursing home/senior living facility. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Medical history included COVID-19 from an unknown date and unknown if ongoing. No known allergies. Concomitant medications included unspecified birth control taken for an unspecified indication from an unknown date to an unknown date; within two weeks of vaccination. The patient experienced the following events and outcomes: syncope episode in Jan2021 with outcome of unknown, unconscious in Jan2021 with outcome of unknown, fever and chills on 09Jan2021 with outcome of unknown, blood pressure was low, about 90/50 on 09Jan2021 with outcome of unknown, did not feel well in Jan2021 with outcome of unknown; all of which were assessed as medically significant. The clinical course was reported as follows: the fever and chills began about one hour after vaccination (as reported). About 18 hours after the vaccination, the patient was getting up to take more paracetamol (TYLENOL) and did not feel well. The patient had a syncope episode in the bathroom (no issues as she sat on the floor before hand). The patient was unconscious for about 1-2 minutes. The patient's blood pressure several minutes later was low, about 90/50; however, the patient took the blood pressure measurement herself, so it may not have been exactly accurate. The patient underwent lab tests and procedures which included blood pressure measurement: low, about 90/50 on 09Jan2021. Therapeutic measures were taken as a result of fever. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.; Sender's Comments: A possible causal association between administration of BNT162B2 and the onset of all reported serious events cannot be excluded, considering the plausible temporal relationship and the known adverse event profile of the suspect product. 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, sore throat, chills, congestion, cough, nausea, muscle aches, tachycardia. Treatment: Tylenol with no improvement Outcome: referred for COVID testing

the day after woke up with a headache and muscle pain that continued to last. for the last two weeks I have also had tachycardia and extreme fatigue, on top of the muscle pain and headaches.

Throat swelling and chest tightness three days after administration of vaccine. Symptoms were managed with over the counter antihistamines until 1/11 when the antihistamines were not working and my throat was swollen and tight, my chest was tight and my voice was horse. I got prescribed prednisone on 1/11 and have been on a long taper of that, with scheduled benadryl, pepcid and zyrtec.

Vaccination was on Wednesday: about a half hour after vaccine, I experiences increased heart rate, vision going black like I was going to pass out, it passed in about 5-10minutes of laying down; also had metallic taste in mouth the rest of that day. Thursday I just felt red, itchy, swollen L arm due to vaccination site. Friday morning my bottom lip was severely swollen with numbness and tingling. It went down by the next day and after taking Benadryl. I have not had an allergic reaction to anything in my life before. Was instructed to not get second vaccine as I may have a more increased reaction to it.

Fifteen minutes following injection, the left arm broke out in hives and had numbness and tingling. Then I became dizzy and pale. I was laid down and vital signs were taken. My heart rate was in the 110s and 120s and stayed elevated for about four hours. The hives resolved and did not spread to the bilateral arm or anywhere else. The following two days I felt incredibly weak and had urinary frequency. I was told to go to the hospital by the health clinic staff but I declined.

almost had syncopal episode from weakness; almost had syncopal episode from weakness; after my second dose, I had no until hour 12. I woke up middle of night to severe fatigue; myalgia; low grade fever; headache; swollen lymph node in L armpit; first dose on 19Dec2020 12:00 pm, second dose on 08Jan2021 02:00 pm; first dose on 19Dec2020 12:00 pm, second dose on 08Jan2021 02:00 pm; This is a spontaneous report from a contactable physician reporting for herself. A 27-year-old female patient received the second single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EL1284, expiry date not reported) on 08Jan2021 14:00 via an unspecified route of administration in the left arm for COVID-19 immunization. There was no other relevant medical history. No unknown allergies. The patient previously received the first single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EJ1685, expiry date not reported) on 19Dec2020 12:00 pm in the left arm for COVID-19 immunization and experienced some arm pain which lasted several hours and mild. Concomitant medication included sertraline, ascorbic acid (VIT C), ergocalciferol (VIT D), zinc, cetirizine hydrochloride (ZYRTEC). No other vaccine was received in four weeks. The patient had not had COVID prior vaccination, and COVID was not tested post vaccination. After the second dose on 08Jan2021 at 02:00 pm, the patient had no symptoms until hour 12. On 09Jan2021 at 12:00 am she woke up middle of night to severe fatigue, myalgia, low grade fever, headache, swollen lymph node in left armpit (injected left arm). On 10Jan2020, the patient was 36 hours out and she still had these symptoms but slowly improving, relieved more with ibuprofen vs paracetamol (TYLENOL). She also reported she did not receive treatment for the events. She stated that the myalgia, fatigue, headache were severe and she almost had a syncopal episode from weakness. The events were non-serious as reported. The outcome of the events was reported as not recovered.

flu; HR was higher than normal; fever; felt weak; dry cough; headache; muscle and joint pains; muscle and joint pains; This is a spontaneous report from a contactable nurse. A 27-year-old female patient received the second dose of bnt162b2, intramuscular in the left arm, from 12Jan2021 09:00 at SINGLE DOSE for covid-19 immunization. Patient was not pregnant at vaccination. Medical history included GERD (gastroesophageal reflux disease) and barrett's esophagus. Historical Vaccine included 1st dose of BNT162B2 on 24Dec2020 via intramuscular in the right arm for COVID-19 immunization. Concomitant medications included melatonin, pantoprazole sodium sesquihydrate (PROTONIX), calcium carbonate, magnesium carbonate, magnesium trisilicate (TUMS), and algeldrate, alginic acid, magnesium trisilicate, sodium bicarbonate (GAVISCON). On 13Jan2021 03:00, the patient felt like she had a flu; her HR was higher than normal, felt like she had a fever, felt weak, developed a dry cough, headache; and muscle and joint pains. The outcome of events was recovered. The patient did not receive any treatment for the events. Information on the lot/batch number has been requested.

left arm started tingling; roof of my mouth started tingling then my tongue started tingling and felt like it was getting a little larger; heart palpitations; lower half of my face went numb; Right eye also felt weird like vibrating; This is a spontaneous report from a contactable nurse. A 27-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1685), via an unspecified route of administration in left arm on 23Dec2020 15:30 at single dose for COVID-19 immunization. Medical history included COVID-19 from an unknown date and unknown if ongoing prior to vaccination of BNT162B2. Concomitant medication included ibuprofen (ADVIL), ibuprofen and escitalopram oxalate (LEXAPRO). The patient stated, "my left arm started tingling and it was very strong by my finger tips" on 23Dec2020 03:45 PM. The patient stated, "then the roof of my mouth started tingling then my tongue started tingling and felt like it was getting a little larger. Then I got heart palpitations. The mouth tingling went away in ten minutes but then 15 minutes later the lower half of my face went numb and that lasted about 10 minutes. Right eye also felt weird like vibrating" on 23Dec2020. No treatment received for the adverse events. The facility where the most recent COVID-19 vaccine was administered was in the hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The events were considered non serious as it did not result in death, were not life threatening, did not cause/prolonged hospitalization, were not disabling/Incapacitating and had no congenital anomaly/birth defect. The outcome of the events was recovered on unspecified date.

After having vaccine, had flu like symptoms. These worsened into dizziness, vertigo, nausea, cough, and tilgling/palpatations. Describes brain fog and disorientation/vertigo that persists until today - day of reporting.

I woke up at 4am to my heart racing. I am a nurse so I checked my pulse and it was 126. I tried to bear down at home to decrease my heart rate but it continued to climb to 164 so after an hour of sustained Hr 126-164 I went to the emergency room where I had SVT. They did a valsalva maneuver 3 times and that made my heart rate go down to the 130s. It was then sinus tachycardia and stayed 120s-130s until about noon. Upon discharge at 3:30pm my resting heart rate was still 105 but it was determined to be a vaccine reaction as all other tests were normal.

Chills, headache, nightmares, low fever, plantar fasciitis, shaking, low 02(94), high pulse (120), muscle pain, eye pain, fatigue, fogginess

Dizziness and blacked out. Followed by severe nausea/vomiting. Went to local ER that evening for further symptom treatment.

Heart rate elevated to 150 and above, shortness of breath. Went to emergency room. Admitted with blood clot in lung. Previously had COVID in 2020, and we are unsure if this is related to previous illness.

Had itching at site immediately rash above site developed later in the day. About 10 minutes after injection developed nausea then felt very hot became clammy and sweaty. Felt lightheaded became pale had to played down on the ground.

Within 5-10 minutes of receiving the vaccine my heart starting racing a little bit, I got a little light headed, and had a weird taste in my mouth. The morning after my vaccine (1/22/2021) the Injection site of the vaccine is swollen, hot to the touch, and red/hard. The following day (1/22/2021) around 3:45 pm I broke out in a rash on my face and neck

within minutes after my shot, I started to have difficulty swallowing. i was monitored for 30 minutes at the vaccine site before being escorted to the medical observation area. While in the medical observation area I tried to take a sip of water but could not swallow it. At that moment I began having a tight feeling in my chest. I began to hyperventilate followed by difficulty breathing or talking. This was accompanied by feelings of impending doom, and uncontrollable trembling and inability to concentrate on what the medical observation area Doctor was saying. The time from the drink of water until I was able to breathe, speak, and concentrate normally was about 20 minutes. Tightness in my chest has improved but not fully recovered. General malaise and headache have developed.

SEVERE shortness of breath (basically hyperventilating) for 2-3 hours, very sharp pains/heartburn in the chest when trying to take a deep breath, nausea, vomiting, diarrhea, joint pain, fatigue, chills/hot flashes, sudden uncontrollable fatigue (deep sleep for 2-3 hours after)

Felt dizzy and jittery and flushed. HR elevated by NSR. Monitored for greater than 1 hour with symptoms occurring on and off during that period. At 1025 she felt flushed again with report of scratchy throat. No distress noted. Oxygen sats 100%. No itching or hives noted. No swelling of the face or airway but since she continued to have symptoms she was placed in wheelchair and taken to the ER.

24 hours or so after I received my second dose of the Pfizer Covid-19, I experienced severe chest pain and tightness. The chest pain made it unbearable to move and lasted about 2 minutes. As my husband and I were ready to go to the hospital, the pain subsided. It did not come back for the remainder of the night or the next two days, but I still have minor chest soreness lingering.

Myalgias several hours later . Evening worsened myalgias, shivering, "burning up", no fever, headache, back pain, palpitations, left axillary lymph nodes pain, next day "peach pit size", this has improved . bilateral inguinal pain "a week for symptoms to resolve"

Staff described feeling tingles and coldness in extremities especially arms. Also became tachycardic. Emergency service called and epi-pen administered per instruction. Staff left via ambulance for evaluation. Appeared stable at time of departure.

While in monitoring area after receiving vaccination client reported hoarse voice, redness, swelling, and tingling of tongue and lips. Redness was in face, chest and right arm. Client denied difficulty breathing or throat tightness. Client reported at this time "significant hx of anaphylactic reaction." This was not noted clearly on screening form signed by client. Client given 50 mg Benadryl per standing order due to symptoms. Epinephrine was not given. 911 was called. Client vitals remained stable with slightly elevated blood pressure ate 140/102. EMS arrived before repeat vitals were taken. Lung sounds were clear and equal bilaterally. Report was given to EMS and care transferred.

One day after vaccination, developed chest tightness and chest pain that is non-exertional. Self resolves, appears to be worsening. Advised ED referral for chest pain workup

Patient sitting in chair of observation area. Suddenly felt dizzy. Observation staff RN brought patient to triage. Patient states she felt dizzy. Lightheaded, nauseated, started vomiting, vomited two times. Slightly diaphoretic. She is warm and dry BP elevated. Patient started to scratch back, lower and mid back. noted with scattered raised red rash. Patient drowsy and altered mental state gave Benadryl. Patient to triage cot, cold pack applied V.S and N.S. measured. Charge nurse present. Benadryl 50mg IM given per protocol. EMS activated. report given to paramedic crew. No further vomiting. V.S.S. SR on monitor O2 sat 99%. Remains orientated to name, place and date. Cannot open her phone or recall family emergency number. Patient sent to hospital with EMS.

?Pfizer-BioNTech COVID-19 Vaccine EUA? Pt had red streaking to arm near injection site approximately 10 minutes after injection, then also had chest tightness and felt like her voice had changed. Was given 50mg of benadryl by EMS with near immediate improvement of her symptoms but pt referred to ED. Pt arrived at ED and felt improved, no redness noted to site, no hives or rash noted on exam. Discharged home

Patient complains of feeling hot and feverish but chilled. Pt states she has some mild tightness in her right chest and feels dizzy. She is diaphoretic. BP 136/88; HR 81; RR 15; Oxygen 100%; Temp 99.2 F

Instant facial numbness on left , head rush, and chest pain. fever began 12 hours after injection coupled with body pains and general feelings of being unwell.

about 5 minutes after receiving her covid Pfizer vaccine pt fainted. her blood pressure was 90/50, blood sugar 74, pulse 82. she was taken to the hospital and discharged without issues.

2/3/21- tested positive for COVID with the following symptoms: fever, cough, fatigue, nasal and chest congestion

Client upper arms flush red and chest. Is complaining of feeling warm and headache. EMS evaluated Bp122/90, lung sounds clear. Instructed to either see PCP or go to ER. Client called Dermatologist and showed her doctor her chest in between EMS check. Derm. doctor instructed her to take benadryl Client to be driven home by family. Instructed if does not improve with benadryl to go to ER.

Tingling beginning at thumb and pointer finger, progress to forearm and upper arm over 3 days. Swelling began near elbow, redness and pain followed and immobility. Visited ER on 2/3/21 and diagnosed with superficial thrombophlebitis

Large amount of Bleeding at time of injection. Enough to spill all over the floor and my arm and clothing. Rhen i had a severe rash weeping snd bleeding and red and bruised face and neck. Itching and hard to breathe as well as pain all over Face where rash is scabbing and oozing.

Patient received first dose of Pfizer vaccine at 1600. Patient reported feeling 'light-headed" immediately after vaccine administration and also reported that "this happens after I have blood drawn." Raised patient's legs up on another chair. Patient progressively had decreased level of consciousness, pupils dilated, diaphoretic. BP 84/70, HR thready 80, O2 sat 97%. 911 called and NP on site administered Epinephrine to left thigh (LOT # 022c20aa exp. 01/2022) at 1608 with good effect. EMS arrived and transferred patient to Hospital ED in stable condition. Patient transferred at 1625, VSS with BP 100/70 at time of transfer. Patient was diagnosed in ED with syncopal episode, monitored and discharged at 2044.

20 minutes after receiving Covid 19 Vaccine /Pfizer, employee complaints of shortness of breath, chest tightness, pulse = 100. Medical team was called and Employee was taken to the ER.

scratchy throat; Felt dizzy; jittery; flushed; HR elevated by NSR; This is a spontaneous report from a contactable pharmacist. A 27-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL3247), intramuscularly at the right arm, on 25Jan2021 08:45, at single dose, for covid-19 immunization. Medical history included ongoing acne; no known allergies. Concomitant medication included a prescription medicine for acne. The vaccine was received in a workplace clinic. The patient felt dizzy, jittery, flushed and, heart rate (HR) elevated by normal sinus rhythm (NSR). All these adverse events happened on 25Jan2021 09:15. She was then monitored for greater than 1 hour with symptoms occurring on and off during that period. At 10:25 on 25Jan2021 she felt flushed again with report of scratchy throat. No distress noted; oxygen sats was 100% on 25Jan2021; no itching or hives noted; and no swelling of the face or airway. Since she continued to have symptoms, she was placed in a wheelchair and taken to the emergency room (ER). No treatment was received for these adverse events. At the time of the report, the patient recovered from the adverse events on Jan2021.

Fatigue - 4 PM - 02/26/2021-Present Nausea - 5 PM - 02/26/2021-Present Headache - 5 PM - 02/26/2021-Present Inject Site Soreness - 5 PM - 02/26/2021 Increase in Abdominal pain - 5 PM - 02/26/2021-present 101.2 Fever - 5 PM - 02/26/2021-02/27/2021. Lowered to 100.1 2/28/2021-present. Muscle aches - 6 PM - 02/26/2021 - lasted through the night only Dizziness - 10 PM - 02/26/2021-present Dry throat and mouth/unquenchable thirst - 10 PM - 02/26/2021-present Loss of voice (no sore throat) - 11 PM - 02/26/2021 Heart racing - 02/27/2021 since waking up - lasted about 30 hours Rash on left shoulder and arms. Itchy. 2/28/2021 - 9 AM to present

arm soreness 3 hrs after vaccination; fatigue, chills, and frontal headache, and body aches began 6-8 hours after vaccination; sweats and fevers began 10-12 hours after vaccination and lasted 24hours after start of fevers; lightheadedness and near syncopal event 20hrs after vaccination; severe nausea around 20 hours after vaccination. Took 500mg Tylenol every few hours with very minimal relief. Fevers remained around 100-102 with medication.

UNKNOWN COVID VACCINE BRAND; chief complaint of generalized body aches and increased heart rate onset today. Per the patient, symptoms are beginning in the context of having received the second dose of her COVID-19 vaccine. Patient reports similar symptoms after her initial dose; however, these resolved shortly after. Patient states that she went to an urgent care for her symptoms but was sent to the ED for further evaluation. Back pain is describes as achy and constant.This initially began at the injection site but began to involve the back. Patient reports taking Tylenol around 1000 today without improvement in symptoms. Administered acetaminophen, magnesium (hypomagnesemia), 1 L NS bolus

Angioedema; swelling; Difficulty breathing; Tight chest; Facial flushing; Dry eyes and unsettled stomach; Dry eyes and unsettled stomach; This is a spontaneous report from a contactable nurse. A 27-years-old non-pregnant female patient started treceive bnt162b2 (BNT162B2), Lot number: EL9266, intramuscular in left arm on 15Feb2021 at 0900 (at the age of 27 years-old) for COVID-19 immunzation. The vaccination was administered at a workplace clinic. Medical history included Allergy/Sports-Induced Asthma, Lactose Intolerant and food allergies of Kiwi, Lactose Intolerant, Cherry. The patient had a positive COVID-19 test prior to vaccination on 14Nov2020. There was no other vaccinations given within 4 week and concomitant medications within 2 weeks included ethinylestradiol, ferrous fumarate, norethisterone acetate (LO LOESTRIN FE), cetirizine hydrochloride, pseudoephedrine hydrochloride (ZYRTEC-D), vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]), fish oil (FISH OIL). On 15Feb2021 at 10:00, the patient experienced Angioedema/swelling, Difficulty breathing/tight chest, facial flushing, dry eyes and unsettled stomach. Experienced symptoms of flushing 1hour post-vaccination. The clinical course was as follows: She reported that she experienced symptoms of flushing 1hour post-vaccination. About 4 hours later swelling persisted and took Zyrtec to alleviate symptoms, which provided minimal relief. 24 hours post vaccination resulted in ER admission advised per Occupational Medicine at (name). IV SoluMedrol, Bendaryl and Pepcid administered. Overall stay in ER 3 hours. On 17Feb2021, 24 hours post admission rebound symptoms occurring with facial flushing and swelling. Will repeat allergy medication to relieve symptoms PRN. The clinical outcome of the events was recovered with sequalae (as reported by patient: recovered with lasting effects).

She felt numbness in the throat, the impression was that her throat was closing up. she was also dizzy/lightheaded. her heart beat was up. she felt her heart racing as she described. Patient took self adminstered benadryl liquid, 20 minutes after the shot, 25 mg, then after 5 minutes she took another 12.5 mg. EPIPEN administered after 40 minutes of vaccine administration. 911 was called. She was shaky for 10-15 minutes after the epipen then the shakiness stopped. paramedics checked blood pressure, was normal: 120/80 as I recall. paramedica checked her oxygen saturation and it was fine. Patient didn't want to go to the hospitals , I stayed for an extra 45 minutes after using the epipen, she was normal.

Patient had vasovagal reaction: lightheadedness, low blood pressure, tachycardia. Was taken to ED, and had resolution of symptoms with laying supine. Was given 1L NS, and EKG, CBC, Chem 8, and UA normal. Patient was discharged from ED.

pt stated to the nurse that she feels like she will pass out. She lost consciousness soon after for about 10-15 seconds. Afterwards, she woke up and was alert and oriented. Vital signs within normal limits. Dr assessed, pt stated she has history of syncope with needle procedures.

Exactly 14 minutes after injection, felt dizzy and nauseous. Fainted, had convulsive syncope for 1 minute, lost voluntary control of bodily function (urinated), woke up, and vomited multiple times. Vomiting lasted from 10:35am - 1:10pm. Also had diarrhea twice in between vomiting, and was shaking occasionally.

I thought I had Covid-19 and needed to see a doctor because of a dry cough. My chest was tight and it was hard to breath. I had a fever of 100.3. I was prescribed an Albuterol inhaler and Tessalon(suppressant). I had been taking Nyquil every night and round the clock Tylenol and Ibuprofen. I had full body fatigue and terrible body aches. My muscles hurt. A few days later my fever was down and I was having chest tightness. I tested negative for on the rapid test on the 10th PCR test negative repeated that same week and negative. I felt bad for nine days after vaccination. I was still exhausted for another week at work. I got the second dose and had no problems.

The patient began having vaginal bleeding and contractions on 3/11/21 at 24 weeks 6 days and presented to labor and delivery in preterm labor. We were able to delay delivery for about 24 hours but she did deliver at 25 weeks 0 days. Earlier in her pregnancy she had some vaginal spotting (last time was on 1/15/21 and her cervix was closed on sonogram). In her first trimester she had significant hyperemesis treated with medication and IV fluids but this resolved after the first trimester.

Began feeling sick after injection. Low fever, fatigue for day of injection and day after. Day 3 felt normal, but day 4 began feeling sick again with no appetite, nausea and chills. At 5:30 I passed out and remained unconscious until my mother found me on the floor and then had a seizure lasting about 2 minutes. I was unconscious for at least 30 minutes. I have had seizures in the past, but never anything close to this.

Patient with syncope a few minutes after vaccination. Able to keep patient upright in chair until able to get in wheelchair. After a minute or two, patient was alert again. Given juice. Vitals stable. Able to discharge home with boyfriend.

?Dizziness almost immediately and still ongoing ?Tongue tingling about 30 minutes after shot and subsiding around 1:51 ?Pain at injection site ?overall out of it ?off? feeling ?Feeling of panic ?Fatigue ?Chest feeling heavy at about 12pm on day of vaccine lasting about an hour

Second dose administered at 2:30pm 3/15 Began running a 99.8 fever at 1:30pm 3/16 headache begins Spiked to 103.4 at 3:00 While napping heart rate was averaging 120. It continued at that average while resting on the couch until my fever broke at 7:30. my heart rate remained above 100 until I went to bed. Woke up at 8:30 and still have a headache as of 4:05. Heart rate is now 89

Less than 5 minutes after receiving the vaccine, I experienced tingling in my left fingers. Less than 15 minutes of receiving the Covid-19 Pfizer vaccine, I experienced chest tightness and shortness of breath. I thought I was having an asthma attack, so I proceeded to use my inhaler. After using the inhaler, I started coughing while trying to breathe. Next my tongue started swelling, followed by my throat and back of the tongue. The nurses / EMT reported that my face turned red and my heart-rate was elevated. The EMT proceeded to give me EpiPen, which almost instantly caused the swelling in my tongue to go down. While being monitored for 3 more hours at the emergency room, the swelling went down even more and breathing became more normal. The following day, I visited my allergist doctor, and I was still experiencing some swelling in my neck and chest tightness. I was given a steroid shot, which seemed to clear the rest of the allergic reaction.

Heart racing, dizzy upon standing, and numbness in face occured within 5 minutes of injection. Sore arm, fatigue, and feverishness set in around 5 hours after injection. Headache began about 20 hours after injection and has persisted (as of 3/18/21, 3 days after injection). Sore throat, hoarse voice, and feelings of malaise set in around 40 hours after injection.

Feverish/Temp (Body temperature) 99.2; chilled feeling; Right chest tightness; Dizziness; Ringing in ears; BP (Blood pressure) 136/88; This is a spontaneous report from a contactable nurse. A 27-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9269) intramuscularly on 03Feb2021 01:30 PM at single dose in left arm for COVID-19 immunization at School or Student Health Clinic. Medical history included Anxiety/depression. Allergies to medications, food, or other products included Lamictal and Coconut. The patient was not pregnant at time of vaccination. The other medications patient received included birth control within 2 weeks of vaccination. No other vaccines have been administered within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. The patient was feverish but along with chilled feeling, also experienced right chest tightness, dizziness and ringing in ears on 03Feb2021. Adverse events resulted in Emergency room/department or urgent care. Treatment received for the adverse events was reported as yes, will go to urgent care. Since the vaccination, the patient has not been tested for COVID-19. The patient had labs and procedures included Temp (Body temperature) 99.2; BP (Blood pressure) 136/88; HR (Heart rate) 81; RR (Respiratory rate) 15; Oxygen 100% on 03Feb2021. The outcome of events was unknown. No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on temporal association and safety profile of the product, the contributory role of the suspect product BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9269) to reported events cannot totally be excluded.

Patient stated that she was fainted from last year travel vaccine. Immunizer and patient both aware it might happen. immunizer told patient will monitor closely then gave the shot. Right after shot, patient stated that she is feeling dizzy and is going to faint. she fainted. gained conscious right after ( about 2- 5 seconds ) and offered to call 911 and she said it is ok. She was sitting that same chair for 10 minutes, then she wanted to sit on the ground ( not lying down) . after she was sitting on the ground, she felt better, so we moved to outside of immunization area chair for monitor. She felt fainting is coming again so she sit on the ground. but she did not faint again. She wanted to lying down. she lied on the ground for about 20 minutes , then sit up for another 15 minutes. she felt find and went home . checked back 3:30 pm on same day, she was ok .

3-17-21 3:43PM PT STATES SHE FEELS'LIGHTHEADED'. PALE, DIAPHORETIC, A/O , RESP SHALLOW. HEAVY COAT REMOVED, CRACKERS AND WATER GIVEN. STATES SHE IS FEELING 'BETTER NOW'. PINK, W/D, RESP WITH EASE. 3:50PM PT STATES SHE FEELS '100% BETTER NOW'. A/O, PINK, W/D; AMBULATORY TO EXIT, GAIT BRISK AND STEADY. NO ACUTE DISTRESS NOTED. 3-22-21 9:30AM: PT STATES SHE 'FEELS FINE NOW'.

One day after vaccine developed diarrhea with nause and vomiting. She also reported general malaise similar to "Influenza like symptoms". She stay at bed and improved from the general malaise symptoms but persisted with nausea and vomiting. On day 3, she reported at night that her pulse Ox dropped to 88% and was taken to ER. She was admiited with suspected atelectasis of left lower lobe abd possible pneumonia which is difficult to evaluate due to her chronic lung condition. She had improved and is no longer having vomiting or general malaise and expected to be discharge home soon.

Approximately 1031, client stated feeling light headed with blurred vision and stated her ears felt muffled. Client visibly pale. Client was immediately transferred from the chair down to the floor and her feet were elevated on a chair. Vital sign was taken BP 114/68, Pulse 73, Resp 20, Temp 97.9, SaO2 99%. Client was monitored closely. At 1040, client stated they were no longer feeling dizzy or feeling discomfort with cold compress given. Client was transferred from the floor to sitting on a chair. Client stated she felt better and wanted to leave because her aunt was waiting for her outside. Staff encouraged client to stay longer for observation but client declined. Risk and benefits to waiting longer in observation was explained but patient declined strongly. Vital sign was taken t 1050, BP 113/73, pulse 75, Resp 20, Temp 98.2, SaO2 99%. Patient was discharged and escorted to her car where her aunt was waiting to drive her home.

PT HAD A REACTION 10 MINUTES AFTER RECEIVING THE COVID VACCINATION. PT STARTED HAVING SEIZURE LIKE ACTIVITY THAT LAST 30 SECONDS ABOUT 10 MINUTES POST COVID SHOT; PT WAS SENT TO THE ED BY RAPID RESPONSE TEAM. PT WAS CHECKED OUT, DR THOUGHT IT TO BE A BASAVAGAL RESPONSE,BUT MONITORED HER IN THE ED. SHE WAS GIVEN NS BOLUS. AFTER MONITORING PT SHE WAS DISCHARGED.

Patient complained of chest tightening after receiving Pfizer vaccine. Vitals taken and were normal. Patient observed for extra time and left when feeling better

Brought to observation area on wheel chair @ 12:07 PM, she was clammy , dizzy, pale. Layed on stretcher. @ 12:08 PM, PR 77, RR 16, BP 91/55, O2% 100, apple juice x1.@ 12:18 pm , PR 65, RR 18, BP 102/70, O2% 100. @ 12:32pm, PR 62, RR 18, BP 107/71, O2% 99 , apple juice x1. @ 12:44 PM, PR 71, RR 16, BP( Sitting) 106/70, O2% 99. Pt stated she is feeling better and she can walk out. Walked out to Exit.

27 year old female comes in 3/27/21 at 4:15pm to get Pfizer COVID vaccine. She has no family doctor. On her VAR form she states no seizure or history of seizure but does have reaction to HPV vaccine where her throat swelled up and her MD had to give her oxygen year ago. I asked about any other reactions to any other vaccinations and she said no and was willing to get this vaccine. I told her to wait 30 minutes after vaccination to make sure no reaction. At 4:25pm her sister and mom tell us that patient is feeling week and dizzy and ask for water, I go out and check and she is pale and is ready to faint. Mother asks for orange juice which she takes a sip. I ask her if she has any health conditions like diabetes, seizures and they say no, then patient has what looks like a petit mal (absence) seizure. While sitting in the chair her eyes flutter, roll back she tenses up and her body freezes for about 20-30 seconds. I tell staff to call 911 and her sister says she's having "another" seizure. We don't move her but make sure she doesn't fall, once the seizure passes we move her to the ground to lie down. She regains consciousness and is coherent but confused. I do not give EpiPen because I witnessed a seizure. The fire and ambulance arrive to assist her and then her family mentions she did have seizures years ago. After 20 minutes or around 4:50pm she feels better and does not want to go to the hospital and walks out assisted by fire/ambulance staff. The next day I call her and she says she feels better and just has a sore arm and will find new doctor check her out.

right arm went numb and fingers and right foot and leg burning. tongue swelled. then the next day i had chest pain and rib pain for a long time-5 hours

Chest pain-radiating pain on right arm; Chest pain-radiating pain on right arm Went to the emergency room-14Mar2021; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: Eng199 and expiration date not provided) via an unspecified route of administration, administered in left arm on 12Mar2021 10:30 as a single dose for COVID-19 immunisation. The patient's medical history was not reported. The patient is not pregnant. The patient has no known allergies. Concomitant medications included fluoxetine hydrochloride (PROZAC) and ethinylestradiol, ferrous fumarate, norethisterone acetate (BLISOVI FE 1.5/30). The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunisation. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. The patient experienced chest pain-radiating pain on right arm on 14Mar2021 19:30 and went to the emergency room. The event resulted in Emergency room/department or urgent care. The patient underwent EKG, Chest X-Ray, Blood work on an unspecified date with unknown results. The outcome of the events was recovering. The patient was not diagnosed with COVID-19 prior to vaccination and has not been tested for COVID-19 since vaccination.

Patient reported chest pain that started on 3/30/21 at an unknown time after receiving covid vaccine. Vital signs were stable and EKG was normal at time of presentation on 3/31/21. Suspected that complaint is unrelated to vaccine.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Medium, Systemic: Weakness-Mild, Additional Details: P/T stated she had not ate since yesterday. She has had these fainting spells in the past especially when she gets her blood drawn. Her bp & respirations were all within normal levels. Was a and O x 4. P/t stated she was feeling faint and dizzy then asked for water. Pharm tech then went to notify RN of the situation. At the moment p/t began to collapse from the chair and fell on her right upper forehead which started to bruise and swell. She then started to seize & 911 was called & emt arrived.

passed out; experienced seizure like activity; low fever; arm pain; fatigue; chills; feeling very weak and sick; feeling very weak and sick; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration, administered in the left arm on 11Mar2021 at 15:45 (batch/lot number was not reported) as a single dose for COVID-19 immunisation. Medical history included asthma, Ehlers-Danlos syndrome, known allergies to red food dye and sulfa; all from unspecified dates. The patient was not pregnant at the time of vaccination. Concomitant medications included celecoxib (CELEXA), lorazepam (ATIVAN), VITAMIN D NOS (VITAMIN D), cyanocobalamin (VITAMIN B12), curcuma longa (TURMERIC); all taken for unspecified indications, start and stop date were not reported. The patient previously took gabapentin, escitalopram (LEXAPRO), and promethazine and experienced known allergies to all drugs. Facility type vaccine was pharmacy or drug store. No other vaccine in four weeks. It was unknown if the patient had Covid prior to vaccination. The patient was not Covid tested post vaccination. After receiving the first shot, the patient felt the expected side effects (low fever, arm pain, fatigue and chills) but they worsened over the next several days. After feeling very weak and sick all day, she passed out for approx 30+ minutes, she was alone but was found on the floor by her mother after she attempted to call her multiple times and she didn't respond. She experienced seizure like activity and was advised by her primary care doctor to go to the emergency room, and was seen there. Start date for the adverse events reported as 15Mar2021 at 16:00. The adverse events resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. There was no treatment received for the events. The outcome of the events was recovering. Information on the lot/batch number has been requested.

Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild, Additional Details: Patient complained of nausea, palpitations, heart pounding symptoms, sweaty palms and the back hurt. BP 152/99, after approx 1 hour the BP when down to normal

Patient states that she has tightening , chest tightening and swelling of the tongue. Patient was transported to the ER by ambulance.

Day 2, 3/25, with a fever of 100.5 and mild chest pain with difficulty of breathing. Woke day 3, 3/26, with severe chest pain, difficulty of breathing and a heartrate while resting from 140-180. Symptoms persisted all morning resulting in a call to 911 for assistance. Hospitalized evening of 3/26 with symptoms persisting until late night of 3/28 after struggling with bringing down the heartrate. Diagnosed with Supraventricular tachycardia paroxysmal, Respiratory Distress, and Thrombocytosis.

3 days after second dose, developed severe vertigo and disequilibrium. Associated with intermittent presyncopal episodes. Have continued to have disequilibrium as well as occipital migraines since that time. Daily episodes of disequilibrium.

anxiety attack/she did get pretty anxious easily and that probably exacerbated it; Chest pain; Chest heaviness; Abdominal pain; eyelid got puffy/puffiness mostly on her upper eyelid of her left eye; had eye puffiness in her left eye; This is a spontaneous report received from a contactable nurse (patient). This 27-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 10Mar2021 10:15 (Batch/Lot number was not reported, reported as "one number on there is EN and then she does not know if it is a G or 6 and then 204") as a single dose for COVID-19 immunization. Medical history included ongoing anxiety from 2020, ongoing acid problems from 2020, high cholesterol levels from 2020 (she was not prescribed any medication and the advice given was just for diet and exercise), and ongoing gallbladder problem for years. There were no concomitant medications. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No additional vaccines administered on same date of the Pfizer suspect. On 10Mar2021, patient had eye puffiness in her left eye. Patient asked if it is safe to take the second dose. Her eyelid got puffy which began 30 minutes after having the Pfizer COVID Vaccine and it is not ongoing but resolved completely after a few minutes. She did not require treatment for the eye puffiness and the puffiness was mostly on her upper eyelid of her left eye. Patient stated that she does not know in terms of causality if the Pfizer COVID vaccine is related to the reported events and was worried because a week after she got the vaccine, she had other symptoms and was not sure if they are connected with the vaccine. She also reported that she does not think the eye puffiness itself is that serious but it is medically significant and the other symptoms she had were chest pain, chest heaviness, and abdominal pain. These symptoms are not ongoing anymore and began around Friday, 19Mar2021 and resolved after a couple of hours of when they began. For the chest pain, chest heaviness and abdominal pain, she just took an antacid Prilosec for treatment. She thought about going to the emergency room but also thought she was having an anxiety attack and was close to having to go to the emergency room that night. She did get pretty anxious easily and that probably exacerbated it. AEs did not require a visit to emergency room or physician office. Outcome of the events had eye puffiness in her left eye and eyelid got puffy/puffiness mostly on her upper eyelid of her left eye was recovered on 10Mar2021, of the event "anxiety attack/she did get pretty anxious easily and that probably exacerbated it" was unknown, and of the other events was recovered in Mar2021. Information on the lot/batch number has been requested.; Sender's Comments: Based on the information provided, the contributory role of the suspect bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) to reported events is possible.

Immediately after the injection pulse increased. Came in waves and went up to 150. stabilized around 100 until taking Benadryl, which reduced it to 80. Lasted 2-3 hours. Monitored in case it comes again.

Within 5 minutes of receiving the Pfizer COVID-19 vaccine, I had terrible hot flashes and was unable to focus. This subsided within 15 minutes. Within an hour of the vaccine, my tongue went numb and mildly swelled, my face grew hot, and my throat swelled. It was difficult to swallow saliva and water. Within two hours, I grew progressively weaker, light-headed/dizzy, and experienced mild confusion (unable to understand what folks were saying on the onset). I also had quite low blood pressure when observed by the EMTs. My swelling subsided within 5 hours, both through time and the eventually emergency room treatment of Benadryl, Prednisone, and saline.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Mild, Additional Details: pt blood pressure dropped to 88/54 after vaccine and was lightheaded, paramedics were called but bP had recovered to 111/62 by their arrival, pt was monitored but did not go with the paramedics, refused too, ultimately went home with friend driving her

Pt felt rapid heartbeat and stated her pulse can fluctuate between 150-160 BPM due to cycles of anxiety. Vitals assessed. 148/92 BP, 130 PR, 98% O2 room air. Patient asked to be moved outside. Pt escorted by EMT. patient listened to relaxing music and used breathing techniques. Patient also went to bathroom to splash cold water on her face. Pt refused medication and transportation. Pt monitored and reassessed at 1215. 142/80 bpm, 125 PR, 99% O2. Pt stated feeling more relaxed and stated she wanted to leave . Pt left facility with steady gait at 1218 with family.

At time of vaccine (04/07 11:45 AM) was light-headed and had shoulder pain at injection site but no other adverse effects during observation period. While driving home, had some tingling/numbness in left arm and knees with persistent pain in shoulder. Felt fine other than shoulder pain and slight headache until that night. I went running after finishing work (around 7 pm) and started experiencing intense tingling/numbness all down left arm to hand as well as intense knee pain not typical during running, at which point I stopped running and went home. When I got home I noticed my left index finger had lost circulation (was white). That night I experienced moderate but increasing fatigue as well as chest pain and tightness. My hands both felt numb like they fell asleep/lost circulation, as well as my left arm and feet. The next morning I felt better but the fatigue and numbness in my hands and feet started up again around 10 am and lasted for several hours. I had some chest pain that night (around 11 pm) and a headache on and off throughout the day. Today (04/09) I felt completely fine. I did start my period the day before my vaccine (04/06) and was having heavy bleeding/cramps that day and a bit throughout the time described above.

Client returned after 15 minutes observation. Client reported chest pain, warmth and fatigue. Fire Rescue First Responded. Client was further observed and client stated that she felt good. Per Fire Rescue, no further evaluation was needed. Client was released to go home at 2:35pm.

Severe nausea and vomiting set around 3 hours post vaccination. Unable to keep food or liquids down for 4 additional days. This also brought on severe anxiety and panic attacks, including elevated heart rate.

The patient was seemed OK after I gave her the shot. She came in with her mother who was in the vaccination room with her while I gave the shot. I told them to stay in the store at least 15 to 30 minutes after receiving the first dose. They walked out the vaccination room and I returned to the dispensing area. The mother immediately came up to the pharmacy dispensing window to ask for an ice pack because her daughter passed out on the floor and hit her head. I got the ice pack and went to the patient to see if she was OK. She was lying down on her back. The mother took the ice pack and rested it under the patients head. I checked her pupils and checked her pulse. Those vitals were normal. I asked the patient if she could tell me her name and what day of the week this was. She answered correctly. I took her temperature on her forehead and it was elevated to 100.4 - I re-checked her temperature again in 3 minutes and it was 99. The patient was able to get up to a chair a few minutes later, and then they left after 15 minutes and the patient seemed OK.

Loss of consciousness during sleep at 1:00 AM on 4/6/2021 about 8 hours after vaccination. Loss of consciousness lasted approximately 20 seconds. Diarrhea has persisted since 4/6/2021 and has affected daily activities including work

I received my first Covid Vaccine dose last Friday April 2nd. Just soreness from the shot and feeling tired. Saturday morning I felt nauseous as well but drank water and was fine. On Thursday4/8 early morning around 2am, I woke up in a panic. My heart was racing and I was very dizzy and could not sit still. It lasted for two hours but improved after drinking tons of water. Yesterday, 4/8, while I was working, around 4pm I finished eating in the cafeteria and as I'm walking to the elevator, I lost focus and felt as if I was going to pass out. My heart began to race as it did that early morning and I could not stand still. I was able to make it on the elevator and when I got to my nurses station I began to lose focus again. I alerted my charge nurse, she escorted me to the waiting area and sat me down and began to check my vitals. My temperature was 98, blood pressure was 139/88 and sugar was fine as well since I just ate. I sat for the next hour drinking water and I eventually was able to get up and I was fine.

Within five minutes: racing heart beat, full body flush, tingling and burning mouth and tongue, itching on chest and arms.

Client was sitting in a 15 minute observation after receiving a first dose Pfizer vaccination. She alerted the EMT that she felt lightheaded and then fainted. The EMT was able to catch her and assist her to the floor. Paramedic did a sternal rub and client regained consciousness within 10 seconds. She was then awake, alert and oriented to time , situation, person and place. She was assisted to a wheel chair and zero gravity chair, given water. Vital signs were monitored and within normal limits, client denied any other symptoms and stated she has a history of vasovagal syncope episodes with other injections. Client ambulated with a steady gait after a total 45 minute observation and resolution of dizziness. She stated she would walk to her home which was close by.

had headache rest of the day, mild and tolerable, most of thursday had headache and body aches was able to work. Friday I felt better friday night I started to get a headache again this time only on my right side, with lots of pressure. Saturday I had pressure and dull headache all day, I took Tylenol and Ibuprofen with no relief. Sunday I went to urgent care the headache was much worse now on the left side of my head, urgent care misdiagnosed me as having a sinus infection. Early monday morning I work up to a hard pulsing pain in my head, went to the ER where they found I had two blood clots in my brain (acute cerebral sinus thrombosis), one significant one obstructing blood flow and one much smaller one.

DELAYED SYNCOPE IN OBSERVATION - LAYED PATIENT SUPINE ELAVATED LEGS GAVE WATER - AND APPLIED ICE PACKS LEFT ON OWN RECONNAISSANCE 30 MINUTE LATER.

Client reported lightheadedness and empty feeling in chest immediately after vaccination. Visibly crying and reported feeling anxious. Vital signs cleared by on site EMS. B/P 140/90. Client monitored for 45 minutes. Client reported, "I feel better." Exited site, awake, alert and oriented.

9:20 Pt reported to individual not feeling well. FNP and EMS to pt--pale, diaphoretic and sitting in chair. Unresponsive-breathing without difficulty. Pt aroused in appx 10 sec and assisted to WC and wheeled to medical eval tent. Pt A&O, no SOB/CP. Pt reports she "does this (syncope) once in awhile-the doctors don't know why" The pt also reports she has " done this" (syncope) in the Dr.s office before as well. They just laid my down". Denies no treatment or dx given for episodes. EMS evaluated with VS-Stable. Pt drinking water bottle without complications. Pt declined to be transported to hospital for further evaluation.9:50 apprx pt independently amb to OBS area with supervision. escorted pt husband to her in. After a few minutes-pt reported doing well when asked. Color evaluated and WNL-no paleness and/or sweating noted. Discussed with pt and husband at next appt for vaccine: 1-eat something prior-pt reported she did not eat today 2-let someone at medical area of today's episode and to lay down prior to vaccination 3-Husband may come with pt at next appt 4-next appt is location change and will be at Pt also instructed to contact her PCP and report today incident. Both individuals verbalized understanding and ambulated independently to exit steady and without difficulties.

Myocarditis after 2nd covid shot 27 year old female received her 2nd covid shot on 4/10/21 then presented to the hospital with substernal chest pressure upon waking radiating to the left arm on 4/13/21. No previous cardiac history. test shown below, discharged from hospital on 4/15/21. She was improved, no chest pain at time of discharge.

Immediately after vaccine pt experienced dizziness, tingling in hands and muffled hearing. Denies trouble breathing, diaphoresis, and headache. Reports similar symptoms in the past with medical procedures. Pt feels better after water and crackers. Hypertension noted, pt asymptomatic. Pt told to monitor BP at home and follow up with PCP or ER if needed. Pt released to home with husband at 1645. Vitals as follows: 1624 BP 156/79 HR 89 SPO2 97 1630 BP 156/92 HR 97 SPO2 97 1636 SITTING BP 170/106, 163/103 (ASYMPTOMATIC) HR 84 SPO2 97 1643 STANDING BP 155/104 (ASYMPTOMATIC) HR 95 SPO2 97

Reported being light headed exit monitor walking client to the cot. Client fainted assisted to the floor. Client quickly came responsive and was assisted to get in wheelchair. Taken to a private monitoring room. b/p 118/50 PSO2 100% pulse 84. Respirations even and unlabored. Skin pink warm and dry. 3:53 Given water and a snack. Stated she felt 80% better. 3:57 stated she was ready to go, no further symptoms. informed to seek medical attention with any further problems.

Patient received vaccine and fainted shortly after administration. Patient was taken to the Emergency Department for further evaluation. Patient stated she has had similar reaction from previous vaccinations.

Patient received first dose of vaccine and about 5 to 10 minutes later patient fainted and hit her head while waiting in pharmacy area after receiving the shot. She quickly regained consciousness and two pharmacists had her sit on ground to elevate her legs. Also gave her water. Had her stay in pharmacy waiting area until she was ok to leave.

Around 25 minutes after vaccine, patient began to feel dizzy and stated that her tongue and throat felt scratchy and tight. Patient took a Benadryl 25 mg tablet. After about 20 more minutes patient said her chest felt tight and her left side of face was numb. She could take deep breaths easily but her shallow breaths were difficult.

Shortly after vaccination, 10 minutes, Patient complained of itching, hives were observed on arms, face was red. Pt stated chest felt heavy. epi pen adminstered .3mg, 50 mg of benadryl given, Patient was evaluated by EMS, vitals stable , hives did not worsen. Patient was transported by EMS to Emergency Room for further assessment.

Woke with up chest, arm and jaw pain on 03/21/2021. Presented to the ED. Her initial EKG was negative for any acute changes but her troponin was elevated. Cardiology was consulted. Her echo was negative for cardiomyopathy or hypertrophy. But after her troponin continued to rise she was taken to the cath lab to look for ischemia. Her cardiac angiography was negative for obstructive disease, and coronary arteries were completely normal. Had low magnesium and potassium- so started on oral supplementation. Discharged on 03/22/2021 with nitroglycerin (which was not helpful and made her feel worse/nauseated) and to follow up with outpatient cardiac MRI and cardiology. This imaging revealed significant myocardial edema consistent with myocarditis. 04/01/2021 Per Cardiology: -Given that the patient had covid 19 back in November 2019 I believe she may have had a low yield subacute myocardial infection at that time that was somehow exacerbated by her 1st covid vaccine. Therefore, after some consideration and careful discussion I am advising against the 2nd vaccine at this time. -No physical exercise for 6 months given her current myocarditis and family hx of sudden cardiac death -May trial PRN NSAIDS for pain relief -Recommend birth control and no pregnancy until at least after her follow up cMRI -Follow up in 6 months with cMRI prior

On 4/16, I was unable to move my muscles weren?t working. I was in a lot of pain that over the counter meds couldn?t help. I had severe migraines. For 4/17, I have shortness of breath and slight chest pain. My voice is going in and out I?m losing it.

Fever peaking at 103 degrees, persistent for 3 days. Body aches. Headache. Purple hands and feet. Exhaustion. Treated with alternating ibuprofen and acetaminophen.

About 15 minutes after injection patient reporting shortness of breath , difficulty swallowing. throat felt swollen and tingly sensations. On assessment patient clear but diminished breath sounds, thready/weak pulse, swollen lips , BP 130/80. At 1359 pharmacy gave first dose of Epi in left leg, pt symptoms only mildly improved, then second dose of epi given at 1406. ER rapid response on site to take patient to ER and assume care.

fever, rash, hives, palpitations, headache, syncope. Lasting 7 days after vaccination. Evaluated in the ED on 7th day post vaccine.

Patient reports feeling short of breath, nauseous, clammy, and chest tightness. This RN assisted patient to wheelchair and wheeled her to the private observation area. Assisted patient into recliner with feet elevated. Vital signs at 1410: BP 125/81, P92, RR 20, 98% RA. Patient reports a similar reaction to the second Gardisil vaccine approximately 10 years ago. Patient reports being 17 weeks pregnant, but the symptoms she is experiencing do not feel pregnancy related. Patient reports getting the ok from her OB to get the Covid vaccine. Patient also reports not eating or drinking anything in a while. Provided a Gatorade and granola bar. After about 20 minutes patient reports she is back to her baseline. Patient reports her husband will be picking her up.

Symptoms: Severe chest tightness and shortness of breath, intermittent chest pain, uncomfortable pain and chill sensation down the spine from the neck area radiating down the left shoulder and arm, down the spinal cord area, or up the left side of the brain / head area. Severe feeling of malaise similar to having a severe flu (feeling "like garbage" or "like getting hit by a train"). Treatment: None Time Course: Better in the mornings, almost unbearable at night.

About 48 hours after first vaccine dose I started feeling really itchy. Followed by large patches of hives showing up all over my body. Individual patches last about 10 minutes but the hives are continuous throughout the day. Also possibly related, experienced stabbing chest pain a couple times throughout the week. Over 5 days after onset of hives, the severity and consistency has not decreased at all.

Passed out 3 minutes after shot, after 30 mins or more laying down I was okay. About 3 hours after the shot I got a severe headache and a runny nose. Then 24 hours after I felt 100% normal again.

After shot felt increasingly nauseous and dizzy and tired. I went to the bathroom and threw up. Upon return to the observation area, I lost consciousness, fainted, and woke up on the floor. My blood pressure was low but within normal range and my blood sugar was normal. I was not nervous about receiving the shot or possible symptoms and do not have a history of fainting not relating to medication side effects (meds I am no longer on) and over exertion ( ie. likely not psychosomatic). Fainting on a hard surface led to a serious concussion with effects (brain fog, fatuige, headache, and dizziness primarily) continue to persist. I saw doctors at an urgent care and them the ER where they performed a pregnancy test (negative), blood sugar test (normal). EKG (normal), and a concussion screening that led to a CT scan (normal). I left with no explanation as to why I felt sick and fainted after the vaccine and was only told later by my psychiatrist to report. The only clear side effect was pain in the arm of the injection site. Other possible vaccine symptoms overlap with concussion symptoms.

A few minutes after rec. vaccine, pt started to feel lightheaded, passed out for <30 seconds, came to , reclined in car. EMS evaluated 121/76, 79, 95%. Had not eaten enough this am, takes metformin not for diabetes, he of lightheaded ness with blood draws. Observed for 30 min, husband drove home, symptoms had cleared

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient briefly fainted after getting the vaccine. She was sweating and had nausea. After monitoring, she was feeling better.

I got the vaccine on Saturday at 12:38 and on Sunday evening I had sharp pain in my chest and neck and a feeling of pressure and tightness in my chest. Monday morning I still had the pressure and tightness and my chest felt fluttery so I checked my heart rate throughout the day and while it?s normally 70 at rest, it was around 92 at rest and constantly spiked above 100, even hitting 176 and 149 while I was sitting at a desk. The pain came intermittently throughout the day and these same symptoms continued into Tuesday and so I went to the ER where they diagnosed me with Costochondritis.

1/11/2021: I experienced a bit of an itch on my right foot. 1/12/2021: Then felt it again the next day. 1/13/2021-1/30/2021: This itch traveled out of my foot and I started to feel this tingling sensations on my right leg. The tingling would come and go. It moved to my left leg and then my arms. I also felt the tingling in my elbows, fingers, neck, boob area, abdomen. My lower back felt tight too. I was also experiencing chest pains, like pressure on my chest that would come on throughout the day. Sometimes 1 a day sometimes 3 times a day. Pressure would come on for about 30 seconds to 1 minute then subside. I also had an increased heart rate (tachycardia). I received the second dose of Pfizer on 1/30 and experienced the ?typical? symptoms the next day. On 1/31/2021 I had body aches, fatigue, low grade fever. The symptoms disappeared within 24 hours, and I did not feel any tingling on that day. On 2/1/2021 in the evening, I started experiencing severe tingling in both lower extremities. On 2/2/2021: I felt the tingling all over my body: legs, torso, forehead, back of head, vagina, tongue, back. I was experiencing severe chest pains. Heart rate was extremely high. On 2/3/2021: I went to the ER, and they sent me home with a referral to see a neurologist. Blood Pressure was extremely high (153/110). On 2/5/2021: I felt this horrible pin pricking sensation up and down my spine that went on for hours. Additionally, my right leg went numb and stayed numb until the next morning. On 2/6/2021: My right leg went numb again in the evening. It resolved in an hour. I also began experiencing some muscle twitching. It started in my right leg but I can feel it in various parts on my body (thighs, buttock, calves, arms, hand, and right underneath armpit on my back). I have burning mostly in my thighs, forearms (near elbows area), and upper shoulders. I have pin pricking sensations around my body. And I have muscle twitching in my arms, legs, back, and hand. Chest pains have resolved, blood pressure is back to normal, and my heart rate isn't so elevated anymore. I also have been experiencing some bad diarrhea the past two months (beginning on 2/19/21 until current)!

Pt has had of fainting and felt faint post-injection. She was assisted to the ground to lie down. Denies any other s/s. Remains awake and alert, aware of place/ time/ location. Pt observed for total of 45 mins, left site in stable condition.

March 26 2021= 1st does of Pfizer vacc site pain and heaviness of limbs April 1 2021= woke up at 3 am with chest discomfort MD visit=high blood pressure(BP) and EKG (normal), prescribed HCTZ 25 mg daily ER visit=chest discomfort/dizziness/heaviness in arms blood work=low sodium. EKG=normal, high BP April 4 2021 ER visit=insomnia/dizziness/globilized weakness/muscle spasm Given IV and pain meds, no labs or test were done stopped taking HCTZ April 5 2021= ER visit=Facial drop (right side), weakness,back spasm, feeling of ants on face/chest and arms blood work to check sodium=normal, bp=normal, given blood pressure meds and sent home (not very good doctors) April 6 2021= Taking HCTZ due to swelling facial drop April 6 2021= Taking HCTZ due to swelling facial drop was gone (face back to normal) started taking baby aspirin ASA due to recommendation of aunt (who is a doctor) CT HEAD=normal April 7 2021=Taking hctz and ASA daily started monitoring BP at home dizziness and head aches took exedrin bp normal all day April 8-13 2021 Chest discomfort and pain (would move sides depending of the day) insomnia (1 night) tension headaches muscle spasm on and off feeling of ants on arms no MD visit or ER visit during this time BP normal during this time during this time i did not believe that my symptoms were due to the vaccine/ i thought it was lasting effects of covid (covid long hauler) April 14 2021=2nd dose vaccine pfizer April 14-19 symptoms persisted but intensity and frequency subsided the chest discomfort was duller no more feeling of ants minor swelling of the throat (could still breath,drink and talk) cut HCTZ dosage in half bp normal April 20 2021 Chest discomfort in the night (like on april 1) discomfort would not let me sleep bp normal all day April 21 2021 muscle spasm on neck and back burning sensation in left side chest going to the left arm April 22 2021 MD visit (did not believe me when i told him it may be side effects of vaccine) refferal for blood test (no results yet) April 23 2021 stopped taking diuretic hot face(no fever 37.6 C) swelling of face (these symptoms started around 7 am) Took Benadryll bp normal ER visit (different hospital than other visits) tingling on left arm and face (right side) (around 1 pm) facial drop (right side) bp high EKG=normal/CT scan=normal/chest x ray=normal/covid, influenza and microplasma=negative/ blood work =normal (electrolytes ok)/troponin=.017/urinalysis=normal given benadryll and saline solution IV told that these are symptoms of the vaccine and to ride it out with aspirin and benadryll April 24 2021 (today) hot face, swelling of hands (for now its early in the day) no bp readings yet Seeing that the symptoms were restarting at around the same timeframe as the first dose I now think that these may be secondary effects of the vaccine

Patient reported light-headed, dizziness, nausea and low blood pressure. Blood pressure 98/55 upon assessment. Patient appeared pale. Blood pressure reassessed; BP 101/56. Patient states she is feeling better. States this happens after vaccines, IV sticks, etc. Patient ambulated from observation tent with steady gait and in stable condition.

First shot: evaluated heart rate, BP increased within 3 minutes of receiving the first vaccine. Throat itchy/ closing 1 hour after first shot. Treatment Benadryl and ibuprofen. Small rash on chest and lower left and right leg and buttocks 2nd shot: Rash/ hives on left and right arms and left and right legs, stomach and chest. Treatment outcome: steroid injection from urgent care. No change. Prednisone 10mg for 6 days. (21 tablets) Prescribed by my primary doctor Dr. No change therefore I contacted my dermatologist and she prescribed Triamcinolone acetonide ointment for 2 weeks twice a day for the itching and inflammation. No change.

Patient, with no past medical history seen today for report of tingling in her upper and lower lips blurred vision and feeling lightheaded 10 minutes post vaccination. Patient reports that she has allergy to yogurt. Patient also reports that she takes xazyl daily for allergy, however she didn?t take it today. Patient states that this is her first dose in the series. Patient denies being pregnant. NP and Paramedics at patient side. Patient blood pressure is elevated 156/95. Patient denies any history of HTN. All other vials within normal limits (99% RA, 98 HR, 18 Resp, bs 108). Benadryl 25 mg given to patient with a bottle of water and legs were elevated on a chair. Patient BP decreased to 130/90. Patient reports that she feels better after taking the Benadryl. Patient educated on the side effects of Benadryl. Patient instructed not to drive home. She verbalizes understanding and states that her mother will drive her home.

Client c/o tightness/soreness in chest at 2:05pm, approx. 5 mins. after receiving 2nd dose. Client initially declined having V/S taken then agreed at 2:18p: BP 130/70, HR 68, RR 14, SO2 99. Client reported this was the same reaction after the 1st dose and it resolved. V/S @ 2:25pm: BP 112/62, HR 70, RR 14, O2 99 and client statement "I tend to have lower blood pressure." EMS was offered and declined by client. Client stated "feeling better" at 2:36pm and left site with a steady gait, unassisted and unaccompanied. She reported her parents were waiting in the parking lot and would drive with them.

Shortly after the administration of the vaccine, the patient began to feel weak and as though she was going to pass out. The patient fell back and was caught by a family member. She complained of blacking out and having trouble seeing. 911 was called and the patient was ambulatory and examined by medics off site.

Patient had vasovagal response -- states she usually has this response to vaccines. Given water, juice, crackers. Patient stable, released from vaccination site.

AE: FEELING FAINT/LIGHTHEADED, NAUSEOUS APPROX 5 MIN POST-VACCINATION TX: LAID SUPINE, EMS EVALUATION, VITALS OC: PT. REFUSED EMS TRANSPORT + FURTHER CARE. REFUSED AMA

about 7 or 8 min after administration patient felt pain in the back of her neck going up to the base of her head, an associate monitored her from that point, a few min later she became very woozy/drowsy and her eyes were glossy and her lips purple/blue and face pale, we moved the patient to the floor atop a mat/blanket and propped her feet on the chair, after a few min her color came back to her face and lips, at some point her forehead began to tingle and her head started to hurt, the tingling began to move down the brim of her nose and within a few min the color left her face and lips became purple/blue again, the tingling then went further down her nose and down the side of her face, at that point I called EMS in fear it may turn into an allergic reaction, afterwards she said her throat felt "numb", her state remained the same until EMS arrived, note patient never lost consciousness nor reported difficulty breathing or swelling, no medications were administered at the pharmacy, EMS took the patient to the hospital, administered something for her headache and dizziness, performed a CAT scan that showed no significance, and sent her home advising her to followup with her provider in a couple days

Night of second dose got VERY dizzy lost balance and fainted. From that day on (has been 5 days now) have felt very dizzy and off balance with some nausea here and there (especially in a car) and loss of appetite.

Pt is a 27 yr/o female who presents with general symptoms Had Covid vaccine yesterday Today describes multiple symptoms including headache, fatigue, low energy, chest pressure, shortness of breath, swelling, rash, flushed feeling, etc. No history of true syncope or palpitations No definite fever, chills No history of blood clot or bleeding disorder No current cough or bloody cough

Heart palpitation 7 days after the first dose, the symptoms last for four days and haven't diminish. After 10 days of the first dose, I now have allergic reactions like running nose, dry and sore throat. I have never had any heart issues or other health concerns.

27 YOF seen after Pfizer vaccination. Previously had a COVID positive tests JUN2020 & 29NOV2020, with negative results in between. During June illness, PT was asymptomatic, during November illness, PT sts she had similar symptoms to those she began to experience after the first dose of the vaccine, including: dizziness, body aches, fever (unk temp) chills, and tightness in chest upon exertion. After vaccine, PT sts she had the same symptoms as during the November illness but also had mild dizziness upon exertion, though gait steady when walking and no issues driving or navigating stairs as per PT, she also began to get blurriness of vision. Within 24 hours all symptoms have resolved.

Light-headed, sweaty - dripping on chest area, and passed out on the car ride home ~20-25 minutes after. When I got home, I rested. Ended up with a headache and achy knees - took ibuprofen which helped. Around 8PM, I started getting COVID-toe like symptoms with red toes somewhat inflamed - elevating them helps

Dizziness , Nausea and vomiting of clear gastric contents. Numbness in bilateral arms and hands. BP- 126/90 : 126/76: 128/72 readings in 5-10 minute increments. O2 saturations-97%-100% Resp-16-20 Pulse 120;128;147;119;111 (tachycardia) Treatment: Cool compress to head and neck areas. Positioned in supine. S/I to use V-Safe app. reportable signs to health care provider. With next dose avoid use of calanoids 24-48 hours before vaccine

At 1100, patient reported dizziness, drop in blood pressure, and feeling hot to EMT. Patient assisted to anti-gravity chair and given water. Patient denied pain, itchiness, rashes and hives. EMT assessed patient vitals: blood pressure 82/42 mmHg, heart rate 83 beats/minute and 98% SpO2. Patient advised to wait for further observation. Patient reassessed at 1130. Patient's vitals were blood pressure 116/72 mmHg, heart rate 95 beats/minute, and SpO2 98%. Patient reported she felt better. EMT educated patient on communicating with her vaccinator for her second dose how she reacted to her first dose. At 1105, patient left facility to self with steady gait and unlabored respirations.

4 days following second dose, I wake up with a couple sores near my genitals and later that morning proceed to feel worse and worse, with intense body aches, chills, and feeling feverish. That night I developed a sore throat and a cough when breathing deeply. The next day felt only slightly better. The days following the body aches, chills, and fever subsided, but pain in my gums and mouth began, and sores around my anus grew worse. In addition there is pain in my chest when I try and eat, a tightness that hurts when I swallow or hiccup. It has now days 7 since my first onset of symptoms and the sores are still painful bit improving, and the mouth pain still as present as ever. Chest pain also still a problem. I've been treating with ibuprofen, diluted tee tree oil and cortisone gel on the sores, and medicated cough drops for my mouth. I've been eating soft foods because of the mouth pain.

Patient fainted in her chair and then fell out of chair in observation room after receiving shot. Patient lost consciousness and it appeared to be seizure-like activity for about 30 seconds. Called 911, monitored BP & HR, and put an ice pack on her neck. Elevated patient's legs to increase BP and had patient lay her head on a bag of ice afterwards. Patient was diaphoretic when she became responsive. She declined to go to ER when paramedics arrived.

After 13 hours from the shot, I had onset chills and body aches. These lasted for 6 hours. I then had a fever of 101 for the next 6 hours. Throbbing headache came around 18 hours after reviving the shot, my arm was also extremely tender to touch. I took ibuprofen 800mg around hour 20. This helped the headache. I had a racing heart rate through the fever. The symptoms lasted for about 36 hours. Following this, I had onset allergies (stuffy nose, dry cough, difficulty breathing, swollen face, watery eyes). Claritin had helped a little bit and swelling went down.

Syncope approximately 1 hour after receiving vaccine. Felt progressively light-headed after leaving clinic and lost consciousness for a few seconds while walking.

fainted; This is a spontaneous report from a contactable consumer (patient). A 28 year old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot number and expiry date were not reported), via an unspecified route of administration, administered in left arm on 28Mar2021 (at the age of 27 years old) as a single dose for covid-19 immunization. The patient's medical history was not reported. Patient was not pregnant at the time of vaccination and the event. Prior to vaccination, the patient was not diagnosed with COVID-19. Patient had no allergies of any kind. The patient had no concomitant medications. Patient was not taking any medications/supplements. Patient had no other vaccine in four weeks prior to the COVID vaccine. The facility where the most recent COVID-19 vaccine was administered was in a pharmacy or drug store. Patient fainted on an unspecified date in 2021 after her first dose. No treatment was received in response to the event. Since the vaccination, the patient was not tested for COVID-19. The outcome of the event was unknown. Information on the batch/lot number has been requested.

patient fainted several minutes after recieving vaccination, gave her cold packs, and orange juice. she seems completely recovered

My first menstrual cycle following the vaccine was extremely heavy, with a lot of fatigue. I have never lost that much blood menstruating in the past, and at one point I briefly passed out due to the combination of fatigue and weakness from the blood loss. While it could be coincidence, I've never had a cycle like that before and figured it might be something that needed to be brought up.

AFTER 5 MINUTES OF RECEIVING 2ND DOSE OF PFIZER COVID 19 VACCINE. THE PATIENT COMPLAINED OF PALPITATIONS AND WAS JITTERY. SHE DEVELOPED RASH ON CHEST. 911 WAS CALLED AND EMS CAME AND TOOK PATIENT AWAY FOR OBSERVATION

AFTER VACCINATION, PATIENT HAD A BLACK OUT/FAINTING SPELL DURING HER 15 MINUTES OBSERVATION AT THE PHARMACY. PATIENT STATED SHE FELL DOWN AND BUMP THE BACK OF HER HEAD. PATIENT ABLE TO GAIN CONCIOUSNESS AND DENIED EMERGENCY HELP. PATIENT SAT AT THE PHARMACY WAITING AREA FOR APPROXIMATELY 45 MINUTES BEFORE SOMEONE PICKS HER UP.

After leaving the immunization room, the patient fainted while walking through the store. She hit her head on the floor when she fell. While waiting for the paramedics, she was lightheaded, clammy, pale and sweating. Paramedics took her to the hospital after initial evaluation in the store.

Fainted and fell shopping instead of going to sit after shot. Fainted in chair. Gave water. Felt better after 30 minutes and left. Followed up next day felt fine.

Symptoms occurred in the following order: Soreness in arm, fatigue, body ache, fever, nosebleed, chills, headache, mouth dryness.

Hot flashes, swelling of mouth and throat, fatigue, bloody nose, shaky, nausea, loss of appetite and taste, achy and pain and nerve aching, migraines

Woke up with extreme nausea in middle of the night (2:30 AM) and passed out/fainted in the restroom. Unsure of how long episode lasted.; Woke up with extreme nausea in middle of the night (2:30 AM) and passed out/fainted in the restroom. Unsure of how long episode lasted.; Woke up with extreme nausea in middle of the night (2:30 AM) and passed out/fainted in the restroom. Unsure of how long episode lasted.; This is a spontaneous report from a non-contactable consumer (patient). A non-pregnant 27-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in the left arm on 24Apr2021 at 09:00 (Batch/Lot Number: EW0164) at 27-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 did not have COVID prior to the vaccination. Medical history included Ehler-Danlos Syndrome, migraine, gastroparesis, and fibromyalgia; all from an unknown date and unknown if ongoing. Concomitant medications included colecalciferol (VITAMIN D); gabapentin (MANUFACTURER UNKNOWN); promethazine (MANUFACTURER UNKNOWN); ascorbic acid, betacarotene, calcium sulfate, colecalciferol, cyanocobalamin, ferrous fumarate, folic acid, nicotinamide, pyridoxine hydrochloride, retinol acetate, riboflavin, thiamine mononitrate, tocopheryl acetate, zinc oxide (PRENATAL VITAMINS); all taken for an unspecified indication, start and stop date were not reported; received within two weeks of the suspect vaccine.. The patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) for COVID-19 immunization (Lot number: RE8732; Anatomical Location: Arm Left; Dose Number: 1) on 03Apr2021 at 27-years-old. On 25Apr2021 at 02:30, the patient experienced: woke up with extreme nausea in middle of the night (2:30 am) and passed out/fainted in the restroom. Unsure of how long episode lasted. (medically significant); with no treatment taken. The clinical outcome of the events was recovered on an unspecified date. The patient was not tested for COVID post vaccination. No follow-up attempts are possible. No further information is expected.

Fever of 103, Chills, Body convulsions, shaking,vomiting, chest pain on left side, stiffness on left side of body, weakness of the body, unable to stand long period of times, on going night sweats, migraine.

I'm not sure if it's related to my covid-19 shot. I've been experiencing more dizziness, headaches, some chest tightness, and a little bit of leg pain in my right leg.

Client received the COVID vaccine (Pfizer, lot # EW0182, expiration date 05/13/2021 at 0930) at 11:20AM. On 05.12.21, client was found by EMT sitting upright and complaining of chest tightness/sensation s/p vaccine administration approx. 30 mins later. Client is a 27 year old female, alert and tracking. Initial VS: BP 128/78, pulse 74, RR 12, O2 sat 99% and fully oriented. EMT advised client to remain additional 30 mins to monitor VS and symptoms to which she agreed. Client denies any pertinent medical history. She states has allergy to antibiotics but not specific to which. This is the client's first dose of the Pfizer vaccine. Assessment revealed no swelling, hives, discoloration, shortness of breath or other signs of anaphylaxis. Airway, breathing and circulation were intact. Her remaining vitals at 1210 - 124/72, pulse 72, O2 99% respirations 14. At 1215, BP 126/74, pulse 72, RR 14, sat 99%. At 1220, BP 128/76, pulse 72, RR 12, sat 99%. At 1225, BP 122/74, pulse 70, RR 14, sat 99%. Client reports resolution of chest tightness after initial set of vital signs and denies any other symptoms. At 1230, BP 126/76, pulse 72, RR 14, sat 99% and continues to be fully oriented. Client was registered for V safe and provided with vaccine relevant information. Client was instructed to seek medical attention if a life-threatening reaction occurs later in the afternoon or evening. Client left facility ambulatory with steady gait. Client declined any further intervention or EMS activation.

11:20am: received vaccine 11:40am: started feeling a little shaky 1:00pm: slight headache 7:15pm: some slight aches and pains 1:00am: moderate aches and pains begin 2:00am: aches get a little more severe, chills start 3:00am: aches and chills are severe, mild fever develops, medications taken aren?t helping 5:00am: aches and chills slightly better after ibuprofen and Tylenol, finally able to fall asleep 6-10am: in and out of sleep 10am: wake up, aches and chills are back at about 90%, take more medication 11am: nausea, verge of vomiting 12:30pm: same symptoms plus onset of rapid weakness and heartbeat between 94-116 while laying in bed 1pm: nausea, aches, chills continued, no sign of symptoms letting up 2:46pm: still experiencing the same side effects

After receiving my first dose of the covid 19 vaccine, I waited 20 minutes before leaving. As I walked back to my car I started to feel off and like something was wrong. By the time I got to my car, I was very dizzy and felt as though I were going to pass out. I immediately called my husband and advised him of my location and general surrounding in the event I did pass out while on the phone. After sitting in my car for a few minutes I started to feel slightly better, but not good. So I decided to walk back to the clinic building and get looked at to err on the side of caution. I walked about 10 parking spaces and then almost collapsed, so I laid on the ground and yelled to someone passing by to go get help. Someone comes and gets me and they take me over to the EMTs inside the clinic where they did a basic checks and everything came back ok. We decided to go over the the ER for further testing which revealed no answers as to why I was feeling this way. I was sent home 4 hours in the emergency room, still presenting with dizziness and lightheadedness. It took about 8-10 days before I was functioning at full capacity again. However since the vaccine intermittently throughout the day, when I go from sitting/laying to standing I black out and sometimes collapse or have to sit down so I don't fall. I discussed this with my PCP regarding the issues and counseling with them. They advised I see the cardiologist for further testing and consultation. I was finally able to see my cardiologist yesterday 5/11/21 (his schedule fills very fast). After counseling with him and discussing all the events leading up to my visit with him. It was his professional opinion that my problems and symptoms were a direct cause of the vaccine and that I should absolutely not receive the 2nd dose of the vaccine.

facial drop; chest pains/pressureweakness of limbshot face(no fever)facial dropmuscle spasmtingling in arms and faceswelling of throat(could still swallow/breath/speak); chest pains/pressure; chest pains/pressure; weakness of limbs; hot face (no fever); chest pains/pressureweakness of limbshot face(no fever)facial dropmuscle spasmtingling in arms and faceswelling of throat(could still swallow/breath/speak); tingling in arms and face; This is a spontaneous report from a contactable consumer. A non-pregnant 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered on left arm on 24Mar2021 (Batch/Lot Number: EP7534) as 1st dose, single (at the age of 27 years old) for COVID-19 immunisation. The patient medical history included prior to vaccination, was the patient diagnosed with COVID-19?:Yes. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered on left arm on 24Mar2021 (Batch/Lot Number: EP7534) for COVID-19 immunisation. he patient's concomitant medications were not reported. The patient experienced chest pains/pressure, weakness of limbs, hot face (no fever), facial drop, muscle spasm, tingling in arms and face and swelling of throat (could still swallow/breath/speak) on 01Apr2021 03:00. The patient received benadryl and saline solution. The patient was tested for as nasal swab and the result was negative on 21Apr2021. The outcome of the events was recovering. The patient received dose 2 via an unspecified route of administration, administered on right arm on 14Apr2021 (Batch/Lot Number: pfizer EW0162). No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Severe thrombocytopenia, petechial rash, dehydration, tachycardia, Idiopathic thrombocytopenic purpura. Treatment involved immunoglobulin and steroids. Started immunoglobulin and steroids on April 13, 2021 Platelets started to rise next day. Hospital admit and discharge 4/13/2021-4/15/2021 Taking prednisone at home.

16 weeks pregnant at time of dose 2, EDD 10/31/21 Arm pain- couldn't move at all Severe fatigue Muscle pain- especially back pain Joint pain- hurt to move body Chills Headache Chest pain - like I had a chest cold, but no coughing Sore throat Feeling fluish

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Additional Details: Pt was okay for 2 minutes and then fainted. LOC for 10-15 seconds, woken up to sniffing alcohol swab, CapriSun provided to raise blood sugar and cool her off. Another one was provided to use as an icepack as she was very hot. She recovered after 5 mins, refused medical attention.

A few minutes after received Pfizer covid-19 vaccine, patient got syncope in chair ( her cell phone, bottle of drink and hand bag were dropped on floor); she got anxious and kept calling for " help". After she drank some water and got recovery shortly. EMS arrived and evaluated her condition. Later patient could walk out with her friend.

The Chief Complaint is: 27 y/o F at the COVID vaccine line to get her first COVID-19 vaccine. Within 5 minutes of vaccination she complained of "head expanding", worsening headache, blood rushing to her head and feeling off balance like the room was moving. Did not feel like she was going to pass out. Vital obtained initially showed slight hypertension with BP 139/85, HR 75, RR 20 and SPO2 98% on room air. She denied any dyspnea/itching/pain (other than HA), GI symptoms. She noted she had a miscarriage on Monday but had been feeling well and staying hydrated over the last 2 days. She was observed, moved to a gurney, given water, and vitals monitored. Within 20 minutes after getting her injection she noted her head was feeling worse, hurting more and that she was starting to get nauseated. No abdominal pain. Vitals improved to BP 126/89, HR 78 and 97% on room air. EMS was called for evaluation due to worsening symptoms, recent miscarriage, ddx includes migraine/thrombosis/vagal reaction/anxiety/do not suspect allergic reaction. EMS evaluated the patient and took her for further evaluation. Will file VAERS report. Once medical issues addressed, can discuss with PCM whether she can get the 2nd dose. At this time no evidence of allergic reaction. No hives/angioedema/wheezing/abnormal vital signs.

admitted on 5/10/2021 for ASEPTIC NECROSIS OF BILAT FINGERS. Following admission, the patient who has history of severe alcoholism and polysubstance abuse history, ADHD, smoker/ Vaping, on oral contraceptive, who had presented to the hospital with cyanosis of the tips of her fingers. Patient was diagnosis with dry gangrene of tips of fingers and evidence of bilateral upper extremities DVT. Patient was evaluated by vascular surgery, hematology, plastic surgery and Psychiatry . Patient was evaluated with echocardiogram and doppler of extremity. She was treated with calcium channel blocker, nitroglycerin paste and Botox injection to improve the blood flow to the extremity. The area of necrosis was stabilized. Patient was released home on 3 months of anticoagulation

Patient fainted. After being helped into a chair, she has a small seizure / muscle spasm that lasted a brief moment and resulted in loss of bladder control. At no point did she have difficulty breathing or noticeable sweeling.

This is my first pregnancy. My estimated date of delivery is August 2021. I was to preface this by saying I have a history of passing out due to shots, examinations, blood tests, etc. So this might not have been because of the vaccine, but my own medical history of passing out. However, I do want to say I am 28 weeks pregnant, and ten minutes after receiving the vaccine, I fainted and then vomited. The EMT team was called, and the nurse practitioner on site examined me. They said that I was ok after monitoring me for about half and hour and checking my blood pressures four times. They also monitored my heart rate. I recovered fully after about an hour.

*Saturday afternoon, 3 p.m.: Shortness of breath, chest tightness, drowsiness *Sunday (05/16): Nothing *Monday (05/17): Nothing *Tuesday (05/18), 1 a.m.: Tense back, chest tightness -same Tuesday, 05:30 p.m. approx.: Quick and sharp head pain from within expanding outward, followed by vertigo that lasted until Wednesday (05/19) *Thursday (05/19): -4 p.m.: Sharp pain running from front left to back left side of head -approx. 9 p.m.: Swollen lump at clavicle that can be felt when rubbing said area *Thursday and Friday (05/19 - 05/20): Lingering chest tightness that causes slight coughs, dizziness when in a vehicle

Sx started night after receiving vaccine and got progressively worse for a week after. I had the shakes low blood pressure, back and forth low and high heart rate, chills and shakes, unable to stay awake, nausea. Unable to drink or eat, unable to walk due to extreme weakness and fatigue.

I was 17 weeks pregnant at the time of my second dose. I woke up around 5am the morning after my vaccine with vomiting and weakness (low blood pressure). I could not keep down water and continued to vomit for a few hours. I called my OBGYN and she said to go get an IV done at urgent care to rehydrate. I probably would not have done this if it weren?t for being pregnant. I got the IV around 11am and then felt fine that evening (8pm onwards). I did not have any other adverse events after that.

She felt lightheaded about 5 minutes after vaccination and fainted. She says that she has had fainting incidents in the past. She recovered quickly and remained in the pharmacy for a while after the incident.

This is a spontaneous report from a non-contactable consumer (patient). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in right arm on 07May2021 10:00 (lot number and expiration date not reported) at the age of 27 years old, as 2ND DOSE, SINGLE for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was not pregnant at the time of vaccination. Historical vaccination included first dose of BNT162B2 for COVID-19 immunization on an unspecified date (anatomical location: right arm). The patient fainted approximately 29 hrs after receiving dose on an unspecified date with outcome of recovered. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. No treatment was given for the event. No follow-up attempts are possible; information on the lot/batch number cannot be obtained.

Patient received first dose of Pfizer COVID-19 vaccine (lot EW0168, esp 08/31/21) on 5/13/2021 at approximately 2:15 PM. Patient waited (with her 3 year old daughter) seated in the waiting area, but got my attention about 3 minutes after receiving the vaccine to let me know she didn't feel well. I asked her if she just received the vaccine (I was not the vaccinator) and she indicated she did and that she felt unwell and lightheaded. I asked if she felt comfortable with laying on the floor so that I could elevate her legs, and she stated she did but would like it to be in the consultation room (it seemed she was really embarrassed and didn't want to be so exposed where other people could see her). I asked if she felt sure she felt well enough to walk to the room (probably 6-8 small steps away) and she said yes so I physically assisted her in walking to the room. When we were approximately 2 steps from the room, she lost consciousness. She was very small (I'd say right under 100 pounds; which is something I considered originally in my decision to allow her to try to walk to the room), so I was able to easily catch and guide her body the last step or two to the consultation room without risking injury. I immediately elevated her feet and instructed my technician to page help (approx 2:20PM); she regained consciousness within one minute or so. We provided her with a cold bottle of water and a cold paper towel to apply to her face. She kept apologizing and was clearly embarrassed, but I assured her it was completely fine. I also made sure her young daughter stayed with me and tried to make her feel as comfortable as possible and provided her with stickers and a marker/paper and tried to keep her calm (she was noticeably worried). After coming to around 2:22PM, she continued to lay on the floor with her feet elevated around 2:35 when she stated she felt well enough to sit up. HCP's had arrived approx 2:25PM and she declined to have an ambulance dispatched as she was feeling better. She explained that she hadn't been to the doctor in over 10 years because she is worried/nervous about any type of medical intervention, including shots. This is the first shot she had received in the past 10 years per patient. By 2:40PM she expressed she was ready to stand up and I stood by her in case she needed assistance or in case she became lightheaded again. She waited around for a few minutes after that stating she felt back to normal.

5/5 Right neck lymph nodes became swollen and painful same evening of vaccination (opposite of injection site). Randomly getting muffled ear (as if pressure is unable to equalize), even when I am just sitting down (ongoing). Headache (on and off since) 5/6 Both arms sore (resolved after a week) and upper right back pain along spine (resolved after a day). Temp was 99.5 in armpit (did not recheck until 5/21). 5/7-5/8 Difficulty swallowing (resolved after a day). Eye pain started in left eye especially when looking sideways or up (eventually became both eyes and then mostly the right eye by 5/13. Went to eye doctor and given topical NSAID which resolved eye pain by 5/15) 5/17-5/18 Neck lymph nodes finally became less painful, but still swollen. Pain slowly started again 5/20. 5/21 Woke up with extreme right neck pain equivalent to day of covid vaccination. Went to urgent care in the morning, temp was 99. As I was there, I could feel a headache starting and temperature rising. When I left, they checked again and it was at 100.5. That afternoon, temp continued to rise to 102.2 with chills and splitting headache. Took 200 mg ibuprofen which helped reduce the fever. 5/22 Took a covid swab test in the morning, results came back negative. Neck still painful. At around 9pm, fever started again and went up to 102.5 before I took another ibuprofen 200mg. 5/23 Today, painful and stiff neck but no fever yet.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt lost conciosness for 5 seconds. Pt woke back up after sniffing an alcohol pad. Pt was cradled by boyfriend who was holding her. Pt felt better after 5 minutes after juice was provided. Pt reports this happens to her at blood draws too.

Pt was extremely anxious prior to injection. Pt experiences chest, nausea, extreme anxiety immediately post injection. Immediate post injection symptoms and monitoring included pulse ox 99% for entirety of monitoring, BP 187/97 not typical for patient. 10 minutes into monitoring period, chest pain 6/10, BP 154/82. 15 minutes into monitoring CP 6/10, bp 167/84. Initiated EMS. EMS Arrived at 12:30. Transported to ED

Pt c/o dizziness, headache, difficulty breathing, OxSat 99%, HR 107-109, dropped 75-79. Fire department took over care

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Mild, Systemic: Weakness-Mild

pt states her heart started beating out of control. She was SOB and had some burning and pain in her chest. Her heart rate was 235. She went to the Hospital ER. They did lab work (troponin levels were high), CT and EKG (abnormal results). She was given O2 and was given a medication. Her DX was Supraventricular Tachycardia. She was released to go home w/ supervision. She was told to FU w/ a Cardiologist. She saw a doctor on 4/7/2021. She had EKG and echo. Both test were normal but pt was told she could have another episode. She will FU in 6 months.

Loss of consciousness; 4 days of chronic stomach pain; diarrhea; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 05Apr2021 16:00 (Batch/Lot Number: ER8734) as 1st dose, single for covid-19 immunisation. Medical history included vasovagal syncope which has not occurred in several years, allergies with gluten and covid prior to vaccination. Concomitant medication included ethinylestradiol, ferrous fumarate, norethisterone acetate (JUNEL FE). The patient had no other vaccine in four weeks. The patient previously took amoxicillin and experienced allergies. On 06Apr2021 01:00, the patient experienced loss of consciousness during sleep for about 30 seconds and 4 days of chronic stomach pain with diarrhea which resulted in limited ability to perform daily activities and work. The events were not treated. The patient was not tested for Covid post vaccination. The outcome of the events was recovering.

Echocardiogram results moderate circumferential pericardial effusion; Fever; stomach pain; congestion; cough; Xray showed enlarged heart.; This is a spontaneous report from from a non-contactable consumer (patient). A 27-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 02Apr2021 (Batch/Lot Number: 7533) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included down syndrome. The patient also reported sulfa drugs (unspecified). Prior to vaccination, the patient diagnosed with COVID-19, however since the vaccination, the patient has not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications (reported as other medications the patient received within 2 weeks of vaccination) includes: Topiramate, Buspirone, Mirtazapine, Synthroid, all taken for an unspecified indication, start and stop date were not reported. It was reported that the patient experienced Fever, stomach pain, congestion, cough, Xray showed enlarged heart and Echocardiogram results moderate circumferential pericardial effusion, all on 09Apr2021. The events resulted in Doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The patient underwent lab tests and procedures which included echocardiogram: pericardial effusion (moderate circumferential pericardial effusion) and x-ray: showed enlarged heart, both on 09Apr2021. The outcome of the events was recovering. Treatment include: antibiotic, prednisone. No follow-up attempts are possible. No further information expected.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: pt recieved the vaccine and after 6-7 mins passed out on the floor... she was woken up after 10-15 seconds and was moved to an upright position,. she then started to vomit 2-3 times 911 was called and emt took to hospital

Immediately following vaccine, client c/o not feeling well, broke out in a perfuse sweat, started to lean into mom, c/o dizziness and light headedness, pins and needles, pale. EMS to pod : BP 85/44 HR 64 o2 sat 94-96. Client observed for one hour by EMS, vs's returned to baseline, fluids encouraged. Client transitioned home as per EMS.

Patient received vaccine at approximately 3:10PM. After receiving she seemed fine and was able to walk to the waiting area. After approximately 1-2 minutes she reported to her boyfriend that she did not feel well and "needed some water." Immediately following she began to lose consciousness and went completely limp with her eyes rolled back, according to her boyfriend who caught her and placed her on the ground. The boyfriend also reported some muscle tremors occurring during this. After another minute the patient regained consciousness and was awake and oriented to person and place but not time. She was able to see properly and was vocalizing effectively. 911 was called immediately following initial loss of consciousness and EMS arrived to collect vitals. Patient was given a few sips of water. No medications were given. Following EMS assessment, patient was hypotensive and unable to stand on their own; EMS transported the patient to the emergency department.

1400: Pt recd. Vaccine and immediately loss conciousness for 20-30 seconds, Pt regained conciousness , was diaphoretic and anxious. Pt VS noted BP 96/60, HR 73, SPO2 100% on RA, RR 22. Pt escorted via wheelchair to ER for further evaluation. Husband notified.

At 6:25pm after patient received vaccine EMT observed patient appeared pale with her eyes closed. Medic walked over to patient in which patient informed that, "I don't feel good, I feel nervous and dizzy." Medic took patient to medic area where vital signs were done and water was given. After 15 mins. patient recovered.

fainted; At 3am I woke up feeling very sore; came to drenched in sweat; felt very heavy; having trouble moving my limbs and holding my head up; experienced palpitations band an elevated heart rate; experienced palpitations band an elevated heart rate; threw up; diarrhea; This is a spontaneous report from a contactable nurse (patient). A 27-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0176, expiration date not provided), 2nd dose via an unspecified route of administration, administered in Arm Left on 18May2021 14:15 at age of 27 years old as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome (IBS). The patient's concomitant medications were not reported. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0176, expiration date not provided), 1st dose via an unspecified route of administration, administered in Arm Left on 27Apr2021 14:15 as a single dose for COVID-19 immunisation. The patient experienced 'fainted, at 3am I woke up feeling very sore, came to drenched in sweat, felt very heavy, having trouble moving her limbs and holding her head up, experienced palpitations band an elevated heart rate, threw up, diarrhea', all on 19May2021 03:00. At 3am she woke up feeling very sore so she got up and walked to the bathroom to take some Tylenol. Before she could take any she fainted. After it passed she tried to sit up with her back against the wall and fainted again. She came to drenched in sweat and felt very heavy. She was having trouble moving her limbs and holding her head up because they felt too heavy. She also experienced palpitations band an elevated heart rate during this. Then she threw up and had diarrhea. No treatment received. The outcome of the events was recovering. The report was reported as non-serious. The patient was not pregnancy at time of vaccination. The patient had no known allergies. The patient had not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received within 2 weeks of vaccination included oral birth control. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Information on the lot/batch number has been requested.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of event faint cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

I have an extremely heavy period now, I woke up and there was a huge blood clot in my underwear and I literally gushed blood I?ve never seen that in all my 27 years of living and I?m afraid of what the next few days of my period will be like.

Dull continuous pain in left arm where shot was administered; Painful to lift arm above head; too weak to hold things.; Felt pain in veins in arm and muscle, down to my finger; Felt pain in veins in arm and muscle, down to my finger; Felt pain in veins in arm and muscle, down to my finger; Some chest pain on the left side; This is a spontaneous report from a contactable consumer reported for herself. A 27-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE Solution for injection Batch/Lot number was not reported) via an unspecified route of administration in arm left on 25Feb2021 as 1st dose, single dose for COVID-19 immunisation. Medical history included as none. Concomitant medications included sertraline (SERTRALINE) 100 mg taken for an unspecified indication, start and stop date were not reported in two weeks. No other vaccine in four weeks. No covid prior vaccination and tested covid post vaccination known allergies were none. On 26Feb2021 12:00 AM, patient experienced dull continuous pain in left arm where shot was administered, painful to lift arm above head and too weak to hold things, felt pain in veins in arm and muscle, down to my fingers. Some chest pain on the left side happened a few days later. The patient underwent lab tests and procedures which included sars-cov-2 test resulted as negative on an unspecified date. Covid test type post vaccination was nasal swab. No treatment received. The clinical outcome of the event was resolving. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

At 8:45am, I woke up with a tight pain in my chest on the left side and pain in my left arm, left side of neck and left ear. The pain was severe enough that I considered going to the hospital because I thought I was having a heart attack, but decided not to because I am a healthy and fit 27year old. The pain got more severe. I alternated between laying down while struggling to take deep breaths and stretching because my left neck and arm hurt. I drank about 16oz of water. At around 11am I threw up water. At around 12pm I was able to fall back asleep. When I woke up around 1:30pm I felt much better with just very mild symptoms and by about 4pm I felt completely better. I have had no symptoms since.

Fatigue; muscle pain; chest pain; This is a spontaneous report from a contactable consumer or other non hcp. A 27-years-old female (pregnant unknown) patient received bnt162b2 (BNT162B2, solution for injection, Lot Number: EL3249), via an unspecified route of administration, administered in right arm on 10Mar2021 09:30 as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included pulmonary embolism, asthma. Concomitant medication included albuterol (salbutamol) taken for an unspecified indication. Patient had no known allergies. The patient did not receive any other vaccines in four weeks and any other medications in two weeks. Patient was not tested for covid prior or post vaccination. On 10Mar2021 15:00, the patient experienced fatigue, muscle pain, chest pain. The clinical outcome of events was not recovered. No follow up attempts are possible. No further information is expected.

Stroke; she had blood clots on her brain; headache; her left leg was numb like it was asleep; blurry vision; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received second dose of bnt162b2 (BNT162B2, solution for injection, Lot Number: ER8736) in left arm via an unknown route of administration on 24Apr2021 at 10:10 (at the age 27-year-old) as single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 (BNT162B2, solution for injection, Lot Number: ER8727) right arm, via an unknown route of administration on 31Mar2021 as single dose for covid-19 immunization and experienced no adverse event. On 14May2021 at around 07:00 or 08:00, the patient experienced stroke. The patient was hospitalized for stroke from 15May2021 to May2021. On an unknown date, the patient had blood clots on her brain, headache, her left leg was numb like it was asleep, blurry vision. It was reported that patient was recently got her vision back to where she can stand the light long enough to do the research and call around. The stroke happened on 14May2021 and patient went to the hospital on 15May2021 for 5 days because she thought it was just a headache. The patient cannot find the exact date she was discharged. The vision was the first thing that went, then headache started. When patient woke up early in the morning her left leg was numb like it was asleep. Patient used the restroom and did her morning routine, and when she sat back down had the worst headache of her life. They said she had blood clots on her brain. When patient got there, they couldn't stop it because it had already happened and the damage was done. It was reported that patient knew she was going to be travelling and would start working around children. Patient was exposed to a lot of people and thought at the time it was the best thing to go ahead and get the vaccine to go back to a new normal. Patient had bloodwork test and drew so much blood trying to figure out how but results showed unknown. The most common stroke was a blood clot on the brain. Everything matches from the blurry vision to the headaches. Patient declines to report on any of the people she read about, she is just calling to report on herself. The stroke was early because her aunt had a stroke literally the week before and her wake was in the morning. She was getting ready for that. The patient had no other vaccinations within four weeks prior to the first administration date of the suspect vaccines. Patient's lab test included blood work: unknown on an unspecified date. The outcome of the events was unknown. PSCC Communication was as provided contact information for Pfizer Legal Department and report reference number to the caller. Caller declined to complete reports on the people she read about online. Information on Lot/Batch number was available. Additional Information has been requested.

Tested positive for low von willebrande factor; After 2 dose I started to bruise extremely easily; the migraine like symptoms increased to multiple times per week with extreme sen; extreme sensitivity to light and vomiting; extreme sensitivity to light and vomiting; Cuts that would bleed excessively; Nose bleeds; A 27-year-old (Non-pregnant) female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number:ER8727) via unspecified route of administration in left arm on 31Mar2021 13:00 as (at age of 27years) 2nd dose, single dose for COVID-19 Immunization. Patient medical history includes Attention deficit hyperactivity disorder (ADHD), Anxiety from unspecified date and unknown till ongoing. Patient is allergic to the drugs include Penicillin, Omeprazole from unknown date till ongoing. Patient concomitant medications include lisdexamfetamine mesilate(VYVANSE) and drospirenone, ethinylestradiol(GIANVI) used for unspecified indication from unknown date and unknown if ongoing. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EN6207) via unspecified route of administration in left arm on 11Mar2021 09:00 (at age of 27years) as single dose for COVID-19 Immunization and experienced 1 week after first dose patient began getting severe migraine like symptoms followed by extremely heavy menstrual cycle. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient was not tested for COVID. On unspecified date, after 2 dose patient started to bruise extremely easily and the migraine like symptoms increased to multiple times per week with extreme sensitivity to light and vomiting. Patient had cuts that would bleed excessively, woke up with nose bleeds and tested positive for Low von willebrande factor with no history of any type of bleeding disorder. The adverse events resulted in physician office visit. Patient received treatment for events .Patient underwent lab test and procedures include CT Scan of head, blood tests result was unknown and vonwillebrande was positive . The Clinical outcome of all events was Recovering. Information on the lot/batch number has been requested.

Patient has a short episode of fainting, about 5 minutes after receiving vaccine. Patient fell to the floor and was able to regain consciousness in about a minute. EMS was contacted and they took over care for the patient. Patient was taken to the hospital for further evaluation. Patients doctor was contacted to notify them of the incident..

I was sitting down eating lunch at work when I had an onset of heart palpatations. I work at a hospital so my coworker called a code and the rapid response team hooked me up to a monitor and they said it looked like I was in afib. I have a history of SVT but I had an ablation in 2014 and have not had palpatations since until February 15th. 2 weeks after my 2nd COVID vaccine. Not sure if this is related, but I?ve been seeing on the news that there have been heart issues in young adults linked to the vaccine.

Pt reports 2 days after she received the vaccine she developed intermittent, mild stabbing pain under the left collar bone/left chest area, states pain was worse when taking a deep breath, did not require OTC, and resolved on it's own. The patient states the next evening the pain returned, pain was under the breast bone/rib cage and in the back, pain would come and go, better after resting, worse with activity, and again resolved spontaneously and has not returned.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Weakness-Mild, Additional Details: PATIENT FAINTED, FELL TO THE GROUND. CALLED 911. PT IS RESPONSIVE.

headache; like my throat was swelling; heart rate accelerated; I felt tight in my chest and throat; I felt tight in my chest and throat; I felt warm; nauseous; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 27-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 07Apr2021 02:45 (Batch/Lot Number: EN6204) as 1st dose, single dose for covid-19 immunisation. The patient medical history was not reported. Concomitant medication(s) included drospirenone, ethinylestradiol (NIKKI) taken for a contraception, LORATADINE taken for an unspecified indication and start and stop date were not reported. The patient previously took sulfa drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient was not pregnant at the time of vaccination. The patient experienced headache, like my throat was swelling, heart rate accelerated, i felt tight in my chest and throat, i felt tight in my chest and throat, i felt warm, nauseous on 07Apr2021 03:30. The patient reported that patient was stayed almost 30 minutes on site with the emt and then on the car ride back home patient started feeling like her throat was swelling and she tried to brush it off but then her heart rate accelerated and she felt tight in her chest and throat and then patient felt warm. patient started feeling nauseous and developed a headache so patient drove to the ER. Her throat continued to swell and release for the next few hours. Therapeutic measures were taken as a result of events includes PREDNISONE. The outcome for all events was recovered on unknown date in 2021. No follow-up attempts are needed. No further information is expected.

minutes after vaccine whilst patient was sitting down she lost consciousness and fell from her chair. her Bp was 74/40 and after minutes increased to normal.

Around 5-7 minutes after injection, I started having heart palpitations and visual disturbances that lasted maybe 30 seconds or so

Paleness, syncope, lightheadedness, fainting/passing out, low blood pressure. Refused ambulance help and ER. Blood pressure fell to 88/59 initially then after 30 minutes and drinking some vitamin water and fanning patient's blood pressure recover to over 100/69 and regain some complexion on her face. She waited additional 30 minutes before she said she was back to normal

Started having frequent episodes of symptomatic non-sustained Vtach, bigeminy, trigeminy, had an increased PVC burden; Started having frequent episodes of symptomatic non-sustained Vtach, bigeminy, trigeminy, had an increased PVC burden; Started having frequent episodes of symptomatic non-sustained Vtach, bigeminy, trigeminy, had an increased PVC burden; This is a spontaneous report from a contactable nurse (patient). A 27-year-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in arm left on 09Jan2021 (at the age of 27 years old) (Lot Number: EL1283) as 2nd dose, single for COVID-19 immunization. Medical history included Wolf-parkinson-white. No known allergies. No known drug allergy. Concomitant medications included levonorgestrel (MIRENA); melatonin. 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: EH9899) on 18Dec2020 ((at the age of 27 years old) in left arm for COVID-19 immunization. The patient experienced started having frequent episodes of symptomatic non-sustained Vtach, bigeminy, trigeminy, had an increased PVC burden (hospitalization) on 13Jan2021. Duration of hospitalization was 1 day. Treatment received for the events included Metoprolol. The adverse events resulted in Emergency room/department or urgent care & Doctor or other healthcare professional office/clinic visit. This is a serious report with seriousness criteria: Caused/prolonged hospitalization. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19, Nasal Swab on 13Jan2021, 03Mar2021, 10May2021, all with results of negative. The outcome of the events was recovering.; Sender's Comments: The causal association cannot be excluded between the reported events andBNT162b2 use. The impact of this report on the benefit-risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for AE. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees and investigators, as appropriate.

Lightheadedness, dizziness, legs feeling heavy and tingly, chest pain (this started one day after receiving my dose), shortness of breath, back pain

The day after receiving my second dose of the COVID vaccine, I began to feel fatigued and started getting body aches (June 9). By June 10 I was taking 500mg of ibuprofen and having to lay down at work because of back pain, upper stomach pain, chest pain and migraine. By June 11 I began running a fever of about 101 degrees. The pain was getting progressively worse so I was on bed rest for the next few days, by this time (June 12-13). Every morning I was waking up with the sweats, but specifically on the morning of June 13, I woke up at 4:30am, shivering and sweating. I was to the point where my entire body was vibrating for 1.5hrs while I was profusely sweating. I had a sore throat so bad that I could hardly swallow. I was taking 1,000mg of Tylenol, which would only improve my symptoms about 30%. on June 14, I got a COVID, Flu and Strep test with the county, all which came back negative. At this point, I was in so much pain that I was not able to work or get out of bed, so I knew I needed to see a Doctor (after being told by many nurses that I should just "push through" the pain). On June 16 I was running a 103 temperature and went to urgent care (day 8 of side-effects). I was tested for Mono, also negative. The Doctor determined I was suffering from adverse side effects from the vaccine. I have this in a report. I was prescribed prednisone which almost instantly helped with all of the inflammation/pain. Today marks day 13, I still have slight back pain but have been taking the prednisone daily. I still am having shortness of breath, chest pain and upper stomach pain. The only thing that has truly helped the other symptoms is the prednisone.

During my first period after receiving the vaccine, I experienced markedly worse menstrual cramps than usual throughout the day. I took Midol extra strength to combat the pain. I couldn't sleep until approximately 2:30 am, and I woke up at 4:00am due to the pain. I noticed that my vagina itself was swollen on the inside and essentially numb - even as my abdomen was cramping painfully. After sitting in the bathroom for a while, I tried to stand. At that point, I briefly passed out and collapsed into the bathtub. This has never happened before in my life.

The week after vaccination I was admitted into the hospital for severe menstrual bleeding. My CBC result shows a platelet count of 17 10*3/uL, accompanied by low white blood cell and red blood cells count. I received multiple transfusions (2 units of whole blood and one unit of platelets), and was diagnosed with ITP. I then received steroid treatment (Dexamethasone, 40mg/day, 4days), after which my blood counts are restored.

My initial reaction to the vaccine was extreme tingling and falling asleep of my left arm where I had the injection. This occurred for the entire day of June 7th. On June 8th I woke up with slight tingling in my left arm but also with chest pain. A couple of hours after that I had shortness of breath and a tight throat. The tightness in my throat and shortness of breath lasted off and on throughout that day and the chest pain remained the same. The next few days my chest pain still remained with a tingling sensation and a fullness that came and went. That Friday, June 11th I had to use my inhaler as my throat felt very tight and I was having a hard time breathing. My heart immediately started beating so fast and I knew from using my inhaler here and there that I have never had that reaction. I went into urgent care that night and was told I have Costochondrtis.

Severe chest pains found to not be myocarditis or pericarditis. However, the vaccine may have inflamed a previously unknown heart condition.

After the second shot of covid vaccine i went to the ER for dizziness,a weird feeling on the chest,extreme shortness of breath,heart rate over 180 bpm,a near fainting feeling and fatigue.

Fever developed on the same day. Then left arm pain spreading across chest on 6/12. Pain improved with benadryl x 2-3 days after patient was seen in ER on 6/16 and left AMA before any work-up was complete. Chest pain returned and worsened, worse with laying down and improved with sitting up and leaning forward. Pain relieved with Toradol, patient diagnosed with pericarditis and started on colchicine at Cardiologist's recommendation. Negative cardiac enzymes.

My glucose rose into the high 200s and I was told by my doctor to increase Lantus night time to 16 units accordingly

Allergic reaction when getting COVID-19 vaccine l was given a Pfizer COVID-19 vaccine at the Pharmacy at around 1pm and around 1:05pm she presented to the pharmacy window with s/sx of SOA, sweating, tingling of hands/feet, and slightly elevated BP. She was assessed by the pharmacy team and it was determined the most appropriate to call 911 to have her accessed. She was assessed by EMS and it was determined that she was stable to be released on her own accord. She was given 25mg of diphenhydramine by pharmacy staff, but no other intervention was taken.

27 y/o female reported to the ER for atypical chest pain on 5/2/2021. Clinical concern for CAD was low, however there was some concern for myocarditis due to chest pain and ECG findings that began one day after 2nd dose of Pfizer vaccine. Patient was referred to an outpatient cardiologist to perform cardiac MRI to assess for subclinical myocarditis. Follow up with PCP: 5/10, cardiac f/u in June. Tests performed: ECG 5/3, Stress test 5/3, myocardial perfusion imaging

Fever, migraine, anxiety, light headedness, anxiety attack led to fast heart rate, shaking legs, feeling faint, menstrual cycle either missed or late by 3-4 weeks (not pregnant)

Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Additional Details: Patient informed pharmacist of vasovagal history of passing out from vaccines. Patient passed out 3 minutes after administration and was layed to floor by pharmacist and her close friend. Patient possibly started to a 15 second tonic-clonic seizure from the vaccine. Previous history of seizures.

Swelling in arm, redness previously, Chest pains on the 29th , and this morning had problem with breathing and temp 103.9.

Light-headed; Skin pink; Dry skin; Skin warm; Nausea; Heartbeat everywhere; This is a spontaneous report from a non-contactable healthcare professional for patient. A 27-year-old female patient of unknown pregnancy received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6204), via intramuscular route of administration on 06Mar2021 at 14:00 (at the age of 27-year-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were denied. The patient previously received morphine (MANUFACTURER UNKNOWN) and amoxicillin (MANUFACTURER UNKNOWN) for unspecified indication and experienced drug allergy (unknown reaction). Prior to vaccination, it was unknown if the patient had symptoms associated with COVID-19. Since vaccination, it was unknown if the patient was tested COVID-19 positive. It was unknown if the patient received any other vaccines within 4 weeks. On 06Mar2021 at 14:05 (approximately 5 minutes post vaccination), the patient experienced light headedness and nausea. The patient was able to feel the heartbeat everywhere (palpitation). The patient was alert and oriented and was further noted with skin pink, warm and dry. The patient was placed on gurney and assessed by emergency medical services and physician on duty and was continued observation in first aid area. The patient was given water and was reported that symptoms were improving. The patient was cleared for to discharge home by physician on duty. The patient did not receive treatment for the reported events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events dry skin, light-headed, nausea, skin pink, skin warm and palpitation was recovered on 06Mar2021 at 14:41 (able to sit upright without symptoms). No follow-up attempts are needed. No further information is expected.

Patient developed a myo-pericarditis, with sharp chest pain, elevated troponin. Patient treated with NSAIDs and had general resolution by 6/30/21.

I began having noticeable pain in the left side of my chest where my heart is located. Whenever I laugh, sneeze, or do any other type of activity that involves exertion, I feel a noticeable pain in my heart region. This pain began the morning after I received the first dose of the Pfizer vaccine.

Increased heart rate; Chills; Muscle pain; Nausea; Headache; fever of 100.5; This is a spontaneous report received from a contactable consumer, the patient. A 27-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot no: unknown) (at the age of 27-years-old) via an unspecified route in the left arm on 23Mar2021, at 12:15 as a single dose for COVID-19 immunisation. Medical history and concomitant medications were reported as no. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. It was reported that the patient did not received any other vaccines within 4 weeks prior to the COVID vaccine and did not received any other medications within 2 weeks of vaccination. The patient did not have allergies to medications, food or other products. On 23Mar2021 at 13:15, the patient had a fever of 100.5 (unspecified units) within 1 hour of shot lasted for about 8 hours followed by chills and muscle pain, increased heart rate, nausea and headache. The patient did not receive any treatment for the reported events. Adverse event did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of fever of 100.5, chills and muscle pain, increased heart rate, nausea and headache was resolving at the time of report. Information on lot/batch number has been requested. No further information is expected.

walking to her bed, and started to see stars, and felt like she was starting to faint; had trouble breathing, along with chest pain.; her daughter had the same thing happen again, but it was worse.; had trouble breathing, and some other side effects, like a sore throat, and nasal congestion; had trouble breathing, and some other side effects, like a sore throat, and nasal congestion; had trouble breathing, and some other side effects, like a sore throat, and nasal congestion; This is a spontaneous report from a contactable consumer (patient's mother). A 27-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0138), dose 1 via an unspecified route of administration on 07Apr2021 at 17:30 (at the age of 27 years old) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The reporter stated that she she was calling on behalf of her daughter who had her first Pfizer COVID-19 Vaccine dose on 07Apr2021 at 5:30PM. She said her daughter woke up with a jolt at 1:00AM (08Apr2021), and had trouble breathing, and some other side effects, like a sore throat, and nasal congestion. She said her daughter had a COVID-19 Virus test done and the test was negative. Stated She said 5 days later, out of the blue, her daughter had the same thing happen again, but it was worse. She said her daughter was in the shower and had trouble breathing, along with chest pain. She said her daughter was walking to her bed, and started to see stars, and felt like she was starting to faint. She said her daughter sat down on the bed, and put her head between her knees, and was able to stop herself from fainting. The reporter stated her daughter was worried her symptoms were a side effect of the COVID-19 Vaccine. She said she hadn't read anywhere of that kind of side effect. She said the first time her daughter had trouble breathing, her daughter thought it was definitely a side effect of the COVID-19 Vaccine. She said for the same thing to happen to her daughter 5 days later had both her and her daughter wondering if what she had experienced was a side effect, or an allergic reaction to the COVID-19 Vaccine. The reporter said she was calling to find out if her daughter could get the second COVID-19 Vaccine after what she had experienced with the first COVID-19 Vaccine dose. The reporter stated that she had provided the Pfizer Pharmacist with the wrong COVID-19 Vaccine Lot Number yesterday (EW0138). She would like to find out if her daughter could get the second COVID-19 Vaccine after what she had experienced with the first COVID-19 Vaccine dose. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on an unspecified date. Reported her daughter received her COVID-19 Vaccine at the . She said she believed that the was a federal COVID-19 Vaccination site. No further details provided. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested. Follow-up attempts completed. No further information expected.

Patient complained of dizziness, feeling faint, racing pulse and flush of heat all over after 15 minutes in waiting room. Patient taken to exam room at 5 pm and lied back on exam table with head elevated 45 degrees. B/P taken at 5 pm 118/88 in left arm sitting, apical pulse 76 and O2 Sat 100% on room air. Patient denied chest pain or shortness of breath. Patient states she has anxiety and fear of needle. Patient drank a cup of water, instructed on slow deep breathed. after being observed for 15 minutes, patient stated she was feeling better. Spouse at bedside as well. Patient observed another five minutes and BP retaken at 520 pm was 116/88 left arm sitting. Patient states she feel well enough to go home. Spouse states that she will drive patient. Instructed patient on slowly sitting up, then slowly standing. patient denied dizziness upon leaving at 520pm approx. patient mood laughing a joking upon leaving. Patient left in stable condition. Instructed patient to seek medical attention with any chest pain or SOB.

Symptom onset in evening of 7/8/21. Symptoms included: fever (temp 101), feeling weak/wobbly, tachycardia and chest feeling heavy. Also reports fast heart beat. Advised to seek medical care through her pcp or urgent care

First 3 days, heart racing, blood pressure issues (not sure exactly) I couldn't go up the stairs, getting off the couch I'd nearly pass out. Chest pain. On both hands my middle finger to my pinky would tremor on and off for weeks. It was constant the first 3 days. I felt like the inside of my body was on over drive and the outside of my body was lethargic. The symptoms have persisted on and off for a month now. Currently, I have a heart monitor on for a week. I had blood work done, most of it came back normal. My bilirubin is always elevated due to Gilbert's syndrome. But my bilirubin count was double what it was in March of 2021

103 fever; chills; cold sweats; Injection arm was so sore; shocks; dizzy; severe increase in heart rate; This is a spontaneous report from a contactable consumer, the patient. A 27-years-old non pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: Unknown) via an unspecified route of administration in the right arm on 23Mar2021 at 10:15 (at the age of 27 years) as a single dose for COVID-19 immunisation. Medical history included ITP (idiopathic thrombocytopenia purpura). Concomitant medications reported as no. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 23Mar2021, immediately following injection, the patient experienced severe increase in heart rate. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: Unknown) via an unspecified route of administration on an unknown date as a single dose for COVID-19 immunisation. On same day at 22:00 within 12 hours after vaccine, the patient experienced a 103 fever with chills and cold sweats, injection arm was so sore that the patient could not move it at all without severe pain. When patient tried to sleep, she had shocks every 15 to 30 minutes throughout the body. The fever continued for 36 hours including the fever, chills, and shock. The patient was dizzy the entire time with trouble standing. No therapeutic measures were taken for the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient underwent lab test body temperature measurement on 23Mar2021 and the recording was 103 (unspecified units). The clinical outcome of the events increased heart rate, fever, chills, cold sweat, vaccination site pain, electric shock sensation and dizzy was resolving at the time of this report. No follow-up attempts are possible. Information about lot/ batch number cannot be obtained.

pt fainted about 5 minutes after getting 2nd covid shot. she came right back in about 5-10 seconds. felt dizzy.

About 4-5 hours after my shot, my left leg was tingling (like if I sat on it wrong) for about a day and a half; then felt chest pressure; got muscle twitches; all subsided within the next few days. About 10 days afterwards (on 6/28), I had to go to the ER because got a sharp pain in my left upper arm (felt like a nerve issue), pain was a 10/10, ibuprofen did not help, so had to press ice packs really hard which helped a little bit. The pain started in my left arm then the next day went to my left arm and left foot, then the next day went to left arm and foot and then my right upper arm in the same spot as the left; pain continued to decrease within 5 days. At the ER the did a blood test, ECG, chest xray, and urine test and said that all came back normal and blood pressure was fine. I was fine for about a week and is now the pain started coming back (7/10) but the pain is a 1/10. This all happened after my 1st dose so I'm undecided on if I'm going to get the 2nd shot because I'm terrified of the initial pain coming back. Currently waiting for lab results from a local doctor.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Within a minute of giving patient her first dose patient leaned backwards in chair seemed like she fainted for brief moment, grabbed her to make sure she didnt fall out of chair and was responsive within a few seconds. It happened a 2 more times where she leaned back again for a brief moment and doesnt rememeber. The 3rd time she leaned foward and spit up a little of the water she just had. Called 911 after the second time EMS came and checked her blood pressure and make sure she was ok.

Two days after receiving the first Pfizer Covid Vaccine, I am experiencing a rapid heart rate and chest pain. I conducted some research on the topic and learned that there is a link between the vaccine and heart-related issues, such as inflammation. What does the CDC recommend at this point? Will this issue resolve itself or should I go to the hospital?

pregnant at time of vaccination On 5/25/21, patient presented to ED and was admitted O24.420 - Gestational diabetes mellitus in childbirth, diet controlled O42.02 - Full-term prem ROM, onset labor within 24 hours of rupture On 6/10/21, patient presented to ED: O99.893 - Other specified diseases and conditions complicating puerperium CHEST PAIN SHORTNESS OF BREATH BACK PAIN

Started having left sided chest pain on 6/27 which progressively worsened over the next few days, called OB on 6/30 who instructed me to go to emergency department to be evaluated. Throughout the day the chest pain became progressively worse especially on inspiration also accompanied with difficulty to take a full breath. After testing done in emergency room I was admitted and diagnosed with pericarditis and said to be having an acute inflammatory response post covid vaccination. At time of adverse event I was 26 weeks pregnant with an uncomplicated pregnancy, estimated delivery date is 9/29

Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild

After second dose I have really bad headaches; Lips tingling/Tongue tingling; My eye starts drifting up or twitching when I try to chew,; Jaw pain; Have pain in my chest; Dysphasia; Can't eat food gets stuck; Tingling feet and hands; Burning in legs; Pain in neck and back; Pain in neck and back; Shortness of breath; Fatigue; Weakness in body; Stomach pain; Trouble sleeping; Brain fog; Dizziness; Depersonalization; Feels like spasms; Feels like whole in my chest; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 27-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 2 via an unspecified route of administration, administered in Arm Right on 07May2021 08:00 (Batch/Lot number was not reported) as dose 2, single (age at vaccination 27-year-old) for covid-19 immunisation. Medical history included, known allergies: Codeine, cinnamon, latex from an unknown date. Concomitant medication(s) included probiotics (PROBIOTICS) taken for an unspecified indication, start and stop date were not reported. Historical vaccine information included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) 1st dose on 10Apr2021, administration site (right arm), administered at 10:00 AM (age at vaccination 27-year-old) for COVID-19 immunization experienced Leg pain, Fatigue and Weakness. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. On 12May2021 12:00, the patient experienced after second dose i have really bad headaches, lips tingling/tongue tingling, my eye starts drifting up or twitching when i try to chew, jaw pain, have pain in my chest, dysphasia, can't eat food gets stuck, tingling feet and hands, burning in legs, pain in neck and back, pain in neck and back, shortness of breath, fatigue, weakness in body, stomach pain, trouble sleeping, brain fog, dizziness, depersonalization, feels like spasms. The patient underwent lab tests and procedures which included sars-cov-2 test negative: negative on 04Jun2021. The patient not received treatment for events. The patient visited to emergency room visit/ physician's office for the events. The outcome for all events was not recovered. Information about batch/lot number has been requested.

was laying down because was not feeling well/ felt sick; all of a sudden got dizzy/felt like fainting; heart started racing; anxious; could not concentrate; felt like chest hurts; head feels funny; difficult sleeping; felt a lot of fear that something was wrong; This is a spontaneous report from a contactable consumer (patient). A 27-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: EW0175) dose 1 via an unspecified route of administration, administered in left arm on 23Apr2021 as FIRST DOSE, SINGLE for COVID-19 immunisation. Medical history included diagnosed with COVID-19 and allergies was none. The patient's concomitant medications were not reported. The patient did not receive any other medications within 2 weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested for COVID-19. On Saturday 01May2021, the patient was laying down because she was not feeling well, all of a sudden she got dizzy and her heart started racing and she felt like fainting. Since then every day had been horrible she felt dizzy, she felt very anxious, she could not concentrate, she felt like her chest hurts and her head feels funny. She had difficult sleeping and she felt a lot of fear that something was wrong with her. She did not feel like herself anymore. The adverse events result in doctor or other healthcare professional office/clinic visit and visit emergency room/department or urgent care. The patient underwent lab tests and procedures which included TSH, CBC, CMP, Thyroid and Vitamin D: unknown in 2021, body height: 5'5 in 2021 not clarified appropriately. Therapeutic measures were taken as a result of events and treatment with Sertraline 50 mg. Outcome of the events was not resolved. No follow-up attempts are needed. No further information was expected.

Rapid heartbeat; Spotty vision; Shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A 27-years-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the arm left on 31Mar2021 at 13:15 (at the age of 27-years-old) as a single dose for COVID-19 immunisation. Medical history included heart palpitations. The patient was allergic to past drugs acetaminophen (MANUFACTURER UNKNOWN) and montelukast sodium (SINGULAIR). Concomitant medications included propranolol (80mg) (MANUFACTURER UNKNOWN) and lisdexamfetamine mesilate (VYVANSE) (50mg) and an unspecified birth control medication (MANUFACTURER UNKNOWN), all from unknown dates. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 31Mar2021 at 14:30, the patient experienced rapid heartbeat, spotty vision, and shortness of breath. It was reported that all symptoms were mild. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the events. The clinical outcomes of rapid heartbeat, spotty vision and shortness of breath was unknown. No follow-up attempts are needed; information about lot number cannot be obtained.

Chest pain, feel like blockage to chest area, worsening on deep breathing and laying down, get some relief once sit up or stand up. Had short period of fast heart beats on Sunday night, but went away after a few hours.

To, The Centers for Disease Control and Prevention The patients. I am a 27-year-old female residing since August 2019. I am a Resident and an immigrant. On the 20th of April, 2021 I took my first shot of the Pfizer-BioNTech COVID-19 vaccine in where I reside. After 48 hours of taking the vaccine, I started experiencing extreme fatigue, dehydration, and chills. I also registered a fever of close to 101 on a few nights in the week after. I thought this was a temporary side-effect of the vaccine, but the side-effects persisted and was not dying down. Over the next 2-3 weeks my health condition waxed and waned. I was facing extreme fatigue to the extent it had disrupted my normal life, heavy dehydration, loss of appetite, feeling cold easily, especially in the evenings. I called up the center and asked if I could delay my 2nd COVID-19 Pfizer shot, but because it is generally advised to take the second shot within a 28-day period in the United States, I decided to go ahead and take my second shot on May 14th. I took a couple of Acetaminophen tablets this time to help reduce a possible fever. Over the next weeks, my condition did not seem to change, even though I was done with both my shots. I continued to face fatigue and weakness, I had lost 10-11 pounds, a huge loss in appetite, I started noticing heavy hairfall daily. My period had not come since taking the vaccine. In the early month of June, I noticed dark red blotchy marks that had appeared on both my arms. My health started deteriorating heavily in June, there were days when I could sleep all day. I started noticing a fever which climbed to 101-102 daily, especially in the evenings and continuous shivering. Seeing the signs of a serious medical condition, I filed for emergency leave from my workplace and decided to fly back to India where my family resides. I landed in the 30th of June, 2021. I was admitted to a hospital in the Emergency Unit on the very same day and where I continued to remain hospitalized until the 9th of July. I was hospitalized for a period of 10 days, during which multiple blood tests, scans and procedures were run on me, at the end of which I was diagnosed with now having a chronic illness, an Autoimmune disorder called Systemic Lupus Erythematosus. I am currently, recouping from my illness and undergoing treatment for SLE. I do not know if there was a correlation between my taking this vaccine and the triggering of my illness, but if there is a possibility of the vaccine triggering an Autoimmune disorder in healthy individuals, I would like the concerned authorities to make a note of it. Symptoms: Extreme Fatigue, Continuous High Fever, Heavy Hairfall, Loss of Appetite, Feelings of Nausea, Red marks on arms, Weight Loss, No menstruation

Patient is complaining of severe pain in her right arm that is radiating into her chest. Worried that it may be having an effect on her heart.

After 30 minute wait time was over patient started to feel itchy around 1740, we gave the pt 25 mg Benadryl at that time. Pt HR 88 regular, oxygen 99%. Pt. reports tightness in chest around 1746. 1755 Pt. reports headache. 1800 itching is gone, chest tightness continues, pt. is now coughing.

Numbness in the arm where injection was administered; tingling in arm where injection was administered; headache; chest pain; This is a spontaneous report from a contactable consumer, the patient. A 27-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Er8727) via an unspecified route of administration in the right arm on 27Mar2021 at 10:30 (at the age of 27-year-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient did not have any allergies to medications, food, or other products. Concomitant medications included sertraline hydrochloride (SERTRALINE) 25 mg daily for unknown indication from an unknown date. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 01April2021 at 00:00 (4 days after the vaccination), the patient experienced numbness in the arm, tingling in arm where the injection was administered, headache and chest pain. The patient did not receive any treatment for the adverse events. The events didn't result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the event numbness in the arm, tingling in arm, headache, chest pain was not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

on and off numbness in my left arm along with a blood clot on my left hand, and the left side of my back; headache; on and off numbness in my left arm along with a blood clot on my left hand, and the left side of my back; patient had increased heart rate; swelling of the throat; a very sore arm; sore arm proceeded the next day and the following day arms soreness was very minimal on 11Jul2021; This is a spontaneous report from a contactable consumer (the patient). A 27-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: FA6780, expiration date was not reported) via an unspecified route of administration, in the left arm, on an 10Jul2021 at 12:45 (at the age of 27-year-old), as single dose, for COVID-19 immunization. The patient's medical history included allergies to Metal. Concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive any other medications within 2 weeks of vaccination. Patient was not diagnosed with COVID-19 prior to vaccination. Patient was not tested for COVID-19 since the vaccination. On 10Jul2021 at 16:00, a few minutes after the first dose, patient had increased heart rate, swelling of the throat and had a very sore arm; sore arm proceeded the next day and the following day arms soreness was very minimal on 11Jul2021. On 13Jul2021 at 16:00, on the fourth day, patient had a headache, increased heart rate, and on and off numbness in my left arm along with a blood clot on my left hand, and the left side of my back (injected arm). Outcome of the events was not recovered. Follow-up actions are needed. Further information has been requested.

At 2:00 am in the following midnight, I started shivering. I couldn?t control my body and my jaw. This is the weirdest experience I?ve ever have in my life. Then I took my temp, 101.5. I followed the instruction, drunk a lot of water. Then thing got worse. I couldn?t stop vomiting. Even drinking water made me nauseous. I also couldn?t lie one my back bc this position made me dizzy and cannot breath smoothly. As a result, I spent whole night sitting on my bed, drinking water and then vomiting. Temp kept raising. In the morning, I couldn?t stand these symptoms. And I took one tablet Tylenol with some watermelon. I started sweating, A LOT. The med lowered my temp but not stop the symptoms. Still vomit, headache, joint/muscle pain, dizzy. The only thing I can do it stuck in my bed and breath. After two days, on Sunday , things finally got better. During this period, I took Tylenol every 6hrs and drink a lot of water. My vaccinator informed me it was better to let the body fight for the vaccine, but I really cannot do that. Without Tylenol I cannot survive. Anyway, the lady who gave me vaccine is really nice and knowledgeable. I kind of believe I am gonna have high Level of antibody since I have such strong reaction.

Within minutes of receiving vaccine, eyes fluttered, skin color became pale, pt stated she felt ?funny?. Complained of lips tingling, cold packs applied to back of neck and forehead. Approximately 5 min later appeared to ?dry heave?, spit up clear mucus, small amount. Pt was eased to floor and legs raised on chair. B/P monitored, radial pulse remained even 72 BPM. C/o tingling L hand, intermittent. Pt took several attempts to sit up. Light headedness would return, pale, nausea with dry heave. After continued rest for approximately 20 min, color returned to face, tingling resolved, able to sit up, stand, walk, stating ?I feel better now?. Took sips of water throughout episode. Was to leave work accompanied by coworker. Advised not to drive. Going home; mother at home.

Tachycardia (HR 130 when sitting, typical resting 64), abnormal menstrual bleeding when periods are not present, light headedness/dizziness, low grade fever (99.9F oral), chills, sweating, foggy headed feeling, body aches.

chest tightness (within 10 minutes), trouble swallowing (within 10 minutes), dizzy (within 3 minutes), fuzziness leading to blacking out (within 5 minutes), thumb tingling/partial numbness (within 2 minutes), tightness in neck and jaw (within 10 minutes), headache (within 10 minutes), - nausea, extreme tiredness, confusion (all about 3 hours later)

7/27/2021 @ 9:00pm broke out in hives, swollen lips & eyes, tight chest, short of breath. Took Benadryl for treatment. 7/28/2021 @ 10:30am broke out in hives. Took Benadryl for treatment. 7/29/2021 @ 03:00am broke out in hives. Took Benadryl. 7/29/2021 @ 12:30pm woke up with palpitations and shaking. No treatment. Called employee health to let them know to document my reactions. I was told by employee health @12:38pm to follow up with my PCP if this continues or worsens.

tachycardia, nausea, itchiness, tongue swelling (voice change)==> all lasted from 1920pm to 2050pm. Given Benadryl IV and NaCl. Pt in the ER about 2.5 hours.

Pfizer-BioNTech COVID-19 Vaccine EUA experience a slight increased heart rate to about 101 2 min after injection and then another heart rate increase to 120 about 15 minutes after injection. Heart rate was back to normal about 5-10 after spike but patient stayed for observations for another 30 min.

within 10 minutes patient became pale and lightheaded, heart rate elevated, continued to have flushed feeling. Rapid response called observed, provided water and ice. Felt dizzy when tried to walk. Observed for 45-60 mins.

Nausea; racing heart rate; restlessness; Dizziness; Shaking; breathlessness; This is a spontaneous report from a contactable consumer reporting for herself. A 28-years-old female patient received bnt162b2 (BNT162B2 ; Lot # EK9231) vaccine , via an unspecified route of administration on 27Dec2020 at single dose for Covid-19 immunisation . Medical history included drug hypersensitivity to amoxicillin sodium on an unknown date and unknown if ongoing. There were no concomitant medications. The patient experienced about one minute and a half after receiving the vaccine racing heart rate on 27Dec2020 with outcome of recovered , restlessness on 27Dec2020 with outcome of recovered , dizziness on 27Dec2020 with outcome of recovered , shaking on 27Dec2020 with outcome of recovered , breathlessness on 27Dec2020 with outcome of recovering , nausea on 28Dec2020 with outcome of recovered. The patient underwent lab tests and procedures which included heart rate: racing on 27Dec2020. The patient received diphenhydramine (BENADRYL) to treat dyspnea.

Heart rate went to 133 at 12:45pm for 6 minutes; face and ears were swollen; face and ears were swollen; This is a spontaneous report from a contactable nurse (patient). A 28-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EK9231), via an unspecified route of administration at the left arm on 29Dec2020 11:15 at a single dose for COVID-19 immunization. The patient was obese with BMI of 32, known allergies were tree nuts, sunflower seeds sesame seeds. The patient was not pregnant at the time of vaccination. Concomitant medication includes vitamins nos (DAILY MULTIVITAMIN). On 29Dec2020, heart rate went to 133 at 12:45pm for 6 minutes. The patient took TYLENOL and BENADRYL and went to sleep. When she woke up her face and ears were swollen, heart rate is back to normal (29Dec2020). The patient also added that swelling was a reaction she normally gets when she eats something she was allergic too. The events were assessed as non-serious, did not result in death, not life threatening, did not cause/prolonged hospitalization, not disabling/incapacitating, did not cause congenital anomaly/birth defect. The vaccine was administered in a hospital. The patient has not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events face and ears were swollen was recovering; heart rate went to 133 at 12:45pm for 6 minutes recovered on 29Dec2020.

After receiving vaccine, woke up around 3 am experiencing nausea, loss of vision x 1-2 minutes, syncope, difficulty breathing, numbness & tingling in hands and feet. Measured temperature of 102 F. Slept most of the next day and missed work x 1 day. The following day was improved but still with moderate fatigue and nausea. Took ibuprofen with some improvement.

Sxs started 2 hours post vax with flushing, palpitations, chest pressure. Presented to ED. Sxs resolved after 2 hours of observation.

Patient complained of chest tighness about 20 minutes after vaccine. Benadryl 25mg given, BP 220/120. Pepcid 40mg po, Xyzal 5mg po, and tylenol 975 po given for headache. Patient given Toradol 30mg IM for continued complaints of chest tightness. patient monitored for 3 hours.

Sudden development of hot flashes with sweating and blurry vision- felt like I was going to faint.; Sudden development of hot flashes with sweating and blurry vision- felt like I was going to faint.; Sudden development of hot flashes with sweating and blurry vision- felt like I was going to faint.; Sudden development of hot flashes with sweating and blurry vision- felt like I was going to faint.; Tingly sensation in arms and then some nausea and general feeling of weakness with persistent headache.; Tingly sensation in arms and then some nausea and general feeling of weakness with persistent headache.; Tingly sensation in arms and then some nausea and general feeling of weakness with persistent headache.; Tingly sensation in arms and then some nausea and general feeling of weakness with persistent headache.; This is a spontaneous report from a contactable nurse. A 28-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), Lot number= ELO140, via an unspecified route of administration, in the right arm, on 31Dec2020 at 13:45 (at the age of 28 years-old) as a single dose for COVID-19 immunization. The vaccine was administered at a hospital. Medical history included polycystic ovarian syndrome. There were no concomitant medications. The patient had not received other vaccines in 4 weeks nor taken any other medications in 2 weeks. Prior to the vaccination the patient was not diagnosed with COVID-19. On 01Jan2021 at 0700 the patient experienced hot flashes with sweating and blurry vision- felt like she was going to faint, tingly sensation in arms and then some nausea and general feeling of weakness with persistent headache. The clinical course was as follows: Sudden development of hot flashes with sweating and blurry vision- felt like she was going to faint, tingly sensation in arms and then some nausea and general feeling of weakness with persistent headache. The vision blurring and hot flashes resolved within 15-20 minutes but the fatigue, headache and nausea persisted throughout the day. The patient was not hospitalized for the event nor was treatment administered. The clinical outcome of the hot flashes with sweating and blurry vision- felt like she was going to faint, tingly sensation in arms and then some nausea and general feeling of weakness with persistent headache. Since the vaccination, the patient has not been tested for COVID-19.

Approximately 4 hours after the vaccine administration, I started getting symptoms that started mild and became severe including: headache, dry cough with chest pressure, dizziness/lightheaded, joint pain, body aches, fatigue, and chills. At 5:30 pm I started getting a fever, that started at 100.5 then increased to 103.3 by 8:30 pm. I was also nauseous and vomited once. I was tested the next morning for influenza and COVID and was negative. My fever came back down to 98.8 around 12 pm the next day. Overall, symptoms lasted approximately 30 hours after the vaccine was administered. I was out of work the following day after the vaccine. Now, 2 days after the vaccine I am just mildly fatigued with a dry cough left.

Anaphylaxis Chest tightness started @ 6:00pm following vaccine. Developed wheezing in all lung fields (confirmed by MD.) Developed hives- Albuterol, Benadryl and epinephrine administered @ 700pm. EMS called and transported to Hospital.

Anaphylaxis c/o chest tightness and "unable to breathe"-epi pen administered with immediate response. Narrative: c/o chest tightness. epi pen administered with immediate response. "I can breath now," pt. stated. Monitored, d/c'd to home/released from work.

Reported "heart going fast" "It might be anxiety" 1400: O2 Sat 99% 165 HR 12 RR 154/101 1405: O2 99% 68 HR 12 RR 139/95 1417: 99% 66HR 1430: 100% 69HR 12RR 129/89

I got the COVID Pfizer vaccine and experienced warmth in my chest with the first vaccine. It went away after one day and was tolerable. I also developed a lump under my right armpit with the first dose that slowly went away. It was painful, but the pain was tolerable. With the second vaccine, I also got the chest warmth and chest pressure for 2 days. I did not seek help as it was also tolerable. I also developed the lump under my armpit with the 2nd dose, this time I still have it and it is more painful and bigger. I have been taking naproxen for the pain.

About 27 hours after my vaccine (at about 9 pm on 01/12) I began having 8-10/10 chest pain. Mostly burning sharp pain, but some restricting tight pain as well, radiating to my back mostly. It would be relieved for maybe 10 minutes at a time but then flare back up for about 5 hours. I went to the emergency room, where they did a cardiac work up including blood work and EKG, vitals and a chest X-ray, all which were unremarkable. At about 0200 am on 01/13, the pain subsided. Previous to the chest pain, during the morning and afternoon of 01/12, I had a low grade fever (99.9 F), an intense headache, and fatigue. 01/14/21 sore swollen lymph node under L arm.

1/11/2021 9:00pm - injection site arm sore, body aches, fever up to 100.8 degrees Fahrenheit, chills, and headache. 1/12/2021 8:00am - severe body aches, fever up to 101.0 degrees Fahrenheit after takingTylenol and chills. 1/12/2021 6:00pm - fever 100.6 degrees Fahrenheit after taking Tylenol, shortness of breath, and deep dry cough. 1/13/2021 11:00am -shortness of breath, deep dry cough worsening with tachycardia. Went to urgent care diagnosed with upper respiratory infection due to second covid vaccine reaction prescribed prednisone.

Nausea, lightheaded, elevated BP. Went home and started having body aches, joint pain. Improved nausea.

The unexpected reaction was localized constant left chest pain. It is believed to be due to swollen lymph nodes in the pectoral area (as all other testing at the ER was normal). Also sharp pain when breathing in deeply.

Around 7:30 PM on 1/11/2021, patient started to experience fever, diffuse sharp chest pain with body aches, and myalgias. Patient was COVID+ in October 2020. Patient presented to the emergency department and was treated as a sepsis alert and received fluids, ceftriaxone, and ibuprofen with good response. Labs were as follows: Bilirubin and transaminases are normal, D-dimer is normal, serum lactate is normal, EKG is nondiagnostic with prolonged QT, troponin is negative.

I was awoken from sleep with violent chills and an sensation of severe cold. My chills became violent and coarse rigors, severe enough to contract the spine into hyperextension if I kept my body in a neutral position. I could still activate each muscle group to keep in a fetal prostration pose. I was knowledgeable of the event, did not loose any bowel, bladder, or smooth muscle function, and the intensity of the rigors was focused on the most developed skeletal muscles (thighs, calves, upper arms, forearms, paraspinal muscles, hands, respectively). Jaw and muscles of the head/face seemed unaffected. Fingers and toes not distinctly affected. I was not sweating at this time and there were NO other symptoms to report; I remained lucid and able to self-reflect the entire time. Home temperature is kept to consistent 66F, no malfunctions to thermostat. No recent changes to bedding (sheet and quit on top of mattress); it is even optimized for me as I tend to overheat as I sleep. At 50 minutes, I felt "less frozen" and confident enough to stand/ambulate for 220mg naproxen + 500mg APAP , cautiously and successfully swallowed. Robe was donned over existing pajamas and thick comforter was pulled from hallway closet. Rigors continued, but it appeared that intentional activation of the muscle groups could still overpower the rigors for safe (but shaky) ambulation. Greatest risk was coarsely shaking hands a bringing cup to mouth to swallow pills. Above activity was completed in 5 minutes. I then sat upright in bed under layers above. I could feel the muscles calm and relax, with episode completely ending in 5 minutes. Total time of event: 60 minutes. Post-event details: There was a mild sensation of muscle tension in the posterior cervical spine akin to whiplash, but no residual symptoms. I debriefed with my husband shortly thereafter (he has been in another room the whole time) and fell asleep by 23:30. Awoke to alarm at 05:00 and able to stretch, accomplish 30 min run, vacuum/mop the floors, and present to work by 08:00am without deficit. Time of documentation: 11:22 am 1/15/2021

Hours after first COVID vaccine 12/18 developed facial and lip swelling then urticaria on arms and nonpruritic, erythematous rash chest to thighs. Woke that night with tachycardia to 220's. Tachycardia of varying degree and severe diaphoresis was constant through the next 72 hours. Did not seek care. Since then, for 3 weeks she has had multiple runs of SVT. Last one was Saturday 1/9 - went to ER, episode recorded. Given rx of xanax which did not resolve her tachycardia. Established care with me 1/14/2021 and noted to have 3/6 systolic murmur. Patient (who is a PA) states it is significantly louder than it was prior to vaccination. Given rx of prn propranolol for home, outcome pending

difficult breathing; Pain on the chest; Not being able to move my upper neither lower body; itchiness all over my body; unconscious; Headaches; major anxiety; depression; very light-headed; weak; almost faint; This is a spontaneous report from a contactable Other HCP (patient). A 28-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 08Jan2021 12:00 at single dose on Left arm for COVID-19 immunisation. Facility type vaccine was Hospital. Medical history was none. The patient's concomitant medications were not reported. No other vaccine in four weeks. The patient experienced Not being able to move my upper neither lower body, Headaches, major anxiety, and depression, unconscious, very light-headed, weak, almost faint, Pain on the chest, difficult breathing, itchiness all over my body on 08Jan2021. AEs resulted in Emergency room/department or urgent care, Hospitalization. Received injected fluids as treatment. The outcome was Not Recovered. No COVID prior vaccination. No COVID tested post vaccination. Information on the lot/ batch number has been requested.; Sender's Comments: Based on a close temporal association, a causal relationship between reported events and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Got the second dose vaccine around 1:45 and was feeling completely fine. I was about to leave at 2:00pm when my heart rate started to increase. I took some deep breathes and started to feel better. Then as I walked out to my car and on my drive home, my whole face felt like some type of electricity was racing through it. I would touch my face and wherever I touched, the skin would feel tight and tingling. This lasted for 30-40 minutes and never came back.

My daughter woke up at 2am and I started feeling like I would throw up and I sat down and blacked out and fell into our shower and hit my head and shoulder my husband had to shake me and wake me up and I also felt like I would have diarrhea- ER said it was a vasovagal event

Fevers, uncontrollable shaking, chills, sweats, muscle aches, chest tightness, painful enlarged left axillary lymph node, left arm pain, fatigue, weakness, and nausea. Adverse effects started approximately 12 hours after vaccination and lasted up to 48-72 hours.

Heart rate between 130-135 for a whole day after Also had the common headache, body aches and extreme fatigue for more that 24 hours after.

Sars-CoV-2 vaccine (pPp treatment under Emergency Use Authorization(EUA): pfizer Received COVID-19 Vaccine at 10:45 AM. After 10 minutes post administration, while being monitored began feeling nauseated and c/o some dizziness. Denies allergies or prior events with vaccination. A& O x3, pale, diaphoretic, weak radial pulse, cool w/ delayed cap refill. Preferred to sit with her head lowered rather than supine. VS noted and cool cloths provided. Stated she ate a little this AM, BP and pulse normally low for her and currently on menstrual cycle. Advised to stay additional 15 min. VS rechecked w/o change in symptoms. Agreed to lay supine, color improved and symptoms resolved. Declined calling MERT or 911 unless she had a change in her condition. Moved to sitting position, tolerated well asymptomatic. Stood became symptomatic, returned to sitting upright in chair. Continued dizziness, pale and nausea, A&O x3. Agreed to be seen in ER, departed in wheel chair with RN (Adult ER) to be evaluated. Time B/P Pulse Resp Position Notes 10:55 98/59 59 16 Sitting/Chair Pale, cool extremities, vertigo; additional monitoring 11:00 89/56 66 14 Sitting/Chair Pale, vertigo- moved to supine position 11:05 98/65 60 12 Supine Symptoms improving 11:12 103/70 76 16 Sitting Symptoms resolved 11:18 Sitting Stand, symptoms returned- changed to sitting to w/c Departed Vaccine Clinic area at 11:20 A&O x3, pale, intermittent dizziness in wheel chair to Adult ER. Charge Nurse notified.

panic attack 2 hours after vaccine; since, multiple panic attacks, with other episodes of feeling like i'm going to pass out, dizzy, nauseated, tachycardic

6 hours - 36 hours after vaccine (starting day of) body aches and headaches 47 hours after vaccine heart palpitations requiring an emergency department visit

Covid Vaxx #2 1/20 0815 - shot 12:15 - sore arm 1600 - mild aches and fatigue 1800 - 2cm nodule and redness at injection site 2015 - moderate aches and fatigue, feel like fever is coming 98.2 2130 - severe aches and fatigue, feels like flu 99.2 fever and chills 2300 - can?t sleep, extremely uncomfortable 100.5 1/21 0030 - hot, more uncomfortable and exhausted, need sleep 101.0 took 600mg Advil 0500 - slept ~4 hours, woke up uncomfortable again, temp 99.5 with chills 0730 - woke up hot and uncomfortable, temp 100.0 0930 - woke up hot and uncomfortable, headache and chest tightness, severe back pain, temp 100.5, took Tylenol and ate sandwich 1130 - woke up, hungry, still uncomfortable but okay, temp 98.5 1355 - sudden severe chest pain 1455 - showered and laid down, chest pain subsided, took nap temp 98.5 1610 - woke up hot achy and uncomfortable, temp 101.0 1630 - took Tylenol 2145 - sudden severe chest pain, went to bed, no fever 2330 - chest pain subsided, haven?t slept yet 1/22 0200 - slept for an hour or two, woke up slightly warm, temp 99.7 0500 - woke up sweating, feeling slightly better, temp 98.7 0900 - No more fevers after this point, injection site swollen and raised ~5 cm circle, red and hot to touch, itchy Benadryl helps 1/23 99% better, only symptoms left are injection site soreness and itchiness, and intermittent right sided neck pain relieved with ibuprofen

Reporter received the second COVID-19 vaccine on 1/20/2021 at 08:25 AM. She had proactively taken diphenhydramine following the reaction to her first dose. Around 08:40 AM, she began to feel tightening in her throat and some heaviness in her chest. She was evaluated by a nurse who took her blood pressure (normal), however, her heart rate was elevated (noted this could be that she was nervous following initial reaction and repeat tightness in throat). Around 08:55AM, she began to feel like her tongue was swelling and that she had a "bubble" on the top of her throat. She was taken to the Emergency Department for evaluation. She was given hydroxyzine, famotidine, and dexamethasone in the ED and was discharged and felt stable. She reported a continued odd sensation in her throat the evening of the second vaccination. This feeling resolved the next day, and she reports no additional side effects from the vaccine. Of note, patient had experienced a similar reaction following her first vaccination (E-number 261589)

PATIENT REPORTS TACHYCARDIA AFTER THE VACCINE ADMINISTRATION. ELECTROCARDIOGRAM COMPLETED WITH NORMAL LIMITS. PATIENT WAS PLACED IN MONITOR FOR A SPACE OF 1HRS. AT NO TIME UNDER OBSERVATION, DID PRESENT TACHYCARDIA.

Symptom onset was sudden - rigors, temp 102.3, bilateral cyanosis in hands. Difficult to take Tylenol because jaws became clenched. Symptoms resolved after the administration of Tylenol and ibuprofen. Extreme muscle aches the next two days and mild fever that was controlled with medication.

Labored breathing/shortness of breath; Extreme fatigue; Resting heart rate 104 bpm; Full body myalgias; Nausea; This is a spontaneous report from a contactable pharmacist. A 28-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1686), intramuscular at the left arm on 09Jan2021 17:00 at a single dose for COVID-19 immunization at a clinic. Medical history was reported as none. Patient has no known allergies. The patient was not pregnant. Concomitant medication included desogestrel, ethinylestradiol (VELIVET). The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), intramuscular at the left arm on 21Dec2020 14:45. The patient experienced full body myalgias, nausea, extreme fatigue, resting heart rate 104 bpm, and labored breathing/shortness of breath on 10Jan2021, 04:30. There was treatment for the adverse events. Patient has not been tested for COVID 19 prior and post vaccination. The patient was recovering from the events.

Vertigo. Patient presented with lightheadedness and dizziness with associated body tremors. Symptoms started 5-10 minutes after patient received her 2nd Pfizer vaccine dose. Patient has h/o vertigo and reported vertigo, headache, nausea, and emesis following the first vaccine dose. Unsure if syncope 2/2 vaccine vs vaccine adminitration anxiety vs h/o vertigo. NS bolus, Benadryl, Ativan, Tylenol, and Motrin were given. Normal EKG. Symptoms improved and patient discharged from the ED.

Severe chills, fever -103, nausea, chest pain (felt like I had a bubble in the center of my chest), abdominal pain, body pain all over, weakness, loss of appetite, migraine Symptoms started yesterday and still ongoing. Taking ibuprofen

Anaphylaxis shock- patient became hypoxic with shortness of breath, chills and tachycardia. EpiPen was administered and 911 was called. Patient was transported to ER.

My arm started to hurt , tingled and then turned into feeling very heavy as soon as injection was admitted. I suddenly became light headed and felt very abnormal. Broke out in hives on my neck and face . They took me to the ER department and by the time they wheeled me down the hall I was white , very disoriented. Couldn?t open my eyes and went from slurred speech to I couldn?t speak at all and couldn?t swallow. My throat and closed and I was having a anaphylactic reaction . They administered epi pen , pepcide and steroids. Since then I have been very weak , running a fever , tired , dizzy . Can hardly walk and I get out of breath from standing or walking .My muscles are very sore and have spams . Almost last night I went to the ER due to theses symptoms lingering. I have been unable to work since the vaccine was administered to me .

nausea vomiting and painful flush feeling in chest and extremes. improved after vomiting but nausea and flush feeling persisted for 3 hours

Chills, joint pain, chest pain, shortness of breath, low grade fever, nausea, vomiting, headache. Recovered from COVID in 8/2020.

'Had second dose of Pfizer vaccine on 1/13 at 4:30PM. The following morning (1/14), I experienced nausea and light headedness. This resulted in fainting multiple times and be transported to via ambulance. After receiving fluids, symptoms decreased but continued to have fever/body aches until following day (1/15).'

Hypotension; fever; chills; body aches; severe arm soreness/tenderness; This is a spontaneous report from a contactable nurse (patient). A 28-year-old female patient received second single dose BNT162B2 (Solution for injection, lot number: EL3248, exp date not reported), intramuscular (vaccine location: left arm) on 12Jan2021 10:30 for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had no allergies to medications, food, or other products. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient previously took first single dose of BNT162B2, lot number: EL1284, intramuscular (vaccine location: left arm) on 23Dec2020 23:00 for COVID-19 immunization. On 12Jan2021 23:00, the patient experienced hypotension, fever, chills, body aches, and severe arm soreness/tenderness. The events were considered as non-serious by the reporter. No treatment was given for the adverse events. On 20Jan2021 Nasal Swab was negative. The patient recovered from the events on Jan2021.

Hives; itching; shortness of breath; chest tightness; severe hip and low back pain; severe hip and low back pain; headache; concomitant medications included mercaptopurine; concomitant medications included mercaptopurine; This is a spontaneous report from a contactable nurse (patient). A 28-year-old female patient (not pregnant) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283), intramuscular at right arm on 19Jan2021 at 15:00 at single dose for COVID-19 immunization. The patient medical history included Crohn's disease from an unknown date and unknown if ongoing. The patient's concomitant medications included mercaptopurine, mirtazapine (REMERON), sertraline hydrochloride (ZOLOFT), cetirizine hydrochloride (ZYRTEC). The patient previously took ADDERALL, HUMIRA and REMICADE and experienced allergies. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1284), intramuscular at right arm on 30Dec2020 at 15:45 at single dose for COVID-19 immunization. On 20Jan2021 at 06:00, the patient experienced hives, itching, shortness of breath, chest tightness, severe hip and low back pain and headache. Therapeutic measures were taken as a result of the events and included treatment with diphenhydramine, EPI PEN, TORADOL, acetaminophen, DECADRON, DILAUDID. The patient outcome of the events was resolved with sequel.

Sore arm for 3 days, headaches same day until current, chills same day to current, dizziness same day till current, fatigue, diarrhea increased heart rate

10 minutes after vaccine, patient became unconscious and fell out of chair. Began gasping for air and clenching fists. Epinephrine was administered immediately. Patient began breathing normally after a few minutes. The whole event lasted about 5 minutes. Patient disclosed afterwards she had a fear of needles. This did not look like a panic attack, it appeared to be a true anaphylactic response.

Episode of palpitations and tachycardia to the 120s the night of my shot. Took my PRN Propanelol 20mg with resolution. Arm soreness x2-3 days

Chest pain started on 01/30/2021 around 1pm. At this time the chest pain was constant. The next couple of days the chest pain was only on exertion. The chest pain got better and I only experienced slight SOB of exertion over the next few days. Last night (02/07/2021) I experienced extreme dizziness (when walking and lying down). While laying in bed the room was spinning.

Passed out; fell; became disoriented and weak; became disoriented and weak; could not control her body, all muscles felt heavy and weak; could not control her body, all muscles felt heavy and weak; Felt tingles in feet and lower legs; This is a spontaneous report from a contactable consumer(patient). The 28-year-old female patient(not pregnant) received first dose BNT162B2(COVID 19, lot number: EL9262), via an unspecified route of administration at left arm on 22Jan2021 13:00 at single dose for COVID-19 immunization. Medical history included none. She had no known allergies. Concomitant medication included spironolactone, amfetamine aspartate/amfetamine sulfate/ dexamfetamine saccharate/ dexamfetamine sulfate (ADDERALL), vitamin b complex (VITAMIN B), ergocalciferol (VIT D), ZINC, omeg(omeprazole). There was no other vaccine in four weeks. About 11 hours after receiving(23Jan2021), she very quickly became disoriented and weak, could not control her body, all muscles felt heavy and weak. She fell once and then presumably passed out - she came to after falling again. She felt tingles in feet and lower legs. After sleeping about 9 hours, she felt better. There was no treatment received, no covid prior vaccination, covid tested post vaccination. Events were assessed as non-serious. Outcome of events was recovering.

Chills were the first symptom. The next day, I also experienced feeling very cold and some chills. I passed out briefly after getting out of bed and threw up right after that. I had body aches. I was nauseous but was able to take ibuprofen in the late morning. After the ibuprofen wore off, my body aches returned as well as a lethargic feeling. The next morning, I experienced nausea again until in the afternoon.

1 week after receiving 2nd vaccine 8 started to have tachycardia, palpitations, flutters. It has also been a little harder to breath. I got a ZIO monitor placed 2/5/2021 to monitor my episodes.

Left side of body felt very warm and felt like it was melting; red rash on left side face, neck, chest, arm; Facial spasms; Fever; Confusion/lightheaded; Confusion/lightheaded; Palpitations; Feeling of being unwell; Fatigue; This is a spontaneous report from a contactable consumer (patient). A 28-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via unspecified route on right arm single dose for COVID-19 immunization on 22Jan2021, 05:45 PM, at 28-year-old. Medical history included: COVID-19. No allergies to medications, food, or other products. Concomitant medications within 2 weeks of vaccination included: daily vitamins, lisdexamfetamine mesilate (VYVANSE). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient left side of body felt very warm and felt like it was melting. The patient had red rash on left side face, neck, chest, arm. The patient had facial spasms, fever, confusion/lightheaded, palpitations, feeling of being unwell, fatigue. All on 22Jan2021, 06:45 PM, and was reported as non-serious and resulted in doctor or other healthcare professional office/clinic visit, no treatment received. Since the vaccination, the patient had not been tested for COVID-19. Action taken for BNT162B2 was not applicable. Outcome of the event was resolving. Information on the lot/batch number has been requested.

Syncope. Per ED note, patient has experienced syncope epsoides before Diagnosis:Syncope and collapse, Injury of head, initial encounter Vasovagal episode

After my 2nd dose administration, I sat in an observation tent with 4 resident doctors. This is protocol at my hospital to assess for any adverse reactios. About 10 minutes later, I started to feel both of my arms (from should all the way to tips of my fingers) start to get tingly with an intense vibrating sensation. I tried to calm myself down, however numbness began to occur to both BUE seconds after. Next thing that happened, bilateral fingers became visually contracted however numb and I could not move my fingers. I also got a tingly/prickly sensation to my cheeks all the way down to my chin after the hand numbess. The resident doctors quickly took me by wheelchair to a private room where they checked my vital signs. BP was elevated with systolic in 190's, HR around 120s, and my limbs were all cold. By this time it was around 6pm and they were trying to calm me down as I started to have a panic attack. My parents came to pick me up at 7pm when my vitals were stable. I rested at home, and the contraction to my fingers/numbess did not subside until 8:30pm. The following day, my left arm (injection site) had a soreness level of 9/10. Tylenol was used to relieve pain.

Lightheadedness within 5 minutes; weakness of muscles; rapid heart rate; This is a spontaneous report from a contactable other HCP reporting for herself. A 28-years-old female patient received the first dose of bnt162b2 (BNT162B2) vaccine , intramuscular on 25Jan2021 09:00 at single dose for Covid-19 immunisation . The patient medical history and concomitant medicatons were not reported. The patient previously took amoxicillin and experienced drug hypersensitivity. The patient experienced lightheadedness, weakness of muscles and rapid heart rate on 25Jan2021 09:15 with outcome of recovering. The patient was treated in Emergency Room with steroids and anxiety medications. Information on the lot/batch number has been requested.

A couple hours after receiving first dose of Pfizer, I had a brief moment (less than a minute) of tightness in my chest. There was no reason for the reaction, because I was just sitting down watching a show. I also have had a sore arm that has lasted since yesterday evening.

Arm was tingling; heavy; Became dizzy; Felt very weird; Broke out in rash on neck and face; Went pale; Couldn't open my eyes; Slurred speech; I couldn't breath; couldn't speak; couldn't swallow; My throat had closed up; I am still very sick and unable to work; This is a spontaneous report from a contactable other healthcare professional (patient). A 28-year-old female patient received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 mRNA vaccine), via an unspecified route of administration in the left leg on 21Jan2021 14:30 at a single dose for covid-19 immunization. The patient has no medical history. The patient had not had covid prior to vaccination. patient is not pregnant. Concomitant medication included isotretinoin (ACCUTANE). On 21Jan2021 14:30, immediately after administering vaccine the patient reported arm was tingling, heavy, patient became dizzy, felt very weird, broke out in rash on neck and face, went pale, couldn't open her eyes, slurred speech, then patient couldn't breath, couldn't speak and couldn't swallow. The patient added that her throat had closed up. The patient was administered with Epi pen. The patient reported that she was still very sick and unable to work. The patient underwent a covid test post vaccination via nasal swab on 25Jan2021 and 26Jan2021 with negative result. The outcome of the events was not recovered. Information about lot/batch number has been requested.; Sender's Comments: Based on the time association and product's safety profile, the reported serious events are possibly related to suspect BNT162B2 administration. 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.

Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; could not regulate my temperature; fluctuated between being diaphoretic and cold to being overheated; fluctuated between being diaphoretic and cold to being overheated; fluctuated between being diaphoretic and cold to being overheated; I did experience an episode of nearly passing out sometime during the night; Fatigue throughout the day increased.; This is a spontaneous report from a contactable other Health Professional reported for herself. A 28-years-old female patient received dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 28Jan2021 10:00 at single dose for COVID-19 immunization. Medical history included SLE (systemic lupus erythematosus), asthma (mild), PTSD (post-traumatic stress disorder), anxiety, ADHD (attention deficit hyperactivity disorder), allergy to egg whites, allergy to bee stings and diagnosed with COVID-19 prior to vaccination. Concomitant medication included desvenlafaxine succinate (PRISTIQ), methylphenidate, hydroxychloroquine sulfate (PLAQUENIL), clonidine received within 2 weeks. The patient previously took escitalopram oxalate (LEXAPRO) and experienced Allergy to lexapro, sertraline hydrochloride (ZOLOFT) and experienced Allergy to Zoloft, quetiapine fumarate (SEROQUEL) and experienced Allergy to seroquel, erythromycin and experienced Allergy to erythromycin. On 28Jan2021, the patient experienced fatigue throughout the day increased. The patient developed headache. Awoke around 28Jan2021 23:00 with aches, chills, severe headache, weakness, dizziness, and nausea. She did not feel she could move safely to retrieve OTC medications for these symptoms which were far worse than any illness she can recall having. She likely would have went to the ER for help but she couldn't have driven herself and her kids were home. She did not want to call 911. On 28Jan2021 23:00, she did experience an episode of nearly passing out sometime during the night when she attempted to sit up on the edge of the bed to take some Tylenol. She could not regulate her temperature as she fluctuated between being diaphoretic and cold to being overheated. In the morning she finally felt well enough to go to her medicine cabinet downstairs and decided to essentially sedate herself for the day with Benadryl, Xanax, zofran, Tylenol, and ibuprofen. She then slept from about 10am until about 5pm. She felt considerably better upon waking up, with just fatigue, nausea, and headache. The report was reported as non-serious. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not pregnant. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events fatigue, nausea and headache was not resolved and the outcome of the other events was resolving. Information on the lot/batch number has been requested

Extreme fatigue; headache; heart was racing; nausea; diarrhea and body aches. These lasted until 06:00 AM the next day. A little headache and arm soreness still that next day - by noon that day I was feeling myself again.. I took ibuprofen for the headache and that helped.

Blindness (loss of vision); Neurocardiogenic syncope; Tingling in hands and feet/lower legs; Panic attack/unable to breathe; Nausea; Vomiting; Dehydration; Tiredness; Body aches

stroke; a thunder clap headache; limbs stiffened up; eyes crossed; lost speech; She is now on day three of a coma on life support from a brain aneurysm; Mood swings; irate; Body aches; This is a spontaneous report from a Contactable Consumer, the patient. This 28-year-old non-pregnant female consumer (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 01Feb2021 as a single dose, for COVID-19 vaccination. Historical vaccination includes BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), Dose 1. The facility in which the second vaccine was administered was a hospital. No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. No Medical history reported ('No health issues, At all'). The patient has no known allergies. There were no concomitant medications. On an unspecified The Patient Experienced became irate. Mood swings. Body aches for couple days; On 07Feb2021 at 13:45, The patient experienced Stroke a thunder clap headache, limbs stiffened up , eyes crossed, lost speech, now on day three of a coma on life support from a brain aneurysm (hospitalization, disability, life threatening), Treatment was given for the events of stroke, a thunder clap headache, limbs stiffened up, eyes crossed, lost speech, and brain aneurysm. The Adverse Event resulted in an Emergency Room Visit. Treatment was given for the events. 'Patient on Life support still'. The Clinical Outcome of the events Stroke a thunder clap headache, limbs stiffened up , eyes crossed, lost speech, now on day three of a coma on life support from a brain aneurysm not recovered, while Mood Swings, Anger and Pain was unknown. Information on Lot has been requested.

Received 1st dose COVID-19 Vaccine at 1705. Ambulated to restroom and noted hives developed on torso and legs with heaviness in chest; denies difficulty breathing. Received MD evaluation in ED. Benadryl 50mg IV and Decadron 10mg IV. Discharged home in stable condition. Instructed NOT to receive 2nd COVID-19 Vaccine. Home with Prednisone and Epi-pen PRN.

Patient was newly pregnant, received 2nd dose of covid vaccine. Patient then began bleeding on 2/13/21. On 2/15/21 confirmed with OBGYN that HCG levels were low and that she was having a miscarriage. Patient has a healthy 2 year old living child. No past history of miscarriages, no family history of miscarriage.

Pfizer-BioNTech COVID-19 Vaccine EUA injected into left arm at 10:15 am on 17 Feb. Soreness at the injection site was the only symptom immediately following the injection. At about 3:00 am the next morning, I experienced extreme nausea and chills. I fainted when I tried to get out of bed to go to the restroom. All of 18 Feb, I experienced the following symptoms: headache/migraine, fatigue, dizziness, loss of appetite, muscle aches/soreness, fever, and severe pain in my left arm. As of today, 19 Feb, I am experiencing headache, lightheadedness, and mild pain my left arm.

fever up to 39, continue to have fever for 2 days. acetaminophen is good to relieve but can't eliminate. start to have chest pain under breast when heavily breathing in after 48hrs.

1/15/21 Chills a few hours later after vaccine 1/16/21 temp 99.9 despite Tylenol, nausea, shoulder, chest pain, cold sore call out sick on 1/16 and 1/17

3-5 minutes after receiving the vaccine, I felt a sense of panic and a tingling on my lips, that then spread to my mouth, throat, and tongue. I asked the nurse if my lips were swollen, and she said no. A few minutes later my heart rate increased and I felt really lightheaded. After 7-10 minutes I felt my tongue tingling and it had become swollen. I told the nurse that I think my tongue was swollen and she said it looked okay. I had a hard time talking because I wasn't used to be tongue being so large. The nurses stayed and talked to me for the rest of the 30 minute waiting period. I was able to talk and breath while making a conscious effort. I wasn't sure whether the high heart rate and lightheadedness were associated with my condition, Postural Orthostatic Tachycardia Syndrome. I kept checking my tongue to see how swollen it was. After the 30 minutes, the nurses had me stand up to see if I could. Once I could, they said I was all set to go. They did not get an Epi-pen for the swollen tongue or give me instructions on how to treat it. They were insensitive and dismissive of my symptoms. they kept repeating "I think your just nervous." Once I got home, I still had the swollen tongue and tingling, but was able to go up and down stairs and go about my day. It was a little difficult to swallow one of my pills when I got home, but I was able to. I checked my blood pressure around 4:30 p.m. and it was 121/84 and my pulse was 79 bpm sitting. I did not take anything to treat my swollen tongue. The swollen tongue and tingling feeling in my throat continued for another 2.5 hours, until 6:00 p.m. Once the swelling was down, my tongue felt like I burnt it on a hot beverage, almost a numb feeling. I also experienced more common side effects such as body aches, fatigue, and feeling feverish. After this episode I had extremely high anxiety where it was difficult for me to sleep the following night. I called a 24/7 nurse line and she said to talk to my doctor. I had less than 4 hours sleep the night after I had my vaccine. I called my doctor's office this morning and I spoke to a nurse who worked as a nurse on the COVID Vaccine hotline. She relayed the message to the doctor who was covering for my doctor while she's on medical leave. I received a call around 9:30 a.m. saying that the doctor on leave recommend I should talk to my PCP but that she thought I had an allergic reaction to the Pfizer vaccine and that I should not get the second dose. She said they were not sure how I would react with the second dose, and they're afraid that my allergic response might be more severe and life threatening. I hope this report helps other people who experience these symptoms.

Fever, muscle aches, chills, sweats, nausea, vomiting, fatigue, tight chest, cough, soreness in shoulder (where I got vaccinated). Nausea lasted about 4 hours, fever lasted about 6-7 hours, aches and sweats lasted about 15 hours, fatigue lasted about 40 hours, chest tightness and mild cough lasted 48 hours and sore shoulder is continuing beyond 48 hours but slowly improving with time

Dizziness, fainting, difficulty breathing, pressure on chest, heart palpitations, high blood pressure, elevated heart rate, body temperature increasing.

Shortly after receiving the shot at work, I developed worsening dizziness as well as a headache and internal tremors, which resolved. I later developed generalized itching, worse on the back of my hands and feet, which resolved. The following day, I developed palpitations while at rest and mild shortness of breath. I also had a brief bout of nausea, which resolved, but I still have palpitations and mild shortness of breath.

Large red raised area at injection site, warm to the touch. Fever of 99.8, muscle and body aches, fatigue, migraine, un-productive coughing, chest tightness, difficulty breathing.

Client stated that she had prior history of vaso-vagal response to vaccinations, finger pricks and blood draws, that usually they have her lay down when she gets shots. She also has had nausea and dizziness after other shots. She felt nauseous within 2 minutes and was pale and faint, weak. Checked her bp was between 100/60 and 120/80 pulses 40-60. she was"passing out" between answering questions, called EMS and asked her about what she had eaten this morning. she stated some of a bagel but not all. F/U on 3/12 states she felt better with normal BP/pulse while in ambulance and the EMS released her with out transfer, she sat in her vehicle for 1 hour before driving home. she felt weak with sore shoulder on 3/11

Symptoms: Fainting, Unconciouness (repeatedly), Profusive Sweating, Low Blood Pressure (60 over unknown number), Nausea, Dizziness, Unable to stabilize quickly, not able to get an IV, extreme thirst Signs: Immediately felt unwell within 5 minutes of the vaccine. Time Course: Injection (1st dose - Pfizer) at 4:00pm. Adverse Reaction at 4:05/4:10 (est.) Released at 5:00pm (est.) Description of Incident: On March 8th, at 4:00 pm, I received my first dose of the covid vaccine. Within 5 to 7 minutes, I felt unwell while sitting in the waiting area. I walked towards a worker to inform them that I was feeling unwell and that I was going to pass out. I became unresponsive and laid on the ground. My husband was with me at the time. I was unconscious for a bit and when I regained consciousness, my legs were being raised. I regained consciousness and was able to recall my name, DOB, and address. After I was done recalling my information, I began to lose consciousness again. They brought a wheelchair and took me to the medical room. As I moved from the wheelchair to the bed, I began to lose consciousness again. They told me to lay down. I overheard a woman ask my husband if I had diabetes or heart problems. He answered ?No.?. She explained to him that my body did not know how to accept the vaccine and was trying to regulate back to normal. She explained that my body was going through ?homeostasis? (?). While I laid on the bed, some workers took my blood pressure and tried to start an IV. One of them made a comment and said I was extremely dehydrated. This was odd to hear because I normally drink 3 to 4 liters of water daily. During this entire medical event, I felt the water pushing out through my pores. I was drenched in sweat. He tried to start an IV on my left arm and was unsuccessful. He tried to start an IV on my right hand, which was also unsuccessful. He stated they were unable to start IV liquids because my veins kept popping/collapsing. My blood pressure was reading 60. They checked it again, still at 60. I laid in the bed and basically waited it out. After a few minutes, they checked my blood pressure at it was at 120. They said that was good and I was good to go. No report was given to me nor my husband about the event that occurred. Even after they agreed to let me use a wheelchair (due to feeling weak), one was not provided to me. They basically stated that I was ?good to go?, after doing a series of hand squeezes and walking a few steps upright. I am currently trying to obtain a copy of the report I saw the gentleman fill out at the time. I was given Zofran to help with my nausea, it was placed under my tongue. After going home, I felt weak, tired and somewhat lightheaded. My husband drove me home and I got some rest. I set an appointment with my doctor on Friday March 12th to determine what happened to me during my vaccine and to record the incident. After describing the incident, she determined that it was anaphylaxis. She recommended for me not to get my second dose due to the anaphylactic shock I experienced with the first dose. She was shocked to learn that they did not transport me to the hospital or provided an Epi Pen injection. When asked why I didn?t drive myself to the hospital, I let her know that they told me I was ?good?. They did not explain what had occurred to me, no mention of anaphylaxis was explained. I was not aware that is what had occurred. The incident occurred from 4:00pm (injection time) to 5:00pm (left location).

Within 12 hours, fever chills and body ache. After those passed in a day and a half, deep muscle soreness set in left side. Pain was felt in armpit, chest, left breast, left shoulder and neck. Swollen lymph nodes on the left side that lasted two weeks from the date of the second shot.

I had an allergic reaction; I experienced a tingling feeling in my lips, which then spread to my mouth, throat and tongue.; I experienced a tingling feeling in my lips, which then spread to my mouth, throat and tongue.; lightheaded; elevated heart rate; tongue was swollen; my tongue felt like it was numb/burnt by drinking a hot liquid; my tongue felt like it was numb/burnt by drinking a hot liquid; woke up in the middle of the night; trouble sleeping; This is a spontaneous report from contactable consumers (one is the patient). A 28-year-old non-pregnant female patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot EN6203), via an unspecified route of administration in the left arm on 25Feb2021 15:30 at a single dose for COVID-19 immunisation. Medical history included postural orthostatic tachycardia syndrome, migraines, asthma, hay fever, acid reflux, hives when exercising outdoors in the cold, and allergies: latex, cats, dustmites, gluten and dairy intolerance; all from unknown dates. Concomitant medications included sumatriptan, bupropion, pepsin, calcium carbonate and unspecified herbs. The patient did not received other vaccine in four weeks. The patient previously took fluconazole (DIFLUCAN) and experienced allergies. A few minutes after taking the vaccine, the patient experienced a tingling feeling in lips, which then spread to mouth, throat and tongue. The patient told a nurse and she said that she looked fine. The patient asked if lips were swollen but they weren't. Then a few minutes later she felt very lightheaded and had an elevated heart rate. Then around this time, she saw her tongue was swollen to about double the size. The nurse said she looked fine, and monitored her for 30 minutes then let her go. This swollen tongue lasted for about 2.5 - 3 hours. After the swelling subsided, tongue felt like it was numb/burnt by drinking a hot liquid. 12 hours later, she woke up in the middle of the night with an elevated heart rate and had trouble sleeping. The patient spoke to her doctor and it sounds like she had an allergic reaction, even though she have no history of allergies for any of the vaccine ingredients. Onset date of all events were reported as 25Feb2021 15:30. Outcome of all events reported as recovered on an unspecified date. No treatment was given for all events. The patient was not diagnosed of covid prior vaccination and has not tested for covid post vaccination.

20 minutes post vaccine she notified us she was feeling lightheaded, nauseous and was afraid she was going to pass out. 911 arrived 30 minutes post dose and she was tachycardic but feeling better. She was cleared and left on her own.

Pt had chest pressure and slight pain starting 10 minutes after the injection. Patient then had worsening chest pressure and pain, slight nausea, dizziness, palpitations, and left upper extremity paresthesia which lasted a few minutes. The symptoms resolved but hen recurred later when she was in the post-vaccine monitoring area. Pt also felt pre-syncopal and was then sent to the emergency department. Her symptoms resolved shortly thereafter but she had an additional episode while waiting in the ED. She reports she currently feels some chest pressure and LUE burning. No exacerbating or alleviating factors. Not associated with shortness of breath.

Patient consent form shows no allergies to medications or vaccines and was given Pfizer covid shot. She was not on any medications, and no known allergies to food. After roughly 10 mins she said she felt tired, her head was feeling heavy, her heart rate increased. Patient stated she was able to breath fine, alert of surroundings. Alert x 4. Felt cold and shivering. Heart rate was 110, came down to 90, and then increased to 99. 02 level was 99. Temp 97.3. BP 134/72. Ambulance was called out of caution and patient transported to hospital.

1450- pt requested assistance for tachycardia, tingling lips and dizziness. Requesting benadryl, 50mg given PO. VS 128/54, P90, 20R, 98% sat. 1500- increased dizziness, throat tingling. VS 130/89, 104P, 24R, 98% 1508- increased throat tingling, "hard to breath" declines epi or EMS to be called. 1511- self-administered epi pen, EMS notified. 1516- remains light-headed/dizzy, resp adequate at 22/min, O2 sat 98% 1524- speaking clearly, remains fully conscious. Resp regular. Lungs CTA, MM pink. VS 130/70, 83P, 20 R, 98%sat 1530- Await EMS arrival. Pt able to easily talk on phone with family member. Still c/o itchy throat and lips. 1535- EMS here, pt escorted out building with EMS at 1537.

Patient with syncope after vaccination and unconscious for at least 5 minutes. BP initially low, but later recovered when alert. Provided rest and water. After about 20 minutes, patient asymptomatic and back to baseline. Sent home.

the day after the vaccine around midday I started feeling aches tired chills, persisted through that Saturday, all symptoms resolved the 16th. That weekend I had heart palpitations, the Monday after my standing heart rate chest xray, ddimer - possible lung collapse, any exertion my heart rate would elevate, they performed an MRI with contrast, there could be a blood clot in the lung so I went to see a cardiologist, They put me on epinolol and did an echocardiogram, everything else checked out in my tests. I have not recovered my breathing still bothers me and my heart rate still elevates with exertion.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient passed out after receiving the Pfizer covid vaccine from a sitting chair position.

tachycardia HR 135; shortness of breath; Mild Angioedema (local throat and tongue); Hoarse voice; Bilateral wheeze/ bronchospasm; Upper airway swelling; Tachypnoea: RR28; Sensation of throat closure; Irregular heart arrhythmia; Dry cough; This is a spontaneous report from a contactable other hcp (patient). A 28-years-old female patient receive dose 2 of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number EL3249, intramuscular left deltoid on 08Jan2021 07:35 at the age of 28 years as a single dose for covid-19 immunisation. Medical history included asthma from 04Apr2005 to an unknown date, obesity from an unknown date, seasonal allergy from 20Dec2007 to an unknown date , food allergy from 20Dec2007 (allergic to walnuts, peanuts, hazelnuts, palm oil) to an unknown date. Concomitant medication included fexofenadine hydrochloride (ALLEGRA), docusate sodium (COLACE), vitamin d [vitamin d nos] (VITAMIN D [VITAMIN D NOS]), iron (IRON), calcium (CALCIUM) , diphenhydramine hydrochloride (BENADRYL), famotidine (PEPCID), on 08Jan2021 07:05 and acetaminophen on 08Jan2021 07:05 for antipyretic prophylaxis. The patient previously took sunflower seed oil base and experienced hypersensitivity. The patient carries EPI pen but never used, received allergy shot for 6 years only uses drug allergy season. Historical vaccine dose 1 of BNT162B2 for covid-19 immunisation on 18Dec2020, Left deltoid, intramuscular, Batch/lot number: EJ1685 at 08:45 am at age 27 years. The patient experienced mild angioedema (local throat and tongue) considered medically significant on 08Jan2021 08:00 with outcome of recovered 14:30 , hoarse voice on 08Jan2021 with outcome of unknown , shortness of breath on 08Jan2021 09:05 with outcome of recovered , tachycardia HR 135 on 08Jan2021 09:07 with outcome of recovered , bilateral wheeze/ bronchospasm on 08Jan2021 with outcome of unknown , upper airway swelling on 08Jan2021 with outcome of unknown , tachypnoea: RR28 on 08Jan2021 with outcome of unknown , dry cough on 08Jan2021 with outcome of unknown , sensation of throat closure on 08Jan2021 with outcome of unknown , irregular heart arrhythmia on 08Jan2021 with outcome of unknown and "Vacematter 08:45". Lab data all reported on 08Jan2021 included heart rate: 135 and 130, oxygen saturation: 98 %, respiratory rate increased 28. Therapeutic measures were taken as a result of mild angioedema, hoarse voice, shortness of breath, tachycardia HR 135, bilateral wheeze/ bronchospasm, upper airway swelling, tachypnoea: RR28, dry cough, sensation of throat closure, and irregular heart arrhythmia. The patient took Benadryl 50mg at 09:10 and experienced irregular heart arrhythmia.

no swelling dizziness, tachycardia Cardiovascular: RRR Respiratory: Normal effort, CTAB Extremities: ROM normal Skin: No rash Neuro: Oriented x 3 Interval Time: 1454 Repeat VS: 108/68 P 77 o2- 98% Dispo: Symptoms resolved. Stable-

Syncope, tachycardia, shortness of breath, chest pain/tightness, throat tightness. Resolved in 10 minutes. No treatment needed.

At 4:15 pm, While under observation for 30 minutes, pt c/o heaviness in the eyes., and slight chest pain. pt. also c/o nausea and vomiting symptoms. pt. c/o numbness in the left arm. Pt. was encouraged to take deep breaths. Pt. was helped to the ground in a supine position. BP=140/90, HR=88, RR=18 . Pt was alert and oriented X4. 2 minutes after deep breaths, patient reported that all symptoms had subsided except numbness in the left arm.

At 12:35 PM mother hollered for help, patient was pale, skin was cold and clammy, and slight left side facial droop, facial droop resolved pretty quickly, Patient was given soda to drink and a squad was called for further evaluation, squad arrived at 12:57, vital signs was taken, BP 106/72, Spo2 100%, Pulse 76, Patient refused to go to hospital, patient left with family.

Slurred speech event for 15 seconds while working. Continued elevated DDimer and other various clothing labs post event. TIA event with continued hypercoagulation

Tachycardia Patient had symptoms of palpitation directly after administration of the Covid vaccine. She said that she has not had this before with any vaccination before. She denies any SOB or CP. BP 122/80 P120. She was given water and brought her back to the triage area

Patient became dizzy, sweaty, pale, and experienced anxiety. Patient's symptoms resolved after 35 minutes.

28 yo female with a known h/o vasalvago s/p injection reactions presents with a c/o of feeling lightheaded and like she is going to pass out. Mother states that it happens frequently and after a drink and sugar she feels better. Lightheadedness, vasovagal response, hypotension

Pt here receiving first dose of Pfizer covid vaccine. Pt requested that someone sit with her due to her being extremely nervous and having previous anaphylactic reactions in the past. The patient and I began to talk about our children, jobs and hobbies when she started to complain that her throat was really dry and raspy. The patient was given water and her vitals were taken. Pt is tachycardic. Vitals are160/100. , HR is 125 RR are 22 02 is 100. Pt is alert and oriented and states she is ok and would like me to update her husband and sister. Pt offered further medical attention and accepted. 911 called at 12:32 by Rn site lead. Benadryl administered to left deltoid at 12:29 By Rn . 911 operator advised RN to administer epi. Epi administered by RN at 12:32. Pt is alert oriented x3 . Ambulance arrived at 12:45 to transport pt to local hospital for further evaluation, Husband and sister notified. Pt Left this facility at 12:55. Pt Vaccinated on 3/24/2021 11:55 Right deltoid Pfizer 1st dose Adverse event began at 12:10 transferred care 12:45

3/18: Chest pain. It woke me up in the middle of the night with some dizziness. At first, I disregarded it, then I tried falling asleep again, but I was jolted awake again with worse symptoms - vertigo, palpitations. I measured my HR, it was all over the place and irregular. Went to the ER, they didnt find anything substantial on my EKG other than arrhythmia with short PR. No treatment was given, instructed to follow up with PCP. Left ER between 4AM-5AM. Was able to go back to sleep, but the chest pain woke me up around 7 AM. The chest pain remained fairly constant with severity changing throughout the day. Symptoms were worse at night and more: inability to sleep, sometimes restlessness - the need to move, increased chest pain/tightness/burning, palpitations. Saw PCP on 3/19, she didnt have any of the lab results, but prescribed metoprolol - this medication was misunderstood as to when I was supposed to take it, therefore didnt start it until another visit that I had with my PCP on 3/22. Over the weekend, I took some ibuprofen to try to lessen the chest pain, it helped a little bit but not for long. Began taking metoprolol 3/22. I didnt sleep more than 2-3 hrs from 3/18-3/22

Collapsed; difficulty breathing; weakness; Pain in chest; tingling all over body.; This is a spontaneous report from a contactable consumer (parent). A 28-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm right on 10Mar2021 at 12:15 (Lot Number: EN6206) (at the age of 28-year-old) as single dose for COVID-19 immunisation. Medical history included bipolar from an unknown date and unknown if ongoing. Concomitant medications included lamotrigine (LAMICTAL); amphetamine aspartate/ amphetamine sulfate/dexamphetamine saccharate/dexamphetamine sulfate (ADDERALL) and alprazolam (XANAX); all taken for an unspecified indication, start and stop date were not reported. On 10Mar2021 at 12:15, the patient collapsed and experienced difficulty breathing, weakness, pain in chest and tingling all over body. The events resulted in physician office visit. No therapeutic measures were taken as a result of the events. The patient outcome of the events was not recovered.

feeling faint and hot; feeling faint and hot; the patient began to experience lightheadedness; Systemic reaction (hypoglycemia, hypotension, generalized rash); Systemic reaction (hypoglycemia, hypotension, generalized rash); Systemic reaction (hypoglycemia, hypotension, generalized rash); This is a spontaneous report from a non-contactable other health care professional. A 28-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EN6206 and expiry date was not provided), via an unspecified route of administration on 12Mar2021, as SINGLE DOSE for COVID-19 immunisation. Medical history and concomitants were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). The reporter stated that, during her 15-minute waiting period after the injection, the patient began to experience light-headedness and feeling faint and hot. She denied difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, facial swelling, lip swelling and tongue swelling. The patient received water, snacks and ice packs as the treatment. On an unknown date in Mar2021 the patient had differential diagnosis systemic reaction (hypoglycemia, hypotension, generalized rash). The reporter stated that that the patient having improvement of symptoms after observation in medical bay for 40 mins. She was to be taken home by her father who was able to come in to pick her up. The reporter stated that the patent wheeled to front by this provider and able to stand and walk assistance to car and she was monitored symptoms at home and follow up with PCP as needed. Outcome of the events was recovering. No follow-up attempts are possible. No further information available.; Sender's Comments: Considering the known safety profile of the drug and a plausible temporal association between the reported events and the suspect drug BNT162B2, a causal relationship cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Upon standing post inoculation, reports feeling lightheaded. Syncope episode while sitting in observation area. Epinephrine 0.3mg IM administered & transferred to ED for observation. No medications administered in ED. Dx: vasovagal syncope - stable

Immediately after this vaccination, the patient asked us to call 911 because her heart was racing and she felt dizzy. We told her to sit down and try to stay calm and we took her blood pressure. Blood pressure was 171/134 and her resting heart rate was 156 bpm. We told her to take some deep breaths and wait 5 minutes. We took it again, it was still high, hypertensive crisis level and heart rate was still elevated in the 120s. We took another pharmacists blood pressure to make sure monitor was accurate and it was normal/accurate. The patient refused to go to the ER even though she was strongly advised to.

After adminstaration of vaccine, patient has fainted after 5 minute after administration. Paramedic came and took vitals signs and ekg. Patient symptoms subsided and she spoke to a behavioral health. As her smptoms dessipate she was release by the nurse.

Signs/Symptoms: Faint, macular rash on arms and chest. Pain going distal down left arm and creating sharp pain in arm. Treatment: Benadry PO

PT reported feeling normal immediately after vaccine was administered. According to PT, they began feeling extremely lightheaded approximately 5 minutes post-injection. Approximately 8 minutes post-injection, I observed the patient rise from her seat and begin to stumble towards me. The patient was exceptionally pale, and reported to me that she was feeling light headed. I promptly directed the patient to sit down, but before she was able to reach a chair, she collapsed entirely. She fully regained consciousness within a few seconds and was alert to presence, place, and time. PT was able to seat herself at this point. Her blood pressure registered 82/51 mmHg immediately after the episode. PT was visually slowed and confused, but was otherwise fully present. PT was given water and allowed to recover in a seated position. Blood pressure registered at 117/71 mmHg 15 minutes later, and PT reported feeling much better. PT was visually much more alert and cognitively present. After 15 minutes of no change in condition, patient was allowed to leave facility with the accompaniment of her mother. No epinephrine or antihistamines were administered.

Pfizer-BioNTech COVID-19 Vaccine EUA 12:00am - 3:30am Nausea, dizziness, lightheaded, feeling like throwing up, feeling like passing out, heart pounding, heart rate 130, abdominal pain and cramps 3:30am-5am - Extreme chills, lightheaded, heart pounding (not as bad), heart rate 125-130 Headache, body aches and stiffness 5am-7am- Lower back pain, body aches stiffness, headache/head pounding Heat flashes Temperature 100 degrees Took Tylenol at 6am 8am And all day 3/31 - Temperature decreased to 98-99 degrees Main symptom fatigue, lack of appetite, mild nausea, lower back ache and cramping Back cramping/aches subsided by 12:00am 4/1 4/1 daytime lack of appetite, mild nausea and body aches

On Wednesday, March 31, 2021 client (DOB 4/30/1992) received her first dose of Pfizer COVID vaccine (LOT # EW0150, EXP 7/2021) at approximately 11:50 am by vaccinator RN. RN instructed client to self-monitored at the observation area. EMTs found a 28 years old female sitting up while leaning forward and waving for assistance in an observation chair. Client had a chief complaint of dizziness. Client reported dizziness and fatigue to EMTs present after having sat in the observation area for approximately 10 minutes. Client had no known allergies or major medical history. Client denied pregnancy. Client agreed to be assisted walking up to the front EMT station so that she may be assessed more closely and with greater privacy. While walking over to the EMT station, the client experienced sudden loss in weight bearing and was prevented from falling by EMT present. EMT promptly came over to assist with transferring the patient to a chair for safety. Client was kept safe in her chair by EMT. It was at this point client experienced syncope. Client was then transferred to the gravity bed and laid supine until she became more alert. Client was then transferred to sitting semi-fowlers at 45 degrees once she was alert and tracking. lead RN came to assist EMTs as needed. Assessment revealed no hives, swelling, redness, difficulty breathing, wheezing or pain throughout her body. Client's skin was free of any signs of anaphylaxis throughout her body. Client's first set of vitals at 11:50 am was as follows: blood pressure 100 / 64, O2 - 99% on room air, pulse was 64 and regular at radial, respirations was 20 and regular. Client was fully alert and oriented x 4 (person, place, time, situation) and eyes were equal and reactive to light. Client stated that she had breakfast and denied any pain throughout her body. Client agreed to stay in the observation area for another 30 minutes after the onset of the incident per lead nurse?s instruction to EMT. Client's vitals were reassessed at 5 minutes intervals as follows: 11:50 am- 110/64 (BP), 20 (respirations), 64 (pulse), 99% (O2); 11:55 am- 102/64, 18, 64, 99%; 12:00 pm - 104/ 68, 72, 18, 99%; 12:05 pm - 118/ 72, 72, 16, 100%; 12:10 pm - 118/ 78, 99%, 16, 78; 12:15 pm - 118/ 78, 100%, 16, 78; 12:20 pm - 118/80, 100%, 16, 78. After approximately 10 minutes, the client was asked to sit up so that her orthostatic vitals could be reassessed. Throughout her observation, client's vitals slowly returning to normal with a blood pressure - 118/ 80, pulse 78, respirations 16 and 02 100% on room air. Client was provided with a fact sheet and pertinent areas of interest were highlighted for convenience. Client stated that she felt safe going home and ordered a ride sharing service. Client was encouraged to follow up with her primary and to seek medical care or the emergency room if a severe incident occurs. At 12:35 pm, the client departed the facility in a ride sharing service in no apparent distress and with all relevant information in her purse.

1404 Pt reports increases of palpitations and chest pain. Pt with hx of POTS, depression anxiety and asthma. Pt reports did not take beta blocker today because she had a spirometry testing today and was told not to take medication. Pt also reports she does not have medication with her today. Pt has fitness watch and records and shows HR of 147. CP is in center of chest-no radiation or numbness noted. Pt is alone and is driving. Pt given water to drink--tolerated without complications. 1416 Pt reports feeling better but sill with tach and anxiety continues. Pt asst to medical examination-minimal assistance. 1419 EMS activated per pt request-report given to EMS and NP completed handoff. Completed by, FNP

About 10 minutes after my vaccine, I felt a tightness in my throat, heart rate increase, and a wave of dizziness. That?s when I called the paramedics over. They noticed irregular heartbeat and I was taken to the ambulance - I could walk. In the ambulance they took an EKG and my heart rate continued to be irregular. I felt some face numbness and said I wasn?t feeling better. I was taken to hospital where I started to feel better.

Arm pain after shot, no other symptoms until going to sleep. Woke up with headache around 1:45am Tried to get water at 2:20am to help headache Got nauseous next to sink - feeling like throwing up while pouring water Passed out Woke up shortly after on kitchen floor Stumbled to bedroom on super weak legs (which were kinda giving in) When laying back down ringing (like static) in ear for about 1min and tingly feet and hands for about 3min Afterwards still feeling weak and having headache but no other symptoms. Awake with headache until 6am, slept 6am-7am, woke up with slight feaver, headache persisted 8:30am took daily meds, had food and water, took sumatriptan for headaches and awake until 11:30am Slept from 11:30am to 1:30pm - woke up feeling A LOT better, little to no headache left, only still feeling weak and armpain

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Tinnitus-Medium

Post vaccination, patient began to feel faint, diaphoretic, cyanotic lips, and nauseated with several episodes of vomiting. She was hypotensive (BP machine was unable to capture BP several times) Symptoms later subsided and BP was 130/74. She was A0x4.

Patient passed out in waiting lobby within 5 minutes after receiving vaccine. Patient was hot to touch and felt hot herself. Patient lost consciousness and other patients asked for help. 911 was called due to her appearing to have a seizure. Patient taken back into Immunization Room to lay with feet elevated. Given water. in about 5 to 10 minutes patient was feeling better but still weak and now cold. EMS arrived. Patient passed out again when EMS took her blood sugar level.

Pt found sitting in chair, c/o lightheadedness and faint; in approx 20 seconds, pt fell back in chair, eyes closed, unresponsive; pt placed on floor and within 15 seconds was opening her eyes and following commands; pt diaphoretic, warm; Initial VS w/Dinamap were 148/111, HR 192, SaO2 100, RR 20; ausculated HR was 60 and regular about one minute later; ammonia inhalants used and pt became more awake; second set of VS: 90/49, HR 62, RR 18; pt sleepy, responds appropriately, oriented x3; pt helped into wheelchair and placed on exam table; no changes in status; third set VS 94/53, HR 55; sister with pt in exam room; fourth set of VS at 1825 94/53, HR 61, pt now rubbing her chest and states she is feeling pressure there that started approx 15 mins ago, pt in no distress, states that she is still "feeling out of it"; 911 called at 1828; pt states that she has anxiety and has had panic attacks in the past (last one approx one year ago) and that how she is feeling now reminds her of that; pt taken by FD at 1844, report given.

Upon arrival pt stated her heart was beating up. Pt states she has previous history, OSat 100%, HR: 130, BP: 132/90. Pt states she feels like a panic attack. Pt calm down, HR 88, OSat 100%

"Pt received second dose of vaccine at 10:40 and stated heart racing. Same reaction on 3/18 with first shot and resolved with drinking water. Pt VSS HR 93 98% on RA RR 16 BP 110/71. Pt feels better no acute distress. HR regular. Resolved with drinking water. Pt never tachy in obs. Cardiovascular: Tachycardia: Actions/Interventions: Monitoring at vaccine site Next dose recommended: Needs further determination or action Cardiovascular: Tachycardia stated heart racing

Patient received Pfizer vaccine on 4/6 at the Clinic Site out of allocated doses from 1582. She received vaccination, waited 15 minutes in one of the waiting room chairs, and while departing the facility fainted and fell into her significant other's arms. They were on the sidewalk and he brought her so that she was laying down. I called 911 and rushed over to her. It took her about 30 seconds to come to and she became coherent while I was on the phone with 911. Police were dispatched first, followed by EMS about 10 minutes later. Patient stated she has a history of fainting spells. This occurred about 4:27 pm on 4/6 and patient stated she last ate about 12:30 pm on 4/6. Patient was seen by EMS and cleared.

Fever ranging from 100-103 for approximately 4 days (now gone) Chills that last for 5-10 minutes for approximately 4 days (now gone) Intense muscle and joint pain throughout body still ongoing; affecting ability to do nearly anything but go to the bathroom Inability to keep most food down Intermittent chest pains Difficulty breathing Gas Nausea Treatment has been with the use of Tylenol to reduce fever and manage pain, Tums to assist with the gas-related issue.

felt very faint; lost visual clarity; profuse sweating; ears ringing; severe dizziness; heart palpitations; tension in my throat; severe nausea; This is a spontaneous report from a contactable consumer (patient) who reported for herself A 28-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot EN5318), in left arm on 25Mar2021 at 14:30 (at 28 years) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 25Mar2021 at 14:30 (as reported) the patient felt very faint, lost visual clarity, had profuse sweating, ears ringing, severe dizziness, heart palpitations, tension in her throat and severe nausea. Events were also described as follows: about 2 mins after (as reported) felt very faint, lost visual clarity, profuse sweating, ears ringing, severe dizziness, heart palpitations, tension in throat. Remained for about 5-10mins. Then severe nausea. No treatment given for the events. The final outcome for all the events was reported as recovering.

Asthma exacerbations without any triggers. I could be sitting watching TV, doing absolutely nothing and not around any triggers, and my chest becomes tight. Had to use ProAir Albuterol inhaler at least 3 times a day.

DVT in right calf. Pain, no redness or swelling. Pain felt first on Thursday morning, then went away. Pain came back throughout Saturday. Slept with leg elevated Saturday night, but woke up from the pain on Sunday. Couldn?t put weight on right leg. Went to the ER two hours later, though pain had receded a bit. D-dimer test revealed elevated clotting factors. Ultrasound revealed extensive clot in calf.

Pt called covid hotline after getting her 2nd vaccine at vaccination site on 4/10/2021. She reports the following day 4/11/2021 around 3 pm she starting having chest tightness. Pt reports she is familiar with this feeling because she has asthma. Pt reports taking her rescue inhaler and feeling better. Then today the chest tightness began again. She used her rescue inhaler but didn't have lasting relief after taking it.

One month after having my second covid vaccine, I had the worse menstrual cycle of my life. I had heavy bleeding for 4 days and horrible menstrual cramps. So bad that motrin/tylenol did not take away the pain. Also passed a lot of clots. Also after my period, I've had continual bleeding/spotting. I've even gone to the OBGYN to get checked. I'm still bleeding...

Day 1 (4 hours after vaccine): Hives breakout all over body (legs, arms, stomach, back), pain in sternum Day 2: Pain in sternum, hives on arms Day 3: Swelling of lips, tongue and throat closure, hives all over body - went to urgent care Day 4: Swelling of lips, hives all over body, shortness of breath, pain in sternum Day 5: Hives all over body - blotchy, pain in sternum Day 6: Hives covering arms and legs, pain in sternum

Client received the COVID vaccine (Pfizer dose 2, lot #ER8731, expiration date 07/2021) at 1050. Client reported feeling hot, seeing spots, and having a "pounding heart" right as she got vaccinated. EMT and RN responded at 1055. The client appeared flushed and diaphoretic. Vital signs were blood pressure 125/95, heart rate 120, O2 96%, respiratory rate 16. The client denied any shortness of breath or dizziness. The client has no allergies, her only medical condition is anxiety, and her only medications are her birth control and xanax as needed. The client stated they did not take any xanax previous to their appointment. The client stated that they did eat breakfast that day. The client was sitting in her chair comfortably in no distress. They refused benadryl at this time. At 1100, vital signs were as follows: heart rate 115, respiratory rate 14, and O2 95%. The client was alert and oriented, and denied needing any water. She stated that her symptoms were resolved and she was feeling "back to normal." At 1105, the vital signs were as follows: blood pressure 118/82, heart rate 97, respiratory rate 16, O2 99%. Education provided regarding emergency management and AMR activation, v-safe, and primary care follow up. At 1120, the client finished their 30 minute observation, and stated they had no remaining symptoms. Their color had returned to normal and they were no longer diaphoretic. They were able to stand and ambulate without any dizziness. Final vital signs were as follows: blood pressure 120/92, heart rate 92. The client was escorted to their car by the EMT, ambulated with a steady gait.

Immediately upon getting the dose, I fainted and felt as though my ears were popping. This feeling has only gotten worse and it feels as though my ears have too much pressure in them (like I?m underwater)

patient felt faint, dizzy, like passing out but did not, looked pale, fine after water, food, and observation

With in a few minutes of the injection on 04/14/2021 I got a metal taste in my mouth, the left area of my lower jaw became numb, my throat felt itchy, my pulse skyrocketed and my chest constricted. I have a similar reaction with contract during a CT scan and didn't think much of it and assumed it would dissipate. As the day continued my chest began to feel tighter and I was having a difficult time breathing. I became easily winded walking 100 feet. About an hour later I was nauseous, had abdominal pain, fatigued, dizzy, pain at injection site and felt itchy everywhere. The numbness of my face disappeared about 3 hours later. My symptoms are still continuing as of 04/15/2021. As of 4/15 my breathing has been more labored, I've dizzy standing and sitting and eating has become more difficult. When I eat, I get the sensation that my throat is about to close. Otherwise, the rest of my symptoms have not gotten worse, but they also have not gotten and better. As of the afternoon of 4/15 I've begun taking Benadryl, if this does not lessen my symptoms, I will be speaking with a doctor.

Chest pain and swollen lymph nodes for the first week which prevented me from doing my normal activities like exercising. After the first week, I developed knee pain, a cough, and extreme fatigue. I had to miss a day of work on Monday, April 12th due to my symptoms. I slept for 48 hours (Sunday, April 11th 9pm-Tuesday, April 13th 9am) due to my extreme fatigue.

Patient received vaccine and proceeded to observation area. While patient was sitting she had a brief episode of syncope but quickly regained consciousness. Patient was place on the floor to lay down and given juice. She stated that she felt much better almost right away. We observed her for 20-30 minutes until the patient felt well enough to leave on her own.

Systemic: Fainting / Unresponsive-Severe, Systemic: Patient fainted a few minutes after receiving the vaccination-Medium, Additional Details: Patient was given Pfizer COVID-19 vaccination by RPH. A few minutes into the observation period, I heard a loud noise that sounded like a fall. I run outside to find Patient on the floor. She woke up within a few seconds, 911 was called. I kept her awake and took her vitals BP prior to EMS arrival= 118/72 mmHg. Upon Fire dept arrival BP= 148/65 mmHG. Transitioned to EMS/Fire Dept.

Client reported lightheadedness, dizziness, blurry vision and diaphoresis. Visibly pale. V/S checked by onsite EMS. BP 102/65, monitored for 10 minutes. BP reduced, 108/84. Monitored for 30 minutes. Reported, "I feel normal." Encouraged to follow up with emergency services and PCP as needed. Verbalized understanding.

Fever, chills, muscle and joint aches, elevated heart rate (85-100bpm at rest), and fatigue from 9pm to about 2am

This is a spontaneous report from a contactable other health professional (patient) reported that a 28-year-old female patient (not pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number and expiration date not provided), via an unspecified route of administration, in left arm, on 30Mar2021 12:00 (at the age of 28-year-old, not pregnant), at single dose, for COVID-19 immunization. Medical history asthma, heart palpitations, and MTHFR gene mutation. Patient had no COVID prior vaccination. Patient had no known allergies. Concomitant medications included lisdexamfetamine mesilate (VYVANSE), ethinylestradiol, norgestimate (SPRINTEC); ascorbic acid (VITAMIN C); ergocalciferol (VITAMIN D), and multivita. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number and expiration date not provided), via an unspecified route of administration, in left arm, on 09Mar2021 17:00 (at the age of 28-year-old), at single dose, for COVID-19 immunization. The patient experienced feeling like passing out and severe lightheaded, feeling like throwing up, on 31Mar2021 and 12:00 and were serious. On 31Mar2021, at 12:00 to 3:30, patient had severe nausea, severe dizziness, severe lightheaded, feeling like throwing up, feeling like passing out, heart pounding, heart rate 130, abdominal pain and cramps. At 3:30 to 5:30, patient had extreme chills, lightheaded, heart pounding (not as bad), heart rate 125-130, headache, body aches and stiffness. At 5:30 to 8:00, patient had lower back pain, body aches stiffness, headache/head pounding, heat flashes, patient's temperature was 100 degrees F, and heart rate was 130. At 8:00, patient's temperature was 98-99 degrees F. On 31Mar2021 all day, patient had body aches, lower back pain, mild headache, nausea, and lack of appetite. No COVID tested post vaccination. Therapeutic measures were taken as a result of events and included treatment with paracetamol (TYLENOL). The outcome of the events was recovering. Information on the lot/batch number has been requested.; Sender's Comments: Based on temporal association a contributory role of BNT162B2 to the reported events cannot be excluded. Case will be reassessed if additional information is received. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

This is a spontaneous report from a contactable consumer (patient). A 28-year-old female patient (not pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 01Apr2021 11:15 AM (Lot Number: ER8737) as SINGLE DOSE for covid-19 immunisation. Historical bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 04Mar2021 12:15 PM (Lot Number: EN6199) as SINGLE DOSE for covid-19 immunisation. Medical history included migraine, irritable bowel syndrome (IBS), attention deficit hyperactivity disorder (ADHD). No covid prior vaccination, no known allergies and no covid tested post vaccination. The patient's concomitant medications included unspecified drug and not enough space. There is no other vaccine in four weeks. Patient experienced adverse events on 02Apr2021 included Arm Pain right after 02:00 AM, Headache around 2am, Nausea around 2:15am, Fainted around 2:20am, Weak Legs around 2:30am, Tingling in hand & feet around 2:30am, ringing in ear around 2:30am, Light fever around 7am, Headache persisting until just now after getting some sleep finally from 12pm-2pm now.AE resulted in Doctor or other healthcare professional office/clinic visit. There was unknown treatment were received for adverse events. The outcome of headache was not recovered. The outcome of other events was recovering.

Extreme anxiety, nausea, dehydration, dry mouth, chills, tightness in chest, sore muscles in legs, tiredness, dizziness, brain fogginess

Per Safety Officer to this RN: was in post observation after her 1st dose Pfizer. Pt states hx of anxiety attacks and this feels the same. Pt states hx of allergies to oxycodone, cefapime and benedryl. Pt c/o chest pain 3/10, dizznes, and SOB. EMS with patient to assess and released home with boyfriend. Pt boyfriend to drive Pt home and will stop for food along the way. VS 1257 BP 118/70 HR 73 RR 18 Temp 98.3F temp O2 sat 99% on RA

A few mins after 1st shot on 3/9, pt. felt "warm" w/increased heartrate and lightheaded. BP 156/114, pulse 122. In a few mins BP improved to 114/72. Pt. was advised to f/u w/her dr. for BP eval. On 3/18 she noticed itchy rash over injection site w/"nerve" pain and swelling of whole left arm down to her fingers. Went to Urgent Care 3/19 and got a sling and a course of steroids. Saw her dr. 3/23, was improving by then. No additional treatment. She stayed off work 1 week. On 3/30 had 2nd Pfizer vax right arm; had chills, fever, joint pain that night, resolved next day. States is mostly recovered now except for minor swelling and pain in left arm.

The morning after the shot I got body aches chills and fatigue. I woke up from a nap with my heart pounding. My heart rate was elevated and it did not calm down. I started to have trouble breathing. I was advised by my OBGYN to go to the ER. My heart rate was 100-115 and my D-Dimer level was abnormal. I was given a saline drip and my heart rate was still elevated. My breathing was still a little labored. when I tried to breathe deeply. I was prescribed with a blood thinner for the weekend. I returned for a repeat CT scan. My heart rate returned to normal after about 48 hours. I had not had any symptoms with the first dose. Due Date: 07/17/2021 Pregnancy: First

Vasovagal response, patient assisted to floor by significant other. Patient diaphoretic and loss consciousness briefly but quickly regained consciousness. Patients vital signs BP 124/74, HR 67, O2 97%. Patient given orange juice and water. Patient kept for observation for 35 minutes and patient verbalized that she was feeling better. Patient left site via private car driven by her significant other.

Immediately after second dose: injection site pain, body aches, extreme fatigue, nausea, trouble breathing One month after second dose: early onset menstrual cycle, heavy bleeding, intense flow/clotting, hemorrhage-like event, prolonged period (over 7 days)

DVT in my right calf; I felt pain in my calf between 10-20 hours before second vaccine dose. The pain went away but came back 5 hours after second vaccine dose. In the next 10 hours, the pain became severe and constant; I felt pain in my calf between 10-20 hours before second vaccine dose. The pain went away but came back 5 hours after second vaccine dose. In the next 10 hours, the pain became severe and constant; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a 28-year-old female patient received second dose of BNT162B2 (Lot Number: ER8734), via an unspecified route of administration, administered in the left arm on 02Apr2021 as a single dose for COVID-19 immunization. The patient previously received first dose of BNT162B2 via an unspecified route of administration, administered in Arm Left on 12Mar2021 (Batch/Lot Number: EP7534) for COVID-19 immunization. Medical history included corneal abrasion and pain in my calf, both from an unknown date and unknown if ongoing. Concomitant medications included tetryzoline hydrochloride (EYE DROPS [TETRYZOLINE HYDROCHLORIDE]) taken for an unspecified indication, start and stop date were not reported. The patient experienced DVT in her right calf on an unspecified date and 'felt pain in my calf between 10-20 hours before second vaccine dose. the pain went away but came back 5 hours after second vaccine dose. in the next 10 hours, the pain became severe and constant' on 02Apr2021. The clinical course was reported as follows: The patient felt pain in her calf between 10-20 hours before second vaccine dose. The pain went away but came back 5 hours after second vaccine dose. In the next 10 hours, the pain became severe and constant. At 40 hours after second vaccine dose, she went to the ER and was diagnosed with a DVT in her right calf. The adverse events result in Emergency room/department or urgent care. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were taken as a result of both events which included blood thinners. The outcome of the events was recovering.

Sore throat, congestion, yellow mucus, cough (coughing up blood as well), headache, sneezing, no taste

SHE DID FEEL WELL AFTER RECEIVING THE VACCINE. ON SITE EMS RESPONDED. THEY CLASSIFIED IT AS HYPOTENSION. HER VITALS ARE BELOW. SHE AGREED TO BE TRANSPORTED BY EMS TO LOCAL HOSPITAL.

Palpitation felt after getting vaccine. 122/72, HR 90, O2Sat 98%. 9:45am: Stated that patient is feeling better per husband. Transportation was refused, voiced that if patient is still having palpitation will take patient to hospital himself as he lives close by

Patient experienced a syncopal episode 10 minutes after receiving the Pfizer vaccine. Prior to passing out she experienced diaphoresis and tunnel vision. EMS was called. Patient was found to have a low blood pressure. She felt nauseated while being evaluated by EMS. Was recommended to go to the ER. EMS transported patient to the ER. On the way to the hospital patient felt close to baseline. Once she arrived and found she would have to wait to be seen she left AMA.

I started off with typical symptoms: swollen lymph node (right armpit), migraine, chills, body aches/ joint aches in knees and legs and a fever. I had taken Tylenol extra strength every 4-6 hours which seemed to help. A day and a half after my second vaccine (4/23 2:00 AM), I started having diarrhea and vomiting (intensely). I had two vasovagal syncope episodes, each about 30 min from each other, I am not sure how long I was unconscious either time. It is 4/23 today at 12:14 PM and I am still not able to stand without fainting or vomiting. My fever is gone now, but I am still having hot flashes/ chills/ body aches/ nausea.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

Right arm numbness, 04/15, 5:00pm Facial dropping, 04/18, 12:00pm Right side face paralysis, 04/19, 11:00am Headaches, 04/16, 3:00pm TIA/ stroke, 04/19 11:00am

Pt received Pfizer vaccine and felt dizzy and lightheaded with near syncope. This occurred approx 10 min post injection but Pt was still sitting at vaccine table as she has hx of syncope with injections/blood draws. Medics called to table. Medics transferred Pt to wheelchair and took Pt to medic area to provide privacy for the Pt. Medics evaluated Pt and d/c home with partner driving. VS per EMT 1030 BP 97/72 HR 60 O2sat 100% on RA

Within 3-minutes of vaccination, the patient reported dizziness, nausea, and feeling lightheaded. EMS evaluated the patient on-site. The patient reported a history of vasovagal syncope. Patient was hypotensive (85/40) with a FSBG of 102mg/dL. EMS administered 4mg PO Zofran and transported the patient to Emergency Department. The patient arrived at the ED, checked-in, took a phone call, then left without being seen.

PE; This is a spontaneous report from a contactable Nurse. A 28-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: Ek9231), via an unspecified route of administration, administered on the left arm, at the age of 28 years, on 12Jan2021 at a SINGLE DOSE for covid-19 immunisation. Medical history included asthma, angiolipoma, labral surgery to hip, drug hypersensitivity to penicillins; all from an unknown date and unknown if ongoing. Concomitant medications included ethinylestradiol, norethisterone acetate (JUNEL FE 1/20) and cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]); both taken for an unspecified indication, start and stop date were not reported. The patient previously took amoxicillin and experienced drug hypersensitivity, bactrium ds and experienced drug hypersensitivity, doxycycline and experienced drug hypersensitivity. The patient received first dose of COVID vaccine BNT162B2 (lot number= Ej1685) at the age of 28 years on 22Dec2020 on the left arm at single dose for COVID-19 immunization. The patient reported that 2 weeks after the second vaccine, she underwent hip labral surgery and suffered a PE on 22Feb2021. She was not sure if the vaccine could have contributed to the PE or just the surgery but wanted to report just incase. She was taking aspirin to prevent DVT's. The patient was hospitalized for pe (pulmonary embolism) for 3 days. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 22Feb2021. Therapeutic measures (DOAC) were taken as a result of pe (pulmonary embolism). The outcome of the event was recovering.; Sender's Comments: The event pulmonary embolism is likely an intercurrent medical condition and unrelated to BNT162B2. Patient's hip surgery two weeks after the vaccine might have contributed to the event onset. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Low grade fever; seizure; Passed out; syncope/ fainted; Blood pressure drop; Sore arm; This is a spontaneous report from a contactable consumer (patient's parent). A 28-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not provided) at the age of 28-years-old, via an unspecified route of administration in left arm on 07Apr2021 at single dose for COVID-19 immunization. Medical history included autism, being nervous, passed out, and anxiety. Concomitant medications included sertraline hydrochloride (ZOLOFT), quetiapine fumarate (SEROQUEL), gabapentin, bupropion hydrochloride (WELLBUTRIN), and lorazepam (ATIVAN) for being nervous. The patient received the Pfizer vaccine last Wednesday (07Apr2021) and immediately after that, at about 1:30 (unspecified), she just started having a seizure. They thought that it was more of a major response she was just having, fighting and was nervous about it, but it was kind of a different situation. The reporter has seen the patient passed out before. She did some blood test on 07Apr2021 and her sugars were fine. The reporter's concern was that they didn't know whether she should get the second one. The reporter didn't believe she got a seizure but was not sure about it. It's just that what immediately happened after she got the shot was that she passed out and they called the ambulance. After she passed out, she went to the emergency room and they did blood work on her. The reporter just did not know if they were going to let her go for the second dose because they couldn't relay if it was a seizure or a bizarre response where she just syncope and fainted. They were just thinking it was a bizarre response as it was just blood pressure drop but they were just not sure where to go from here. The patient was told to rest and intravenous fluid and something through the blood were given. The patient also experienced sore arm from 07Apr2021 for 2 days and had a low-grade fever the following day (08Apr2021). The outcome of the event sore arm was recovered on 09Apr2021 and recovered on Apr2021 for all other events. Information about the lot/batch number has been requested.

Woke up at 8am with high heart rate over 100, occurred throughout sleep up to 110 bpm and continues to be over 100 during inactivity. Oxygen is good and fatigue is moderate. Not short of breath but have sore throat. Not an allergic reaction. Heart rate has came down by 4pm but is still high 90s.

heart rate accelerated; blood pressure is elevated to 135/90 mmHg, which is abnormal for her/Blood pressure went up; Chest pain; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 28-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0161, Expiry date: unknown) intramuscular, administered in left arm on 10Apr2021 15:56 pm (age at vaccination was 28 years) at a single dose for covid-19 immunisation. The patient's medical history was not reported. Concomitant medication included betamethasone dipropionate, ketoconazole (KETO B). The caller reported that after receiving her first dose of Pfizer-Biontech covid19 vaccine on 10Apr2021 she had symptoms. Later that night her heart rate accelerated. She experienced chest pains and her blood pressure went up. She went to the urgent care and had an EKG. The result was normal with no abnormal findings. She reported increase heart rate latest for 4 days. The chest pain lasted for 5-6 days. She did not have a primary care provider. She was going to get her blood pressure checked today. On 15Apr2021, she reported that her blood pressure was elevated to 135/90 mmHg, which was abnormal for her and blood pressure went up. She asked whether she should she continue with the second dose. She had a side effect after the first dose of the vaccine. It was 135/90 at the Urgent Care. She was asking if she should move forward to get the second dose or stay with the one. She was not sure how it would effect her later on and she wanted to be safe. She asked whether she would experience harmful effects if she did not get the 2 doses of the vaccine. She received a response stating that there were no reports of increased heart rate or blood pressure during clinical trials. Further she received a response from HCP that stated as noted in the Fact Sheet for Recipients, she should not get the Pfizer-BioNTech COVID-19 Vaccine if she had a severe allergic reaction after a previous dose of the vaccine or if she had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason cannot be made by Pfizer. They referred her to speak to her healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. Her healthcare provider knows her health situation and has access to information that can better help inform this decision. The patient reported AEs after receiving her first dose of Pfizer-Biontech covid19 vaccine on 10Apr2021. She wanted to know if she is at risk of any additional adverse events, if she were to only get one dose. She received a response which stated that the commonly reported AEs were reported after both the first and second doses. Efficacy was determined 7 days after the second dose was given, no data on how well patients are protected by just one dose. Not aware of other risks for getting only one dose of vaccine instead of the recommended two. The patient did not have a history of previous immunization with the Pfizer vaccine considered as suspect. The patient did not receive additional vaccines administered on same date of the Pfizer Suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The outcome of the events heart rate accelerated and blood pressure is elevated to 135/90 mmHg, which is abnormal for her/Blood pressure went up was unknown. The outcome of the event chest pain was recovered/resolved with sequel on 15Apr2021. No follow-up attempts are needed. Information about lot/batch number cannot be obtained. No further information is expected. Follow up (20Apr2021): New information received from a contactable consumer in response to Non-HCP letter sent to consumer included: Added new event Chest pain and its details, onset date of the event (Blood pressure went up), concomitant medication (betamethasone dipropionate, ketoconazole (KETO B) and the clinical details.

Approximately five minutes after being vaccinated the patient described what she felt was a hot flash and then became dizzy with sweating, rapid breathing, and pale skin.

fainted; dizzy; warm; arms had seized up and were twitching; leg and body had also briefly been shaking; eyes were dilated; vomiting; arm is sore; sweaty; This is a spontaneous report from a non-contactable consumer (patient). A 28-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 18Apr2021 11:00 (Batch/Lot Number: Unknown) as SINGLE DOSE for COVID-19 immunisation. The patient was not pregnant at time of vaccination Medical history was reported as none. There were no concomitant medications. The patient previously had first dose of BNT162B2 (Lot number: ER8727) on 28Mar2021 01:00 PM in the left arm at 28 years old for COVID-19 immunisation and experienced fainted. On 18Apr2021 11:15 AM, the patient fainted about 10 minutes after second dose was vaccinated. The patient became dizzy and very warm and then woke up about 5-7 seconds after had fainted. The patient's arms had seized up and were twitching and leg and body had also briefly been shaking. The patient was very sweaty and warm. The patient's eyes were dilated when woke up according to the overseeing nurse. The patient said it was scary. Half hour after, the patient felt fine but then began vomiting when got home. The patient's arm is sore but nothing else has happened. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovering. No treatment was given to the patient for the events. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Patient became pale and lightheaded during the 15 minute observation period. EMT's observed this and immediately assisted the patient to the syncope chair and also gave her water. The patient did report eating lunch a few hours earlier. Vital signs were all within normal limits. Denied any shortness of breath, chest pain, dizziness, rash, itching, hives, or difficulty swallowing. The patient's vital signs were taken again in 5 minutes and was observed for 30 additional minutes. The patient denied any nausea, vomiting, dizziness, lightheadedness, and was no longer experiencing pallor. The patient was educated about if she experienced any chest pain, shortness of breath, difficulty swallowing, or other worsening symptoms, to go to the emergency room immediately. The patient had a history of fainting with pain and denied any chronic medical conditions. The patient ambulated to her car with EMT's accompanying her, and the patient's mother drove her away from the vaccination site.

Received the first dose on 4/7/21 at 3:30 pm, no adverse affects. Received the second dose on 4/28/21 at 3:30pm, only a sore arm for the first 24 hours. At about 3:30pm on 4/29/21, began to feel a tightness in the chest, took my inhaler and it provided slight relief. At 3:30am on 4/29/21, throat began to swell so I went to the ER to get that checked out. They gave me Benadryl, a steroid shot, and some Pepcid for anti-inflammatory and provided prescriptions for when the medicines they administered wore off. From 5/1/21 until today, I have felt slight swelling in the throat and mouth and sinus areas, all manageable by prescriptions given. Today, 5/3/21, felt fatigue and headaches. There is still a bruise at the sight of injection, but no swelling there.

I have type 1 diabetes. Blood sugar raised to 250 about 2 hours after injection and stayed that high for about 18 hours even with corrective insulin given. (This only happened after the first dose)

Extreme and unbearable pain in all muscles, veins, joints, organs. Stomach ache. Diarrhea. Headache. Nausea. Inability to sleep. Loss of consciousness.

Patient received 2nd dose of Pfizer COVID vaccine at approx. 10:20am. At approx. 10:30am the patient passed out and hit the floor. She was rolled into the recovery position and within a few seconds regained consciousness. She sat up and I had her stay sitting on the floor with her back against the wall. 911 was called and the fire department arrived in a few minutes and took over evaluating her.

Systemic: Fainting / Unresponsive-Mild, Additional Details: pt was feeling dizzy and put the pt on the floor she was breathing and concious called 911 and the felt better and put her on a sitting position to rest. Her husband said she has dizzinees and fainting problem. we get help they came and assessed her and pt was ok and walked to her car accompanied by her husband. Called her around 5:40p to make sure she is doing ok but no answer

On 5-4-2021-Patient returned to the pharmacy approximately 5 hours after their vaccination. She was complaining of tightness in her chest and difficulty breathing. She was referred to the local emergency room. On 5-5-2021- I spoke to the patient she said she was just feeling tired today. The emergency room did an EKG and wanted to observe her for 8 hours. She did not stay for observation. She believes her EKG was ok.

Migraine to the point of a blackout; Migraine to the point of a blackout; Shingles Breakout; This is a spontaneous report from a contactable nurse (patient). A 28-year-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration, administered in arm left on 10Apr2021 at 13:00 as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medication included ibuprofen taken for an unspecified indication, start and stop date were not reported. The patient experienced shingles breakout migraine to the point of a blackout on 18Apr2021. There was no treatment received for the events. The outcome of the events was not recovered. Information about lot/batch has been requested.; Sender's Comments: Based on the available information and known product profile, the causal relationship between the report migraine to the point of a blackout and the use of BNT162B2 cannot be fully excluded. The case will be assessed further upon receipt of additional information. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Around 7:45 pm 5/5 after getting the vaccine about 9:08 am 5/5 I started to get light headed, head pounding and nauseous. My entire body ached and I was freezing. I could hardly open a water bottle do to severe weakness throughout my body which i've never had trouble with opening things. Throughout the night I had chills and then was hot then freezing and back and fourth. I tried to get up towards the morning a couple times and was extremely dizzy, weak, and nauseous. I started to have ringing in my ears and everything went black. I was able to lay down before passing out. Throughout the day 5/6 until about 5:00pm I couldn't move without getting very dizzy and nauseous and starting to lose hearing and vision. My heart beat on my fitbit was also tracking about 10 bpm faster than normal. Today 5/7 I am tired and still consistently nauseous throughout the day.

Extremely elevated heart rate (still elevated days after injection), vertigo, shortness of breath, headache, a sense of heaviness throughout the body, extreme fatigue (still days after injection), body aches and fever.

The week of 3/28/21 I began to feel numbness on the right side of my body, in my genital area. By 4/18/21, the numbness had spread into my right glute, which was completely numb. On Sunday, 4/25, I had a sudden onset of all of the following:, the numbness had spread upward and downward and the right side of my body was partially numb; vision in my right eye was blurry; my right eye hurt, and felt swollen; my pupils were unequal; my neck was stiff; I was dizzy; and I could not speak properly. I felt very floaty. These symptoms waxed and waned, together, for several hours at a time, getting progressively worse each time. My lucid periods also got progressively worse. I went to my PCP who ran bloodwork and referred me to a neurologist, who I could not get an appointment with until July. On 5/3/21, I was admitted to the ER based on the recommendation of the triage nurse who heard my symptoms and their duration. The ER ran a bunch of tests and found nothing. I went home and over the next few days entered again into several nonlucid states. I believe my body was getting closer and closer to death. I began taking my temperature with a reliable thermometer, and found it was dropping to 93-95 during my symptomatic periods. I found help from alternative doctors who immediately intervened, and continue to monitor me. The doctor I listed on this form was my ER doctor.

Feeling lightheaded, hypotension, and bradycardia 10 minutes after first COVID-19 mRNA vaccine IM into left deltoid. Gave a juice box, but condition continued to worsen. Called RRT. Taken to Urgent Care for further work up and observation. Status improved even before RRT arrived. No additional note in the chart.

Began with cramping, pains, and prickling in left leg and foot 4 days after receiving vaccine. That was followed by pain all over (possibly lymph), sore eyes, sinus pain, stomach burning, migraine with numbness on one side, neck and chest pain and burning began 10 days after vax followed by painful/swollen tongue that turned numb and tingly, buzzing throughout body. Day 11 after vax I?m coming down with tingling and numbness in jaw and head and a pinny feeling in parts of head followed by numbness in throat, zapping up the neck, prickling pain when I pee. At Day 11 mucus is flowing down my throat. Chest and neck hurt at 12 days after start of symptoms. Body overcome by numbness, tingling, burning, and pain. Chest pain and palpitations cause me to seek emergency care the morning of May 7 and am referred to neurologist. Later that day I have uncontrollable shakes, burning in back of head that started in back and then spread to front and then turned to numbness, numbness/tingling spread to face, neck, chest, arms, and legs, pain in joints, swelling nose. May 8 I have bleeding gums, clumsy walking, burning sensations in face and chest, neck, and knees, followed by heart pain and intense heart palpitations that feel like my heart is clenched in a fist and isn?t being let go and uncontrollable shaking. Went to ER in ambulance. Have not felt symptoms since being treated with Prednisone, Famatodine, Benydryl, and Valium. Still some residual pain however. Other notable symptoms: water tasting sweet and metallic taste in mouth.

Pt c/o difficulty breathing, anxiety, felt like having heart palpitations. Lungs clear, VS WNL. Pt felt better after water and rest. Patient stable and released from vaccination site.

Full blown anxiety attack; Heart started to race, it felt like it want to come out of my chest.; Eyes start to go blurry; Sharp back pain; Shortness of breath; Blood pressure high; This is a spontaneous report from a contactable consumer (patient). A 28-year-old female patient received the second dose of BNT162B2 (PFIZER COVID-19 VACCINE, lot number: EW0162), via an unspecified route of administration on 15Apr2021 12:00 in the right upper arm at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received the first dose of BNT162B2 (lot number: ER8733) on 25Mar2021 in the right upper arm for COVID-19 immunisation. Patient experienced a full blown anxiety attack. Her heart started to race, it felt like it wanted to come out of her chest. Patient also felt that her eyes started to go blurry and she had like sharp back pain and they put her on the stretcher and that mainly she had like shortness of breath with the main thing that she asked the nurse that people tended to get anxiety since they had been given initial of dose and she said no. Because of that nurse thought that patient should call Pfizer to report because nurse said that might be something like a side effect and they put her on the stretcher right away. Patient was on the stretcher for 40 minutes. These happened on 15Apr2021 13:00, an hour after vaccination. Patient did not receive treatment for events. She was given a whole bunch of water because she had like anxiety, the heart was racing fast, patient was kept on checking the high blood pressure until it went to low. Outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Flu symptoms started Friday April 23rd around 11:00 PM and continued into Sunday morning April 25th. After that, vertigo, hypertension, and ataxia persisted up to now May 11th. The ataxia and vertigo has lessened, but the hypertension has not lessened.

patient presented with anxiety prior to receiving their injection. Patient had a near syncopal episode within minutes of injection. Pulse dropped into the 30's and was too weak to be felt by the treating nurse. EMS was activated at 1815 hours, who evaluated the patient. Patient refused an IV, EMS ran a 4 lead, followed by a 12 lead. After completing postural checks around 1840 hours the patient was advised by EMS recommending transport to the hospital. Patient refused transport, and after EMS consulted via phone with medical direction the patient signed off on AMA with a plan to immediately head to Tacoma General hospital for follow up.

Report tingling of spine, itchy palms and eyes tightness of chest, diarrhea 4 days after vaccination . Report the same symptoms as other medication she is allergic to. Treatment: Antihistamine Outcome: symptoms has resolved. Instructed by PCP not to get the second vaccine.

vasovagal rxn following inj, brief syncope X4 sec. monitored X39 mins, orthostatic VSS, given ginger ale and crackers with improvement. MD evaluated pt, ED eval not recommended. No s/s anaphylaxis. advised to return to ED if feeling worse today.

Patient stated she was feeling dizzy and heart racing about 10 min after receiving the vaccination. Pt reports that she has a history of anxiety attack. Talked with patient for about 10 min and worked her through her breathing to decrease any potential anxiety attack. Pt started to state that she felt like she could no longer breathe and was having difficulty breathing. Pt's started to produce hives around her throat, her hands felt cold to touch and pt then passed out. At that point, Epipen was administered to patient and 911 was called. Pt woke up after Epipen was administered and said she was able to breathe again. EMS came to observe pt and took pt to Emergency Room.

Around 10:00pm, I started developing very intense chills and a fever. I went to sleep and awoke 2 hours later with the loudest ringing in my left ear (tinnitus) and a fever of 104. The ringing in my ear was the most disturbing part. I knew it was being caused by a ton of inflammation near my ear, so for 7 hours I sat up and drank water (and tried not to panic about the sound). The ringing went away hours later, but my fever was still high at 7:00am. I got up to go to the bathroom and fainted. My twin sister -- who also got the vaccine with me (same batch) -- had fainted the night before. But her symptoms were not as intense as mine. My fever continued on and off for 48 hours.

patient received a 2nd dose COVID vaccination on 5/13 at 11:40 AM. Immediately after vaccination, patient fell from standing position. Patient monitored x 30 minutes. During waiting period, patient did well at seated position, however, as patient tried to leave, a second incident occurred where she fainted after feeling dizzy and lightheaded. Monitored again x 30 minutes. Note: patient reported no morning meals. Was given lifesaver candy to help if potential hypoglycemia since we noticed patient sweating, shaking, and feeling weak.

Patient fainted in her chair ~2 minutes after administration of the vaccine. Patient informed me ahead of the immunization that she is a fainter and she faints after every immunization and that she brought her mother to assist. Patient was resolved by putting her head down for several minutes. She left after the incident after approximately 20 minutes. Patient reported feeling fine and back to normal.

Tachycardia Vital Signs: BP 108/78 HR 79 Resp 16 O2Sat 99 Skin Signs: Warm and dry, diaphoretic - upon arrival to triage Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Initial Treatment: Vitals taken, expressed feeling better after laying down 10:45 AM Vital Signs: BP 106/70 HR 62 Resp 16 O2Sat 98 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: D/C with spouse, feeling 'completely normal' at 10:50 AM

Diffuse body aches; head congestion; H/A; poor appetite; chills; malaise; This is a spontaneous report from a contactable healthcare professional. A 28-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 12Apr2021, at 10:30, dose 1 via an unspecified route of administration, administered in right arm on 23Mar2021, at 15:45, each as a s single dose for covid-19 immunization. Medical history included anxiety from an unknown date. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included sertraline hcl (ZOLOFT) taken for an unspecified indication, start and stop date were not reported; cetirizine hydrochloride (ZYRTEC ALLERGY) taken for an unspecified indication, start and stop date were not reported. The patient had a known allergy to codeine. On 13Apr2021, at 05:00, the patient experienced diffuse body aches, head congestion , h/a (hypertension), poor appetite, chills, malaise. Treatment received for the adverse events included unspecified over the counter cold medicine. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. The outcome of diffuse body aches, head congestion , h/a (hypertension), poor appetite, chills, malaise was recovering. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

I woke at 4 am with intense chills and nausea. I looked at my watch at 5:24 waiting for my husband's alarm to go off. I thought to myself that I felt I was going to throw up. Next thing I know, my husband is yelling and the dogs are barking around me. I'm drowning in my vomit (laying on my back because the arm hurt). He sits me up and I throw up multiple times all over the bed. I had blacked out while vomiting and without him there, I could have died.

fainted; low blood pressure; fever; This is a spontaneous report from a non-contactable consumer (patient). A 28-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in the left arm on 01May2021 (Batch/Lot Number: Unknown) as 2nd dose, single dose (at the age of 28-years-old) for COVID-19 immunization. Medical history was not reported. The patient did not have concomitant medications: the patient did not have any other medications the patient received within 2 weeks of vaccination. The patient received the first dose of 12Apr2021 BNT162B2 for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks. On 02May2021, around 24 hours after receiving the second shot of COVID vaccine the patient fainted due to fever and low blood pressure. The patient required emergency room/department or urgent care. The patient did not receive treatment for the events. The patient was not diagnosed with COVID-19 and since the vaccination the patient has not been tested for COVID-19. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Approximately 4.5 hours after injection my upper body around my ribs and back felt as if there was a band tightening. There was a lot of stress and pressure and inflammation in my upper body especially near the base of my heart. My heart beat was rapid and I was short of breath. The event lasted approximately 25 minutes.

skin pain; Nausea; Unable to sleep; Stomach pain; Diarrhea; Passed out from pain; Very extreme joint, muscle, organ, skin pain in every cell of body; 40 hours later, joints are still nearly unbearably sore; Very extreme joint, muscle, organ, skin pain in every cell of body; Headache; This is a spontaneous report from a contactable consumer (patient) A 28-years-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration, administered in Arm Right on 02May2021 (reported as at 15:30 ) (Batch/Lot Number: Unknown) as 2ND DOSE, SINGLE for covid-19 immunization. The patient had no known medical history or allergies. Historical Vaccine includes 1st Dose of bnt162b2 on 11Apr2021 at 15:30 in right arm. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), paroxetine hydrochloride (PAXIL [PAROXETINE HYDROCHLORIDE]). No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. On 02May2021 at 02:00 the patient experienced passed out from pain, very extreme joint, muscle, organ, skin pain in every cell of body, 40 hours later, joints are still nearly unbearably sore, headache, skin pain, nausea, unable to sleep, stomach pain, diarrhea. Therapeutic measures were taken as a result of very extreme joint, muscle, organ, skin pain in every cell of body, headache. The clinical course was reported as follows Very extreme joint, muscle, organ, skin pain in every cell of body. Passed out from pain, Headache, Nausea. Pain only became slightly tolerable after taking 400 mg of both ibuprofen and acetaminophen nearly every 4 hours for the first 32 hours. Unable to sleep. Stomach pain. Diarrhea. 40 hours later, joints are still nearly unbearably sore. Continued stomach pain and diarrhea. The clinical outcome of the events was reported as recovering. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Patient fainted after getting shot. She remained seated and did not fall. When patient woke up, I monitored her for 30 minutes and took several blood pressures.

May 4th - Therapeutic rest - had been having contractions for a couple of days and hadn't had sleep- admitted to hospital. May 6 baby was born. I was full term - 40 weeks and six days. I was in labor and admitted for labor and delivery. Baby was born with a vacuum assist and had some risk for jaundice but didn't get a jaundice diagnosis. Small for gestation age - Baby's size - 6 lbs and 9 oz. I had some blood loss and did have a blood transfusion after deliver. It was my first pregnancy.

Severe calf muscle cramps, possible blood clot; Severe calf muscle cramps, possible blood clot; This is a spontaneous report from a contactable other hcp. A 28-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 24Mar2021 12:00 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunization. Medical history was reported as "none". 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. the patient previously received the first dose of BNT162B2 on 26Feb2021 at 10:00 administered in the left arm for COVID-19 immunization. The patient's concomitant medications were not reported. The patient experienced severe calf muscle cramps, possible blood clot on 01Apr2021 12:00. The outcome of events was not recovered. Patient did not receive any treatment for the events. Follow up needed, further information has been requested; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation. Case will be reassessed upon receipt of follow-up information. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.